COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Plaintiff:Court of Common Pleas:::::::Index No.:of Philadelphia CountyCalendar No.vs.::Term, 20JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Defendant:No.Bill of Costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. Record Costs$A. Prothonotary's Fees B. Sheriff's Fees C. Jury Fee D. MiscellaneousTHE PEOPLE OF THE STATE OF NEW YORK TO1.2.II. Non-Record CostsA. Costs of Subpoena B. Service of Subpoena C. Witness Fees (Itemized Below) D.E.F.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,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 roomWITNESS FEESAttendanceTotalMileageYour 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.TotalCostTotalMilesName and ResidenceDaysCostEachCostWitness1.2.3., one of the Justices of theCourt in Witness, Honorableday of, 20 County,TOTAL:(Attorney must sign above and type name below)COMMONWEALTH OF:PENNSYLVANIA::ss.Attorney(s) forCOUNTY OF:PHILADELPHIA:I,, being duly sworn according to law, depose and say that the foregoing costsOffice and P.O. Addressare correct and were necessarily incurred in this action and that the services for which fees have been charged were actually and necessarily performed. The witnesses listed were actually present in court and, in my opinion, were material witnesses.Telephone No.: Facsimile No.: E-Mail Address:Attorney forMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com