Free Summons Returned Executed as to USA - District Court of Connecticut - Connecticut

Case 3:02-cv-02243-JCH Document IJ liocgggd 07élé /2004 Page 1] of 1 wi
- Dcpartnlent Of Justice _ See Instructions for "Service of Process by the US. Marshal"
Umted States Marshals Service on me reverse Orme nm.

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PLAINTIFF . __ COURT CASE NUMBER ( _. _ Cb,}
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DEFENDANT ,. Jl 1 TYPE OF PROCESS _
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NAME OF INDIVIDUAL, COMPAN , CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR C NDEMN
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ATDRESS (Street or RFD, Apartment No., Crty State and ZIP Code) i
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F- M _, I served with this Fonn - 285
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I [ )O( J lCheck for service
_________ .___,___ _____ ___,_,__,,_,,, _________ ...._.,._,,_,-:on U.S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Fggephone Numbers, and Estimated Times Available For Service): ‘
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Signature of Attomey orEg)Originator`mquesting service on behalf of: I:] PLMNTIFF TELEPHONE NUMBER u (J
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SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BELOW THIS _~INE
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I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk i : _= Dat
number of process indicated. of Origin to Serve ij '_ .
(Sign only first USM 285 if more t Y . . . · f -
than one USM 285 is submitted) No. JL No. J_`l_,__ t · I ' '°“* ;
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I hereby certify and return that I V4 have personally served, I] have legal evidence of service, [I have executed as shown in "Remarks", the process described ‘ J
on the i dividual, company, corpo tion, etc., at the address shown above or on the individual, company, corporation, ctc., shown at the address inserted below. \
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lb reb certif and retum that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below) i
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i Name and title of inditmal served (lll not ShOWt`l étbO\·'C) K lj A person of suitable age and dis-
rm Q - . ,C cretion then residing in the defendanfs .
U S 7 7 (9,/{__ IA/O . usual place of abode. V
Address (complete only il`_g;Lfferent than shown above) Date of Service Time am u
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{wet {L"' if 1 Signature of U.S. M§ha_l_2r Deputy { Q
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Service Fee · ··· tami eageiChaifges Forwarding Fee Total Charges Advance Deposits Amount owed to U,Sl Marshal or Amount of Refund
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REMARKS: 1;-; I .
FORM - (Rev. I2/|5J80
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