COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CLOCK INCalendar No.IN THE COUNTY COURT IN AND FOR BROWARD COUNTY FLORIDA DIVISION : [ ] CIVIL [ ] OTHERSTATEMENT OF CLAIMJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)PLAINTIFF(S)VS. DEFENDANT(S)CASE NUMBER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]SP [ ]CCTHE PEOPLE OF THE STATE OF NEW YORK TOPlaintiff sues Defendant and alleges :GREETINGS:1. This is an action for damages that do not exceed $ 5000.00 exclusive of interest, costs, and attorney's fees. 2. This action is brought pursuant to the Florida ( MOTOR VEHICLE REPAIR ACT FLORIDA) STATUTE 559.917 (1)(b) 3. OnWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room, the Defendant brought his motor vehicle, identified as , into Plaintiff's shop in Broward County, Florida for the purpose of having the Plaintiff fix said automobile. 4. The Plaintiff, upon diagnosing the problem, issued a repair estimate to the Defendant, in the amount of $Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.,which estimate the Defendant signed; a copy of the repair estimate is attached to the Statement of Claim and marked exhibit A . 5. On, the Plaintiff notified the Defendant that the automobile was completely fixed and that the defendant should come and pick up said automobile. 6. On, one of the Justices of the, the Defendant came to the Plaintiff's shop and was presented with a written invoice, for the automobile repair, which showed that $ was owed. Said figure does not exceed the written estimate by $10.00 or 10% whichever is greater. A copy of the written invoice is attached to this statement of claim and marked exhibit B . 7. The Defendant refused to pay for automobile repair.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressPage 1 of 2Telephone No.: Facsimile No.: E-Mail Address:FORM 635 REVISED 1/03COPY FEE : 699SEARCH FEE : 698Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.8. The Defendant posted a Bond in the amount of $, with the Clerk of the Court of Broward County, Florida and received a certificate from the Clerk requiring that possession of the automobile be given to the Defendant. A copy of the Clerk's certificate is attached and marked as exhibit C .JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)9. The Plaintiff performed all of the work on the defendant's automobile that was authorized: Plaintiff demanded payment therefore but Defendant refused to pay. 10. From the day that the Defendant was notified that the work was completed on his car until the day that the car was released $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .of storage charges accrued.THE PEOPLE OF THE STATE OF NEW YORK TOWHEREFORE, Plaintiff demands that judgment be entered against the Defendant in the amount of of $plus $storage charges, court costs and that the bond, which the Defendant posted with the Clerk of Court, be released in favor of the Plaintiff.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPlaintiffYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Sworn to and subscribed before me thisday of, at Broward County, Florida., 20, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Deputy Clerk or Notary PublicAttorney(s) forOffice and P.O. AddressPage 2 of 2Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com