Fill and Sign the Form Ao 89 Subpoena to Testify at a Hearing or Trial in a

AO 89 (Rev. 08/09) Subpoena to Testify at a Hearing or Trial in a Criminal Case U NITED S TATES D ISTRICT C OURT for the __________ District of __________ United States of America ) ) ) ) ) v. Case No. Defendant SUBPOENA TO TESTIFY AT A HEARING OR TRIAL IN A CRIMINAL CASE To: YOU ARE COMMANDED to appear in the United States district court at the time, date, and place shown below to testify in this criminal case. When you arrive, you must remain at the court until the judge or a court officer allows you to leave. Place of Appearance: Courtroom No.: Date and Time: You must also bring with you the following documents, electronically stored information, or objects (blank if not applicable) : (SEAL) Date: CLERK OF COURT Signature of Clerk or Deputy Clerk The name, address, e-mail, and telephone number of the attorney representing (name of party) , who requests this subpoena, are: AO 89 (Rev. 08/09) Subpoena to Testify at a Hearing or Trial in a Criminal Case (Page 2) Case No. PROOF OF SERVICE This subpoena for (name of individual and title, if any) was received by me on (date) . ’I served the subpoena by delivering a copy to the named person as follows: on (date) ; or ’I returned the subpoena unexecuted because: . Unless the subpoena was issued on behalf of the United States, or one of its officers or agents, I have also tendered to the witness fees for one day’s attendance, and the mileage allowed by law, in the amount of $. My fees are $ for travel and $ for services, for a total of $ . I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: