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

Case 3:03-cv—0O232—DFM Documen&,36 Filed 05/05/2005 Pa e 1 of 2
Us. Department Or Justice t #=.*$ r i ri: »e » RIQFEIPT AND “3“`URN .. =
United States Marshals Scrvi ·· -· Seettfrsstryfn sfor Sertpce of Process by the LES. Marshal i
CC __ _ on the re els tbdldzigqtfiarm. EEIISONER i
PLAINTIFF UMA, I l A I-" ‘ i‘ r. .‘_ J COURT case NUMBER
aeteeout; Bourguigcm 'blluiiiii" ny m.,__ 3=03¤v232(RNCl (OFM} i
·’·s4·'! x .` ,
DEFENDANT { ° TYPE OF PROCESS _ l
John J. Armeizrong i et: al 2nd amended Compjiamt; \
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN i
Britztzo {
» l l
ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) i
AT Corrigan Radgoweki. Correctional Inetzitution E
2-· an • 1 — ••••• •. • e- _____* CT 06382 _
§__E_lj1_1y~pyg5__Qg§I3[t_)/_@gg0j>_t;_T_tj>_ REQUESTER AT NAME AND Aooaass BELOW: i
····· -—————— -·-—-·--·-- -—————-- I Number of process to be ;
F I served with this Form - 285
Brietout: Bourg usigon I °` i
MacDougaJ1 Correctional Inst; ,Numbcr of parties to be
ll.53 Eatat Street S |S°“'°d '“ mls °“S°
Suffield, CT 06078
ICheck for service
_____._.... ----.....- ......... .......... ....... Ion U-S-A
SQPIECIIAL ISSTECUCTIZNE tOR (LTHQER I'i:FOFlti;;IAiIQI)ONg THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All -
Bép Om? Um PS, an S rmate rmes var a e r ervice : :
F2 me
IE‘P/ PeI`SOI'ta].'l.y Serve /
Signature of Attorney or other Originator requesting service on behalf of: PLAINHFF TELEPHONE NUMBER DATE / / V . l
. ` ]. k gi 203) 579-58.6]. , 4 21 OJ
R J eumetn t Deputy C er DEFENDANT ( _ V) M
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRI I‘i_ THISLINE ·
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk I I. Date
number of process indicated. of Origin to Serve I ` Ul = , ` I
(Sign only first USM 285 if more I I, · " ~ / _ .»~ 3
than one USM 285 is submitted) I No. No. l Z 4 ‘ L· · Y t T7, /0 `>
I hereby certify and retum that IZl.have personally served, I] have legal evidence of service, [I have executed as shown in "Ren1arIts:{, the pTil>2ess described
,_ on the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, etc., showtTal;t]j: addrdsf inserted below,
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El I hereby certify and return that I am unable to locate the individual, company, corporation. etc., named above (See remarks below) i
Name and title of individual served (if not shown above) A person of suitable age and dis- i
lj crction then residing in the defendants
usual place of abode.
Address (complete only if different than shown above) Date oi` Ser icc Time am I
‘»%:·t%Y yyae _ em?
S` r of U.S. or De
I ·—-.1 £ 4 · 4, l, '
Service Fee · Total Mileage Charges Forwarding Fee Total Char es Advance Deposits Amount owed .--4 arshal or Amount { Refund i
Q';) (including endeavors) 3 5* _,.. i
_ 3; gb ‘/' ¢ ¤§
REMARKS: Q`.; , <*-.
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PRIOR EDITIONS - “~
M BE USED 1. crank or THE couar mm US!
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I U S Dc mgiépnsinp-FNQIIQEBZ-DFM Documentl$0ClESSd@@IZ’€I)@Nlj°4E'Pl.lRN I
· ' , ' P ` _ See Instrucrion"s for "Service of Process b the US. Marshal" I
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I UHIICO SUIICS Marshals SCYVICC on the reverse of this form. I
I PLAINTIFF COURT CASE NUMBER I
I Briistout Bour ui non 3:O3c:v232 RNC DPM _ -
DEFENDANT TYPE OF PROCESS
John J. Armstrong l et el x NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN I
Sguthmguh 9
* ADDRESS (Street or RFD, Apartment N0., City; State and ZIP Code) I
AT Clprrigart- Radgow ki Correctio nal Instzitution 986 Norwich New jLondon*;e*£Tpke I
ID; I C-. A `_I.mQf=;h • .. ( -· _ QZ!
EEEILIEQEQEBE. §§lS’EE90£‘LT9. EEBEEETEKE EWS §.@J§2[!.*'§§.*£’@l’.‘L-| Number of mms to be EQ if I
F Bfjjstcut Bout-g uignOn I served with this Form — 285 TQ _ I
l‘tlecDouga]l Correctional Institution :Number of partie; to be E'-? l
1153 east Street S tS¤¤·¤d in this ¤¤¤·= SL ,
Suffield l CT 06078 _ QI
I I Check for service Q ,~ _} ‘‘‘` _ I
_________ __ ________________ ___ __________ I on u.s,A. _ ; {ju in I
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and A §·rrate"l-lHdres§Z=:s, All = I
Flgiephone Numbers, and Estimated Times Available For Service): ‘ l
rata
IEP / Personally Serve / I
Q
Signature of Attomey or other Originator requesting service on behalf of: D PLMNTIFF TELEPHONE NUMBER DATE ` I
R. Jaimen , Deputy Clerk lil oersrvoawt (203) 579-5861 4/ 21/05 I
SPACE BEIOW FOR USE OF U.S. MARSHAL ONLY-DO NOT WRITE BE§;1)W;]?,HIS LINE 5
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerl<"“’.; { Date _ 2
number of process indicated. of Origin to Serve l ' i- · 2 { 1 I . / 1
(Sign only Hrs: USM 285 if more A · ~ "`* ‘ O "` l
than one USM 285 is submitted) [ No. Jil No. LL ` ‘ MM.,l..__l_
I hereby certify and return that I IE,bave personally served, I] have legal evidence of service, I] have executed as shown in "Rem:trl on the individual, company, co ration, etc., at the address shown above or on the individual. com any, cor oration, etc., shown at the address lnglirlcd below. l l
TPO P P . .
-
lj I hereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarksQbcIow) I
Name and title of individual served (if not shown above) ` A person of Tsftitable .;-' and dis-
lj cretion then residing in the defendant`-.;
usual place of abode.
Address (complete only if different than shown above) Da?Servi e Time am ?
Y 2%"` /;%.0 A I
Signatu U. Mar .? _ puty
I re
( "¤ .r- ¤
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Service Fee Total Milea e Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. arshal or Amotin `of Rp il d `
s 9. iz . .... _l
-§,_" (including endeavors) »- Z [ ···- h. gf
95 - 37 ¢ 55 f /3 ,5; I F`- ,.;}g&_f·jjia
REMARKS; 1
S`g"yz¤.z£`G **7 7 ¢'i—`¢)€ 6-J` (hl t,
fuyré .5-&}é»~ "` I
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l’Rl0§EE3;;I;)NS 1. FORM USM 285 (Rem 12/`15/80) I