COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : In the District Court of ____________JUDICIAL SUBPOENA County, Kansas Plaintiff(s) -against- : : _______________________ Plaintiff vs. : Case Number_____________ Defendant(s) : ...................................................... _______________________ Defendant THE PEOPLE OF THE STATE OF NEW YORK TO NOTICE OF APPEAL TAKE NOTICE THAT the appellant, _______________________________, herein GREETINGS: appeals to the District Court of ______________ County, Kansas from the Judgment of the WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court District (Magistrate) Court, judgment in small claims. 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 ________________________________ Appellant 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. REQUEST FOR TRIAL BY JURY Witness, Honorable , one of the Justices of the APPELLANT does ____ day ofnot ____ request that hearing on his appeal herein be does Court in County, , 20 set to a jury of ____ members. (Attorney must sign above and type name below) _________________________________ Appellant Dated this ____ day of ___________________, _____. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com