EFTA00178507

# United States District Court

SOUTHERN DISTRICT OF FLORIDA



TO: GOOD SAMARITAN MEDICAL CENTER

1309 North Flagler Drive

West Palm Beach, FL



SUBPOENA TO TESTIFY BEFORE GRAND JURY

FGJ 05-02(WPB)-Fri./No. OLY-018

X 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.

<table border="1"><tr><td rowspan="2">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)</td><td>ROOM:
Room 4-A</td></tr><tr><td>DATE AND TIME:
September 22, 2006
9:30am</td></tr></table>

YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):

All documents and information referring or relating to and/or , DOB: including but not limited to medical records, billing records and information, payment records and information, and records in electronic storage.

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.

<table border="1"><tr><td colspan="2">CLERK</td><td rowspan="2">DATE:
September 13, 2006</td></tr><tr><td colspan="2">(BY) DEPUTY CLERK</td></tr><tr><td>This subpoena is issued upon application</td><td colspan="2">Name, Address and Phone Number of Assistant U.S. Attorney
Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
West Palm Beach, FL 33401-6235
Tel:
Fax:</td></tr></table>

UNIONED STATES DISTRICT COURT
SOUTHERN DISTRICT OF FLORIDA

*If not applicable, enter "none."



FORM ORD-227
JAN.86


To be used in lieu of AO110