wv130_001

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WV-130 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.: To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when finished. SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT: EMPLOYEE: COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Plaintiff(s) -against: : : Index No. Calendar No. JUDICIAL SUBPOENA CASE NUMBER: PROOF OF PERSONAL SERVICE (Workplace Violence) : Instructions to Plaintiff: After having the other party served with any of the documents identified in item 2 have the person who served the documents complete this Proof of Personal Service. You cannot serve these papers. Give the completed Proof of Personal Defendant(s) : ...................................................... Service to the clerk for filing. 1. At the time of service I was at least 18 years of age and not a party to this legal action. THE PEOPLE OF THE STATE OF NEW YORK 2. I served a copy of the following documents (check the box before the title of each document you served): TO a. Order to Show Cause (Workplace Violence) (form WV-120) and Temporary Restraining Order (CLETS) (form WV-120) b. Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee (Workplace Violence) GREETINGS: and Application for Temporary Restraining Order (form WV-100) c. d. e. f. g. Blank Response to Petition of Employer for Injunction Prohibiting Violence or Threats of Violence Against Employee WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (Workplace Violence) (form WV-110) , the Honorable at the Court Proof of Service by Mail of Completed Response (Workplace Violence) (form WV-131) located at County of in Petition of Employer for Injunction Prohibiting Violence or Threats in the , on the day of , 20 , at o'clock of Violence Against Employee noon, and at any recessed Order After Hearing onroom (CLETS) (Workplaceor adjourned(form to testify and give evidence as a witness in this action on the part of the Violence) date, WV-140) Blank Proof of Sale of or Turning in of Firearms (form WV-145) Other (specify): Your 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. , one of the Justices of the , 20 3. Person served (name): Witness, Honorable Court in County, day of 4. By personally delivering copies to the person served, as follows: b. Time: a. Date: c. Address: 5. My residence or business address is (specify): 6. My telephone number is (specify): (Attorney must sign above and type name below) Attorney(s) for I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Office and P.O. Address Date: (TYPE OR PRINT NAME ) Form Approved for Optional Use Judicial Council of California WV-130 [Rev. January 1, 2005] Telephone No.: (SIGNATURE) Facsimile No.: E-Mail Address: PROOF OF PERSONAL SERVICE Mobile Tel. No.: (Workplace Violence) Page 1 of 1 Code of Civil Procedure, ยงยง 527.8 and 527.9 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form

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