COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS JUDICIAL SUBPOENA Plaintiff(s) Seventh Judicial District -against- : : Misdemeanor/Care & Treatment/Indirect Contempt/Putative Parent Appointments : PAYMENT TO: Defendant(s) : ...................................................... Case No. ___________________________ Name: _________________________________ Division No. ____________ SSN/SC#_______________________________ Defendant:__________________________ Address: _______________________________ THE PEOPLE OF THE STATE OF NEW YORK Offense:____________________________ _______________________________________ Date Appt.______________________________ TO Have you previously submitted a voucher in this case? Yes No If so, how much have you received? $___________________________ GREETINGS: TIME IN COURT: Itemize TOTAL IN COURT HOURS: _____ 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 inTIME OUT OF,COURT: Itemizeof room on the day , 20 TOTAL OUT OF in the , at o'clock COURT HOURS: _____ recessed noon, and at any or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure EXPENSES: Itemize to comply with this subpoena is punishable as a contempt of court and will make you liable to TOTAL EXPENSES: $____________ 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 I hereby certify the above information to be just, correct, unpaid, and due by law. (Attorney must sign above and type name below) Date_______________ ____________________________________ Signature of Attorney Attorney(s) for ________________ Hours in Court @ $_____________________ = $__________________________ ________________ Hours out of Court @ $_____________________ = $__________________________ TOTAL APPROVED: Date ______________ = $__________________________ Office and P.O. Address Telephone No.: _____________________________________________ Facsimile No.: Judge of the District Court E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com