CLOCK INSTATEMENT OF CLAIM (AUTO NEGLIGENCE) IN THE COUNTY COURT IN AND FOR BROWARD COUNTY FLORIDA DIVISION[ ] CIVIL [ ] OTHERVS. DEFENDANT (S) PLAINTIFF (S)CASE NUMBER( )SP ( )CCCOURT COUNTY OFThe plaintiff sues the defendant and says: On or about , 20 , in the vicinity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.of on a public highway in Broward County, Florida, plaintiff's motor vehicle, being operated by ; was in a collision with defendant's motor vehicle being operated by ; and that said collision with plaintiff's vehicle was caused by the negligent and careless operation of defendant's vehicle, whereby plaintiff's vehicle, was damaged and depreciated in value.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Further, that the defendant is not in the Military Service of the United States. This action has been brought in acounty in which venue is proper, pursuant to Chapter 47, Florida Statutes.THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WHEREFORE, plaintiff demands Judgment in the amount of $ plus Court Costs.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 of, on the, at or adjourned date, to testify and give evidence as a witness in this action on the part of the, 20noon, and at any recessed in roomo'clock in the day ofSWORN TO AND SUBSCRIBED BEFORE ME this day of 20 .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., one of the Justices of theHoward C. Forman, CLERK OF COURTSNOTARY PUBLIC State of Florida My commission expires:Court in Witness, Honorable, 20 County,day ofBYDEPUTY CLERK(Attorney must sign above and type name below)Attorney/PlaintiffAttorney's Bar No.Attorney(s) forAddress of Attorney/Plaintiff Office and P.O. AddressAttorney/Plaintiff Telephone No.Telephone No.: Facsimile No.: E-Mail Address:)(Mobile Tel. No.:FORM 634 REVISED 1/03American LegalNet, Inc. www.USCourtForms.comCOPY FEE : 699SEARCH FEE : 698
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