Free Acknowledgment of Service - District Court of Connecticut - Connecticut

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Case 3:00-cv-00720-JCH Document 61 Filed 07/21/2005 Page 1 of 1 \
us. Department Or Justice RRFRIRT AND RETURN ,
Un.t d St t M h I S , ew-, I II; Kstmctrbns for Service of Process by the US. Marshal` I
I G El CS Elf S 3. S OIVICS by/r§g..¤;é\lg”;g'q;¥y{ by {m·m_ i
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PLAINTIFF \ / Q / " ‘“ r T _‘I COURT CASE NUMBER
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DEFENDANT ) 60 u " ' I · l TY OF PROCESS
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JU/I ’ ’ YBVEA q A `·K_ I
SERVE N IJ F t» h VIDU · L, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF OPERTYTO SEIZE OR CONDEMN ‘
ADDRESS (Stree or R D, Apartmenr No., City State and ZIP C;) I
AT Cp}4%rf)£€·
SEND NOTICE OF RVI E OPY -
........ EL .§-9.....T2 REQHEETEILE SWE £I.@;“*P,lE§i'£5Q.‘1L.-| Number of process to be I
F ` Iserved with this Form - 285
R}//A'QR;EIlR‘@)/7 I
C’ 8- · I Number of parties to be
°§·/ F 5., Iserved in this case 6
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I (1 |Cheek for service
__________ _,_ ______ __ _____ ._, _____.. ... _..... I on U-SA.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
gggephone Numbers, and Estimated Times Available For Service):
_ Fold
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Si a ure of service on behalf of: ; LAINTIFF TELEPHONE NUMBER DATE L I
El DEFENDANT Q I 3003 I
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve I
(Sign only Hrst USM 285 if more _ *7/ "'/ `
than one USM 285 is submitted) [ No. .& No. A ‘ - f —..... _.. I
I hereby certify and return that I Shave personally served, I] have legal evidence of service, [I have executed as shown in "Remarks", the process described
on th individual, company, corporation, ctc., at the address shown above or on the individual, company, corporation, ctc., shown at the address inserted below,

I:I I hereby certify agi] returu that I um unable to locate the individual, company, corporation, etc., named above (See remarks below)
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Name and title of ingtgidual served (if not shown above) A pgmm gf guitgblg ag; and dir;. I
_ (Q;] ` , . I;] cretion then residing in the cIefendant’s I
gpc I D I U , E [T usual place of abode. I
Address [cumplete I ifdiffcrent than shown above) Date ol` Service Time am l
I; cs ;.r’ / J 30/ @2-
I, ' =‘ i Signature of U.S. Marshal or Deputy
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Service Fee _ $$1 Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund I
(includingreirdeavors)
REMARKS: .
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PRIOR EDITIONS FORM USM-285 (Rea 12/15/80)
MAY BE USED 1. CLERK OF THE COURT 3
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