Sample Subpoena 1

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SUBPOENA NAME OF ATTORNEY 1234 EAST 5678 SOUTH SALT LAKE CITY, UT 84121 PHONE: (801) 555-1234 BEFORE

THE DIVISION OF PROMISE AND RELATIONSHIPS DEPARTMENT OF LOVE, CITY OF PASIG Clarita R. Constantino, Veronica Margarita J. Cabigao Karen Tehani F. San Pedro Petitioner, vs. Juan Myko F. Marcilla Respondent. ) ) ) ) ) SUBPOENA DUCES TECUM ) ) ) ) ) ) Case No.______________________ )

TO: Juan Myko F. Marcilla RE: Clarita R. Constantino, et al. Date of Birth: 08/28/78 YOU ARE COMMANDED to produce at the offices of
Plaza, San Miguel Ave. Ortigas Center, Pasig City, on Clarita, Veronica and Karen, Unit 803 Richmonde

or before Friday, 9 March 2012, three (3) extra large Nai Cha Pearl

Milk teas, pertaining to the above-referenced individual who has requested the Division of Promise and Relationships, to conduct a prelitigation panel review of a claim of innocence. Attendance is not required if records are timely forwarded to the indicated address. DATED this 7 day of March, 2012. DEPARTMENT OF LOVE By: Serafin Cuevas, Prelitigation Supervisor

AFFIDAVIT SERAFIN CUEVAS 803 RICHMONDE PLAZA ORTIGAS CENTER, PASIG 160 PHONE: (02) 555-1234 BEFORE THE DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING DEPARTMENT OF COMMERCE, STATE OF UTAH

Clarita R. Constantino, Veronica Margarita J. Cabigao, Karen Tehani F. San Pedro Petitioner, vs. Juan Myko F. Marcilla Respondent. CITY OF PASIG ORTIGAS CENTER ) : )

) ) ) ) AFFIDAVIT OF COUNSEL IN ) SUPPORT OF REQUEST TO ) ISSUE SUBPOENAS ) ) ) ) Case No.46513241654 )

ss.

I, Serafin Cuevas, being first duly sworn under oath, state the following: 1.The information contained in this Affidavit is true and is based upon my knowledge. 2.I am an attorney duly licensed to practice in the City of Pasig. 3.I am counsel for Clarita, Veronica and Karen, in the above-captioned matter. 4.I hereby certify that the three (3) extra large Nai Cha Pearl Milk teas being sought by way of the subpoena which I am requesting be issued by the Division of Promise and Relationships for the following care providers: (name), (name), are believed by me to be directly related to the above-captioned medical liability claim. DATED this7 day of March, 2012.
Cabigao Constantino San Pedro Law Office

By:
Serafin Cuevas

Attorney for the respondent SUBSCRIBED AND SWORN TO before me this 7 day of March, 2012.

DOPL-FM-PRELIT-023 Rev 10/06/2008

Notary Public Residing in the State of Utah

DOPL-FM-PRELIT-023 Rev 10/06/2008

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