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

Case 1:06-cv—00442-SLR Document 12 Filed 10/24/2006 Pagle 1 of 2
U S Department of Justice PROCESS RECEH. I AI ID I Ulm
' _ ' ` _ See Instructions for "Servrce of Process by the U.S. Marshal"
United States Marshals Servtee on the reverse of mn form.

PLAINTIFF COURT CASE NUMBER
Nelson I-ora-Pena - 1;O6—-cv-442 SLI?
DEFENDANT TYPE OF PROCESS `
Attorney General of the United States Civil Action
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFIPROPERTY TO SEIZE OR CONDEMN
Attorney General of the United States
· ADDRESS (Street or RFD, Apartment No., City State and ZIP Code) U.S. Department Of Justice
AT 950 Permsylvania Avenue, NW, Washington, DC 20530-0001
§€EILI`£)E‘I1E.9£&EE’EEQO£U2BE-QEEETEILIE`.§*°i**£&*P&QDBE$§I¥ELOE;-| Number nf process to be
I served with this Form - 285
I Nelson I-ora-Pena, ]I)=#=03883—070 I S
U.S.P. Canaan I Number of parties to be
Post Office Box 300 lS°“'°“' I" mls °°s°
Wayrnart Pa. 18472
I ’ |Check for service
______________________________________ : on U.S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPED ·- jr .. ·- e are Addresses, All
Telephone Numbers, and Estimated Times Available Htrr Service): i I
FDM Z; , ........ .... i -.....- fi *?·r:.-i v? `..... . = T
Get Qetzaas i
._..... . ..... . ..
Signature of Attorney or other iginator requesting service on behalf of: NTIFF TELEPHONE NUMBER DATE
o [I DEFENDANT 0 I)
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW TI·IIS LINE
I acknowledge receipt for the total Total Process District I District Signature of Authorized USMS Deputy or Clerk I Date
number of process indicated. of Origin to Serve
(Sign only first USM 285 if more
than one USM 285 is submitted) No. L- No. + _
I hereby certify and return that I I] have personally served, ahave legal evidence of service, I] have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address . own above or on the individual, company. corporation, ctc., shown at the address inserted below.
I] I hereby certify and return that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below)
Name and title of individual served (il` not shown above) A pc,-sun gf Suitable age and dis-
I;I cretion then residing in the defendant's
usual place of abode.
Ad ress (complete only ifdlfferent than shown above) Date of Service Time am
e Ib bb" Pm
Signature o .S. Marshal or Deputy
Service Fe e I Total Mileage Charges Forwarding Fee Total Charges Advance Deposits I Amount owed Io U.S. Marshal or Amount of Refund
(including endeavors) ·
REMARKS: I
- . I2./15/80
·‘·¤¤gEEg;;¤gNS 1. CLERK or THE count mm USM **5 I"' ’

USPS - r[§a§ege1@}§dqMT00442-SLR Document 12 Filed 10/24/2006 Page 2 of gage 1 Of]
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Label/Receipt Number: 7004 1160 0006 7939 B654
Status; Delivered rrr-mir & Enrzfizrm
E L ia ure · tN .
Your item was delivered at 4:49 am on October 23, 2006 in 1··1·1· ll t?[rrarQrrr§9§l·R······ umber
WASHINGTON, DC 20530.

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