Free Acknowledgment of Service - District Court of Connecticut - Connecticut

I Case 3:03-cv-00678-AWT Document 8 Filed O2/O2/2004 Page 1 of 1
I us. Department Or Justice §;§§§g§,S §'$§EI*"';j§ND §I§}"I{§NM M
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I United States Marshals Service 0,, me ,..,,,%,,6 of mg ,~,,,,,,_
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I PLAINTIFF IM;) ti ____ I__ COURT CASE NUMBER
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I T . A ' TYPE e. PROCESS I
I M I __ ' U I , I
I SERVE NAME OF INDIVIDUAL, COMPA Y, CORP TIqtj{gE=r ,, T · E E • · DESCRIPTION OF PRo RTYTO SEIZE OR CONDEMN I
I · . ADDRESS (Street or %FD, Apartment No., Qipé State dj _ Code) — 9
AT St; {//m··> J/lj; _, A —-—
I SEND NOTICE OF SERVICE COPY T0 REQUESTER AT NAME AND ADDRESS BE ;
I ——·——————— ···- ————-—— —-· —————————————- —~ —-———-I Number vf process to bc
I I' “ Iserved with this Form - 285 (
I (E36 Eaamo # xg 74,:% I
• Number of arties to be ‘
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I lic; Iserved in this ease & I
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I |Check for service `
I —·-————-···-·-····—-—·-·—·-—! U.S./\.
I SPECIAL INSTRUC’I`lONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
I Telephone Numbers, and Estimated Times Available Har Service):
I FEE . I I_II , E
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, Signature ` !fIAt- • -· y_or othelfOrrgmator requesting service on behalf of: PLMNTIFF TELEPHONE NUMBER ij _'DATE§ ,
dj `''' I I O BEFENDANT .5 ZG;-$5212 2 it A .; »;
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SPAC VICTOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS `LINE
I acknowIedg§,fr‘eceip,t_'f<)r théjfotal Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indixated of Origin to Serve
(Sign only. tiHt U.S‘llP14‘285 {Entert: ` I OJ / -
than one USM 235 js gnbmitted) / No. No. LL A" ‘ _;..___
Ihereby certify and retum that I wave personally served, I] have legal evidence of service, I] have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, etc., shown at the address inserted below ~
·——·—·-——-————-—— I
III I hereby certify and retum that I am unable to locate the individual, company, corporation. etc., named above (Sec remarks below)

Name and title of individual served (if not shown above) A person of suitable age and dis-
ij crerion then residing in the defendanfs
usual place of abode.
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Address (complete only if different than shown above) Date of Service Time am I
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Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including rrdeavors) ‘ gf _.
ares 5 { ff 54 d
REMARKS: I
EORM USM-285 (Rex 12/15/80) I
*‘R*°R E"“"°NS ll. CLERK OF THE COURT I
MAY BE USED I
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