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

Case 1 :05-cv-00347-SLR Document 2 Filed 08/1 1/2005 Page 1 of 3
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DISTRICT OF
STANLEY FRANKEL,
Plaintiff,
v_ SUMMONS IN A CIVIL CASE
Red Clay Consolidated School District, _ ,5 q
Plan Administrator of LTD Plan, CASE NU““BE“· O 5-0 V 7
Long Term Disability Insurance Policy, GROUP
POLICY No. 104964- 1 G,
Red Clay Consolidated School District LTD Plan, .
_ Metropolitan Life Insurance Company, · _
Plan Administrator of LTD Plan, Defendants.
-I-OZ (Name and address of defendant)
LTD Ins. Policy, No. 104964-lG LTD Plan
` c/o Red Clay Consolidated School District
Attn: Superintendent’s Offices
2916 Duncan Road _
MGNED and required to serve upon PLAiNTlFF’S ATTORNEY (name and address)
John M. Stull (Del. Bar #568) I
1300 N. Market St., Ste 700 `
P. O. Box 1947
Wilmington, DE 19899
Ph. 302) 654-0399 I
an answer to the complaint which is herewith sen/ed upon you, within 2 0 days after service of
this summons upon you, exclusive ofthe day of service. if you fail to do so, judgment by default will be taken against you for
the relief demanded in the complaint. You must also file your answer with the Clerk of this Court within a reasonable period of
time after service.
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cuani< DATE
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AO 440 (Rev. 10/93) ummons in a Civil Action (Reverse) ‘
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RETURN OF SERVICE
_ » DATE
Service of the Summons and Complaint was made by me I June 14 2005
NAME OF SERVER (PR//VD TITLE
JOHN M ST . . I A
Check one box be/ow to indicate appropriate method of service
I:] Served personally upon the defendant. Place where served: T
E] Left copies thereof at the defendants 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
I;] Returned unexecuted:
Q Other (specify); CERTIFIED MAIL! RETURN RECEIPT ON JUNE I 4 , 2005 PER
t

STATEMENT OF SERVICE FEES
TRAVEL SERVICES - TOTAL
4.88 I5.00 I9.88
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of Americaythat the foregoing
information contained in the Return of Service and Statement of Service Fees is true and correct.
A y / W ,. M, J7 7
Executed on % 5 2/L C./’ ··’/ /LK-»
Datek/; /,3 ·’ Signatiire/ofSen/er JOHN M. STULL
ljg I300 N. MARKET ST., #700
‘
Address or Server
(1) As to who may serve a summons see Rule 4 ot the Federal Rules of Civil Procedure

Case 1 :05-cv-00347-SLR Document 2 Filed 08/1 1/2005 Page 3 of 3 A

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SEN DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items T, 2, and 3. Also Complete A. Received by (P/ease Print CIearLv) B. Date of Delivery
item 4 if Restricted Delivery is desired. cg; ··—/4{
I Print your name and address on the reverse C S .
so that we can return the card to you. gwnjre X X D V
I Attach this card to the back of the mailpiece, . ~ I 'l Agent
or on the front if space permits. an V ..4 4.4.1. D Addresses
_ _ / I) delivery address different from item 1? U YGS
1‘ Amcle Addressed t°‘ _ · I lf YES, enter delivery address below: El No
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4. Restricted Delivery? (Extra Fee) lj yes
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PS Form 381 T, July 1999 Domestic Return Receipt 102595-00-M-0952