United States District Court

United States District Court SOUTHERN DISTRICT OF FLORIDA TO: CUSTODIAN OF RECORDS Clerk of Court and Comptroller 15th Judicial Circuit of Florida Palm Beach County Courthouse 205 North Dixie Highway West Palm Beach, FL 33401 SUBPOENA TO TESTIFY BEFORE GRAND JURY FGJ 05-02(WPB)-FriJNo. OLY-17 SUBPOENA FOR: T1 PERSON T- 2 DOCUMENTS OR OBJECT[S] YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District Court at the place, date and time specified below. PLACE: Palm Beach County Courthouse Juvenile Courts Building 205 N. Dixie Highway West Palm Beach, Florida 33401 (Temporary location for the United States District Courthouse, West Palm Beach) YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): Tapes or transcripts of any and all proceedings before the Grand Jury on Way and date], referring or relating to [names of targets], including but not limited to witness testimony, statements made by any member of the State Attorney's Office, and instructions given by any member of the State Attorney's Office. Please coordinate your compliance of this subpoena and confirm the date and time of your appearance with Special Agent Federal Bureau of Investigation, Telephone: Please see additional information on reverse 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. ROOM: Room 4-A DATE AND TIME: August 18, 2006 9:00am :LERK BY) DEPUTY CLERK DATE: September 6, 2006 This subpoena is issued upon applicationName, Address and Phone Number of Assistant U.S. Attorney of the United States of America Assistant U.S. Attorney 500 So. Australian Avenue, Suite 400 West Palm Beach, FL 33401.6235 Tel: Fax Irnot applicable, enter "none." lobe walla hem of AO110 FORM ORD-227 JAN.86 RETURN OF SERVICE n RECEIVED BY SERVER DATE PLACE SERVED DATE PLACE SERVED ON (NAME) EFTA00221024 SERVED BY 'TITLE STATEMENT OF SERVICE FEES TRAVEL 'SERVICES 'TOTAL DECLARATION OF SERVICE I declare under penalty of perjury, under the laws of the United States of America that the foregoing information Service Fees is true and correct. Executed on contained in the Return of Service and Statement of DATE Signature of Server Address of Server ADDITIONAL INFORMATION -El.As to who may serve a subpoena and the manner of its service sec Rule 17(d). Federal Rules of Criminal Procedure, or Rule 45(c), Federal Rules of Civil Procedure. —."Fees and mileage need not be tendered to the witness upon service of a subpoena issued on behalf of the United States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure:. Rule 17(d), Federal Rules of Criminal Procedure) or on behalf of certain indigent panics and criminal defendants who am unable to pay such costs (28 USC 1825, Rule 17(b) Federal Rules of Criminal Procedure)" TEXT BOXES TI nx EFTA00221025