Free Summons Returned Executed - District Court of Delaware - Delaware

Case 1 :O8—cv-OOO60—SLR Document 13 Filed 06/10/2008 Page 1 of 2 C
U.S. Department of Justice
United States Marshals Service

NOTICE AND ACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND COMPLAINT BY MAIL
United States Distric urt
for the i
/ .T.T District of
TO: I "_ \ g I Civil A tion. File Number
\ I A S Thin
lOl) 5. S4. st;. l434
) V.
all. ‘ ‘
,.. TA \\D ·i>_
The enclosed summons and complaint are served pursuant to the Federal Rules of Civil Procedure.
\U You MUST COMPLETE the acknowledgment part of this form below. AND RETURN COPIES I AND; to the sender within
_ days. An envelope has been enclosed for this purpose. Keep copy 3 for your records.
YOU MUST SIGN AND DATE THE ACKNOWLEDGMENT ON ALL COPIES. If you are served on behalf of a corporation.
unincorporated association (including a partnership), or other entity. you must indicate under your signature your relationship to that entity. lf
you are served on behalf of another person and you are authorized to receive process, you must indicate under your signature your authority.
lf you do not complete and return copies l and 2 of this form to the sender within LL days, you (or the party on whose behalf you
are being served) may be required to pay any expenses incurred in serving a summons and complaint in any other manner permitted by law.
If you d%@nplete and return copies I and 2 of this fomi. you (or the party on whose behalfyou are being served) must answer the
complaint within _ days of the date those documents were sent. If you fail to do so. judgment by default will be taken against you for the
relief demanded in the complaint.
[ declare. under penalty of perjury. that this Notice and Acknowledgment of Receipt of Summons and Complaint By Mail was
mailed on this date. A
51 QQQL
Date of Signature Signature (USMS Qjyficial)
ACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND COMPLAINT
I declare. under penalty of perjury, that I received a copy of the summons and of the complaint in the above captioned manner at
6m k [aaa
Street Number and Street Nam or P.O. Box No.
City, State and Zip Co;
`gnature
OPE cg [%ia%e»n _
,~ _,. _ Relationship to Entity/Autho to Receive
?U ·¤ HU Ol lélif EEUC
iii § 3;;* Service of Process l
I .5 /5 aa
Date of Signature Form USMJ99

l
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Case 1:08-cv-00060-SLR Document 13 Filed 06/10/2008 Page 2 of 2
U S De attment of Justice PROCESS RECEH I Al ID REI URN
' _ ' p ‘ _ See Instructions for "Service of Process by the U.S. Marshal"
UHIIBCI States Marshals S€I`V1C€ on the reverse of this form.

PLAINTIFF COURT CASE NUMBER I
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DEFE DANT TYPE OF PROCESS
K` e , . ., \ _ n 1; ` ~r ` · - ,
I A xuvé » TLm,c> C1/L o OJ:
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRETION OF PROPERTY TO SEIZE OR CONDEMN
· ., ¤ ~· “ `I \ ‘c·\ · iw
» ~» I O wt to to r I
ADDRESS (Street or RFD, Apartment No., City State and ZIP C7d%
AT ` DY. PW-§" ( Ut. s E. ‘D\ Y h\`p° A lq
§€EILl`@EQ?.9£ EEEYEE QOEILTQ. BQEEETEILE ./9*.*2 £l`@.62DBI§§.l?E!)L’; - I Number of process to be
I-—3>/LD L M isgféxti 5 I served with this Form - 285
' I} t r · ‘* `if E
Q-’\»< U" :Number of parties to be
JK \‘V\\ Qt ‘t\__,f.___;A {_,—' A E V V Iserved in this case
\·’ `° i~t€:©% *9*
I iCheck for service
______________________________________ I on u.s.A. /
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Telephone Numbers, and Estimated 'limes Available For Service): T;
Fold if _» Raid
__ ;‘ -- is —i _
[ I I I
fr ’"' ` , ` · ( _ ,,
Q T°\ E. Q;
S- I Q ’_
¤ nr . [ .
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Signatu · of Attomey or other Originigr requesting service on behalf of: E&“A[NTlFF TELEPHONE NUMRFR DATE V V5
AMAA _ I , ./’ ~..»}\I;° [I DEFENDANT j’;c»3F?`7f—/H;,$_I j 2··//*(}Q,
SPACE BEIJOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk /,, Date I
number of process indicated. of Origin to Serve _ ' $*0 X}
(Sign only hrst USM 285 if more I 5/ `
than one USM 285 is submitted) No. No.
I hereby certify and return that I I] have personally served, 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 the address inserted below.
I] I hereby certify and retum that I am unable to locate the individual, company. corporation, ctc,. named above (See remarks below)
Name and title of individual served (if not shown above) A person Of Suitable age and dis-
III cretion then residing in the defendants
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
5 · F' -02 pm
Signature of .S. Marshal or Deputy
Sagem * It I mlifilwf
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal . Amount of Refund
(including endeavors)
REMARKS:
5 ’5"·o‘( Srca-}' ee. ei/’a‘ Af Pr/ci,
t
IF éo uc!
RM U -285 l2Jl5/80
Pm°gEEg;gg>NS 1. CLERK or THE count “’ SM (M I

Case 1:08-cv-00060-SLR

Document 13

Filed 06/10/2008

Page 1 of 2

Case 1:08-cv-00060-SLR

Document 13

Filed 06/10/2008

Page 2 of 2