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

I I Case1:O6-cv—OOO59-SLR D0cument3 Filed O1/30/2006 Page1of2
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UNITED STATES DISTRICT COURT
District 0fDeIawa.re
Steven D. Humes
Plaintiff SUMMONS IN A CIVIL CASE A
V. CASE NUMBER: Q Q Q 5 Q
IO: State of Delaware
Court of Common Pleas CN _
500 N. King Street
Wilmington, DE 19801
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.
p of this Court within a reasonable period of time after
service. I C
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(By) DEPUTY CLERK: __ géékjjéj Q §&Q;Z@§ C

Case 1 :06-cv—OOO59-SLR Document 3 Filed O1/30/2006 Page 2 of 2
“ QAO 440 (Rev. B!0l) Summorts in a Civil Action
V R RETURN OF SERVICE
Y s · nhs s rt as WDATE in
_ ervlce o e ummons an comp am was ma e y me ] 3 O A {G
NAME OF SERVER (PRINT) TITLE '
L i.S`o. / Check one box below to indicate or • ro riote method 0 service
H Served personally upon the defendant. Place where served: § EN Jn { ·\
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;
I] Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
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 Retum of Service and Statement of Service Fees is true and correct.
Executed on Y x/30 4 U Q Q5 46} fe {5/L<»=<>»a.»*
ate Signature of Server
3`Z3 Scwru-; »5`/Je C M jawn: eng D? /37jy
Address of Server `
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.