IN THE COUNTY COURT OF POLK COUNTY, FLORIDA

CIVIL DIVISION

CASE NO. _____________________

Plaintiff ,

vs.

Defendant .

_________________________________________________/

WITNESS SUBPOENA

THE STATE OF FLORIDA:

TO:

    YOU ARE HEREBY COMMANDED to appear before the Honorable ____________________________________, Judge of the County Court, at the Polk County Branch Courthouse, 150 4th Street, N.W., Winter Haven, Florida on the _____ day of ___________________, 199___, at .M., to testify in the above styled cause. If you fail to appear, you may be in contempt of Court.

    You are subpoenaed to appear by the parties named below and unless excused from this subpoena by them or the Court, you shall respond to this subpoena as directed.

    If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the Office of the Court Administrator, (941) 534-4690, within two (2) working days of your receipt of this Witness Subpoena; if you are hearing or voice impaired, call TDD (941) 534-7777 or Florida Relay Service (800) 955-8770.

DATED this _____ day of _________________________, 19____.

                                                                                                        RICHARD M. WEISS, CLERK

                                                                                                        Circuit & County Courts

                                                                                                        By________________________________

                                                                                                        Deputy Clerk

__________________________________

Name of party requesting subpoena

Attorney for ________________________

__________________________________

(Address)

__________________________________                                                                                                                     Rev. 08/97

6.DOC (08/97)