OAO89  (Rev. 7/95) Subpoena in a Criminal Case							
							
United States District Court							
							
		DISTRICT OF					

				SUBPOENA IN A			
V.				CRIMINAL CASE			
							
				Case Number:			

TO:							
							
G	YOU ARE COMMANDED to appear in the United States District Court at the place, date, and time specified below,				
	or any subsequent place, date and time set by the court, to testify in the above referenced case.   This subpoena shall				
	remain in effect until you are granted leave to depart by the court or by an officer acting on behalf of the court.				
					
PLACE				COURTROOM	
					
				DATE AND TIME	

G	YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):				

				
					
U.S. MAGISTRATE JUDGE OR CLERK OF COURT		DATE			
					
(By) Deputy Clerk					
					
ATTORNEY’S NAME, ADDRESS AND PHONE NUMBER:					
					
AO89  (Rev. 7/95)  Subpoena in a Criminal Case (Reverse)	
PROOF OF SERVICE												
	DATE			PLACE								
RECEIVED
BY SERVER												
	DATE			PLACE								
SERVED												
SERVED ON (PRINT NAME)				FEES AND MILEAGE TENDERED TO WITNESS								
												
					G	YES	YES	G	NO	NO	AMOUNT $			
												
SERVED BY (PRINT NAME)				TITLE								
												
DECLARATION OF SERVER												
		I declare under penalty of perjury under the laws of the United States of America that the foregoing information
	contained in the Proof of Service is true and correct.												
												
Executed on												
	DATE				SIGNATURE OF SERVER							

					ADDRESS OF SERVER							

												
												
ADDITIONAL INFORMATION