Case 3:07-cv—02732-SC Document 9 Filed 08/15/2007 Page 1 of 1
AO 440 (Rev. l0/93) Summons in a Civil Action
RETURN OF SERVICE V
V - DATE
Service ofthe Summons and Complaint was made by me` ` A ./ ;’ , ./ 5 ~ r
Name of SERVER T) TITLE
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Check one box below to indicate appropriate method of service
L Served Personally upon the Defendant. Place where served: ..................................................,.
jfqeft copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and ..,..
discretion then residing therein. 1
Name of person with whom the summons and complaint were left
3___ Returned unexecuted:
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. STATEMENT OF SERVICE FEES .
rRAvEL seavices Tor/xr
DECLARATION OF SERVER
( l 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. (
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Executed on %é % Q S! J
Datef.»~»·’†_ Signature of Server h
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/,»/I ·"‘ Address of Server
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(1) As to who mayizinie a summons see Rule 4 of the Federal Rules of Civil Procedure.
Case 3:07-cv-02732-SC
Document 9
Filed 08/15/2007
Page 1 of 1