COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT 141 CHURCH STREET NEW HAVEN, CONNECTICUT 06510 (203) 773-2140:::::::Index No.Calendar No.JUDICIAL SUBPOENAKEVIN F. ROWE CLERKPlaintiff(s) -against-Defendant(s)VICTORIA C. MINOR CHIEF DEPUTY CLERK LORI A. INFERRERA DEPUTY IN CHARGECJA PANEL ATTORNEY DATA INFORMATION SHEET. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PLEASE COMPLETE AND RETURN THIS SHEET TO VICTORIA C. MINOR, CHIEF DEPUTY CLERK, U.S. DISTRICT COURT, 141 CHURCH ST., NEW HAVEN, CT 06510 SOCIAL SECURITY NUMBER [required for any CJA payments]:--This number must be supplied, even if your firm receives the payments!THE PEOPLE OF THE STATE OF NEW YORK TONAME AND MAILING ADDRESS:Last name, first name, middle initial or middle nameGREETINGS:Street address and/or P.O. BoxWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofCity, state, zip codeo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomEmail Address TELEPHONE NUMBER: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.Area code/telephoneINITIAL BELOW YOUR CHOICE OF HOW PAYMENTS SHOULD BE REPORTED TO IRS: 1., one of the Justices of theUnder my social security number and name, as indicated aboveCourt in Witness, Honorableday of, 20 County,2.To the law firm with which I am affiliated. The law firm's Taxpayer Identification Number, Name and Address are:(Attorney must sign above and type name below)Taxpayer Identification Number of Law Firm This number must be supplied if you selected option #2 above! Name of Law Firm Address of Law FirmAttorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:Signature of CJA Panel AttorneyDateAmerican LegalNet, Inc. www.USCourtForms.comJune 27, 2002
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