Commonwealth of Pennsylvania County of Philadelphia Commonwealth of Pennsylvania COURT OF COMMON PLEAS MUNICIPAL COURT CRIMINAL DIVISION vs. Term, Yr (Defendant) No. Subpoena (Not to be Used as a Subpoena Duces Tecum) To: (Name of Witness) (Address) You are Ordered by the Court to come to at Philadelphia, Pennsylvania on , at o'clock matter of Commonwealth vs. .M., in the , charged with to testify and to remain until excused. NOTICE This subpoena is issued pursuant to Pa. R. Crim. P. No. 9016. If you fail to attend, you may be subject to sanctions including but not limited to imprisonment and attorneys fees. INQUIRIES CONCERNING THIS SUBPOENA SHOULD BE ADDRESSED TO: (Name of Attorney) (I.D. No.) ADDRESS E-MAIL ADDRESS TELEPHONE NO. FAX NO. WITNESS the Honorable Frederica A. Massiah-Jackson, President Judge of the Court of Common Pleas, and/or Louis J. Presenza, President Judge of the Municipal Court of Philadelphia, the day of , . By The Court: VIVIAN T. MILLER Clerk of Quarter Sessions (Clerk) The subpoena must be signed and sealed by the Clerk of Quarter Sessions before service. 01-12 (Rev. 2/01) 2002 © American LegalNet, Inc. Return of Service day of On the I, , 20 , , served with the foregoing subpoena by (describe method of service): I verify that the statements in this return of service are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. § 4904 relating to unsworn falsification to authorities. Date Signature Name of Person Served 01-12 (Reverse) 2002 © American LegalNet, Inc.