Free Affidavit/Return of Service - District Court of Colorado - Colorado

Case 1:04-cv-00125-RPM-CBS 1'.S. Departlnent of Justice

)< ~ii$<~(-/- Tlf~ ~ Document 82 Filed 10/20/2006 Page 1 of 1 PROCESS RECEIPT AND RETURN
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770 Loop Road, Leadville, Colorado, et al.

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Execute Warra~lt ) b e s t for

$6 546.06 irr United Stales Currenc

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Fiunibrr o f process to tr e served with ibis Porn: - 285

United Slates Attorney's Office A'IIT\J: Asset Forfe~turc linrt 1225 17'" Street. Sulte 700 Denver, Colorado 80202

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Number of parties I. he servrd in this case

SI'11('IAI.. INS~1'RI!C:'TIONS OR UI'HEII INPORMATTON THAT WlL L ASSIST IN 13XPBDITINCi SERVIC'Fi / / r ~ c i ~ , d c I u 3 , m d A l l o n o l i ? A r l ~ / r c ~ s 7'dephoni t c~/l
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I'lease execute attached Wanant for A-rcst of Property In Ken1 agarnst defendant $6,546.06 11 linrted States 1 ('urrcncy

SPACE BELdOVV FOR USE OF U.S. MARSITAI, ONIJY - DO NOT \VRTTE BELOW THIS IJZNE:

FORM IiShl-265

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1;SRlS R6CORD

NOI'ICE OF SERVICE 0 BIL1,ING STATGh1I:N

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ACKNOW1,EDGMENT'OF RECEIPT