Free Summons Returned Executed - District Court of California - California

_ Case 3:O7—cv-02889-MMC Document 8 Filed 08/O1/2007 Page 1 of 2
Umtcd States Dtstrtc I. Court
NORTHERN DISTRICT OF CALIFORNIA
COUNTY OF SANTA CRUZ, COUNTY OF SONOMA, I
‘ couivrv oi= SAN oieoo, couurv os MARIN, SUMIVIONS IN A CIVIL CASE
. COUNTY OF SANTA BARBARA, COUNTY OF SAN LUIS
osispo, and courxrrv oi= iviorxirsaev, CASE NUMBER: - V
‘ tt»
CENTERS FOR MEDICARE AND MEDICAID SERVICES, - . I y
Defendant. ` I · 1 " I
To: Centers for Medicare and Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 .
’ YOU ARE HEREBY SUMMONED and required to serve upon PLAINTlFFS' ATTORNEY ‘
Dario de Ghetaldi, Esq. `
Corey, Luzaich, Pliska, de Ghetaldi & Nastari LLP
700 El Camino Real l
. Millbrae, CA 94301 . _
an answer to the complaint which is herewith served upon you, within 60 days after service of this summons upon you,
exclusive of the day of service. lt you tail to do so, judgement by default will be taken agalnst you for the relief demanded in
thecomplaint. You must also tile your answer with the Clerk of this Court within a reasonable period ot time atterservice.
Richard W. Wieking ‘ . » . A
cu2i= V . I
lsv) ospurv cuzax . y

V Case 3:O7—cv-02889-IVIIVIC Document 8 Filed O8/O1/2007 Page 2 of 2 ·
°AO 440 (Rev'. 8/O1) Summons in a Civil Action ' ` p
- ` 1 g an - RETURN OF SERVICE g _
Service f the Summ ns a d o plain t was made y me 1 p N _ ugu t lv 200 A
N e rssevsa . l . Ti LE t A A ` ` A
Angelique Presidente Legal Secrelzary
Check one box b low to in icate appropriate method ofservic gg 7 g gg - M V A H H g _
l El Served Personally upon the Defendant. Place where served: _
S El Left copies thereof at the defendants dwelling house or usual place of abode with a person ofsuitableege and ` G
discretion then residing therein. A A _ * - ‘ _' E-
. p Name of person with whom the summons and complaint were left: [ y ·
l El _ Returned unexecuted: . _' ` s V U A A V ` G A l » . . `T
_ ‘ E IOTUET (SPQCWJP (By Mail) I placed a true and correct copy of the document(s-) in a
»_ ». , ·· sealed envelope, with Priority. Class Certified Returnelieceipt Requested postage i `
- fully prepaid in the United. States Mail at_ Millbrae, California, addressedtas ~
v ' Ciwll_Pr0cess Clerk, U.iS. At;t0rney°s Office Q i _
· i _ 450 Golden Gate Avenue llth Floor S n Francisco CA 9ii1i02 Y _ - V p
V l . STATEMENT OF SERVICE FEES V l
_ _ TRAVEL · seevicss _ _. » ·TOTAL - ‘ ·
. Q S . . - DEC LARATDJN, QF-SERVER ·l ; h {
I declare under penalty of perjury underthe laws of the United States of America that the foregoing V
A inform ation contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on August ls 2007 v_ r V <'/ l
Date A ‘ Signature of Server ‘
G A ‘ _ _ · i n ‘ 700 El Camino Real Millbrae CA 94030 _
E __ _ 4 A _ Address of Server l
. (1)- As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure if

Case 3:07-cv-02889-MMC

Document 8

Filed 08/01/2007

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Case 3:07-cv-02889-MMC

Document 8

Filed 08/01/2007

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