COURT UNTY . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. : PROBATE COURT OF JUDICIAL SUBPOENA STARK COUNTY, OHIO Plaintiff(s) -against- : ADOPTION OF : CASE NO. (Name after adoption) : Defendant(s) : ................................................... ADOPTION CERTIFICATE FOR PARENTS E PEOPLE OF THE STATE OF NEW YORK EETINGS: This is to certify, that in an action pending in this Court, on a petition filed by to adopt a minor, satisfactory evidence was submitted aside, you and the of you attend that WE COMMAND YOU, that all business and excuses being laidto prove, and each Court found,beforethe minor , Honorable at the Court was born onlocated at the day of , at unty of oom , on the day of , 20 , at o'clock in the noon, and at any recessed and that all necessary proceedings relative to an the part of were complied with; and the Court adoption the djourned date, to testify and give evidence as a witness in this action on on the day of , decreed that the minor is legally adopted by Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ult of your failure and the minor's name is changed to to comply. in the records of the Court. Witness, Honorable urt in County, day of , one of the Justices of the , 20 (Attorney must sign above and type name below) WITNESS my signature and seal of said Court, this Attorney(s) for day of , . Robert D. Horowitz, Probate Judge Office and P.O. Address By: Deputy Clerk Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: FORM 18.8 - ADOPTION CERTIFICATE FOR PARENTS American LegalNet, Inc. www.USCourtForms.com 10/1/97