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


File Size: 104.9 kB
Pages: 3
Date: December 31, 1969
File Format: PDF
State: California
Category: District Court of California
Author: unknown
Word Count: 1,096 Words, 6,886 Characters
Page Size: 611.28 x 790.92 pts
URL

https://www.findforms.com/pdf_files/cand/192027/8.pdf

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{ , Ur S D §Hs€e1§:g?—§yl—l{?C545—HRL ocgrliéht PROEHESSJEUEQPT ARBQREDIHIN
r .- . OPE I C I . ,, . - ,,
- __ , - _ .. _ rrstructrons for Service of Process by the [LS. Marshal
: - United States Marshals Service tm the ment- Oran erm.
PLAINTIFF /5 count case NUMBER
Saul ·-Iiézizits C07——025!r5H`RL
DEFENDANT. TYPE OF PROCESS
l*Et;hael Chertoff, et al ""S€€ Below
- NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO_SERVE OR DESCRIPTION OF' PROPERT¥TOI SEIZE OR CONDEMN —
I Alberto Gonzales, Attorney-General, United States Department o ustice
l » ADDRESS (Streetror RFD, Apartment No., City State and ZIP Code)
l AT 950 I ]?enn‘sylvar1iaI Avenue NEI, Ivlashington; Dc 20535- I- ‘ - I
l £iHl2..@ll‘2E2E$B)’L9§‘iO£lLT2 §E£LlE§T.E'Ll£E·‘}L’l.ZE.§.l`£)i>P.Dll§llE.€QlV;-|-Number of pmms ra ba- - . ` .
l _ -I ‘ V ` - - - ` - . - V - lserved with this Form - 285- . . . 4
- I M°nj·ca Kane I I _ _ I I -- I I I I ’:‘Number of parties to be ‘ I-
· Jewish Family and Children Services _ Iscwgd in this Cm 6
- I 2534 Judah Street - -¤ V- _ - - -. - -1. -
I San Franciso, CA $4122 -‘ -‘ ‘ ‘I -` -‘ Alchcck for service _. -
- SPECIAL INSTRUCTIONS OR OTHER- INFORMATION THAT WILLASSISTI INI--EXPEDITING-SERVICE (Include Business and--Altemate Addresses, All
Flggephone Nurnbers,_and Estimated 'l'imes.Available For_Sertvice):_ V _ _ _ _ , ‘ -. , __.. _.; . .V , . _ _. . _. -. ,
1 . Petition and Civil Cover Sheet I s;_-j‘ _`_‘ ‘ _‘ ‘_ _ _`-‘‘ I _ _ 5 L ‘ J _:__
2, Application to Proceed Informa Pauperis " - ‘ " -
3. ADR Scheduling Order ,_-_ __ _. _ __s_ . _ .. ,_ _ __ _ {JU JV. .. . I I`II
lr, Order re Application -‘t0. -Btoceeqi--. }CIlf0I1l1&_P&l1P¢.I§}$_ V p »_ . V lll 2 V?. I
RICH 4/
I Signature of Attorrieyor ot I! riginator requestin serv' e on behalf of; -I I_ __ ._!%?L}\lNT{i:l; ITELEPI-I T it (g t; * __·I?lQjrC E
) 1 Betty Walt . - = /I [ - - - E VDEFENDANT -403-535-5513 ‘ QA, l§q{§,§!2007
_ _ I •" 4 _ ‘ ‘‘`--
V sracn ms sn-or us. ONLY? no Nor wrtrrn narrow rms LINE V
Iacknowledge receipt for theI`total- Total Process District - - District · Signature-oif·Authorized_USMS._Deputy or Clerk _ - Date
number ofprocess indicated. - _I . ofOrigin - to;Serve_ _ .» . , - , , . _.;
(Sign only first USM 285 if more ‘ ` I I‘ ‘ . I` I I _ _ I I II __ I II
than one USM 285 is submitted) 4 No. No. l' b [ .·=· I II I ’ I ‘ I I 5 0
I hereby certify and retum that I [I have personally served, ave legal evidence of service; lj hav xecuted as shown in "Remarks", the process described -
1 on the individual, company. corporation, etc., at the address -hown above or on the individual. company. corporation, etc., shownat the address inserted below
I
i lj I hereby certify and retum that I am unable to locate the individual, company, corporation. ctc., named above (See remarks below)
Name Iand title of individual served (if not shown above) `_ A pm-Son Of suitable age and djs-
I Cl cretion then residing inthe defendants
I usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
Of. We U.S. Meal Pm
- Si ure of S. Marshal or Deputy
_ ~;{ A _Y_ ,.., V.
, _._·; r ,..V- · Y---
Service Fee j Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marsha or Amount of Refund
I (including endeavors)
E of W- .h· :“' éf IQ-=·
REMARKS; _ (
f I ~
OI/2-7/07 maniac ML Csroéaat A t
I \t?.r"t§ g *_
a Eateolh
¤’*¤°gE¤gg*gNS 1. ctrmc or me count mm USM-**5 me *’-**5******

5 . 3 __ _ Case 5:07-cv—02545-HRL Document 8 Filed 06/27/2007 Page 2 of 3
__ K AO 440 gRcv. 10/93; Summons in a Civil Action _
Umtcd States DISTTICI Court
NORTHERN DISTRICT OF CALIFORNIA
l
-
. /6
l Saul SUMMONS IN A CIVIL CASE r
{ CASE NUMBER: CV07-02545HRL
l v.
{ I
{ Michael Chertoff, et al
TO:
Alberto Gonzales , Attorney General
United States Department of Justice
950 Pennsylvania Avenue NW
E Washington, DC 20535-0003
I YOU ARE HEREBY SUMMONED and required to serve upon PLAiNt1FF·s Arronnav
i Monica Kane
i Jewish Family and Childrens Services
2534 Judah Street -
San Francisco, CA 94122
an answer to the complaint which is herewith served upon you, within 60 l days after service of this summons upon you, exclusive
of the day of service. lf you fail to do so, judgement by default will be taken against you for the relief demanded in the complaint.
You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
CLERK- "_ ,‘ , _ DATE
1; I Vt
c -. on 1 .»» .~i—~i—~
(BY) DEP Y CLERK g"'“’42‘g;—E`¤·4 ` K

.·AO440(Rev.10/93£§&S$1t5iiOa7C$1VAGt2545·HRL Document 8 Filed 06/27/2007 Page 3 of 3
RETURN OF SERVICE
DATE
Service of the Summons and Complaint was made by me ‘ Ob I2, nf`]
l Name of SERVER (PRINT) TITLE
1 l
Il D¢::•g)f>·u¤ u7>¢IlZ.LL• JA-·~ US MY
t Check one box below to indicate appropriate method of service `
I
l
Q Served Personally upon the Defendant. Place where served:
Left copies thereof at the defendants dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
I Name of person with whom the summons and complaint were left:

l Q Returned unexecuted:
2 Q Other (3p9ghj,r)_· O (¤ ( I bq %»('.£xqz;9» Q.C)<.n.uHsS g&EE2"g Ht XL/¤JI¢C··\;
STATEMENT OF SERVICE FEES
TRAVEL sERvicEs TOTAL
‘ /~ fb.-
I 42;, Jzfjm
DECLARATION OF SERVER
I I declare under penalty of penuiy under the laws of the United States of America that the foregoing
I information contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on IX! Oli i
Date Siglnature of erver
U ITED STATES MARSHALS SERVICE
280 SOUTH FIRST STREET ROOM 2100 _
l Address of Server
tt..;£;t.,.lt.,rEuE· I EQ
(1 ) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 5:07-cv-02545-HRL

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Case 5:07-cv-02545-HRL

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Case 5:07-cv-02545-HRL

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