Free ID-130 IGNITION INTERLOCK NONCOMPLIANCE REPORT (Ignition Interlock Device) - California

COURT
NAME AND ADDRESS OF COURT:

COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Plaintiff(s) : : : :

ID-130

Index No. Calendar No.

FOR COURT USE ONLY

JUDICIAL SUBPOENA

NAME OF DEFENDANT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: HOME TELEPHONE NO.: WORK TELEPHONE NO.: DRIVER'S LICENSE NO.:

-against-

Defendant(s) : ......................................................
IGNITION INTERLOCK NONCOMPLIANCE REPORT

CASE NUMBER:

1. The above-named defendant has failed to make or keep an appointment for of the ignition interlock device(s) in the vehicle(s) checked below.

THE PEOPLE OF THE STATE OF NEW YORK TO

installing

monitoring

Make a. b. c.

Model

Year

Color

License Plate No. and/or V.l.N.

GREETINGS: you attempt(s) of bypass and each to you attend before ,

WE COMMAND YOU, that all business and excuses being laid aside, 2. The ignition interlock device installed in the vehicle(s) checked below showed evidence of the Honorable at the Court tampering attempt(s) to remove

located at County of License Plate and or V.I.N. in room Make , on theModel day of Year , 20 Color , at o'clock in the No.noon, and at any recessed a. or adjourned date, to testify and give evidence as a witness in this action on the part of the
b. c.

Your 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.
3. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

Witness, Honorable Court in County,

, one of the Justices of the day of , 20

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(TYPE OR PRINT NAME)

(Attorney must sign above and type name below)

(SIGNATURE OF FACILITY MONITOR)

Name of facility monitor (specify):

Attorney(s) for
Name of facility (specify):

Address of facility (specify):

Office and P.O. Address

Telephone number of facility (specify):

Form Approved for Optional Use Judicial Council of California ID-130 [Rev. January 1, 2000]

Telephone No.: Facsimile No.: E-Mail Address: Mobile REPORT IGNITION INTERLOCK NONCOMPLIANCETel. No.:
(Ignition Interlock Device)

Vehicle Code, §§ 23575, 23576

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