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Blank client or patient notice

You copy this onto your own letterhead. Harborline does not send it.

Date: ________

To: ________

I have been summoned for federal jury service in the United States District Court for ________. The packet lists this reporting or questionnaire date: ________.

I will not be available for work on the days the court requires my attendance. I will write when the court releases me.

This notice is from me, not from Harborline and not from the court.

Signature: ________

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