Case Designation Sheet (Domestic Relations)

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Domestic Relations Court Lake County, Ohio Case Designation Sheet:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s) Case No. Name and address vs.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Judge Francine M. Bruening Name and addressTHE PEOPLE OF THE STATE OF NEW YORK TOCheck one only:NEW CASEREOPEN CASE POST DECREEGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableCheck pleadings filed with this designation sheet:,NEW CASE/PENDING CASElocated at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPOST DECREE/PENDING POST DECREE CASE Change Custody Visit -ContemptDivorce/Legal Separation with children Visit -Modify Support -ContemptDivorce/Legal Separation without children Dissolution with children Support -ModifyYour 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. Lump Sum Contempt RE: Dissolution without children, one of the Justices of theCourt in Witness, Honorableday of, 20 County,AnnulmentImpose SentenceDomestic Violence Supt./Mistake of Fact(Attorney must sign above and type name below) Other -SpecifyURESA Attorney(s) forOffice and P.O. AddressCompleted by: Address:Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>