Subpoena (Duces Tecum) Page 3

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IN THE OFFICE OF ADMINISTRATIVE HEARINGS
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No. __________________
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AFFIDAVIT OF SERVICE
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of subpoena issued
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Under the Authority of
Arizona Revised Statutes 41-1092.07C
I certify that I personally served upon _____________________________________, a copy of the
subpoena, the original of which is attached to this affidavit. I showed the person the subpoena, explained
its contents and left the subpoena with the person on the _____ day of _______________________,
________ at ________ am/pm.
___________________________________
Signature
SUBSCRIBED AND SWORN TO before me this ____day of __________, _________
____________________________________
Notary Public
My commission expires:____________________________________

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