ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
TELEPHONE NO.:
FOR COURT USE ONLY
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
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PROGRAM OPERATOR:
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
PARTICIPANT:
Index No. Calendar No.
CASE NUMBER:
: : PROOF OF PERSONAL SERVICE Plaintiff(s)
JUDICIAL SUBPOENA
(Transitional Housing Misconduct) -against-
: :
PERSONAL SERVICE
Instructions: After having the other party served with any of the documents identified in item 1, have the person who served the Defendant(s) documents complete this Proof of Personal Service. Give the completed Proof of Personal Service to the clerk for filing. Complete a : ...................................................... separate Proof of Personal Service for each participant or family unit. The program operator and its employees and the participant may not serve these papers. 1.
THE PEOPLE OF THE STATE OF served a copy of the following documents on participant (check the box before the title of each Program operator's papers. I NEW YORK :
2.
document you served): Order to Show Cause (Transitional Housing Misconduct) a. and Temporary Restraining Order Petition for Order Prohibiting Abuse or Program Misconduct b. GREETINGS: and Application for Temporary Restraining Order blank Participant's Response AND a excuses beingInstructions for Participants attend before c. WE COMMAND YOU, that all business and copy of the laid aside, you and each of you , the Honorable Court blank Attached Declaration (form at the MC-031) (two copies) d. located at County of blank Proof of Personal Service (Transitional Housing Misconduct) e. in room on the day , 20 , at o'clock in the noon, and at any recessed Order, After Hearing of f. or adjourned date, to testify and give evidence as a witness in this action on the part of the g. other (specify): Participant's papers. I served a copy of the following documents on program operator (check the box before the title of each document you served):
TO Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to a. the party oncompleted Participant's Response for a maximum penalty of $50 and all damages sustained as a whose behalf this subpoena was issued other (specify): b. result of your failure to comply.
Witness, Honorable program operator participant (only one name):, one of the Justices of the 3. I served Court in County, , 20 by personally delivering copies to day of her. him or a. Date of service: b. Time of service: c. Place of service (address):
(Attorney must sign above and type name below)
4. Person serving. At the time of service I was at least 18 years of age and not a party to this lawsuit. Name: Attorney(s) for Address: Telephone: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
Telephone No.: Facsimile No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-Mail Address: (TYPE OR PRINT NAME) Mobile Tel. No.:
Form Adopted by the Judicial Council of California TH-140 [New July 1, 1992]
I
Office and P.O. Address
(SIGNATURE OF PERSON SERVING)
PROOF OF PERSONAL SERVICE (Transitional Housing Misconduct)
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