TO: Clerk, U. S. District Court Southern District of Georgia _______________Division FROM: Name of Attorney: _____________________________ Bar No.: _____________________________ Street Address: _____________________________ City/State _____________________________ SUBJECT : Certification to the Clerk for Release of Subpoenas This is to certify that _________subpoenas in blank without the signature of the Clerks staff are requested and received by the above stated in ____________________vs. __________________________________, Case No. ___________________________ _______, now pending in the _________________division of this Court. I understand that it is the policy of the district that all unused subpoenas requested for this case are to be returned to the Clerks Office and cannot be used in another case. This _____________day of ______________________, 200__. ____________________________________ (Signature of Attorney) American LegalNet, Inc. www.USCourtForms.com