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


File Size: 47.1 kB
Pages: 2
Date: December 5, 2005
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 446 Words, 2,582 Characters
Page Size: 599 x 808 pts
URL

https://www.findforms.com/pdf_files/ded/35697/24.pdf

Download Return of Service Executed - District Court of Delaware ( 47.1 kB)


Preview Return of Service Executed - District Court of Delaware
. - Case 1 :05-cv-00809-***-l\/I PT Document 24 Filed 12/05/2005 Page 1 of 2
QEAO 440 (Rev. S/01) Sununons in a Civil Action I l
A UNITED STATES DISTRICT COURT
District of Delaware
UNITED STATES DEPARTMENT OF ‘
HEALTH AND HUMAN SERVICES
SUMMONS IN A CIVIL CASE
V.
SOUTHERN DELAWARE CENTER FOR CHILDREN
AND FAMILIES , INC . , FRANK OGUNDARE, _ ‘
GAROLYN WILLIAMS , REVEREND LEON CASE NUMBER: O 5 .. 8»’ Q Q
WILLIAMS , WILLIAM B . DUFFY , WALLACE
HANDY , KAY LEWIS , DEBORA WASHINGTON ,
and ROSAMAE SMITH,
TO: (Name and address df Defendant)
ROSAMAE I . SMITH
4574 White Deer Road
Delmar , DE 199ZlO
YOU ARE HEREBY SUMMONED and required to serve on PLAIN TIFFS ATTORNEY (da-ss ssa address)
SETI-I M. BEAUSANG
United States Attorney" s Office
The Nemours Building
1007 Orange Street, Suite 700
Wilmington, DE 19801 `
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.
PETER T. DALLEO NST! 2 2 211115
c1.ERK I I ` DATE
Ed/§ Q WAJQL
(By) DEPUTY cram;. -

Case 1 :05-cv-00809-***-NI PT Document 24 Filed 12/05/2005 Page 2 of 2 _
- AO 440 (Rev. S/01) Summons in a Civil Action
Service ofthe Summons and complaint was made by me(l) 1);,;;,05
NAME or senvfen (rrmr) TITLE
GRANVILLE MORRIS SPECIAL PROCESS SERVER
Check one box below to indicate rz ro riate method o service
[I Served personally upon the defendant. Place where served:

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.
E Name of person with whom the sunnnons and complaint were left: SERVED ROSEAMAE SMITH ACCEPTED BY H SMITH
AT 45-74 WHITE DEER RD DELMAR, DE
|:| Returned unexecuted: _ _ r


I';] Other (specify):


- STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL ·
_ DECLARATION OF SERVER U I
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 and correct.
Emmtcd on ll/2605
Date Signature of Server
BRANDYWINE PROCESS SERVERS, LTD.
P.O. BOX 1360 _
p WILMINGTON, DE 198994360
302- 475-2600
l (1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure.