COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOJAMES CISSELL, JUDGECalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF CASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .APPLICATION FOR REGISTRATION OF FOREIGN BIRTH RECORD Registrant prays that the fact of birth be established and that the Ohio Department of Health be ordered to issue a foreign birth record of an adopted person in accordance with R.C. 3107.18 as follows:THE PEOPLE OF THE STATE OF NEW YORK TOFull Name of Child (at time of adoption)Social Security No.Exact Place of BirthDate of BirthMaleFemaleFull Name of FatherFull Maiden Name of MotherGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableAge of Father (at time of this birth)Age of Mother (at time of this birth),located at County ofBirthplace of MotherBirthplace of Fathero'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 roomRegistrant has attached the foreign birth record and an English translation of the foreign birth record. The registrant being first duly sworn says that the facts stated in the foregoing application are true as he/she verily believes and prays that the Court order the Ohio Department of Health to issue a foreign birth record.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.Signature of Registrant, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Printed or Typed Name of Registrant(Attorney must sign above and type name below)AddressAttorney(s) for)(Phone Number (include area code)Office and P.O. AddressSworn to before me and subscribed in my presence this.,day ofTelephone No.: Facsimile No.: E-Mail Address:(SEAL)Notary PublicMobile Tel. No.:02/10/03H.C. FORM 118.50 -APPLICATION FOR REGISTRATION OF FOREIGN BIRTH RECORDAmerican LegalNet, Inc. www.USCourtForms.com
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