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

' II uI`IIs oe artment of Justice PROCESS RECEIPT I I =,*¤ . - _~ ¤ · .» I S .
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SPECIAL INSTRUCHONS OR Ul`!-IER WILL ASSIST IN =• 1‘ ITING SERVICE (Include Businéu a11if@¤e Address%§': All
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Signature · .S ·= ·· orother Originator servloeon helmlfofz TBLEHGNE NUMBER " S DATE F"! A
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SPACE BE O IDR USE 0F. _. I S _ !·~ “— NOTWRITE BEIDWHHS UNE S
Iacknowledge reoeipt for the total Tbtal District Signature ofihnhorized USMS Qeputyor Clerk S ’
S number ofprooessindicated. .S S S éi'0rigin to Serve S _ ( Z. . ` I S FS __ S
S (Sign only first USM 285 if more A I S S. g SS S·S·.· . -S· . ·
S thmonc USM285is submitted) / rb, L N0, L_ ;BU5% SS
I hereby certifyaml return that I I] have personally haveilegal evidence of serviee,1] have executed as shown in "Remorks", the process described S
S on the individual. company. corporation. etc., at on the individual. conifiany. ctc., shmvnht the inserted below
EI l hereby certify and return that 1 am unable to the iiidividuni, company,. ¤i§I_;Im;mg;t above (gg; rgyngykg ww) S .
Name and title of individual servedfif not I S S I I . " I lj A pm suitable gglieégngf
cretion msi 'rtg in e ` t’s
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Address (complete only ifdifferentthanshoum above) _ Date I 'Iime I
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Service Fee Total Mileage Charges Forwardingfee Total Advance Deposits Amount owed to U.S. Marshal or ` Amount of Refund “ I
(including endeavors) I _ I _ M S V S . . ` (7
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§EEDlTl0NS 4 1. Ol: THE COURT RHI! l.¤i·1I5S(Ilen IIJISIUIJ
S °¥!hse 2:04-cv-00720-RQ$.;wl;Q ,_(_ ( Spocument 21 Fnled 12/13/2005 Page 1 012

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v · ‘ 6,7/J6-5 IVCEIVED DEC u 5 mus
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I WAIVER OF SERVICE OF SUMZMONS
_ V ro; Qm »;' sg; S _;/}Z»a—e.< M J: J.;/é xgdevr feyw/xm;
1 (NAMZE OF PI.AIN'IIF·'F’S ATTORNEY OR PI..A.IN'1'lFF)
I, I [2?£,颒67/jxvrfi /é#?'£'7'4£ , acknowledge receipt ofyoan requegt
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. {DOCKETNUNIZBAE) — K A
for the "' i ' District of ’ ?@"v"/9 I e ,
». -1»»-—— - I e I have also received a copy of complaint in &e actions two copies of this instrument, and a means by which I can
retucm the signed waiver to you without cost to me. ·
Iagreeto save the cost of service of a summons and axiadditional copy ofthe complaint intbis Iawsuitbynotreqiairinpnf
- that I (or the entity on whose behalfl am acting) be served with judicial process in the mmmer provided by Rule 4.
. ·I · I (or the entity ozrwhosebebalfl am acting) wiilretzin all defenses or objections to the lawsuit or to t]nejurisd.iouon·
I v" . or venue of the court except for objections based one defect in the szunmons or to dreservice of the summons. —
Iimderstand that ajudgmeut maybe entered agair1strne(ort]:eparty onwhose behztlfl am acting) ifan
I . . · . . mc ‘ 2 MI5 I
answer or motion under Rule 12 xs not served upon you witlxm 60 days aier ,
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‘ or within 90 days $:*:1: that date if the request was sent outside the United States.
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_ I 1 _ Duty to Avoid Unnecessary Casts nf Service of Snminons ‘
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~ dosowillberequiredmbeaiimcostofsuchsnyioermlssgoodczusebesbonnfurhsfaiwemsigramdreumdiéwziver.
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complaintzndrnustslsoiicasigaued ¤cipy¤:i`thereéporrsewit}1tl1e¤oint. Ifd:eanswe·r¤rmo1ionisn0tserved¤¤i‘li1i1¤1i1is::irr:e, adethultjudgrnentmaytbetakenzgeinst
· . ·&m·defe¤dmL Bym.ivir1g@ce,ad¤fe¤da¤tisaJ]¤‘¤vedmrretimctoanswerdimiftbewmmhadbeenactueHyservedwhe¤111er=qa:=st.forwaive:¤fse¤6;;
I _ _ Case 2:04—cv—00720-ROS-LOA Document 21 Filed 12/13/2005 Page 2 of 2 I

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

Document 21

Filed 12/13/2005

Page 1 of 2

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

Document 21

Filed 12/13/2005

Page 2 of 2