Free Return of Service Executed - District Court of Delaware - Delaware

Case 1 :08-cv-00308-JJF Document 4 Filed 05/28/2008 Page 1 of 1

4
l
RETURN OF SERVICE . §
Service of the Surmnons and complaint was made by mem DATE
_ " l
NAME OF SERVER (PRINT) TITLE _ i
1,7/1/&=·’77&<272>/€ —% / 77 F l
. . . . ri "“·-' l
Check one bex below t0 indicate appropriate method 0f service A),
Served personally upon the defendant. Place where served: l
ee? zzz or .5522. ézg / 22 l
Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age
and discretion then residing therein. p I
Name of person with whom the summons and complaint were left: {U3 p W, A dl Q
R d ed: I
CIUYHC UHBXCCUL ( 5%/
l l
- I
Other (specify):
l
STATEMENT OF SERVICE FEES 1 L
TRAVEL —&. SERVICES TOTAL ’ I »
DECLARATION OF SERVER {
I declare under penalty of perjury under the laws of the United States of America that the foregoing
information contained in the Return of Service and Statement of Service Fees is true and correct. l
. I l l
Executedon. [ll I, ,4;,/ Z
Date Signature of Server 7L—·
’7’/4 S 47*/rf ‘ 5?Lr2ee
Add T gd / l
/, Map i
l
E
l
l
l
1
l
~ 2
l
(l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. 1

Case 1:08-cv-00308-JJF

Document 4

Filed 05/28/2008

Page 1 of 1