American LegalNet, Inc. www.FormsWorkFlow.com OFFICER'S RETURN Served a copy hereof, in the County of St. Louis, Missouri, on _____________________________________, 201_________ (by reading same) (by delivering a true copy) to the within named witness. To summoning the witness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________________________ To the return of non est on this subpoena . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________________________ To ____________________ miles traveled serving this subpoena. . . . . . . . $________________________________ TOTAL FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________________________ JIM BUCKLES, Sheriff By_________________________________________ Deputy TO:________________________________________ ___________________________________________ ___________________________________________ INSTRUCTIONS TO APPLY FOR WITNESS FEE After the witness testified or has been dismissed, the witness shall take this copy to the Office of the Circuit Clerk, on the 5th floor, or the appropriate Division Clerk, for entry on the books as provided by law. Otherwise, witness fees cannot be taxed. If the Office of the Circuit Clerk is closed, see the Courtroom Clerk. WITNESS CLAIM I hereby certify that I am entitled to ____________ days and ___________ miles traveled for service as a witness under this subpoena. __________________________________________________ Witness Signature Subscribed and sworn before me and entered this ____________ day of __________________________, 201______. JOAN M. GILMER, Circuit Clerk By______________________________ Deputy CCCDT24 Rev. 06/12 American LegalNet, Inc. www.FormsWorkFlow.com