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

Case 1 :07-cv-00387-JJF Document 5 Filed 08/22/2007 Page 1 of 3
QAO 440 (Rev. 8/O1) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
DELSIE E. BROOKENS, `
PLTF SUMMONS IN A CIVIL CASE
V. A
GM HOURLY—RATE EMPLOYEES PENSION PLAN
AN EMPLOYEE PENSION PLAN CASE NUMBER: C_A_ 07.,387
P. 0. BOX. 300 MC: 482-—C26—-A68
300 Ren. Cen. Detroit MI 48265~3000
_ TO: (Name and address of Defendant)
GM Hourly—Rate Employees Pension Plan
General Motors Corporation _
P. 0. Box 300 MC: 482—C26-A68
§ 300 Renaissance Center
l D€tf%I)IJ'A&E[ HIIEIIIZLSUIKI- 0NED and required to serve on PLAINTIFFS ATTORNEY (name me address)
JOHN M. STULL, ESQ. A
1300 N. MARKET STREET, STE 700
WILMINGTON, DE 19801
an answer to the complaint which is served on you with this summons, within 2 O 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 iiled with the
Clerk of this Court within a reasonable period of time after service.
I REFER It EAMES Aus 0 6 nm
creme DATE _
(By) DEPUTY crmut ‘

Case 1 :07-cv-00387-JJ F Document 5 Filed 08/22/2007 Page 2 of 3 ·
I %AO 440 (Rev. 8/Ol) Summons in a Civil Action
. RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by me") Augus t 1 3 I 2 () () 7
NAME on SERVER (PRINT) TITLE
JOHN M, STULL Attoxne
Check cne box below to indicate a ra riate method 0 service
El Served personally upon the defendant. Place where served:
Ei 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:
El Returned unexecuted:
EkOther (specify): _g;g];j; j f j QQ Mg; 1/ Réllufll of SEIVIICE
' E · _ A : STATEMENT OF SERVICE FEES
'TRAVEL SERVICES TOTAL
15.00 15.00 30.00
j DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information
I contained in the Return of Service and Statement of Service Fees is true and correct.
Exwmdou August; 20, 2007 lb_A__‘__ 11 A
V Date Signa » f Server
JOHN M . STULL ·
_ l$®® N; MARKET STREET, STE 700
Widmmngtonl DE 19801
Address of Server
. ~j.Nf*j
(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure. ‘ *_ ` ·

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