To Any Lawful Officer of Said County:
Under penalty prescribed by law, you are commanded to summon:  
______________________________________
______________________________________
______________________________________

to appear personally before the ___________ Court of ____________ County, at the ________________ in _________, Tennessee, on _____________,  before the Grand Jury then and there to testify ( on behalf of the State of Tennessee) in this matter:

and bring the following: 

Duces Tecum:	

Issued: ________________________		
	Clerk / Deputy Clerk - Circuit Court

OFFICER’S RETURN: Came hand this date and executed by:
	 Delivering the within subpoena to the witness named herein
	 Unable to serve because	

	Date:		By:		
	Officer, Title

ATTORNEY'S RETURN OF SERVICE:
Attorney’s Name, Address and Telephone Number		Designee’s Name, Address and Telephone Number

			

I certify that on the date indicated below I served a copy of this subpoena on the witness 	, 
by ______________________________ .      
Date:_____________________		
	Signature of Attorney/Designee

Sworn to and subscribed before me on 		Notary Public/Deputy Clerk	
		Commission Expires: