Free Return of Service Executed - District Court of Delaware - Delaware

Case 1 :05-cv-00712-JJF Document 4 Filed 10/20/2005 Page 1 f 2
§ A0 440 (Rev. 8Nl) Stmumm in a Civil Action
A UNITED STATES DISTRICT COURT A
_ United States District Court District of Delaware
CENTILLION DATA SYSTEMS, LLC.
SUMMONS IN A CIVIL C ·. SE
V.
CASE NUMBER: O 5 —
AVOLENT, mc. 7 1 2
TOZ (Name and address of Defendant) `
Avolent, Inc.
c/o Corporation Service Company
2711 Centerville Road, Suite 400
Wilmington, DE 19808
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF’S ATTORNEY (name and address)
Neal C. Belgam
Dale R. Dubc
BLANK ROME LLP ‘
1201 N. Market Street, Suite 800
Wilmington, DE 19801
(302) 425-6400
an answer to the complaint which is served on you with this summons, within Twenty (20) da ¤f*°¤’ $°i’Vi¢¤
of this summons on you, exclusive of the day of service. lf you fail to do so, judgment by default will be tak · against you for
the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed wi · the Clerk of this
Court within a reasonable period of time after service. I
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y RETURN OF SERVICE _
Service ofthe Summons and complaint was made by mel) DATE I 0 M 0 { _
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Check one box below to indicate a 4 ro » riate method 0 service
El Served personally upon the defendant. Place where
D Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were
El Retumed
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sTATEM1zNT or smzvicia mms _
TRAVEL SERVICES 1"01"A1, _
DECLARATION or smzvmz _
1 declare under penalty of perjury under the laws of the United States of America that the foregoing information
contained in the Retum of Service and Statement of Service Fees is true and correct.
Executed on pg - [Ol -· O S W
I Date Signature of Server
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Address of Server
(1) As to who may scrvc n summons see Rule 4 ofthe Federal Rules orcivn pmwdum gr s i JR {eg {ij ·;·j—!G
» 2002 t- American |.e9a|Nd. Inc.