I this day summoned the within named
to appear as within directed by delivering to
in hand, -leaving at
last and usual place of
Street,
abode, to wit: No
in the
an attested
District of said
copy of the subpoena together with
fees for attendance and travel
Service and Travel
Police Officer, Constable, Deputy Sheriff
Cap.
Pd. Witness
It being necessary I actually used a motor vehicle the
miles in the service of this
distance of
Motor Vehicle
process
Police Officer, Constable, Deputy Sheriff
Subscribed and sworn to before me
This
day of
Notary Public
• Strike out the words ''And you are further required to bring with you" unless the subpoena is to require the Production of
Document. or tangible things, in which case production of document or tangible things should be designated in the space provided.