Arbitrators Claim For Compensation

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA DIVISIONCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Plaintiff,-vs-Case No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Defendant. THE PEOPLE OF THE STATE OF NEW YORK TOARBITRATOR'S CLAIM FOR COMPENSATIONHearing Date:Number of Days:GREETINGS:Arbitrator's Name: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 ofCheck processing information: You must SELECT and COMPLETE ONE OF THE FOLLOWING AS PAYEE: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 Name: ORFirm Name: Address: 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 $50 and all damages sustained as a result of your failure to comply.Address: , one of the Justices of theCourt in Witness, Honorableday of, 20 County,Social Security Number:Fed. ID Number: (Reportable to IRS)(Reportable to IRS)Signature: Signature:(Attorney must sign above and type name below)Date Submitted: Date Submitted: Attorney(s) forAmount Due:$Approved by: Alternate Dispute Resolution ClerkOffice and P.O. Address(Revised 03/03)Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>