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


File Size: 72.7 kB
Pages: 1
Date: January 13, 2004
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 660 Words, 4,011 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/22989/6.pdf

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I Case 3:O3—cv—OO618-AVC Document l§R0gIIg I U.S. Department of Justice . .. . AND RETURN ,, I
- . , See Instructions for Service of Process by the U.S. Marshal I;
Urrrted States Marshals Service on the reverse of this rm. I,
I *"~A“"T'FF R \ ` & COURT cAs · in isi
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I OS€`..~ _°&.\._`IO\_ QM `C. Ii
I DEFENDANT TYPE OF PROCESS
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I rs. t I ss. »,. , - Zullli JAN · · =·¤ @/3:*3: I
I SERVE NAME OF · u IVIDUAI., COMPANY, CORPORATION ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZ OR CONDEMN I
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| » ADDRESS Sneez or , A rt iN ., CII. tr d ZIP Cod — . - 1*
5 €¢;£ls,—mi”v&K. ly I”°‘a" °) BRIDGEPURI Ll .
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I I" V lserved with this Form - zss I
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M `° \(` I Number of parties to be I I
(KOB |SBt’\·'¤d in this case an I
I l` lCheck for service l
..... .. ..... ... ........ .. .... ... ____. .,,, ____ .,___I on u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION TI-IAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Atzemsre Addresses, Art
gaephone Numbers, and Estimated Times Available Rx Service): I ll _
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Signature of ’ _ [P / i; service on Irensrrerr EPLMNTIFF TELEPHONE NUMBER II I
_)j/ ' 4* ’ lj DEFENDANT 1T' q·;eC?"_é2`O 3 I 1
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Y E BELOW FOR USE OF U.S. MARSHAL ONLY-DO NOT WRITE BEL0 THIS LINE Il
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number ofprocess indicated. of Origin to Serve I
(Sign only first USM 285 if more I . e' D5 [
than one USM 285 is submitted) l No. JL No. L J ‘ [ ;..._ I
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I hereby certify and return that I I] have personally served, [I have legal evidence of service, [I have executed as shown rn "Remarks", the process described ll
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on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., shown at the address inserted below
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I hereby certif and netum that I am unable to locate the individual, company, co oration. ctc., named above (See remarks below) ll '
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Name and title of individual served (if not shown above) EI A pc;-son gf $uIm|;,|c age and dis- I
cretiorr then residing in the defendant’s I
usual place of abode. ' l
Address (complete only if different than shown above) Date of Service Time am I I
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Signature of U.S. Marshal or Deputy II
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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 endeavors) I
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REMARKS: _ I
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MOR ¤¤¤I·<>~=I· 1. cLERr< or THE courar "M M **5 ’ .
MAY BE USED I; I
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