Form Ao 89 - Subpoena To Testify At A Hearing Or Trial In A Criminal Case Page 2

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AO 89 (Rev. 01/09) Subpoena to Testify at a Hearing or Trial in a Criminal Case (Page 2)
Case No.
PROOF OF SERVICE
This subpoena for
(name of individual and title, if any)
was received by me on
.
(date)
’ I personally served the subpoena on the individual at
(place)
on
; or
(date)
’ I left the subpoena at the individual’s residence or usual place of abode with
(name)
, a person of suitable age and discretion who resides there,
on
, and mailed a copy to the individual’s last known address; or
(date)
’ I served the subpoena on
, who is
(name of individual)
designated by law to accept service of process on behalf of
(name of organization)
on
; or
(date)
’ I returned the subpoena unexecuted because
; or
’ Other
(specify):
.
Unless the subpoena was issued on behalf of the United States, or one of its officers or agents, I have also
tendered to the witness fees for one day’s attendance, and the mileage allowed by law, in the amount of
$
.
0.00
My fees are $
for travel and $
for services, for a total of $
.
I declare under penalty of perjury that this information is true.
Date:
Server’s signature
Printed name and title
Server’s address
Additional information regarding attempted service, etc:
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