Free Acknowledgment of Service - District Court of Connecticut - Connecticut


File Size: 56.8 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 679 Words, 5,193 Characters
Page Size: 611 x 792 pts
URL

https://www.findforms.com/pdf_files/ctd/23047/23.pdf

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Il-? D"*P**"“‘€“* °fJ“%*i°°_ PROCESS RECEIPT AND RETURN
Lmtcd States Marshah SCWACC See "1i1·srrtiCfiori< {or Service 0fProce.s·»· bv USA Miirshui"
YUITPTWMMMMMWM nnll CCCC ET TE i. I PUPCC KWTKCOURT Case NUMBER
Emmanuel Smith t3:03ev676(RNC_)(DFl\»I) - PRISONER
DEFENDANT P = I _ TYPE OF PROCESS
John T3r35r;§()_ et al _ | Second Amended PCIIIIOH
A''A''A'' i ``r`'CC`CVC I CCCCCCCC CCCCCC STXMRii?"r'iZiB'r'iH_5i]ir'iSEEii{]i'i$KRT};ICOR%RiQéLTi6iK"'ETCi'TbisERiis"oR 'oRsCRiRTiOi€ifor PROPICRTY TO seize OR CONDEMN
SERVE Miehaelglljzge, Supewisory__Assistant Stateswftttgney M _~__ ______________ _ ____ gigg4“m__u_______________'VVVVV,iggg
AT ADDRESS (Street or RFD, .·1pt.·r··tr·rtettr i\*`o.. Citi; State rmi} ZIP Corte)
Ofiiee ofthe Chief State's Attorney, 300 Corporate Place, Rocky Hill, CT 06067
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW I Numbu Oppmccsg IO bc it
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Emmanuel B. Smith, Jr Inmate 232549 Numbcmfpmm ,0 be
Osborn Correctional Institution Scyycd in thi}, msc 1
335 Bilton Road ,_,,_,__,___,V_,,_,,,, __,___,,___,,_ _ _____VV,_V . _,,_,,__,__,___ . ______ r _________ _ ______ _,,_,_, ,,,,,,,,,,,,,,,,
_ P·O· BOX AUG Cheek l`or service
Lirjmers ("T OGIDI I On U_5_A_
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A SPECIAL INSTRUCTIONS OR OTHER INFORMATION TIIAT WILL ASSIST IN EXPEDITING SERVICE (lrielmle Business cmdAr'ter¤mte Addresses,
All Teleptmne Numbers, and Estimated Times Available for Service).-
Fold Fl-till
Serve on or before August I4, 2006
§iQ§§§EQ"QiXi}}Z”§§Q§Y.,tits oirgisits§QQ§Qi{g service is ssisii·sre iiiii -`’`````' ,,LA,,mFF QiQr4..ONs NUMBER T- ’```` " oars JIT ffffff I
·‘ . . -. ----· · 5 ,
‘ {if J ff " - DEFENDANT (P.03)579-5861 Si’4;O6
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE
l acknowledgie/receipt Est the total I Total Process District of ; District to i Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. _ Origin Serve , '
(Sign Orzlyjor US.If285,iT;Y'n1rire / I JL , ` yi _ I l // I} `_ _
than one USM 285 is .=;t;hr·iritteir') ~__“______ No. No. [ F I I · `* mV___V______ _ i VV_VW Y
1 I '\
I hereby certify and return that I have personally served , ml hate legal ex iderrcc of service. executed as shown in "Rcmarks", tire process described
on the indivic.lrJral . coirrptrny, corporation, ete.. at the address shown above on the on the individual . corrrparry. corporation. etc. shown at the address inserted below.
mi I hereby certify antliietrrrn that I am unable to locate the individual, company. corporation. ete. named above {See r·enmr·ftts lit-Irirr-3
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Narrrc and title of rndrvgidual served (gi rzot.s·}t0r»·n rihwe) I I A Parson Ot- suitable Mc and discmnon
i ` i I then residing in defendants usual place
· I of abode
i’\ddrc.$_s feorriplettr or11`y1Iif]'i?.···{?n! thmr sfiownt £IhO\’t?,I I Date I Time L
‘ . T- . _ ‘ · yarn
I A 'Z? *6 /0.*%/0 —----- Pm
A I ` ‘- I Sfgrireyg l.S. Marshal or Deputy
Service Fee Total Mileage Chargesi Forwarding Fee Total Charges Advance Deposits -\iiia>tnzr taxed to 1-l.r;‘si:;r " it
· _. ihelrrding emr'em=ors} i . {J i Plryitrtizis or l` :· = i U
Error "’r I t[ ( I T
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"E"""R*‘St p/2/rpc; Ja mf;//~·<»! /. sid me I- [-it pe - 22 --cé Q
1. CLERK or THE COURT PRIOR rsorrross MAY an Usno
3. NOTICE OF SERVICE
4. BILLING STATEMENT"': To be returned ro the US. Marshal wirh payment, Form USM-285
if any amount is owed. Please remit promptly payable to U.S, Marshal. Rev. I2/15:80
5. ACKNOWLEDGMENT OF RECEIPT Automated tll 600