My Name Address Phone Email In the District Justice Juvenile Court of Utah
__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Declaration of Compliance with Plaintiff/Petitioner Subpoena v. Case Number ___________________
_____________________________________ Judge _________________________ Defendant/Respondent Commissioner ___________________ (1) I have knowledge of the facts contained in this declaration.
(2) The documents or tangible things copied or produced are a full and complete response to the subpoena. (3) The documents or tangible things are the originals. copies that are true copies of the originals. (4) The reasonable cost of copying or producing the documents or tangible things is $___________. I declare under criminal penalty of Utah Code Section 78B-5-705 that this Declaration of Compliance with Subpoena is true and correct.
Date Sign here Typed or printed name Custodian of the records Attorney for the custodian of the records
Declaration of Compliance with Subpoena
Approved Board of District Court Judges August 22, 2008
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Certificate of Service
I certify that I served a copy of this Declaration of Compliance with Subpoena on the following people. Served at this Served on Person's Name Method of Service Address this Date Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge (Other Party or Attorney)
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)
(Clerk of Court)
Mail Hand Delivery Electronic File Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)
Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)
Date
Sign here Typed or printed name
Declaration of Compliance with Subpoena
Approved Board of District Court Judges August 22, 2008
Page 2 of 2