STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS RHODE ISLAND TRAFFIC TRIBUNAL Summons No. ___________________ } } } } }
VS
SUBPOENA AD TESTIFICANDUM
TO _____________________________________________________ OF _____________________________________________________ YOU ARE HEREBY REQUIRED, IN THE NAME OF THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS, TO MAKE YOUR APPEARANCE BEFORE THE RHODE ISLAND TRAFFIC TRIBUNAL, to be holden at___________________________________within the County of______________________________ on the________ day of ________________, 20____, to give evidence of what you know relative to a matter before this court. This subpoena issued at the request of the (complainant) (motorist). Do not fail to appear. Your default will be answerable under penalty of law. Dated at ____________________ the _______ day of__________ in the year 20_____.
__________________________ NOTARY PUBLIC CLERK JUDGE
State of Rhode Island and Providence Plantations.
................................, dc.
Return of Service I served this subpoena on the within named ............................................................., by delivering a copy to h mileage. .............................................................. and tendering to h $................... as fees for one day's attendance and
Subscribed and sworn to before me this ............. day of ..................................., 20........
............................................................... Notary Public
Note: Affidavit required only if service made by a person other than a sheriff or his deputy.
Acknowledgment Due and legal service of this subpoena is hereby acknowledged, and the receipt of legal fees for travel and one day's attendance.
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