COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
: Index No.
Clerk stamps date here when form is filed.
CH-130 Proof of Personal Service : Calendar No.
1 Name of person asking for protection:
:
Plaintiff(s) JUDICIAL SUBPOENA
2 -against-
Name of person you want protection from: :
:
3 Notice to Server
The server must: :
• Be over 18 years of age. Defendant(s) :
. ... . .... .....
. . • . Not .be. listed.on the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fill in court name and street address:
restraining order. Superior Court of California, County of
• Give a copy of all
PEOPLE checked in 4
THEdocumentsOF THE STATE OF NEW YORK
to the person in 2 . (You
TO cannot send them by mail.) Then complete and sign
this form, and give or mail it to the person in 1 . Fill in case number:
Case Number:
PROOF OF PERSONAL SERVICE
4 I gave the person in 2 a copy of the documents checked below:
GREETINGS:
a. CH-120, Notice of Hearing and Temporary Restraining Order (CLETS)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
b. CH-100, Request for Orders to Stop Harassment
the Honorable at the Court ,
c.
County of CH-110, Answer to Request for Orders to Stop Harassment (blank form)
located at
ind. , on of day of , 20
room CH-145, Proofthe Firearms Turned In or Sold (blankat , form) o'clock in the noon, and at any recessed
ore. evidence for witness in this action on the
adjourned date, to testify Iand give a Requestas a Orders to Stop Harassment? part of the
CH-151, How Can Answer
f. CH-140, Restraining Order After Hearing to Stop Harassment
g. Other (specify):
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
5 I party on gave behalf this documents checked for a maximum penalty of
thepersonallywhosecopies of thesubpoena was issuedabove to the person in 2 : $50 and all damages sustained as a
resulta. On (date): to comply.
of your failure b. At (time): a.m. p.m.
c. At this Address:
Witness, Honorable , one of the Justices of the
City: State: Zip:
Court in County, day of , 20
6 Server's Information
Name:
(Attorney must sign above and type name below)
Address:
City: State: Zip:
Telephone: Attorney(s) for
(If you are a registered process server):
County of registration: Registration number:
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Office and P.O. Address
Date:
Telephone No.:
Type or print server’s name Facsimile No.:
Server to sign here
E-Mail Address:
Judicial Council of California, www.courtinfo.ca.gov
Revised January 1, 2005, Optional Form Proof of Personal Mobile Tel. No.:
Service CH-130, Page 1 of 1
Code of Civil Procedure, §§ 527.6 and 527.9 (Civil Harassment)
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