Fill and Sign the District Court Form

AO 89 - Subpoena in a Criminal Case UNITED STATES DISTRICT COURT ____________________________ DISTRICT OF ____________________________ _____________________________ DIVISION UNITED STATES OF AMERICA SUBPOENA IN A CRIMINAL CASE v. CR No. ____________________________ To: ____________________________ YOU ARE HEREBY COMMANDED to appear in the United States District Court at the place, date, and time specified below to testify in the above case. Place ____________________ United States District Court Room: Courtroom No. ____________________ Before the Honorable U.S. Judge ____________________ Date and Time ____________________  YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): [Documents or Objects to Bring] _____________________________ _____________________________ _____________________________ __ ___________________________ _____________________________ _____________________________ ____ _________________________ _____________________________ _____________________________ ______ _______________________ _____________________________ _____________________________________ U.S. Magistrate Judge or Clerk of Court ________________________________ DATE ____________________________ ____________________________ (BY) Deputy Clerk ________________________________ A ttorney = s Name, Address and Phone Number [Attorney's Name] ________________________________ ________________________________________ ________________________________ ________________________________ ________________________ ________ ________________________________ ________________________________________________ AO 89 - Subpoena in a Criminal Case PROOF OF SERVICE RECEIVED BY SERVER DATE ______________________ PLACE ____________________________________________________________ SERVED DATE ______________________ PLACE ____________________________________________________________ SERVED ON (PRINT NAME) ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ FEES AND MILEAGE TENDERED TO WITNESS G YES G NO AMOUNT $ ___________ SERVED BY (PRINT NAME) ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ TITLE ____________________________________________________ __________________________________________________ DECLARATION OF SERVER I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Proof of Service is true and correct. Executed on ________________________ ______________________________________________ Date Signature of Server ______________________________________________ Address of Server ADDITIONAL INFORMATION ______________________________________________ ______________________________________________ ___ ___________________________________________ ______________________________________________ ______ ________________________________________ ______________________________________________ _________ _____________________________________ ______________________________________________ ____________ __________________________________ ______________________________________________ _______________ _______________________________ ______________________________________________ __________________ ____________________________ ______________________________________________ _____________________ _________________________ ______________________________________________ ________________________ ______________________ ______________________________________________ ___________________________ ___________________ ______________________________________________ ______________________________ ________________ ______________________________________________ _________________________________ _____________ ______________________________________________ ____________________________________ __________ ______________________________________________ _______________________________________ _______ ______________________________________________ __________________________________________ ____ ______________________________________________ _____________________________________________ _ ______________________________________________ ______________________________________________ __ ____________________________________________ ______________________________________________ _____ _________________________________________ ______________________________________________ ________ ______________________________________ ______________________________________________ ___________ ___________________________________ ______________________________________________ ______________ ________________________________ ______________________________________________ _________________ _____________________________ ______________________________________________ ____________________ __________________________ ______________________________________________ _______________________ _______________________ ______________________________________________ __________________________ ____________________ ______________________________________________ _____________________________ _________________ ______________________________________________ ________________________________ ______________ ______________________________________________ ___________________________________ ___________ ______________________________________________ ______________________________________