COURT
DV-250
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COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Proof of Service by Mail :
Index No.
Clerk stamps below when form is filed.
Calendar No.
Protected person's name:
Plaintiff(s) -against-
: : :
JUDICIAL SUBPOENA
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Restrained person's name:
:
Court name and street address:
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Notice to Server You must: Defendant(s) : . . . . .Be. 18.or. over. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .... · · Not be listed on the restraining order. · THE Mail a copy of all documents NEW YORK PEOPLE OF THE STATE OF checked in to the person in .
TO
Superior Court of California, County of
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I mailed to the person in a copy of all documents checked below: Case Number: DV-120 (Answer to Temporary Restraining Order) a. FL-150 (Income and Expense Declaration) b. GREETINGS: FL-155 (Simplified Financial Statement) c. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before DV-130 (Restraining Order After Hearing) d. , the Honorable at the Court e. located at County of Other (specify):
in room You cannot serve DV-100, DV-105, DV-110,, or DV-125 by mail. o'clock in the , on the day of 20 , at noon, and at any recessed Remember: or adjourned date, to testify and give evidence as a witness in this action on the part of the
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I placed copies of the documents checked above in a sealed envelope and mailed them as listed below: (state): a. Date: b. Mailed from (city): Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to c. Mailed to (write name): the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a resultd. your failure to comply. of At this address: Server's Information Witness, Honorable Name: Court in County, Address: Telephone:
(If you are a process server):
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, one of the Justices of the day of , 20
(Attorney must sign above and type name below)
County of registration: 7
Registration number:
Attorney(s) for
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date:
Office and P.O. Address
Type or print server's name Server to sign here
Judicial Council of California, www.courtinfo.ca.gov Rev. July 1, 2003, Optional Form Family Code, §§ 6324, 63406344
Proof of Service by Mail (CLETS)
(Domestic Violence Prevention)
Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.:
DV-250, Page 1 of 1
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