Free Affidavit of Service - District Court of Connecticut - Connecticut

Case 3:03-cv—OO968-WIG Document 70 Filed O2/13/2004 Page 1 of 3
U S D rt f J · PROCESS RECEIPT AND RETURN
. . epa ment o usttce r . .. . . ..
. , _ See Instructions for Service ol Process by the US. Marshal
UH1t€d OIEIICS Marshals SCIVICC on the reverse of this form.
PLMNTIFF ,,.... COURT CASE NUM ER "’ _ , Ci/Vw
il\O·*Vl€t,S A -- Se:) 1 K gse} OV `] 2- E
DEFENDANT A K + P I ITL E ( , TYPE OF PROCESS
. ‘* . ' ·· Q
. <`3‘-\$l¤/\ ' "··*l» ami ` ·‘ G B1! ,’ Or" SN -•_y ` 15;,, ` [C1"?
NAME OF INDIVIDU · , COMPANY, CORPORATI N, ETC,, TO SERV O ‘ DESCRIPTION OF PROPERTYT SEIZE O ’ CONDEMN
' ~ t _ , ’ ~ I .
» *481 to NP 1% C 6 ct) or
ADDRESS (St or RFD, Apartment N ., City, State and ZIP Code)
AT IS-G ffl/'€·, EFT _F‘4t"·‘l"‘ i
SEND TI ·
--..*i9..€§2F. EEEQSE 9°.E`*’..T2 BQEEETEEE SWE .’;"£);’¤*2.DL*‘§·&*?.;.Eii)lVL-| Numbc, gf process ,0 be
T t served with this nm . zss 2-*
AiC{v’\, t’&QJ‘, ES? t .
M _ INumb f art t b 5
er o p tes o e
Mqé y\ 5;}* Iserved in this ease .
O
I SDI ICheck for service
.. ...... ...--...... ......_. ..... ._.. .... ___________ ,,,,,:011 U.S.A.
SPECIAL INS'I'RUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
gyelephone Numbers, and Estimated Times Available For Service):
Fold
Signatg of Attomey ther Originator requesting service on behalf of: Q PLAINTIFF TELEPHONENUMBER DAT}? (
_ tj oeaanomvr Qty}--38*%-t;2 Z[ tb *·· Qt;
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT ' TE BELOW TI-HS LINE
I acknowledge receipt for the total Total Process District District Signal · t" Authorized USMS Deptlty or Clerk Date
number of process indicated. of Origin to Serve I
(Sign only first USM 285 if more . -’ — W " . · ··
than one USM 285 is submitted) Q No. I l No, é_¢¤;_h_ __} J1 Ar .___+...L Y.; 1

I hereby certify and return that I L5 ave personally served. [I have legal evidence of servt I ave 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.

lj 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 Suimblc age and disc
l ij crction then residing in the defendanfs
T a usual place of abode. _ V
Address (complete only ifgiiffetent than shown above) Date of Service Time
Q I J V .
. 1 lellql 85. P { Pm
" Signature of U.S. Marshal or Deputy
Y _ ___•u. avg
Service Fee Total ileage·Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Mars or Amount of Refund
(inclflding endeavors) _ ,
-and-· r
_$,_,. ,.... »-. Lg /4 4521
REMARKS:
PR_l()R El)[’l`l()N$ 1 FORM USM-285 (Ren I2/15/80)
any nn Usmn '
e so -- ·-·e -- e——— —r 5{,__T;g= ‘ ‘* ""'"‘“‘“ """""’*‘”*“"“""""‘""’r*

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Case 3:03-cv—00968-WIG Document 70 Filed O2/13/2004 Page 2 of 3
U S D f J · 1 PROCESS RECEIPT AND RETURN
. . CPBIIIIICIIIZ O LISUCC · . .. . . ,,
. , See Instructions for Service ot Process by the LIS. Marshal
UH1t€d SIEIICS IVIHISIIHIS S€I`V1C€ on the reverse of this form.
PLAINTIFF COURT CASE NUMB R ° —· 2
` » Mol » — 2- ct/E C O-/we
·0L/I/L _Q UtU.SZ'Y· ·O3 ·*‘
DEFENDANT _` A ` 1 [ .+ ip` TYPE OF PROCESS
H`¤\-I%£·*'\‘ M Gl" O `H/L? _ `MMMOW I COW! [°""l`/`
SERVE NAME OF-INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DE CRIPTION OF PROPERTY TO SEIZE OR CONDEMN
Col I ri! VI
» ADDRESS (Street or RFD, Apartment N0., City; State and ZIP Code) =
AT [LTU Ht I’lI¤l<·’td A`°'Q#‘WE. Tidiljf: ‘r»T(§ Q {*Zl' GOQ" Ul `
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NA E AND ADDRESS BELJOW:
———· ·—···- —————— ·—- --——— -— —---—- --— ———-- —·-·——--I Number of ppocess to be
I-— Iserved with this Farm - 285 2*
Ale:. R C ` "
V" ? , [ F__ { Number of panics to be ,
Hqfq I served in this case .3
I Btn! §_,V"-(_ Y I Check for service
......_..._ ...._j ______ .._ ______________ __: on u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXFEDITING SERVICE (Include Business and Alternate Addresses, All
élggephone Numbers, and Estimated Times Available For Service);
rad
Signat of Attorney or r Originator requesting service on behalf of: Q- PLAINTIFF TELEPHONE NUMBER / DATE
_ lj DEFENDANT ,9t(\$··"$P‘·l"·I2 `/J e/tale;
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY- DO NOT WRITE BELOW THIS LHSE
I acknowledge receipt for the total Total Process District District Signature of · uthorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve ` _
(Sign only rirst USM 285 if more rl ""` . ‘
than one USM 285 is submitted) p .. . No. No. .lS`{_.. _·Y__‘é'._l A L J I I I- ...L 6
nl W ' '
I hereby certify and return that I ! ave personally served, I] have legal evidence of service, executed as shown in “‘Rcmarks", the process described
on the individual, company, corporation, etc., at the address shown above or on thc individual, company, corporation, etc., shown at the address inserted below.

lj I hereby certify and return that I am unable to locate the individual, company, corporation, ctc., named above (Sec rcimtrlts below)
Name and title of individual served (if not shown above) A pe,-stm gf Suitable agi; and dis.
, _ 1 I] cretion then residing in thc defendant's
_ . _ usual place of abode,
Address (complete only iffdiffcrent than shown above) Date of Service Time Q
.’y - • , Hglgz pm
{ , ,, . Signature of Marshal or eputy
. I O 4 -
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owe o U.S. Marshal or mount of Refund
UQ (including endeavors) `VL -l--_f Lf. E E .
41 .
REMARKS:

-28
***0* PPHFPNS 1. CLERK or me count F°*“* USM 5 <"··= m*’*°>
MAY BE USED
I

Case 3:03-cv—00968-WIG Document 70 Filed O2/13/2004 Page 3 of 3
us. Department of Justice I I RROCRRS RRFRTRT AND RETURN
U .t d St t M h 1 _ See instructions for Service of Process by the US. Marshal"
H1 C H BS 3.I`S H S S€I`V1C€ on the reverse of this form.
RLRINTIFF M _E_ couar case NUMBER - ·· -
°"‘t°L$ st °i'So\JSzI< 3=¤3 C?/+?éS’- IMA-?
DEFENDANT ., 1 \H` F , ` ' TYPE or Pnocass _
QWCML r GU"? ‘ (5 I g‘I _ g;.tIL $’uq_‘w_c;,MS- _° fq;VL`(—
SERVE d E OF INDIVIDUAL`, COMPANK CORPORAT ON, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE R CONDEMN
»
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
` \ ,».» ¤
AT HI L {Gold) AJQ, BOLc;9~ Q ot/ff; \-)C0EDOL-f
§5._l;I_[]_l[§_)QQEi)ESERVICE COPY TO REQUESTER AT NAME AND ADDRESS BE W;
"' ****—· ·······———··—··——-—---—-—— —-——— -——-—|Numbe1· of process to be
F " ,.3 I served with this Form - 285 Q-
A GM IY e8 vt 6/' t
- ` \ fl Number of panics to be
Z SHI'] S _ . Iserved in this case 3
I S M ‘l` ‘ K" ' `
I ·\" C I {Ul-(
(G t ` ` t G |Check for service
-—....—.... ... ............ ... ...._________ : on u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Airemare Addresses, All
Figglcphone Numbers, and Estimated Times Available For Service);
__ Fold
Signature $ey or riginator requesting service on behalf of: HPLAINTIFF TELEPHONE NUMBER DATE /
- ij oeranonnr QQ;-Z3 '~(-{RYK" Q; Q O3
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY -- DO NOT ’ TE BELOW THIS LINE
{acknowledge receipt for the total Total Process District District Signat · of Authorized USMS Deptlty or Clerk Date
number of process indicated. of Origin to Serve I ___m
(Sign only first USM 285 if more _ l I ` ‘ ‘ _
than one USM 285 is submitted) _A} No. m No. __ UQ.) ·/AA ;_s;_ I _. [ 5
4*
I hereby certify and return that l . ave personally served, I] have legal evidence of service ave executed as shown in "Rcmarks", 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.
l 1
I] I hereby certify and return that l 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-
` '· ` ‘ t I] cretion then residing in the defendants
_ , ’_ usual place of abode. m
Address (completeoniy ifdiftbrent than shown above) Date of Service Time @
t=. I IOS tg.! pm
M - ~ Signatu of . . Marshal r Deputy
‘? I _ At
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal o Amount of Refund
(including endeavors)
-0%
REMARKS:
P¤¤¤¤ E¤m¤~S 1 CLERK or THE count “°R“ "S‘“'·“’ me """“‘”
mv as Usizn ‘