Free USM 285 Returned Executed - District Court of Delaware - Delaware

Case 1:05—cv—00013-Gl\/IS Document 69 Filed 10/06/2006 Page 1 of 1
· PROCESS RECEIPT AND RETURN
Department Of Justice _ See Instructions for "Service of Process by the [LS. Marshal"
Umted States Marshals Servtce on me reverse Or me rams.

PLAINTIFF ( COURT CASE NUMBER g
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DEEENDANT TYPE or P ocess
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SERVE NAME or INDIVIDUAL, COWNY, CORPORATION, Erc. , TO SERVE on DESCRIPTION OF mop RTY TO SEIZE on CONDEMN
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· ADDRESS (Street or RFD, Apartment No., City; State and ZIP Code)
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_________________________________ _ ____ I 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 'llmes Available For Service): A / Fold
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i t. re of Attorney or other Originator requesting service on behalf of: M __ MN FF TELEPHON NUMBER DATE
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SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BEIDW THIS LINE
l acknowledge receipt for the total Total Process Distri t District Signature of Authorized USMS Deputy or Clerk Date
number of process indieated. ofOrigin to Serve `.
(Sign only lirst USM 285 if more fb .. f&’Lf,C)L
than one USM 285 is submitted) No. No, ___ I _ A. 7
I hereby certify and return that I ET} ave personally served, I] have legal cvidence of service, I;] 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
EI 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) D A person of suitable age and dis-
`A * _ 2 cretion then residing in the deFendant‘s
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Address (complete only if different than shown above) Date of Service Time am
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Signa ure of U.S. Marshal or Deputy
Serviee 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 U -285 . ms
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