Verification Of ReInterment Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Verification Of ReInterment Form. This is a Ohio form and can be use in Lucas County (Court Of Common Pleas).
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Tags: Verification Of ReInterment, DIS300H, Ohio County (Court Of Common Pleas), Lucas
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
PROBATE COURT OF LUCAS COUNTY, OHIO
:
Calendar No.
JACK R. PUFFENBERGER, JUDGE
:
Plaintiff(s)
JUDICIAL SUBPOENA
IN THE MATTER OF THE
-against:
DISINTERMENT OF: _______________________________________, DECEASED
:
CASE NO. _________________________
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . VERIFICATION .OF .RE-INTERMENT
................... ... ....
The undersigned, NEW a ٱ
THE PEOPLE OF THE STATE OFbeingYORK
_______________________________
TO
Director or ٱother title
(please specify)
of the _________________________ Cemetery,
states that the remains of the above-named Decedent were re-interred on the ____ day of
_______________________________,
GREETINGS:
20 ___, pursuant to the order of this Court.
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
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Signature
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Typed or Printed Name
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,
Cemetery
day of
, one of the Justices of the
, 20
Address
(Attorney must sign above and type name below)
Attorney(s) for
(
)
Phone Number (include area code)
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
FORM LCPC – DIS300H
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