SUBPOENA
COMMONWEALTH OF MASSACHUSETTS
DIVISION OF LABOR RELATIONS
To
You are hereby required to appear before the Division of Labor Relations of the
Commonwealth of Massachusetts, 19 Staniford Street, 1st Floor in the
City of on the day of , , at o’clock
___ m. of that day, and from day to day thereafter until the case is concluded, to testify in the matter
of
Fail not at your peril.
In testimony whereof, the seal of the Divison of Labor
Relations of the Commonwealth of Massachusetts is
affixed hereto, and the undersigned, an agent of said
Division of Labor Relations, has here-unto set his/her
hand at this
day of
, .
Subpoena requested by:
NOTICE TO WITNESS—THE PARTY REQUESTING THE SUBPOENA IS RESPONSIBLE FOR ANY
CLAIM FOR WITNESS FEE OR MILAGE
.
Boston
RETURN OF SERVICE
I hereby certify that, being a person over 21 years
of age, I duly served a copy of the within subpoena.
in person
by registered of certified mail
by leaving copy at principal
office of place of business,
(INDICATE BY to wit:
CHECK 4 METHOS
USED)
on the person named herein on
(MONTH, DAY, AND YEAR)
(NAME OF PERSON MAKING SERVICE)
(OFFICIAL TITLE, IF ANY)
I certify that the person named herein was in
attendance as a witness at
on
(MONTH, DAY OR DAYS, AND YEAR)
(NAME OF PERSON CERTIFYING)
(OFFICIAL TITLE)