COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IN COURT OF COMMON PLEAS OF CARBON COUNTY, PENNSYLVANIA:::::::Index No.Calendar No.CIVIL ACTIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)VSNO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOREQUEST FOR SUBPOENATo the Prothonotary:GREETINGS:Please issue subpoena (es) in the above captioned action.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableThe undersigned hereby certifies that:,located at County of(1) He/She is a party or counsel of record for a party to the above captioned action. (2) The subpoena (es) issued pursuant to this request will be used to command a person.o'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 room(check one)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.( ) to attend a trial or hearing or deposition in an action or proceeding pending in the Court., one of the Justices of theORCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)( ) to produce documents or things only at a trial or hearing or deposition in an action or proceedings pending in the Court. (3) No subpoena issued pursuant to this request will be used to compel a person to appear or to produce documents or things ex parte before an attorney, a party, or a representative of the party.Attorney(s) forOffice and P.O. AddressRespectfully submitted,(Signature of party or counsel)Telephone No.: Facsimile No.: E-Mail Address:Form LF.5Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com