COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOJAMES CISSELL, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)PLACEMENT OF(Name before placement) CASE NO.APPLICATION FOR APPROVAL OF PLACEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Now comeshe is the , and represents thatTHE PEOPLE OF THE STATE OF NEW YORK TO(mother) (father) and legal parent ofwho was born on theat day ofhe is Said applicant states thatyears of age and not under any disability.GREETINGS:Applicant proposes to place said child in the home of and, who are husband and wife, and whose address is:.WE 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 offor the purpose of having them adopt said child.o'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 roomWherefore, your applicant prays the Court to set a day for hearing on said proposed placement and that said placement be approved in accordance with law.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.WitnessApplicant, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Typed or Printed Name(Attorney must sign above and type name below)AddressAttorney(s) forPhone Number (include area code)Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:02/10/03H.C. FORM 118.30 -APPLICATION FOR APPROVAL OF PLACEMENTAmerican LegalNet, Inc. www.USCourtForms.com
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