COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF MONTGOMERY COUNTY, OHIOALICE O. McCOLLUM, JUDGE JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ADOPTION OF(Name after adoption) CASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ADOPTION CERTIFICATE FOR PARENTSTHE PEOPLE OF THE STATE OF NEW YORK TOThis is to certify, that in an action pending in this Court, on a petition filed byto adopt a minor, satisfactory evidence was submitted to prove, and the Court found, that the minor was born on theGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,day of,, atlocated at County ofo'clock in the day ofnoon, and at any recessed room, on the, 20, at adjourned date, to testify and give evidence as a witness in this action on the part of theand that all necessary proceedings relative to an adoption were complied with; and the Court on theday of,, decreed that the minor is legally adoptedbyand the minor's name is changed to in the records of the Court.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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)WITNESS my signature and seal of said Court,. this,day ofAttorney(s) forOffice and P.O. AddressAlice O. McCollum, Probate Judge By: Deputy ClerkTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comFORM 18.8 -ADOPTION CERTIFICATE FOR PARENTS10/01/97