COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. Chronological Case Summary Entry Form : Plaintiff(s) JUDICIAL SUBPOENA Court: ________________________________________________ : Date: ______________________ -against: Case Number: _______________________________________ : Defendant(s) : ...................................................... _______________________________________________________ VS THE PEOPLE OF THE STATE OF NEW YORK TO ________________________________________________________ The activity of the court should be summarized as follows in the Chronological Case Summary (CCS) GREETINGS: under the above case number: 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 ______________________________________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the ______________________________________________________________________________________ ______________________________________________________________________________________ liable to Your failure to comply with this subpoena is punishable as a contempt of court and will make you 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 Court in County, , one of the Justices of the day of , 20 A full text order for judicial signature is attached: Yes ______ No ______ (Attorney must sign above and type name below) Submitted by Attorney for : (Plaintiff/Defendant) _______________________________________ ________________________________________ Plaintiff Attorney(s) for ________________________________________ Defendant _______________________________________ Attorney Approval/Date: __________________________ Date Received/Entered: ___________________ Office and P.O. Address ________________________________________ Judge Telephone No.: Facsimile No.: E-Mail Address: Clerk: __________________________________ Mobile Tel. No.: American LegalNet, Inc. This form has been approved for use in compliance with Trial Rule 77 by the Division of State Court Administration. www.USCourtForms.com CCS 8-1998