Free Summons Returned Executed - District Court of Delaware - Delaware

Case 1:06-cv—O0O59-SLR Document 6 Filed O1/30/2006 Page 1 of 2
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UNITED STATES DISTRICT COURT
District of Delaware
Steven D. Humes
Plaintiff SUMMONS IN A CIVIL CASE
V. CASE NUMBER:
TO: State of Delaware I na U
Department of Justice l 0
820 N. French Street
. Wilmington, DE 19801
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF,
Steven D. Humes 4838 Plum Run Court Wilmington, DE 19808
l an answer to the complaint which is served on you with this
summons, within 20 days after service of this summons on
you, exclusive of the 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 filed with the Clerk _
of this Court within a reasonable period of time after
service. ` i
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CLERK PETER I DALIED Ram QQ) {bb
(By) DEPUTY CLERK:
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Case 1 :06-cv—OOO59-SLR Document 6 Filed O1/30/2006 Page 2 of 2
_ " QAO 4410 (Rev. BIOI) Su mmons in a Civil Action
l RETURN OF SERVICE
l Service of the Sumrnons and complaint was made by mem DATE i » l
f jo O E
NAME or SERVER (PRINT) _ TITLE '
Lrsé %<»€eT/Sl ‘
Check one box below to indicate a • ro riate method 0 service
X Served personally upontlle defendant. Place where served: I _ 4 I _ '
‘ ) s. of (.4. /12 - .t ca.? 1'EH¢'1!E>' £ r · T
I] 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:
I] Returned unexecuted: -
I] Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER A
[ 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 and correct.
Executed on A r G O 62 Cgi ct
Date Signature qf.S`ewer
54 3 $‘*""’ji‘~ U/6 Ow Tdwnyeflcx J?
Address of Server » ·
/9* 73 y
(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure.