COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. State of Michigan REQUEST FOR : 7th Judicial Circuit VIDEOTAPE/CD COPY : 900 S. Saginaw St. Flint, MI 48502 Plaintiff name(s) : Plaintiff(s) Index No. Case No. Calendar No. (810) 424-4436 JUDICIAL SUBPOENA Defendant name(s) : -against- : v : Plaintiff’s . . . . . . .bar no.,.address, . . . . . . . no. . . . . . . . attorney, . . . . . . . . . telephone . . Defendant(s) : . . . . . . . . . . . . . . . .Defendant’s attorney, bar no., address. telephone no. ..... THE PEOPLE OF THE STATE OF NEW YORK TO I request a copy of the videotape recording of the proceeding specified below GREETINGS: a copy of the digital recording of the proceeding specified below Judge Date and excuses being laid aside, you of proceeding attend before Time and each of you WE COMMAND YOU, that all business of proceeding , the Honorable at the Court located at County of in room day of , 20 , at o'clock in the noon, and at any recessed Type of proceeding, on the or adjourned date, to testify and give evidence as a witness in this action on the part of the Special instructions (specify whether request is for a complete transcript or a portion of the transcript) 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. ____________________ ________________________________________ Date Signature Witness, Honorable Court in County, day of , one of the Justices of the ________________________________________ , (type or print) Name20 ________________________________________ Address (Attorney must sign above and type name below) ________________________________________ City, State, Zip Telephone no. Attorney(s) for _______________________________________________________________________________ FOR COURT USE ONLY: Paid: Yes No Wait for check in mail Pay when video is picked up Office and P.O. Address Date payment was received: __________________________________ Cash G:\forms\reqvideo Check Telephone No.: Number ________________Facsimile No.: Amount $_______________________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com