Free USM 285 Returned Executed - District Court of Delaware - Delaware

Case 1:06-cv-00701-SLR Document 12 Filed 10/O9/2007 Page 1 of 1
U S D is J · PROCESS RECEIPT ANI) RETURN
. . epartment 0 usttce S . .. . .,
_ _ ee Instructions for Service of Process by the US. Marshal
UDIICCI States IVIEISIIEIIS SCIVICC on the reverse of this form.

PI-AINTIFF COURT CASE NUMBER
., et O T I —- S _
DEFENDANT TYPE OF RO ESIS
j ll O r A
SERVE NAME OF INDIVIDUA . COMt>AI~:Y, CORPO TION, E`I`C.,`I`O ‘ER\/E OR DESC PTION OF PR ERT TO SEIZE OR CONDEMN
ADDRESS (St t or RFD, Apartment N0., City State and ZIP Code)
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AT *9* . u l- ¥' V\· _ ¤ ‘ ` IV}? I/5 g O
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW;
-—-————-—-——-——--——————--- - ----—----—- I Number of process to be
I-T4 I served with this Form - 285 \
I I Number of parties to be 3
, J I served in this case
, it at Miter; oa
Q k·' lCheck for service
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemhte A ses, All
Telephone Numbers, and Estimated 'I7mes Available For Service): E [_ rj
ma C-) .-·._. . Rita
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Sign ure of Attomey or other Originator reques ng service on behalf of: n PLAINTIFF TEL N MBER DAT &
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_‘-Ll A J L _A - I:] DEFENDANT fl
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SPACE BELOW FOR USE O ' U.S. MARSHAL ONLY — DO NOT WRITE BELOW T I LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve __'_. _
(Sign only first USM 285 if more ` { ’ __ "I
than one USM 285 is submitted) No. _ No. . -. é -
I hereby certify and return that Ig have personally served. Q I have legal evidence of service, `_l have executed as shown in "RcrnarI on the individual, company, cori ration, etc., at the address Shown above or on the individual, company. corporation. etc., shown at the address inserted below.
lil 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) _ ,1, pgrggn Of guitgblc ag; and dip.-
" ` ` 1 Tl eretion then residing in the defendants
‘ [ { A I) Jf- usual place of abode.
Address {complete only ifdiflercnt t . sh wn above) Date oi Service Time _` am
· /
II} L I }}l'I\
Signature tf Marshal or Deputy
Scrxice Fee Total Mileage Charger. Forwarding I·`ee Total Charges Advance Deposits Amount owed to IY S l\·1:ai‘·.lial or Amount of eiuiid
(including endeavors)
REMARKS;

FORM USM-285 12/ISJUII
"'“°:EEg$[?NS 1. CLERK OF THE COURT m‘”“ I