Free Summons Issued - District Court of California - California

Case 3:07-cv-02872-BZ

Document 3

Filed 06/01/2007

Page 1 of 2
Clear Form

United States District Court
NORTHERN DISTRICT OF CALIFORNIA
AMAR BELLAHA

SUMMONS IN A CIVIL CASE
CASE NUMBER: C 07-02872 PJH V.

see attached addendum I (Defendants' names)

TO: (Na m e an d ad dres s of d efenda nt)
see attached addedum II (Defendants' names and addresses)

YOU ARE HEREBY SUMMONED and required to serve upon PLAINTIFF'S ATTORNEY (name and address)
SHAH PEERALLY, ESQ LAW OFFICES OF PEERALLY 4510 PERALTA BLVD, STE #23 FREMONT, CA 94536 TEL: (510) 742-5887 FAX: (510) 742-5877

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. If you fail to do so, jud gem ent by default will be take n against you for the relie f de m anded in the complaint. You must also file your answer with the Clerk of this Court within a reasonable period of time after service.

Richard W. Wieking
CLERK DATE

_______________
(BY) DEPUTY CLERK

AO 440 (Rev. 8/01) Summons in a Civil Action

Case 3:07-cv-02872-BZ

Document 3

Filed 06/01/2007

Page 2 of 2

RETURN OF SERVICE
DATE

Service of the Summ ons and Complaint was made by me
Name of SERVER

1

TITLE

Check one box below to indicate appropriate method of service

9 9

Served Personally upon the Defendant. Place where served:

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. Na m e of p erson w ith who m the sum m ons and com plaint were left:

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Returned unexecuted:

Other (specify):

STATEMEN T OF SERVICE FEES
TRAVEL SERVICES TOTAL

DECLARATION OF SERVER

I declare under penalty of perjury under the laws of the United States of America that the foregoing inform ation c onta ined in the R eturn of Service an d Sta tem ent of Service Fee s is true and correct.

Executed on

___________________
Date Signature of Server

Address of Server

(1)

As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure