Free Summons Returned Executed - District Court of Connecticut - Connecticut


File Size: 72.4 kB
Pages: 2
Date: June 3, 2004
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 883 Words, 5,321 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/22714/67.pdf

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Case 3:03-cv-00597-MRl_§ Dgcu ment 67 Filed 05/28/2004 Page 1 of 2 I
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OFFICE OF JUDICIAL CLERKS FOR SERVICE OF PROCESS Fl ED
Via Carlo Poma 5
00195 ROME—ITALY HY 2 27 F F
{jeg gJ}IIcII')I· M
N!} II II} II, I? 02,wq s
CERTIFICATE OF SERVICE OR COMMUNICATION ON OMISSIOINIOF SERVICE
OF PROCESS. .

Although this office strives to complete service in a timely manner, in this particular
case we were unable to forward proof of service or communication of omittted service thereof within a I
month from receipt of your request. y

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I2. Execution of Service of Process
[CIerk’s Stamped Form]
The document was served to an employee and/or building custodian who shall forward I
said document to the addressee. Illegible (? April)/18/2004
Stamped Signature of Judicial Clerk (Illegible)
Handwritten Signature of Receiver (Illegible)
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" " ‘ °‘ I Case 3:03-cv-00597-MRK Document 67 Filed 05/28/2004 age 0 S‘
, té ·~ NIPPLICANT IS AUTHORIZED TO SERVE JUDICIAL PROCESS UNDER THE UNITED STATES FEDERAL RULES OF CIVIL PROCEDURE AND
I UNDER THE RULES OF CIVIL PROCEDURE OF THE STATE OF: Connecticut
I REQUEST 0%.-,,,,,A
I I Qt-ed} ,_
I FOR SERVICE ABROAD OF JUDICIAL OR EXTRAJUDICIAL DQ§§U“MENTS`·‘- i.’g=i:a-·t,,_, {
1 '¢',i\;-iQ.._ A Q` Y V ‘ -.°_;'_»‘iIf:~_,
I DEMANDE I - I. · ‘ · p
A UXFINS DE SIGNIFICA TION OU DE NOTIFICA TION A L'ET RANGER ,
D'UNACTE JUDICIAIRE OU EXTRAJUDICIAIRE I
I ‘ ' Convention on the Service abroad otijudicial and extraj udicial documents in civil or I
I commercial matters, signed at The llaguc, November I5, I965.
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\ Q Convention relative ti la signyication et ti la nottydcation ti Pétranger des actesjudiciaires ou extrajudiciaires en matiere civile I
` oa commerciale. signée a La Haye, le I5 Novembre I 965. `
Identity and address ofthe applicant Address of receiving authority
Identité ei adresse du requérant Adresse de ihutorité destinataire
Glenda E Fichtner I
` UFFICIO DEGLI UFFICIALI GIUDIZIARI I
I APS INTERNATIONAL, LTD . . . 5
_ Viale Giulio Cesare, 52
5 APS International Plaza Rome I
F 7800 Glenroy Road ,
Minneapolis, Minnesota 55439-3I22 00192 p
- U.S.A. Italy _"T .. n _
I Tel. 9S2.83l.'l776 Fax: 952.831.81Sll " I
Email: [email protected] I
I
The undersigned applicant has the honour to transmit-- in duplicate -- the documents listed below and, in conformity with article 5 ol` the above-
mentioned Convention, requests prompt service olonc copy thereof on the addressee, i.e.,
(identity and address) I
Le requérant soztssigné a Fhanneur de faire parvenir -- en double exemplaire -· a l 'autorité destinataire ies documents ci-dessous énumérés, en la priant
cortforntémcnt a lhrtic/e 5 de la Convention précitée, a"en faire remettre sans retard ttn exetnplaire an destinataire, savoir: I
` (identité et adresse) D Pl’OCIl.ICiS S. .A. I
Via Ciovassino I 20 I 21 Milan Ital I
Tcl: ~· ;
| | (a) in accordance with the provisions ofsub-paragraph (a) o the first paragraph ofarticle S ofthe Conve11tion.*
a) selon iesformes iégales (article 5, alinéa premier, lettre nj. ‘
[X] (b) in accordance with the following particular method (sub-paragraph (b) ofthe Ilrst paragraph ofarticlc 5)*: I
b) selon la forma particuliére suivante (article 5, a/inéa premier, iettre iv): Bt Jersona/t' delivertn the documents into the hands o an · o rcer I
mana in a ent or an other a ent authorized to acce tservice o rocess u on the de endant. I on are unable to e ect service b this method /ea.c_c; .
Jrocced with service in accordance with sub- ara ra h at above. _ I
[ I (c) by delivery to the addressee, if he accepts it voluntarily (second paragraph of article 5)*. I
c) le cas écitéant, par rcrnise siinple (article 5, alinéa 2}.
The authority is requested to return or to have returned to the applicant a copy ofthe documents -- and of the aunexcs* -- with a ecrtilicatc as provided I
on the reverse side. _ . _ . ,.,.,.... , _. I ...- - _·~. _ . I I
Cette atttorité est priée de renvoyer ou de faire renvoyer an requérant ttn exetngiaire_de`i?t`enz -- etldtfdésktltliiéléxZ:I”2*iieclfattestationjigttrant au versa. 1
i' 2 `..‘ i‘ I n _. ,1 itvti. ‘ Q 7 · 1 · I
List oldocuments I I · , I " ` __ I '_ . ____ I
Enumeration des pieces If--L;-_ ‘ _ . r J · , if L, I.? Ii.}: ·} Y l - ·
Third Part Com glajm Dum; at \\Ei‘Ir‘;-?*·;'>/ EIJIIE-HISKLIDSIIEJ A I: I I- l`
Fan a Minnea olis Minnesota U.S.A. le °* “
Third Part Summons in a Civil Action
Translations
Signature and/or stamp.
Signature et/on cache!. I
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i.. LC! I We- I
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I as E'EQLc..Lc_.cL._-- I
* - ohm ilinappropriate. (liottncrly OED-l I6 which was ibrmerly l./\.·'\—l I6, USM-94 I
( ltqitvr le.rn:erttt`tnt.t t`in·ttt`le.i·. IIOIII OICWIIICII may still be IISCII) (Est. l U22/I77] \
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