Free Summons Returned Executed - District Court of Delaware - Delaware

Case 1 :O7—cv—OOO45-SLR-LPS Document 5 Filed O2/06/2007 Page 1 of 2
QAAO 440 (Rev. 8/01) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
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SUMMONS IN A CIVIL CASE
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_ (Name and address of Defendant)
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-YOU ARE HEREBY SUMQMONED and required to serve on PLAINTIFFS ATTORNEY (name _;A4 A
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an answer to the complaint which is served on you with this summons, within Z0 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.
RETER To DALEJEG
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CLERK DATE I
(By) DEPUTY CLERK

Case 1 :O7—cv—OOO45-SLR-LPS Document 5 Filed O2/06/2007 Page 2 of 2
l %.AO 440 (Rev. 8/01) Surnmons in aCivil Action
RETURN OF SERVICE
Service of the Summons and complaint was made by mem 7 ·
N MEOFS ER(PRI—) , TITLE I i
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Check one box below to indicate a ro riate method 0 service
El Served personally upon the defendant. Place where served: {&§,]S7L‘_m,—(_O EN OJ , },n\,; N .·—-"* ( '
[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:
El Returned unexecuted:
[I Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under thwewgwhsmof the United States of America that the foregoing infomation
contained in the Return of Servi tiiéiiiWbf Sewice" .
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Address of Server
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.