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

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UIHtCd States SCIVICB V N on the reverse of this fqmr.
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N ¢>v;r¤=z}·N_N N--»· N _
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or process _
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SPECIAL INSTRUCHONS Ott OTHERN WILL ASNST IN EXPEDITLNG SERVICE (mimic md _A _Arr
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I hereby certify and remm that l Eihave personally ii ihave legal evidence of service, Eihave executed as shown in "Rema.rks", the =proeess
on the individual, company, corporation, etc., at the address shown aboveoron the individual, company. corporation, etc., shown ht the anldressinserted below.
Ci I hereby certify and return that I am unable to the individual, company, corporution,V etc., named above (See remad‘:sN_beIow) V V
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Address (complete only ifdifhzrentmanshown above) V Date of Service lime N V —
N #2/ir%_,,~N ze .· se- Nw,
N -N _ s _M¤;n¤1 orhlhegiuty
ServiceFee Total Mileage Charges Total Charges VAdvance Deposits? Amountowedto-U.S.Maii¢l1aIorN V Amountofkefund N
(including endeavors) _ _ N _ - · N
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__ WY BE U5E!%1se 2:04—cv—00720-Ré$;L<5'A Document 18 Iiigd 12/13/2005 Page 1 of 2

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

Document 18

Filed 12/13/2005

Page 1 of 2

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

Document 18

Filed 12/13/2005

Page 2 of 2