Case 1:05-cv-00067-SLR
U.S. Department of Justice United States Marshals Service
PLAINTIFF
Document 77 Filed 04/23/2008 Page 1 of 1 PROCESS RECEIPT AND RETURN
See Instructions for "Service of Process by the U.S. Marshal" on the reverse of this form.
COURT CASE NUMBER
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05
TYPE OF PRO?ES~
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SERVE
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AT
ROPERTYTO SEIZE OR CONDEMN
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Telephone Numbers, and Estimated TImes Available For Service):
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I W/1/lA IN'. r;j) 14 j/'/.s ~ c r -'/ ~ Dr....I.P, £//fj/'f, . L/t/r tZl.f ., (J,,; c/!?n7e F f/ P..'A dd'ocf( ~opd L- ( ' . D:/" aa
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l~se_rv_ed_w_ith_t_his_F_orm_- 2_85_-+-_ _1
to be ' .'
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: Number of parties
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Check for seTVIce on U.S.A.
I served in this case
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
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Signature of Attorney or other Origin
t4.~~...J..---.,~~~,----I acknowledge receipt for the total Total Process District number of process indicated. of Origin (Sign only fIrst USM 285 if more No. than one USM 285 is submitted) District to Serve
~ PLAINTIFF
TELEPHONE NUMBER
DATE
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DEFENDANT
SPACE BEWW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BEWW THIS LINE
Signature of Authorized USMS Deputy or Clerk
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Ti:ne
Date
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I hereby certify and return that):2:have personally served, 0 have legal evidence of service, 0 have executed as shown in "Remarks". the process described on the individual, company, co oration, etc" at the address shown above or on the individual, company. corporation, etc., shown 'at the address inserted below.
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I hereby certify and return that I am unable to locate the Individual. company. corporation. etc. named above (See remarks below)
Name and title of individual served (if not shown above)
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Address (complete only if different than shown above)
A person of suitable age and diseretion then residing in the defendant's usual place of abodc.
Date of Service
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Signature ~ l!.s.~~al or Deputy
Service Fee
Total Mileage Charges
Forwarding Fee
Total Charges
Advance Deposih
Amount owed to U.S. Marshal or
Amount of Refund
(including endeavors)
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REMARKS:
PRIOR EDmONS MAY BE USED
1. CLERK OF THE COURT
FORM USM-28S (Rev. 12115180)