COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. In the Circuit/County Court in and for Manatee County, Florida : Plaintiff(s) State of Florida -against- Case No. JUDICIAL SUBPOENA : : -vs- : Defendant Defendant(s) : ...................................................... Change of Address (Please Print) In Re:THE PEOPLENumber STATE OF NEW YORK Cash Bond OF THE Payee Name: TO Home Phone Work Phone Address on File: GREETINGS: Change Address to: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed Certificate of in this or adjourned date, to testify and give evidence as a witness Payee action on the part of the I hereby certify that the above information is correct and that I am the person to whom payment is due in the above referenced case. 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 _____________________________________ as a maximum penalty of $50 and all damages sustained Date result of your failure to comply. Signature of Payee Witness, Honorable Court in County, day of Sworn (or affirmed) and subscribed before me this , one of the Justices of the , 20 _________ day of _________________ 20_____ . He/She is personally known to me or has presented ________________________________________ as identification. (Attorney must sign above and type name below) ________________________________________ Notary Signature/Seal ________________________________________ Notary Name Printed Attorney(s) for Office and P.O. Address Return this form to: R. B. Shore, Clerk of Court Criminal Fines Department P. O. Box 25400 Bradenton FL 34206 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com