Free Summons Returned Unexecuted - District Court of Connecticut - Connecticut

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C se 3:03-cv-OO967—l\/IRK Document 8 Filed O2/13/2004 Page 1 of 1 I
U S D I I I I- J · PROCESS RECEIPT AND RETURN I
. . Gp Cl] O usttce . .. I |
- , I , See Instructions for Service of Process by the U.S. MarsIhaI"’ :
UIIIICd •I|. ‘ IIVIHISIIHIS S€I`V1C€ on the revense of this form.
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PLAINTIFF II COURT CASE NUMBER I
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DEFENDANT _ TYPE or PROCESS I
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SERVE IME OF INDIVIDUAL, COM ANY, CORP RATION, ETC., TO SERVE OR DESCRIPTION OFPR PERTY TO SEIZE OR CONDEMN
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DRESS (Street or RFD, Apartment No., ity State and ZIP Code)
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AT II I. J . A 4 A if ’ Ir I· c 14 I 4 I ’» 1
SE N T :;- -
-52 S Number of process to be
` * I served with this Form - 285
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I _ .. . _ I um r 0 parties to be
I it :}/56 'S I served in this case I
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·‘ |II 0 I O Q 0 ICheck for service
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SPECIAL INSTR I I NS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Telephone Numbe I a I· Estimated Times Available For Service): ‘
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Signa are of Attom Originator requesting service on behalf of: E LAINTIFF TELEPHONE NUMBER IDATE I T FII
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( 1...., alan ··I II I '.LI_,..,. [I III DEFENDANT -5YQl (203 ~· ·_ -03
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SPACE Irl, FOR USE OF U.S. · ' HAL ONLY — DO NOT WRITE BELOW THIS LINE I
I acknowledge rece t I: the total Total Process District District Signature of Authorized USMS Deputy or Clerk I., Date I
number of process I dic'··~ of Origin to Serve { yy; I
(Sign only first U M .·I if more / CJ ‘I ' I I A ~· ., _
than one USM 285 Is su mittcd) No. LL N_o. LL A 6 /lj/0 E
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I hereby certify and rew that I I] have personally served, [I have legal evidence of service, I] have executed as shown in "RemarI¢s", the processdescribed · I
on the individual, c pmp y. corporation, etc., at the address shown above or on the individual, company. corporation, etc., shown at the address Inserted below. I
CI I hereby certifyI;an return that I am unable to locate thc individual, company, corporation. ctc., named above (See remarks biéjovv) · `,.` ,7;;
Name and title of ndi dual served (if not shown above) A person _oI4g_I,Iitab|¤ age and dig-
· I El crétion then I I usual place ·of abode.
Address (complete rtly I different than shown above) I Date of Service Time am
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I I Signatyrc of U.S. Marshal or Deputy
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Service Fee ` I ot I Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marsha] or Amount of Refund
II(in I ding endeavors) I
REMARKS; I I I l I
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PRIOR EDITI0 `~. I 1 · Ol: FORM USM·285 (Rev. DJI5/80)
MAY BE USED I ° K C
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