::::::: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Index No.Calendar No.Form 5FORM 5. Petition for Review or Notice of Appeal of an Order or Decision of an Agency, Board, Commission, or OfficeJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)THE PEOPLE OF THE STATE OF NEW YORK TOUnited States Court of Appeals for the Federal CircuitGREETINGS: , Petitioneror Appellant,WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorablev.PETITION FOR REVIEW,located at County of , Respondentor Appellee.o'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of the ( nameall parties* bringing the petition or appeal) hereby petition/ appeal the court for review of the ( describe the order or decision) of the ( name the agency, board, commission or officer) entered on , ( date) .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 petitioner, appellant or attorney) ( Address of petitioner, appellant or attorney, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:* See Fed. R. App. P. 15 for permissible ways of identifying petitioners.American LegalNet, Inc. www.USCourtForms.comMay 1, 2004 Edition
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