COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF THE CONSERVATORSHIP OF CASE NO. JUDGMENT ENTRY APPOINTMENT OF CONSERVATOR (R.C. 2111.021). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOUpon hearing the application for appointment of a Conservator herein, the Court finds that the petitioner is a resident of this County, or has legal settlement herein; that this Court has jurisdiction; and that is a competent, but physically infirm adult, who has voluntarily petitioned for, and the Court does declare as his/her Conservator, and grants to the Conservator powers fully described in the Letters of Conservatorship.The Court further finds that powers of the Court shall be:GREETINGS:1.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Full power as prescribed in the Laws of Guardianship of the State of Ohio. 2.Limited to the following powers, but not limited to the power to set bond, and all powers in Section 2111.021 of the Ohio Revised Code.located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour 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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,The Court approves the bond as filed.(Attorney must sign above and type name below)The Court Orders Letters of Conservatorship issue to as provided by law.Attorney(s) for DateJudge Jack R. PuffenbergerOffice and P.O. AddressI, , Attorney-at-law, hereby certify, that the within instrument was prepared and/or examined by me, and that the same, in my opinion, is correct and proper.Telephone No.: Facsimile No.: E-Mail Address:«dpo31/2¡-Mobile Tel. No.:FORM 20.1 JUDGMENT ENTRY APPOPINTMENT OF CONSERVATORAmerican LegalNet, Inc. www.USCourtForms.com