# United States District Court
SOUTHERN DISTRICT OF FLORIDA

TO:

# SUBPOENA TO TESTIFY
BEFORE GRAND JURY

FGJ 07-103(WPB)-Tues./No. OLY-35

SUBPOENA FOR:
[x] PERSON 
[x] DOCUMENTS OR OBJECT(S)

YOU ARE HEREBY COMMANDED to appear and testifybeforethe Grand Jury oftheUnited States District Court at the place, date and time specified below.

PLACE:
United States District Courthouse
701 Clematis Street
West Palm Beach, Florida 33401

ROOM:
Grand Jury Room

DATE AND TIME:
March 13, 2007
1:00 pm*

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

All documents referring or relating to Jeffrey Epstein, including but not limited to billing statements,
record of payments, appointment books, treatment notes, and correspondence.

*Please coordinate your compliance with this subpoena and confirm the date and time , and location of
your appearance with Special Agent <empty>, Federal Bureau of Investigation, Telephone:
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.

CLERK: UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA
DATE:: March 2, 2007
(BY) DEPUTY CLERK: <signature>

This subpoena is issued upon application of the United States of America

Name, Address and Phone Number of Assistant U.S. Attorney: <empty>, Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
West Palm Beach, FL 33401-6235

Tel: <empty>
Fax: <empty>

*If not applicable, enter "none."
To be used in lieu of AO10
FORM ORD-227
JAN.86

MM15-GRAND JURY SUBPOENAS-000033

EFTA00031183

## RETURN OF SERVICE,

RECEIVED BY SERVER: <empty>
DATE: <empty>
PLACE: <empty>
SERVED: <empty>
DATE: <empty>
PLACE: <empty>

SERVED ON (NAME): <empty>

SERVED BY:<empty>
TITLE:<empty>

## STATEMENT OF SERVICE FEES

TRAVEL SERVICES TOTAL

## DECLARATION OF SERVICE²

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: <empty>
DATE

Signature of Server: <empty>

Address of Server: <empty>

ADDITIONAL INFORMATION

1.As to who may serve a subpoena and the manner of its service see Rule 17(d). Federal Rules of Criminal Procedure, or Rule 45(c), Federal Rules of Civil Procedure.

2."Fees and mileage need not be tendered to the witness upon service of a subpoena-issued on behalf of the United States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure: Rule 17(d), Federal Rules of Criminal Procedure) or on behalf of certain indigent parties and criminal defendants who are unable-to pay such costs (28 USC 1825, Rule 17(b) Federal Rules of Criminal Procedure)"

MM15-GRAND JURY SUBPOENAS-000034

EFTA00031184