COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : IN THE COUNTY COURT OF MONROE COUNTY, FLORIDA : IN AND FOR MONROE COUNTY, FLORIDA Calendar No. FILE IN TRIPLICATE -againstPlaintiff(s) : Index No. JUDICIAL SUBPOENA CASE No. Plaintiff Address Defendant(s) : Tel. ...................................................... }{ : : VS. : Defendant Address Tel. STATEMENT OF CLAIM which is past due and unpaid, for (as checked (X) below): Goods, wares and merchandise sold by plaintiff to defendant on Work done and material furnished by plaintiff to defendant on Money loaned by plaintiff to defendant on . Money due to plaintiff upon accounts stated and agreed between them, copy of which is GREETINGS: attached hereto; On YOU, that all business and excuses being laid hereto; WE COMMAND a written instrument, copy of which is attachedaside, you and each of you attend before , the Honorable Rent for a certain premises at the in Monroe County. Court vis Florida, . Address located at From County of to in room , on the day of , 20 , at o'clock in the noon, and at any recessed Other (Explain) or adjourned date, to testify and give evidence as a witness with any of the above: of the in this action on the part Any additional fact in connection (Use additional sheet if necessary) TO 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. Witness, Honorable Whereof Plaintiff demands judgement in the sum of $ County, , 20 costs and any further day ofwhich the Court may assess. costs , one of the Justices of the THE PEOPLE OF THE STATEPlaintiff sues the Defendant for Money owed Plaintiff by Defendant, and The OF NEW YORK Court in · together with court STATE OF FLORIDA MONROE COUNTY SS: (Attorney must sign above and type name below) being first duly sworn on oath says the foregoing is a just and true statement of the amount owing by defendant to plaintiff, exclusive or all setoffs and just ground of defense. Plaintiff states that defendant(s) is - are not in the military senrice of the United States. Attorney(s) for Attorney for Plaintiff Address Telephone Number Subscribed and sworn to before me this Plaintiff (or Agent) Office and P.O. Address day 20 Telephone No.: of Facsimile No.: E-Mail Address: Deputy Clerk (or Notary Public) Mobile Tel. No.: 634CCC-94 American LegalNet, Inc. www.USCourtForms.com