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


File Size: 189.8 kB
Pages: 1
Date: June 20, 2006
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 429 Words, 2,830 Characters
Page Size: 612 x 841.92 pts
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Case 1 :06-cv-00223-G MS Document 9 Filed 06/20/2006 Page 1 of 1
AAO 440 (Rev. 8/01) Summons in a Civil Action
RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE .
A•r1l T7, 2006
Nnlvttz or sskvsa (PRINT} TITLE
Vivian A. Hou hton, Es • uire - A , ,,, . , • _ htiff
Check one box below to indicate o ro riote method o service
[1 Served personally upon the defendant. Place where served:
El 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:
fd Omertspecrfy); United States Postal Service via First Class Certified
STATEMENT OF SERVICE FEES
TR.-·tvaL stsrtvtctes TOTAL
· · s4.64
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information
contained in the Return of Service and Statement of Service Fees is true andcorrect.
Executed on @~—-— i i r Q,) Q; @Q)¥#"*-···· C? E ;-*
Date Signature of Server
E rio tt, ire; j Lf gi §1`v'{;;·q§ QQ]; DE l Address of Server
boa- (co sr- cmg
SENDER: COMpj_E]·E THiS SECTKJN COMPLETE THlS SECTION ON DELWERY
I Complete Items 1, 2, and 3. Also complete- A· $*9******-"°
Item 4 If Flestrlcled Delivery ls desired. X D **9****
I Print your name and address on the reverse D ·°v=*¤*t¤=¤¤¤¤
¤ that we can return vte me v> v¤¤· B. neeetveu by {mea - ej c. use or oenvery
I ttach this card tothe beck of the mallplece, ‘ _ ..--·" {Ei
· on the front if space permits. ·· ’·‘ {L J *’ ·—-L -
D. Is delivery address lfferent from item 1'? U Y¤5
1- ` '°'° Addmwad wi lf YES, enter delivery % tslelcrvzr _ U N¤
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I fl OO 3- Service Time 'n‘; {i— _
he- _ `sloersrtea Mall Elugms r,¢tgtt‘Y!-"`/
“’ Li`{~¤»,,,,.m..a» EI Registered Cl t=tetun-r-Raoefpaor Merchandise
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\ ` 4- Flevvlcied Delivery? {Extra Fee} |;| vga
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· PS Form 381 ‘I, February 2004 Domestic Return Reeelpl '°2595‘°2"‘·*‘*5‘*°