B-301 - Subpoena (Department Of Education, The City Of New York) Page 2

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SUBPOENA
DEPARTMENT OF EDUCATION, THE CITY OF NEW YORK
131 Livingston Street, Brooklyn, New York 11201
IN THE NAME OF THE PEOPLE OF THE STATE OF NEW YORK:
TO:
________________________________________________________________
________________________________________________________________
________________________________________________________________
YOU ARE HEREBY COMMANDED,
that, all business and excuses being laid aside, you:
appear and attend before the undersigned Impartial Hearing Officer at ______________
______________________________________________________________________,
on ________________, 20____at_____________A.M. /P.M., or any such rescheduled
date and time that is announced by said Impartial hearing Officer, to testify and give
evidence in a formal hearing concerning a student by the name of_________________________,
whose case number is ________________;
produce and turn-over the following documents:_________________________________
_______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
now in your custody, and all other evidence which you have in your custody concerning
the above named student.
at the above-stated time and place
to ______________________________________________________________
________________________________________________________________
by __________________________, 20_____.
PLEASE TAKE NOTICE that this Subpoena is issued pursuant to section 200.5(j)(3)(iv) of the Regulations
of the Commissioner of Education.
By Order of the Impartial Hearing Officer
Dated: ______________,20_____
________________________________
IMPARTIAL HEARING OFFICER
Subpoena Form
REV:3/11
B-301

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