COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:Index No.UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF LOUISIANA:Calendar No.:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s):::name of plaintiff (s)CIVIL ACTION:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .versusNO.THE PEOPLE OF THE STATE OF NEW YORKTOname of defendant (s)GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableMOTION FOR LEAVE TO PROCEED IN FORMA PAUPERIS,located at County ofI (We) hereby request leave to proceed in forma pauperis. Attached is my (our)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 roomfinancial affidavit in support of this motion.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 theCourt in Witness, Honorableday of, 20 County,(signature of plaintiff (s))(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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