Free Return of Service Executed - District Court of Delaware - Delaware

Case 1:04-cv-01417-Gl\/IS Document 21 Filed O3/O1/2006 Page 1 of 1
U s De Bement or Justice PROCESS RECEIPT ANP REICRN
' _ ' P " _ See Instructions for "Service of Process by the U.S. Marshal"
United States Marshals Service on the reverse of this ram.

Pt.AtNT1F1= » X - \ COURT CASE NUMBER _
i RL`tf\rtt—·g, L \‘ \.»—Q\c_, (Jl lr
DEFENDANT { < _ TYPE OF PROCESS
SERVE NAME OF tND1vtDUA1s, COMPANYQ at RPORATION, ETC., TO SERVE OR D CRIPTION OF PROPERTY TO sE1zE OR CONDEMN
· & .£ EQKLLQEE R C..¢·»V-{-Q..E3B;\_{-; _. R _' Y
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code) _ __ . 9

§EER.}`LC'JQE.9E§1E*S’}.CE(ER.RlC..T.9. RIQHEETEILPE ..l`£*ki“E él`£?‘;.’*P.DBl§§*£[email protected]| Number of process to he - ‘ · L ’
I- _ A ‘ - - lserved with this Form — 285 -
U C bart beicq . rJl<>t pf I R _ RE! _ TV" :Number of panics to be
Wha Op b€l·iCl"U1R l . Iserved in this case
,- · , f C` ‘ R R R
. R Delaontle I ISO .
I 5 M`J1l{)/irmQIRCOrRl‘ ° I Check for service P i
OH 2
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT wtLL_Assi ?r.tN~ExPEoi_jPtNG—sE_~R_vte·E-mrelnde‘amt¤ess and Altcmate Addresses, All
Telephone Numbers, and Estimated limes Available For Service): E- F l h i I L _
as F t ··>— Pt t s se
R www . l R I
M / A y s i-ata —- t 2096 I ,
U.S. DISTRICT COURT _.
I IBISWQEELT QF_DELAW/ISQE ‘ .
Signature of A or eth Originator sting rvice on behalf of; . U E(*i;LAINTIFF TELEPHj2I?N MBER DATE
a aes I G DEPENDANT E · ef'. Q- Gl it
SPACE BELOW FOR USE OF U.S. MARSHAL 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 R I _ [ . _ _ <_
(Sign only first USM 285 if more -` . _ _ Q6 _
than one USM 285 is submitted) No. ______ No. ______ ’ e R - I ` ` 4+...
I hereby certify and retum that I N i ave personally serv d, El have legal evidence of service, E have executedlas shown in "Remarks", the process described ` -
on the individual, company, co · • ation, etc., at the address shown above or on the individual, company, corporation, etc., shown at the address inserted below. - -
I] I hereby certify and return that I am unable to locate the individual, company, corporation, ctc., named above (Sec remarks below)
a e and title o individual served (if not shown above) . A person _ot` suitable age and dis-
·» I _ _ A l `· R " lj cretion then residing in the defendant’s
ll £· A-- li I \ I; ' 2 A A - usual place of abode.
Ad ress (complete only ifdif ere ttli n shown above) Date of Service Time am
7/FDI-=· pm ,
i Signature of U.S _. arshal or Deputy
YQK
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS: A
P, ml ,°gEEgS¤g$NS 1. CLERK or THE COURT mm “SM·”* me '””’*°>