Free Certificate of Service - District Court of Connecticut - Connecticut


File Size: 64.5 kB
Pages: 1
Date: February 17, 2004
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 605 Words, 4,223 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/19817/13.pdf

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I *. T . -___w_——w—_m——”-ETEWIIT il
I Case 3:02-cv-02270-JCH Document 13 Filed O2/13/2004 Page 1 of 1 I
I U-S· D¤1>¤¤m¢¤t<>f MO l»QE*"‘".*%l"" I., l
- _ . ervrce o rocess y e . . ars a " I
I Un1ted States Marshals Serv1ce on me reverse of on ram]. I
I PLAINTIFF COURT CASE NUMBER I
I Marta Torree~Crus BSOEGVEETO (AWT)
I DEFENDANT l . I TYPE OF PROCESS
Immigration and Naturalization Service Order
SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
Jonn Ashcroft, Attorney General I
I
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Ali. S . l$‘éi>"ar·€mé’?I"t"E"éi'” fda €‘i"E;‘§"’ Z "°‘*"’ '
AT 950 Pennsylvania Avenue, NW, Washington, DC 20530-0001
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW:
“ '“**"“ '"' **‘“*- "-•’···'*······——·····-——··—-————·--··-— ————— |Nt.tn1ber of process to be 3
F I served with this Form - 285
U£_f_§° Dlgtlqlct COUTJC {Number of parties to be
(3 Oleg Of Ehg Clerk Iscrved in this case 1
5 Main S reet ‘
I l'lEl,I*`lSl?OTCl, CT 06].03 lCheck for service
..—........—... .. ..... ... ........________ I tm u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
lfiicephone Numbers, and Estimated Times Available For Service): I
;_ rum I
Service by certified mail I
l
Sig Attomey or ther Originator reques ` _ I ce on • PLAINTIFF ’l"ELEPHONE NUMBER DATE
.’ . ` . ;__ ’
éag/-· #{/· 3 ’ MDEFENDANT 860 2Ll0- 200 12/26/02
SPACE BELOW FOR USE OF U.S. #-47 `HAL ONLY- DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve
(Sign only first USM 285 if more I W4 . _ I
than one USM 285 is submitted) / No. No, L · A ` I
mareby certify and return that I [I have personally served, [I have legal evidence of service, lj have executed as shown in ",Re'marks"e-t-he proccI;mIdeseribed l
on thc individual, company, corporation, ctc., at the address shown above or on the individual. company. corporation, etc., strdwnfat thrl adjdressjhsertcd below.
lj I hereby certify and return that I am unable to locate thc individual, company, corporation. etc., named above (Sec-rcrnarks below) I It
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Name and title of individual served (if not shown above) pr pgfggn r0f·'§uImI;,]a,,,1 c and dis-
l;l cretion thenjieslding in the defendants
usital I-place “Gt` [abode,
Address (complete only ifdiffcrent than shown above) Date of Service am
pm
Signature of U.S. Marshal or Deputy
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS:
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FORM USM-285 I2ll5I80
*'m°gEE3;;';’"S 1. CLERK OF THE COURT I
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