Disbursement Order Request

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.SUPERIOR COURT OF THE DISTRICT OF COLUMBIA CIVIL DIVISIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)DISBURSEMENTS FROM THE REGISTRY OF THE COURTCivil Actions PlaintiffLandlord-Tenant Small Claims Defendant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINANCE OFFICE VERIFICATION OF FUNDSTHE PEOPLE OF THE STATE OF NEW YORK TOAMOUNT ON DEPOSITFINANCE CLERKDATEGREETINGS:DISBURSEMENTPAYEEAMOUNT TO BE RELEASEDMAIL CHECK TOWE 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 ofo'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 roomYour 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.PLAINTIFF'S ATTORNEY:DEFENDANT'S ATTORNEY:, one of the Justices of theTELEPHONE NUMBER:BAR NUMBER:BAR NUMBER:TELEPHONE NUMBERCourt in Witness, Honorableday of, 20 County,ORDER TO DISBURSE FUNDS(Attorney must sign above and type name below)This matter having been brought before the Court on the issue of monies currently held in the Court Registry and upon good cause shown/consent of parties, it is thisday of20 ORDERED, by the Court that the amount of $be released to:Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:JUDGE/INTERVIEW AND JUDGEMENT CLERKMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>