COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN THE DISTRICT COURT OF JOHNSON: COUNTY, KANSAS JUDICIAL SUBPOENA Plaintiff(s) -against- : _______________________________ Plaintiff/Petitioner : : Case No.________________ Div. No._________________ K.S.A.__________________ Defendant(s) : ...................................................... vs THE PEOPLE OF THE STATE OF NEW YORK _______________________________ Defendant/Respondent TO AFFIDAVIT OF CUSTODIAN OF BUSINESS RECORDS GREETINGS: I,_______________________________________________, being first duly sworn, attend before WE COMMAND YOU, that all business and excuses being laid aside, you and each of you on oath, depose , the Honorable and say that: I am a duly authorized custodian of the business records of _________ at the Court __________________________________________________ and have the authority to certify located at County of inthose records. , on the room day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, toof the records attached to this affidavitthisaactioncopy of theof the described in The copy testify and give evidence as a witness in is true on the part records the subpoena. The records were prepared by the personnel or staff of the business, or persons acting under their control,to comply with this subpoena is punishableor about the timecourt and will make you liable to Your failure in the regular course of the business at as a contempt of of the act, condition orparty on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a event recorded. the ___________________________________ result of your failure to comply. (Signature of Custodian) Subscribed and sworn to before the undersigned on the _______day ofone of the Justices of the Witness, Honorable , ________, ______ My in Court appointment Expires: _____________ ________________ County, day of , 20 (Notary Public) CERTIFICATE OF MAILING must sign above and type name below) (Attorney I hereby certify that on __________________, ___________, I mailed a copy of the above affidavit to ____________________ at ___________________________ by depositing it Attorney(s) for with the United States Postal Service for delivery with postage prepaid. ____________________________________ Office and P.O. Address (Signature of Custodian) Subscribed and sworn to before the undersigned on ____________________, __________. My Appointment Expires; ________________ Telephone No.: Facsimile No.: __________________ E-Mail Address: (Notary Public) Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com