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

Case 1 :06-cv-00582—Gl\/|S—l\/I PT Document 5 Filed 10/17/2006 Page 1 of 1
°iZ¤A0 440 (Rev. [0/93) Suinmcns in n Civii Action
RETURN OF SERVICE
_ _ DATE
Service of the Summons and complaint was made ny me"’
In his ' .aII.• .. ° ' ALI
NAME OF SERVER (PR/NT) 'YITLE
Jason Glenn Process Server
Check one [Jox below In indicate rz r·‘0 r‘1]:r.t‘e· rnelhod 0 service
Q Served personally upon the third-partydefendant. Place where served: 2853]. JOl‘H1SO1”1 [BRG: · DE 1995],.
El Left copies thereof`;1t thecEef`endnnt’s dweliing house or usunlplnee of nbode with 21 person of suilnbie age amd
discretion then residing therein
Name of person with whom the summons and complaint were left:
I:] Returned unexccuted:
C] Other (specify):
STATEMENT OF SERV}CE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
ldeclure under pennltyof perjury under the laws of the United States of America that the foregoing information
eoninineé in the Return of Service end Statement of Service Fees is true and correct
/' g .
Executed on ]·O/ 10/ 06 -
Dute Signature ol`Serve
AEC Legal Services
633 Yesler Way
Seattle, itil!. 98104
Address nl`Servcr
{I] As to who may serve an su mmosms scc Ruie 4 oftlte Federal Rules n!`Ci vii Prnceaiurc