Free Summons Returned Executed as to USA - District Court of California - California


File Size: 102.0 kB
Pages: 3
Date: December 31, 1969
File Format: PDF
State: California
Category: District Court of California
Author: unknown
Word Count: 1,056 Words, 6,667 Characters
Page Size: 611.28 x 790.92 pts
URL

https://www.findforms.com/pdf_files/cand/192027/9.pdf

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E. U S D agase @:0%-gv-$2545-HEL D§GtE`fé?§Q·Vr ARmQtl2tl*ti=ltN
` _ ` ' _ ' GP men 0 u“ ICC _ Instructions for "Se.rvice of Process by the US. Marshal"
Q United States Marshals Servrce rr the reverse of rms rerre.
PLAINTIFF 0 S coonr case NUMBER
l
Saul·‘Rt|‘JII'§' C0?-2545HRL
1 DEFENDANT TYPE OF PROCESS
{ Michael Chertoff, et al **See Below
1 NAME OF INDIVIDUAL, COMPANYQ CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
. Rosemary Melville, District: Director-, YZ uscus
» ADDRESS (Street or RFD, Apartment No., City; State and ZIP Code)
AT 630 Sansome Street-; San Francisco, CA: 941-11. - - . -
§5E'2.@I“2i.9E WEEE QBLTQ BIQEEATEEE EEE é}$@J;*P_ll*'§§li.Eli’l“;-, NM000,.-0r 0,0000, ,0 be .. .
Q Iwibniha -Kaue l · .-·‘ 2 Y- ‘ --V- an rl -- - p- _ ~ _ served with this Form- 285 lg.
r Jewish Family and Children Services .2 __ _ __ __ {Number of panics to be _ _
· 2534 Judah Street Iserved in this case 6
San Francisco,. CA 94122 ` _ - ·. - . - - - - ‘ _ - .
i n ` _ · · ·- `_lCheckfor'service . · " ir
. . __.._ _.__ .,,,, ________ ,,;; _____ ;;; ________ ____;;;_lon U.S.A. " - . .
` SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST.IN_..EXPED§§S_t;i' Q T Business and Altemate Addresses, All
Flggephcne Numbers, and- Estimated Times Available For Service); _ _ _' _ _ __ ‘’’’ _ "Y..e- Fold
**1 Per‘t;‘ dc· · l an I ~ n- JUi\i.iE-?-- . .` n.
· 1 1OIl an 1v1]. Cover Sheet - - . - - -
2. Application to Proceed Informa Pauperis _ _ . .
3. ADR Scheduling Order · ‘ l ` '`_- ` ¢LFllC?l'l¢‘lFlD lft.:wiE'KiNG"· `
4. Order re Application- to Proceed Informa § %-S-4DlSTRtcT'CCURT l l r
l 0 ( I / 0 T r 0 r .. S 0 __ . .*?l”'¤.l.¤F¢atreeeN,A s y
’ any Walm I J --·. T -‘ ‘ [I `DEFENDANT ·408—535—5513 ‘ .-»%- 5[17l2()07
_ SPACE B W FO ' ! USE OF ·U.S.. MARSHAL ONLY- D0 NOTMWRITE BELOW TI·HS LINE
‘ [acknowledge receiptfor the total Total Process District] _ - District ‘ Z l Signature:.of Authorized IlSMS_Dep.uty or Clerk _ Date
number ofprocessindicated. ._ .9l“`Q1‘igi¤. 10 SGIVB. _- "Z ( _ . -- ul .. l l l -. _ nl - . _ --
than one USM 285 is submitted) 4 N0. Ll N0. L — il · a n ` l l . ?
I
l I hereby certify and netum that I 1] have personallyscr-ved, N., ve legal evidence of service, [I ave executed as shown in_‘“‘Re_marlrsj', the process described
{ on the individual, company, corporation. etc., at the address shown above or on the individual, company. corporation, etcwshovvnfat the address inserted below
(
E I hereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) · A pgrggn (Of Suitable age and djs-
. lj cretion then residing in the defendants
l usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
A (a lt O"-[ l~=J»$·lA·\·*·l, pm
Si attire of U.S. Marshal or Deputy
- Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal J'; Amount of Refund
_ (including endeavors)
. \..
Remantzse .
2 ` ‘~ ` -
= {[29/g') /\/l¤4(,e..0 arr. Ce,-,¢-{few; {€l.Lu/ri fetcetyft §?,,;,.$U?_E@
` on to lb`} lzlL¤.A.t.u-¢e¤- é£L$`.·M/L'-9-. Srltvut <.·¤;.6}¢.

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I Case 5:07-cv—02545-HRL Document 9 Filed 06/27/2007 Page 2 of 3
5 I AOI440 {Rev. 10/93] Summons in a Civil Action
i I O I I
I Umtcd States DISIIICI Court
. NORTHERN DISTRICT OF CALIFORNIA
l @5
E Saul SUMMONS IN A CIVIL CASE
CASE NUMBER: CV07~02545HRL
I Michael Chertoff, etal
TO:
Rosemary Melville
District Director, USCIS ·
630 Sansome Street
San. Francisco, CA 94111 I S I
YOU ARE HEREBY SUIVIMONED and requareatpsewe upon PL/·\|NTlFF'S A‘rToRNizv
I Monica Kane , I I
Jewish Family and ChiIdren’s Services
I 2534 Judah Street , -
g_ San Francisco, CA 94122
an answer to the complaint which is herewith served upon you, within 60 days after service of this summons upon you, exclusive
I of the day of service. If you fail to do so, judgement by default will be taken against you for the relief demanded in the complaint.
` You must also tile your answer with the Clerk of this Court within a reasonable period of time after service.
l I .
"Q¢)Awu‘X\N . I May 18, 2007
CLERK DATE -
Bcttv W on s- Eygtjirtg »;»~;~;- gag
Q qsvyoae ci.ERi< t‘”Itie,tutt.} i Sli.}

A Ao_44o(Ra».1o192Q&11%e»5l»O¤7ci61VA0i2545-HRL Document 9 Filed 06/27/2007 Page 3 of 3
l
RETURN OF SERVICE
DATE
Service of the Summons and Complaint was made by me ‘ bf lt 0 7
Name of SERVER (PRINT) ·rm_E
bmunup ¢· L_ g F US MS
( Check one box below to indicate appropriate method of service
Q Served Personally upon the Defendant. Piace where served:
Q 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:
Q Returned unexecuted:
QB; Other (specify): Klux 4.;,1 e.»<.k..x.¤ lnlhulés HQ & ¤& vu/u tual
; STATEMENT OF SERVICE FEES
TRAVEL sizavicas romt ·
$ I
DECLARATION OF SERVER
l declare under penalty of perjury under the laws ofthe United States of America that the foregoing
information contained in the Return of Service and Statement of Service Fees is true and correct.
( Executed on @(4- I nl **,1 S
i n Date Signaturé1t§{'HEt3l/§'f'ATES NIARSHALS SERVICE
280 SOU'i`l~l FIRST STREET ROOM 2100 _
I __ SAN JOSE, CA 95113
Address of Server
W _ M Y ,. i
s Ex€bUiED
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 5:07-cv-02545-HRL

Document 9

Filed 06/27/2007

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Case 5:07-cv-02545-HRL

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Case 5:07-cv-02545-HRL

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