COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. MEDIATION SERVICES INVOICE : Plaintiff(s) District Court Clerk Attention: Mediation Secretary -againstEleventh Judicial District 103 South Oliver Aztec NM 87410 JUDICIAL SUBPOENA : : : Defendant(s) : . .Name. and. Address .of.Mediator . . . _____________________________ ..... ... ........ . ........ .................... _____________________________ _____________________________ THE PEOPLE OF THE STATE OF NEW YORK Names of Petitioner and Respondent: TO _____________________________________ _____________________________________ Case Number: _____________________ GREETINGS: Date of Services Hours Used Cost 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 _______________ _______________ recessed in_____________________ of room , on the day , 20 , at o'clock in the noon, and at any _____________________ evidence as a_______________on the part of the _______________ or adjourned date, to testify and give witness in this action _____________________ _______________ _______________ _____________________ _______________ _______________ _____________________ _______________ _______________ 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. TOTAL INVOICE Witness, Honorable Court in County, _______________ day of _______________ , one of the Justices of the , 20 (Attorney must sign above and type name below) _________________________________ MEDIATOR Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com