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AO1t0 Bev.12/89) Subpoena to Testify Before Grand Jury RETURN OF SERVICE 1 DATE PLACE RECEIVED BY SERVER .DATE PLACE SERVED SERVED ON (PRINT NAME) SERVED BY (PRINT NAME) TITLE STATEMENT OF SERVICE FEES TRAVEL SERVICES TOTAL DECLARATION OF SERVER & I declare under penalty of perjury under the laws ot the United States of America that the foregoing. information contained in the Return of Service and Statement of Service Fees is true and correct.. Executed on Date Signature of Server Address of Server Additional Information ' As to who may serve a subpoena and the manner ot its service see Rule 17(d). Federa! Rules ot Criminal Procedure, or Rule 4s(c), Federal Ruies ot Civil! Procedure. FBI(20-cv-3269)-5094