Free Waiver of Service Executed - District Court of Arizona - Arizona

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United States Marshals Service. . . 7 1 on are www arm rm. [ ._ -——· it <*
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SERVE NAME QFINDNIDUAL, •- ·· ,CO§•Fgt3ili,A1'I0 QR_DE.SCl1IFl'r0N 7 ,7 7 7 x 7§El;§70R CONDEMN
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· ADDRESS(Suect¤rRFD,Apm1mcntNo.,Cit;g.§¤teirrdZiPO0de)_ - · · __ ‘ .
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£=Â¥ED.l.*[email protected].*i*`Ll‘$§.VE‘i°£‘LT2 Number of smear. rem ~ * T n ‘ e
F 2 p A - _ _ _7 7 " 77 i - . lserved with this Form-e- 2H7_ . 77
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___________ ___,__f ________ ;__ ___________ --:.¤¤ U.s.A. 7 ,1-
SPECIAL INSTRUCITONS OR OTHER THATWILL ASSISFIN SERVICE (Include and AJ PLN Addresscg AH _
Telephone Numbers, and Estimated Times A·varhbAi-.$i"§‘ervice): _ _ · i ih, ax. A ' ? . __ L " 1-mr _ . [:‘» ·
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U SBKCE BEIDW FOR-USE l '# 1 MARSHAL ONLY rD0 NUI`WRlTE BELOW THIS LINE
I acknowledge receipt for the total Total Process District Signature o£Ar1thor·ized USMS Deputy or Clerk' ’=‘ Date
. nrunberofpmcess indicated. = ofOrigirr _.to Serve ;__ “ - _ _ J HM `
(S` r rim USM 285 T . ._ 4; it ,; ;., e. . f" e . 4
eign ori.;] ESM 285 is submr:re¢Tm J < A No. L J
I hereby certilir and return tlrati 1] have personally served,~I,`Q}l£ive`lEgal’eviderrce ef service?. [Thave executed as slrovvn in "Reniarks“, the process described
on the individual. company, corporation, etc., at the address shown unmet on the individual, companyécorpeijikion, ere., shownir: lheaddress inserted below: 4
I] I hereby certify and retum that l am unable the individual, company, corporation. etc., named above (See remarks beloiv) K -
Name and title of individual served (if? not btw:) D A of sugable agdeugrcfd dis- ` ‘
Address (cornpleae only ifdifferentdranshown above) ‘ · 7 4 Darel `- K. 'Iime - . " - ‘ Q
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l Service Fee Total Mileage Charges Forwarding Bee Total Charges °Adrrance Deposits Amount owed ro U.S. Marshalor of Refund -., {lil
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REMARKS: " __ ¤ ‘ 5 K V _ V W
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Lgdlase 2:O4—cv-00720-ROS-LOA Document 22 Frled 12/13/2005 7 Page 1 of 2 _ 7

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

Document 22

Filed 12/13/2005

Page 1 of 2

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

Document 22

Filed 12/13/2005

Page 2 of 2