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 REGISTRATION OF BIRTH RECORD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Registrant prays that the fact of birth be established in accordance with R.C. 3705.15 as follows:Full Name of Child (at time of birth)Social Security No.THE PEOPLE OF THE STATE OF NEW YORK TOExact Place of BirthDate of BirthFemale MaleFull Name of FatherFull Maiden Name of MotherGREETINGS:Age of Father (at time of this birth)Age of Mother (at time of this birth)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 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 roomThe 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 registration of said birth.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 RegistrantAddress(Attorney must sign above and type name below)Attorney(s) for)(Phone Number (include area code). Sworn to before me and subscribed in my presence thisday ofOffice and P.O. Address(SEAL)Telephone No.: Facsimile No.: E-Mail Address:Notary PublicMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com02/10/03H.C. FORM 624.00 -APPLICATION FOR REGISTRATION OF BIRTH RECORD
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