Free Waiver of Service Unexecuted - District Court of Connecticut - Connecticut

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Case 3:03-cv-00618-AVC Document 7 Filed O1/12/2004 Page 1 oft I I
U_S_ Department of Justice PROCESS RECEIPT AND RETURN I
- U . . See Instructions for "Service of Process by the U.S. Marshal"
HIIZBCI SIZHICS Marshals SCTVICC on the reverse of this form. I
PLAINTIFF _ \ . CQURT CAS [§ , I I
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DEFENDANT- UQ was or raocess II
`N I Q-·* it .aib*v•'te ' ISI
NAME OF INDIVIDUAL, COMPANY, CORP ’ · ION, ETC.,TO SERVE OR DESCRIPTION OF'P I" ‘ hl I IZ R O · I- MN I
» SS (Sites! or YD, Apartment N0., City State and ZIP Code) S l I VI I
AT ¤ ores Met. X _ _ stttusrmnt tr I
R5; S‘IUS0~x "<·L, .(_, , # ,}, I
§§EI?LIl9EQ$.9E.$EI'S’L9E9°£*L.T9. B.'5QQE§TE*L*’t"L EWE £*`@.J.’I2 §§'¥€@LL..I number of process to be I
F · Iserved with this Form - 285 I I
C \ -» Y- I Number of patties to be II I
( QL I II\\I E Iserved in this case ' I
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and§Itemate··Addresses, All I
Telephone Numbers, and Estimated 'limes Available For Service): - ~;-- ‘ · ~ . " I
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KAN *~<·v-¤— Q¤w~Q<>r¤r:s/F§;\t\ ¤\'> ~ =- °k O T{ to @°*{It”;t$-\“\¤*L$
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Signature • Attomey or tn? es; g ervice on behalf of: MPLAINTIFF TELEPHONE NUMBER DAT? {2
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_ __ "&( _ I;] DEFENDANT II I
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S t-- CE BELOW FOR USE OF U.S. MARSHAL ONLY -— DO NOT WRITE BELOW THIS LINE I
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I acknowledge receipt for the total Total Process District District Signature ol Authorized USMS Deputy or Clerk Date It ·
number of process indicated. of Origin to Serve I
(Sign only first USM 285 if more . ‘ _ -r/ jg
than one USM 285 is submitted) N0. JL N0. L J [`(/I') .._; G9`) O

I hereby certify and retum that I I] have personally served. [I have legal evidence of service, I:] have executed as shown in "Remarks", the process described ‘ I
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

FI I hereby certify and retum that I am unable to locate thc individual, company, corporation, etc., named above (See remarks below) I
Name and title of individual served (if not shown above) A person gf suitable nge and dig- II
‘ l;l cretion then residing in the defendants Il
usual place of abode. I I
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Address (complete only if different than shown above) Date ol` Service Time am I
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pm I
Signature of U.S. Marshal or Deputy II 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 I I
(including endeavors) I
REMARKS: I .
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III, pg T_ nies, S Uwertwled -//7/0%
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FORM -285 (Rest I2/l5t80 P
"m°:EE3;:_`:'l?NS 1. CLERK OF THE COURT USM I I I
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