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

~ Case 1 :07-cv-00022-JJF Document 5 Filed O2/23/2007 Page 1 of 2
{SAO gl-4l]_(Rcv.`t1!Ul)Summ¤ns in a Civil Action

1 UNITED STATES DISTRICT COURT
District of Delaware
Lisa Desombre, a natural guardian of
AJH, a minor
SUMIVIONS IN A CIVIL CASE
V.
KB Toys, Inc., d/bja KH Toys
CASE NUIWBER: m..C\,-22
TOE (Name and address of Defendant)
KB Toys, Inc., d/b/a KB Toys
100 West Street
Pittsfield, MA 012D1·57Cl2.
YOU ARE HEREBY SUMIVIONED and required to serve on PLAl`NT1QF·`F`S ATTORNEY (mime and address)
Mare H. Snyder, Esquire
Rosen, Moss, Snyder & Bleefeld, L.L.P.
‘ 1813 Marsh Road
Suite D
Wi1m:l;ngt:onTDE—19B£l;0
an answer to the complaint which is served on you with this summons, within days after service
of this summons on you, exclusive ofthe 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 tiled with the
Clerk of this Court within a reasonable period of time after service.
EETER T. DALLEG
cuz P DATE
In LM i _,LiI»
y" E UTY CLERK {—
Q

’ Case 1 :O7—cv-OOO22—JJF Document 5 Filed O2/23/2007 Page 2 of 2
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BAA; .450 {Rev. BID!) Sumrnons in S1 Civii Action
N Abd]; GF SERVER {PRINT) rl TITLE F-
Hlb Ja AMG C•P)6¢pB{‘€
C-/·};,eclr one box below to indicate a ro riare method 0 service
K SBWBCT DEFSOHHHY UPON U18 dBf.EUdR1"|[.fP]ECB where served; Q up Q6 7.. .5 7- (
" C.
[Il Left copies thereof at the del’endant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom [IIB summons and complaint were left:

U Returned unexecuted:


El Other (specify):



STATEMENT OF SERVICE FEES
DECLARATION OF SERVER
_ _ I declare under penalty of perjury under the laws of the United States of America that-t e foregoing information
_ contained in the Return of Service and Statement of vice Fees is true and correct.
Executed on C;2 [ 1 ,5 Z Z il
Da Si- cf.S`en·er
130 Maple St.
_ Sl;1‘1’E€_];G2
Z T if" W E 1 ar A 4
Address efSen§1E%1 “·*z_$-*·-MUAH; IEE] K
(U AS [D who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.