Free Summons Returned Executed - Complaint/Habeas Petition Only - District Court of Arizona - Arizona

SS S S SS ( S SS S S S S S S
S S S S S SS: SS? . 4 S S S §' SS_ S - S - S.
J S S S _ — _. SSS S S RuC%s ·___I.. I _ SSS ED S S —
S U.S. Department of Jusucc . gx Ei. ;._ *,._ ,_ .. . S
S Umtcd States SMarshals Sc iccSS S Sm of my Ss S _ '7 S? 4 S
-_ S_ S S - _ S. S. S S $1‘En¤qur1aan»:K1¤
S S"L**‘““"S / S li ` S S S .S·S‘ S SSS SS F S S TS
S S S »¤6m¢ »{7¢#·S S SS SS 1»€)§ vip-
°E"”‘° S df SS· S S SS S S { ‘ "
S SS ’ * "" " SSSS¢ · "-S S" ‘--‘-’SSS* -*···· S S S ~
SERVE _ __¢_j.q0 S_110N,BSrc.,TOs RDEsc1uF__1;i0N SS
S nd US Affxéé S W bf ‘ r—SS LSWQK SS SSSJS _
AT S S Sl`` S
S £E§¤JL°E9B..9£$.E*LVE£¤£YJ2S .%1 A*Q;éE#€§'L$§.§.B*..é’L's;,Ismmmés m he S S _ S
. SS g.; - {F. _. =—SS aw" ° `£;:S=` - 1.,;.4, if ` L.-{V r_S _
I- _ 1 V *‘.,"S§{, -I}--;;:‘ ria. I :7 W %_ - . é V S : S ' -J.~`- V ` . S rl
S S n lx _- _ if _ __ _
S »?‘5*""‘ ‘*"?.SSSfi’S ‘$SS"“"’“" 7 i.S}··· —···` SQ; ..... S S
S _ SS f9¢’SS£¢’>/S S n S I S S S SS ;.S.—Si%¥Sg' °?"°‘°° S SSSQ S
""?"""’T""'“'T" f_° T S SS S.1ij;j§.:.? S ,
sPBcmL¤~xsm1ICFrpNsqn0¤iER · S- SS S S S
'lhlephonc Q . · SS S - g;. ;g*S»;——eL,·$Sf?T _
, H S S S S` S SSS_Sj;.S;§?.S1SS¤SS?V SS S S - S. ESS, SS¥°SS‘i;<2i;§
_ SS . SS S SSS- `
S S SS S SS SS S S S S SS SSSS S S S "§3ffS S SS...SS
S S- SSS SS SS ·- S S.S_ . SS
S S?¢‘**` `S‘ S _ S _rS .S;S—*;; `xr ° ; -%:1.;- S` SS
S S SS SSSSS S S S S S SS S S
; sigmmgr S g¤mers0risin¢t¤r _ S
...S ..S S .I ...S M9 S S=•··*S’$’
W _. BEIUWSSSFOR I S
1¤¤n»wn¤¤g¤»&¤¤apm»useS¤¤¤a, S..SSDislrictS S sagr¤¤p¤qr4¤d»&?&¤1ussgrsS¤¤pu¢y¤;cmeru S S Sum
S S nuSmb¤r¤fprc¤=ésindi¤¤¤¤dLSS M Stcscwe ·· SS SS
S S (sign only me usm zssirmm S SSSS SS‘ S S SS.SS .S _ Y S S~SS
mm¤»¤usM2s5:swbmi¤ea S SS m.,,_.L.. SN¤.j. S S Z °‘f-
xmmywmrypumm v¤p¤r¤m1ryS¤¢=¤SSS.1Z1Si¤sv¤1¤g¤n¤»aa¤¤¤¤S ¤mm¤ ¤“S SSS S Sm% SS ,Ss¤*·¤¤m¢k SS Sg·*.'mp¢¤¤& ¤=»SS[QfS `d=¤c¤Su¤u SS S
011thci¤divid¤¤H¤gnq:any_ .. Sy n ,ctc..¤tthc address s}1cwnah¤vc¤r0n§1eimlivids1g.I.camppny. etc.. shmvaht S
S I hcmby certify andsctum that I aha oorposutfon. ctc..· {Sec bebw) S SSS Z` S
N SS?m•=¤f**¤**¢*¤S* ¤¤m·»¤»s:»»~»» S » ¤¤»¤S SSSS S ` S Y- S S S ,.m.;.fSm».= Ic ...¤S.» SSS
S Erm ¢¥ E se; , VS S I] crctiuntlacn residing iniglicdéfcngnfs _ —S S
S Og ·— Clq ll, _ S __ usualplscc ufabcodc. S __ S_— S
Address (ccmpletconlyifdiffercntdranshmmabovc) S _ S S - _:
TSS S-SS I { . S · SSS in U ° g n M25? SSS SS Pm n n
S S S` SS ' S S S `SSSSSS .5 SSSSS S; S _ {_ - Ss
S S S ·S-S 5 S-S i . ) S S _
" Scrvicc`F¤s` ’I§ta1MiIcag:Chargss Fcrwmdingks Total Charges Advancssbapsisits rA1S·i*•0umimf¢dt¤U._S.i\r[4;rsha1¤r Amountof S S5
4 _g_ (ihcludiragcaulcavtxsj .SSS:gi_;· A S _ _ SSS 7 S S _
` gT,JdI'lO·! c'5€`=·v1k;,¤ S . K fr 6 C -_ S _ SS S Sj _
&°g=g§¤g"¤ _ S 1.~ cum:. omsrm coun · S . .
S S SS.?2-Oj*j<>Y·0O?20jBO:SSLQA Document 24___;% SS=SF¤|ed 01/12/2006 -_Page1 on S _ _ S

Case 2:04-cv-00720-ROS-LOA

Document 24

Filed 01/12/2006

Page 1 of 1