Case 1 :07-cv-00517-LPS Document 19 Filed 10/16/2007 Page 1 of 2
QAO 440 (Rev. 8/01) Sunimons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
DARYL J. CARTER, p A
Plaintiff,
SUMMONS IN A CIVIL CASE
V.
STANLEY W. TAYLOR, individually; RAPHAEL WILLIAMS, individually;
slTTA E. GOMBEH-ALIE, lvl.D., individually; lvlurlAlvllvlAD ARIF lvl/xz,
M.D., individually; CORRECTIONAL MEDICAL SERVICES, INC., a
Missouri ddrpdraridn; corarzlzcrlomxt MEDlCAL SERVICES or CASE NUMBER: _ ,
DELAWARE, INC., a Delaware corporation; JOHN DOE MEDICAL T" ii
PERSONNEL; and ,lol—ll~l DOE CORRECTIONAL PERSONNEL, `
Defendants.
TOZ (Name and address of Defendant)
Muhammad Arif Niaz, M.D.
266 S. College Avenue
Newark, DE 19711
YOU HEREBY Ellid I‘€C]L1iI'€d to SCYVC Ol'1 PLAINTIFIZPS ATTORNEY (name and address)
lvlichael L. Sensor, Esquire
Perry & Sensor
One Customs House, Suite 560
Wilmington, DE 19899-1568
(302) 655-4482
an answer to the complaint which is served on you with this summons, within twenty (20) days after service
of this summons on you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the
Clerk of this Court within a reasonable period of time after service.
EEE 1 Eatlft"3 { my
ti ~ ·` ~ X 9
CLERK DATE
(By) DEPUTY CLERK
Case 1 :07-cv-00517-LPS Document 19 Filed 10/16/2007 Page 2 of 2
QAO 440 (Rev. 8/Ol) Summons in zi Civil Action
RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by mem OClZ»Ob€I` 9 I 2007 (3:31 P·I"I· )
NAME OF SERVER (PRINT) TITLE
Jeffrey L. Butler rocess server
Check one box below to indicate a ro riate method 0 service
PQ Served personally upon the defendant. Place where served; Muhiiltutlad Aflf Niaz, M.D. , 266 S. College
Avenue , Newark , Delaware 1971 1 ( personal SGIVICG of progess - m band )
I] 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.
Name of person with whom the summons and complaint were left:
Cl Returned unexecuted:
I] Other (specify): .
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
I']./3. $45 .OO $45 .OO
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing infomation
contained in the Return of Service and Statement of Sewice Fees is true and correct.
F/J N L .·’__ ,... .·
ir) ai .. . A r if
Executed tm October 9 , 2007 ° le— =»·â€{' ~ `“‘’ "Â¥i?t 7%} *·"’t- ·t /"“·~c·`t`
Date Signature Qf;;!€7`V§f " I/V ity MM,
Legacig/Beaglesm Inc .
- P.O. Box 886 _
New Castle , Delaware 19720-0886
Address f Server
(3023 478-2693
(I) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure.
ti? E C E l V E D
OCT ‘l U ZGU7
Case 1:07-cv-00517-LPS
Document 19
Filed 10/16/2007
Page 1 of 2
Case 1:07-cv-00517-LPS
Document 19
Filed 10/16/2007
Page 2 of 2