Free Summons Returned Executed - District Court of Connecticut - Connecticut

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1 . m` Case 3ZO3·CV·OO597·iViRK Doéumenf 66 Filed 05/28/2004 Page 1 of 1
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‘ Ca. ame: B11lL.Gouveia v. SIG Sirnona211Not‘th America., [nc., et al v. Sastb Bakery Italia, S.p.A., etal "‘ 1
“ Third Party Defendant: Compagnie lndustriali Riunite, S.p.A. _ 1
` Court Case No.: 3:03CV597 (MRK) 1 1
1 CERTIFICATE
1 A TTESTA TION
* LE D 1
1 The undersigned authority has the honour to certify, in conformity with article 6 of the Convention, I
Lhtttorité sousstgnée a Fhonneur dhttester conformément ti /'artic/e 6 de iadite Convention. 2
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1) that the document has been served* UH E§111·"1i.· * ·- ,._ _ 1 _
_ I. que la demande a été exécutée 1*1 iid; ,· :,1 `
_ · the (date) ` ' ’ r f‘t't».‘_
· ie (date)
- at (place, street, number) _ 1
- ti ffocalité, rue numéro)
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- in one of the following methods authorised by article 5- 1
- dans une des formes suivantes prévues d Particle 5: 1
[ ] (a) in accordance with the provisions ofsub-paragraph (:1} ofthe iirst paragraph ofarticle 5 ofthe Convention*.
a) se/on Iesforrnes téga/es (article 5, a/inéa premier, lettre a).
{ ] (b) in accordance with the following particular method*:
I2) se/on iaforrne pa:-ticuiiére suivante: -" _
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; [ ] (c) by delivery to the addressee, who accepted it vo|untariIyr*1'1 ~ ‘ Z _ ` ·‘_·'*1·11?"`.’ r an 1;1_‘;~11*i11¥.to pgyasng r
C} par rernise simple ‘ " F .~1· t..;·_ "’ ‘ · —’FJé.‘ gg; gms, 1
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Q The documents referred to in the request have been delivered to: 1` · i ,3 Sig? ,1 .
Les documents rnenttonrtés dans la detrtande ant été remix di 1 ; ij 1, M 7 I (` ii`? ENG :;;]-5,, (C
- (identity and description ofperson) / _ _1_ 1 O 3 [ C7 ` "~¤ Comunalc 1
- (identité et quafité de ia personne) · ‘ ‘ · i‘?1'T` ;" t- » t.. 1
.1T.m 4 {,1Jr--`iiu ‘; » Jr.-} i!1*\».>3 £; i}j:'1`_`} fi,1l' .; _ 1
- relationship to the addressee (family, business or other); · I *.:11 I .,jé;J;Q,Q`,iQ·°c¤ft'•3 at 1
· liens de parenté. de subordination o autres, avec le aiestinatoire d : M1" f . ` -11%*1 q °1‘1° i
2) that the document has not been served, by reason ofthe following facts*: _ Ja IM 1 1 ` ” ="t*"
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-i que a etnan e n apos ete executee. en raison desfatts sutvunts. _ _ __ a·•*`
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fs- L,1 1 . "1`1 11,, ."111_ . ’ ,
an .f 111(1i·!_ .'ll_r· 1 `ll _ if-1(_,r¢ 1
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ln conformity with the second paragraph ofarticle I2 ofthe Convention, the applicant is requested t may or reitriburse.th‘e ex crises diehiiiled in ` attached 1
statement*. ` ‘ , Q` M -’ A_,.»···’/ 1
Corfnrmement ci /Qzrtic/e /2, a/inea 2. de ladite Convention, fe requéront estprié de payer ou de rertt ourser fesjiais donig/e détai/figure ' 'moibea joint.
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LIST OF UOCUlVlEN'1`S: Third Party Complaint, Exhibit A and Exhibit B, Third Party Summon: in a Civil Action, Translations X1 " 'V 1
Annexes Ev" `llf 1
Artnexes
Documents returned:
Pieces retrvoyéess
Done at . the
Fctitc} ____#. fe
ln appropriate cases, documents establishing the service: ’
Le cos échétmt, /es docuntentsyustgdcatjr de /'e:técution: Signature and/or sta mp. 1
_ _ Signature e.t’ott cachet. 1
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' Delete if inappropriate. - ’ 2 "
Ruyer ies mentions inutifes.
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