Proof Of Use Of Funds Released From Restricted Account And Proof Of Mailing {PBGCR91f}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney State Bar Number: RepresentingJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Self orAttorney forSUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .In the Matter of (check one or both)PB Number: GuardianshipConservatorship ofPROOF OF USE OF FUNDS RELEASED FROM RESTRICTED ACCOUNT AND PROOF OF MAILING a Minor orTHE PEOPLE OF THE STATE OF NEW YORK TOan Adult1.RELEASE OF FUNDS: The Court ordered the release of funds from a restricted account on (date)GREETINGS:.in the total amount of $2.USE OF FUNDS. I spent the released money as follows: (The originals of the receipts are attached to this court document.) (Attach another sheet of paper if necessary.) DESCRIPTION OF USE OF FUNDSWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofAMOUNT$$$$$o'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 roomYour 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 $50 and all damages sustained as a result of your failure to comply., one of the Justices of theTOTAL$Court in Witness, Honorableday of, 20 County,3.NOTICE TO INTERESTED PERSONS. I gave notice of my actions by mailing or hand-delivering copies of this document and the receipts to the following person(s): NAMEADDRESSRELATIONSHIP TO MINOR/ADULT(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressDate:Signed:Telephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyPBGCR91f June 12, 2002Page 1 of 1Use only most current version ALL RIGHTS RESERVED NOTMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com</document>