COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE PROBATE COURT OF MAHONING COUNTY, OHIOJUDGE TIMOTHY P. MALONEYCalendar No.IN THE MATTER OF THE DISINTERMENT OF:, DECEASEDJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)CASE NO.: APPLICATION TO DISINTER REMAINS OF A DECEDENT[R.C. 517.24; Local Rule 75.15]I,,the,herebymakeapplication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Describe relationship of applicant to the Decedent)fordisintermentoftheremainsoftheabovenameddecedentnowlyingin Cemetery, located at , who died on the day of , (month), (year), to be reinterred at THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:The applicant represents to the Court that he/she is eighteen years of age or older and of sound mind; and that he/she G did/ G did not assume responsibility for the funeral and burial expenses of the decedent. A certified copy of the Decedent's Death Certificate or other proof satisfactory to the Court is attached.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 ofUpon my Oath, first given, I say that the foregoing facts are true and correct.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 roomAttorney SignatureApplicant's SignatureTyped NameYour 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.Typed NameFull Address (No P. O. Boxes)Full Address (No P. O. Boxes)City, State, Zip, one of the Justices of theCity, State, ZipCourt in Witness, Honorableday of, 20 County,Telephone (Include area code)Telephone (Include area code)(Attorney must sign above and type name below)Attorney Registration No. Dated: Attorney(s) forSworn to and subscribed before me a notary public on this day of , 20.(Seal)Notary Public/Deputy ClerkOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Form 75.15 M.C.-aNew 03-27-02Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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