COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.PROBATE COURT OF HAMILTON COUNTY, OHIOCalendar No.JAMES CISSELL, JUDGEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF CASE NO.APPLICATION FOR CORRECTION OF BIRTH RECORDApplicant prays for an order of the Court to correct the birth record of [select one]:applicant;the minor child of the applicant whose name is. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., in accordance with R.C. 3705.15. Applicant has attached a copy of the original birth record and states that the following item(s) in the original birth record (is)(are) incorrect:THE PEOPLE OF THE STATE OF NEW YORK TOITEMS TO BE CORRECTED OR ADDEDREADS AS ITEMSHOULD READ READS AS ITEMGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,SHOULD READ READS AS ITEMlocated 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 roomYour 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.SHOULD READ READS AS ITEMSHOULD READ READS AS ITEMSHOULD READ, one of the Justices of theThe applicant 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 correction of said birth record.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forSignature of Applicant Printed or Typed Name of Applicant Address)(Office and P.O. AddressPhone Number [include area code]Sworn to before me and subscribed in my presence this.,day ofTelephone No.: Facsimile No.: E-Mail Address:Notary PublicMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comH.C. FORM 623.00 -APPLICATION FOR CORRECTION OF BIRTH RECORD02/10/03
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