COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
Index No.
Clerk stamps date here when form is filed.
CH-130
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Proof of Personal Service
Plaintiff(s)
: : : :
Calendar No.
Name of person asking for protection:
JUDICIAL SUBPOENA
-againstName of person you want protection from:
Notice to Server
: The server must: · Be over 18 years of age. Defendant(s) : . . · . Not .be. listed.on the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .... ..... restraining order. · Give a copy of all THEdocumentsOF THE STATE OF NEW YORK PEOPLE checked in 4 to the person in 2 . (You TO cannot send them by mail.) Then complete and sign this form, and give or mail it to the person in 1 .
Fill in court name and street address:
Superior Court of California, County of
Fill in case number:
PROOF OF PERSONAL SERVICE
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Case Number:
I gave the person in 2 a copy of the documents checked below: GREETINGS: CH-120, Notice of Hearing and Temporary Restraining Order (CLETS) a. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before CH-100, Request for Orders to Stop Harassment b. , the Honorable at the Court CH-110, Answer to Request for Orders to Stop Harassment (blank form) c. located at County of ind. room CH-145, Proofthe Firearms Turned In or Sold (blankat , on of day of , 20 , form) o'clock in the noon, and at any recessed ore. adjourned date, to testify Iand give a Requestas a Orders to Stop Harassment? part of the evidence for witness in this action on the CH-151, How Can Answer f. g. CH-140, Restraining Order After Hearing to Stop Harassment Other (specify): Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to I party on gave behalf this documents checked for a maximum penalty of thepersonallywhosecopies of thesubpoena was issuedabove to the person in 2 : $50 and all damages sustained as a b. At (time): resulta. On (date): to comply. of your failure a.m. p.m. c. At this Address: Witness, Honorable , one of the Justices of the Zip: City: State: Court in County, day of , 20
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Server's Information
Name: Address: City: Telephone: (If you are a registered process server): Registration number: County of registration: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Office and P.O. Address Date:
(Attorney must sign above and type name below)
State:
Zip:
Attorney(s) for
Type or print server's name
Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2005, Optional Form Code of Civil Procedure, §§ 527.6 and 527.9
Telephone No.: Facsimile No.: Server to sign here E-Mail Address: Proof of Personal Mobile Tel. No.: Service
(Civil Harassment)
CH-130, Page 1 of 1
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