FORM 53C

SUBPOENA TO A WITNESS OUTSIDE MANITOBA

(General Heading — Form 4A or 4B)

(court seal)

SUBPOENA TO A WITNESS OUTSIDE MANITOBA

TO:	(name and address of witness)

YOU ARE REQUIRED TO ATTEND TO GIVE EVIDENCE (in court at the hearing of this proceeding, on an examination for discovery, on a cross-examination on your affidavit dated (date, etc.) on (day), (date), at (address of court house), and to remain until your attendance is no longer required.

YOU ARE REQUIRED TO BRING WITH YOU and produce at the hearing the following documents and things: (Set out the nature and date of each document and give particulars sufficient to identify each document and thing).

ATTENDANCE MONEY for day(s) of attendance is served with this subpoena, calculated in accordance with The Interprovincial Subpoena Act, as follows:

Attendance allowance of $20. daily for

each day of absence from your ordinary

residence (not less than $60.)	$

Travel allowance	$

Hotel accommodation allowance for not

less than three days (not less than $60.)	$

Meal allowance for not less than three days

(not less than $48.)	$

TOTAL	$

If further attendance is required, you will be entitled to additional attendance money.

OBEDIENCE TO THIS SUBPOENA may be compelled by the courts of your province under The Interprovincial Subpoena Act.

(Date)	Issued by

Registrar

Address of court office

This subpoena was issued at the request of, and inquiries may be directed to:

(name, address and telephone number of lawyer or party serving subpoena)

(Attach or endorse the judge's certificate under section 5 of The Interprovincial Subpoena Act).