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

/ Case 1 :04-cv-00407-G MS Document 10 Filed 12/28/2005 Page 1 of 1 -
‘§AO 440 (Rev. _8/01) Summonsr in a Civil Action l ‘
RETURN OF SERVICE
‘s · rhs d iw db WDATE ‘
ervrceo t e ummons an compnam was ma e y me DECEMBER 27 , 2005
NAME OF SERVER (PRINT) _ _ ‘ TITLE
JI_LLIAN M. JOCK LEGAL ASSISTANT
Check one box below to indicate a ro riate method o service
El Served personally upon the defendant. Place where served: n
Q El Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were left:
_ El Returned unexecuted: _
l EL Other (specify); SERVED PERSONALLY UPON REGISTERED AGENT:
CORPORATION SERVICE COMPANY
27 II CENTERVILLE ROAD , SUITE ZU0 ‘ ‘
“ STATEMENT OF SERVICE FEES
TRAVEL SERVICES A TOTAL
_ $25.00 . (
DECLARATION OF SERVER I _
I declare under penalty of perjury under the laws of the United States of America that the foregoing information — · _
contained in the Return of Service and Statement of Service Fees is true and correct.
Executedon 1-2/27/05- . , 4.4J[_ AC4 4. _
Date Signat f Server ° '
WER & SULLIVAN .
300 DELAWARE AVENUE , I 3TH FLOOR
WILMINGTON, DE I 9801
· - Address of Server
(1,) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. I ` A

Case 1:04-cv-00407-GMS

Document 10

Filed 12/28/2005

Page 1 of 1