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


File Size: 28.9 kB
Pages: 2
Date: January 30, 2006
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 412 Words, 2,384 Characters
Page Size: 622 x 792 pts
URL

https://www.findforms.com/pdf_files/ded/36071/5.pdf

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UNITED STATES DISTRICT COURT
;_._ ``'` j f District 0fDclawa1·c
Steven D. Humes
Plaintiff SUMMDNS IN A CIVIL CASE
V. CASE NUMBER:
cr · E
TO: Delaware State D _,%iL,_l V0 P I
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YOU ARE HEREBY SUMMDNED and required to serve on PLAINTIFF,
Steven D. Humes 4838 Plum Run Court Wilmington, DE 19808
` 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. , D n"- `
CLERK Pi-¤§§i~?¥,Q‘ ° ” Date: Xg 90geg ‘
¤- - · _:`·*< »2"2;.;.s: 'I - I
(By) DEPUTY CLERK: ;__ »’ *9(_ ff, R ·

- Case 1 :06-cv—OOO59-SLR Document 5 Filed O1/30/2006 Page 2 of 2
_ ` ¤sAO 4·'¢i0 (Rev. 8/Ol) Sumrnons in aCi.vil Action
K A RETURN OF SERVICE
~ DATE 7 - -·
· Service of the Surrimuns and complaint was made by mem j _5g/(Q
NAME os SERVER (PRINT) TITLE
J,/5`R KEQ El S5
Check one box below to indicate a » ro riccte method o service
W Served personally upon the defendant. Place where served:
‘ S e riofe T eu F4 - c
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: -
El Other (specify):
STATEMENT OF SERVICE FEES
I TRAVEL SERVICES TOTAL
- DECLARATION OF SERVER `
l I declare under penalty of perjuiy under the laws of the United States of America that die foregoing information
> contained in the Return of Service and Statement of Service Fees is true and correct.
Executedon [if L- Z
Date Signature of Server
gi O3 Sum cond e- Ln 'fewitsehol if
I Address of Server I Q 75
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.