COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF HAMILTON COUNTY, OHIOJAMES CISSELL, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)PLACEMENT OF(Name before placement) CASE NO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ENTRY ON PRE -PLACEMENT APPLICATIONTHE PEOPLE OF THE STATE OF NEW YORK TOThe applicants herein having requested to be approved for the placement of a child for adoption, the Court hereby authorizestoGREETINGS:make an independent investigation into the suitability of the applicants for such placement, and directs that a report of the results of such investigation and recommendations of such investigator be made to the Court and to the Ohio Department of Human Services Compact Administrator, where applicable.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 ofo'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 roomJames Cissell, Probate JudgeYour 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.Approved:, one of the Justices of theAttorney for Prospective Adoptive ParentsCourt in Witness, Honorableday of, 20 County,Attorney Registration Number(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com02/10/03H.C. FORM 118.21 -ENTRY ON PRE-PLACEMENT APPLICATION
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