Case 1:04-cv-00201-JJF Document 49 Filed O3/27/2007 Page 1 of 1
U S De attment of Justice PROCESS RECEIPT M in RE I URN
' _ ' p ` _ See Instructions for "Servlce of Process by the US. Marshal"
United States Marshals Service on the reverse of this form.
PLAINTIFF _ COURT CASE NUMBER
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DEFENDANT t TYPE OF PROCESS
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NAME OF INDIVIDUAL, COMPANYQ CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
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ADDRESS (Street or RFD, Apartment No., Cty State and ZIP Code) I
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EEEETQEQPEEEEEEQOBLTQ BEQPEEETEILE BABE él`@32DBl§$LlEl§1L..I Number Or Pumas, [0 hg ___,., A
F I served with this Fomi - 285
I<€,t/in Li Dic;l(€i’l$ IN I _
I , A F I umber 0 parties to be
WLHKFE gmx) Ce (ir" Iserved in this case 4-
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i {Y}! ICheck for service
______________________________________ I on usa.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
gggephone Numbers, and Estimated Times Available For Service): d
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Signature ofAr.tome`y or other Originator requesting scrvice on behalf of: E PLAINTIFF TELE HONE NUMBER l DATE
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SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District Distr ct Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve , I
(Sign onht Hrs! USM 285 if more J" I _ ‘
than one USM 285 is submitted) No. No. :
I hereby certify and return that I [I have personally scrved, C] have legal evidence of service, [I have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., shown 'at thc address inserted below.
IH I hereby certify and return that I am unable to locate the individual, eotnpany, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A pgr5g|1_Of` suitable age and dig-
[1 cretion then residing in the defendant’s
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
Signature of U.S. Marshal or Deputy
. ’ v'
Service Fee Total Mileage Charges Forwarding Fee; Total_Charges. Advance Deposits Amount owed to U.S. Mar al or Amount of Refund
(including endeavors) · "Q " ·- —' ,
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PRIOR EDITIONS FORM USM-285 (Ren I2Jl5/80)
MAY BE USED 1. CLERK OF THE COURT
Case 1:04-cv-00201-JJF
Document 49
Filed 03/27/2007
Page 1 of 1