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AO 110 Rey.12/89 Subpoena to Testify Before Grand Jury RETURN OF SERVICE 1 Date PLACE RECEIVED BY SERVER DATE PLACE SERVED SERVED ON (PRINT NAME) 3 + itt. $ERVED BY (PRINT NAME) TITLE STATEMENT OF SERVICE FEES TRAVEL SERVICES TOTAL DECLARATiOn OF SERVER 3 I declare under penalty of perjury under the laws of 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 1 As to who may sesve a subpoena and the manner of its service see Ruie 17(d). Federal Rules of Criminal Procedure, or Rule 45(c), Federal Aules ot Clvi) Procedure. Rule 45(c)Federal Autes otCivil Procedure; Rute.17(d)Federal-Rules of Criminal:Procadure or on behalt o cortain Indigentpartles,and crimlnat de FBI(20-cv-3269)-5101