Department Gf JUSUCC _ Instructions for "Serv§ce of Process by the U.S. Marshal" ii"
e United States Marshals Service P ’ ==E * ‘ r» the [eva-sa Or mrs farm.
Saul ‘F*§=*i‘S . . .. . ... . 7 2 5 5 . . Z2
DPEFENDANT __L! A C9 TYPE OF PROCESS
Michael Chertoff, et al ’ ‘ **See Below j
SERVE NAME OFINDl`VEDUA1.. COMPANY, CORPORATEONE Qglggy ;Q'&'t;tiSCR;PTt0N OF PROPERTY TO SEEZE OR CONDEMN ifi
Civil Process Clerk, United St:ate§’@fi1;o‘g;ii ' ‘ l§l¥)ffic:e ._
» ADDRESS (Street or RPD, Apartment No., City. fyi y ;.-E:
. · ..i§f‘
AT POB 36055 450 Golden Gate Avenue, San Francisco, CA 9fi102
y . -· r- - ,_ I
§.l2*;Q..l*@B‘L?i?E @@55 9.O..li‘£L.K§?. }3.*€»,€P.l;l..*.§'l,.€.li`..*`§". EWE &"Ll?£*.PP..l’:`*.€.§l§...%l;.€’E;..-; Number of process to be 4 ..
,—-— I served with this Form - 285 - g;_-ci
Monica Kane
Jewish Family and Children Services §Number or parties to be ‘:.· Y. :.:
2534 Judah SCIQQE ist-zrvod in this case 6
San Francisco, CA 94122 `jifi-{
l - ;Check for service
_,____ _______ _____,______, llm, ,_,,,,,,______,____*,_____,_,,______,,______ ______ lion U.S·A» X
SPECIAL INSTRUCTIONS OR OTHER ENFORMATION THAT WILL ASSIST IN BXPEDITSNG SERWCE (Include Business and Alternate Addresses, All ‘·__`
Telephone Numbers, and Estimated Tlmes Available Hur Service}: FDM
Fold
**1 . Petition and Civil Cover Sheet:
2. Application to Proceed informa Pauperie `“rr·—c.____\
l 3 . ABR Scheduling Order ""~——~`-.._ V_ _
li. Order re Ap licatioo to Proceed informa Pauperis
P .
Signature of Attorney or ot riginator requesting servi e on behalf ol: xj)LA1NT[FF TELEPHONE NUMBER DATE
..._ . ' .. ____ .. .. . .. .... .. ... . .. .
SPACE BE W FOR[ SE OF U.S. MARSILM. ONLY ··-·—-D0 NOT WRITE BELOW TI-IIS ‘-__‘—
I ackno ledge re eipt for the total Total Process District Dlstrict Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve -.,fQ
(Sign only hrs! USM 285 if more { \ ‘ __r_ r_ I E [
than one USM 285 is submitted} AQ No. E ` No. i ·¢·"!$`_-};_.. --r- · *’’`` ` ` `='` 7 5 Z" \M‘
ja Q--.;
l hereby certify and return that E [S] have personally served, { have legal evidence of service, E ave executed as shown in "Rcmarks". the process described ig
on the individual, company, corporation. ctc., as the address shown above or on the individual. company. corporation, ctc., shown `at the address inserted below. -:.:€;
lj l hereby certify and retura that l ain unalwie to locate the individual, company, corporation, ctc., named above (See remarks below)
Name aad title of individual served (if not shown above) A person of suitable a c and d ~
in cretion then residing in the det"eadant`s 1: `·_. ;
usual place of abode.
Address (complete only ifdiffercnt than shown above) Date of Service Time am .-¤-=:.
és 4 cf! US Mull P"'
Si nattzre of U.S. Marshal or Deputy lf
_r_. . 7 -
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advanc e Deposits l Amount owed 2 U.S. Marsh or Amount of Refund ir
. (including endeavors) '.’·
A9! 4. (-SP _ .-..
443 4 F
m2iv1.·¤, t
if I. {
osdewee i ee ‘.:-¤‘_.
.._._. . . ......... . .. .. ...... . .. . . .. . . .... .... .... ....... ......... -.. . ...... . .... .-.- ..............-- ---------------- - ---- ..- ...-- ---- rr—-- - ---
§§§§§;§§PS 3.. crease or ree cover lm l l __,,
Case 5:07-cv—O2545—HRL Document 6 Filed 06/O4/2007 Page 2 of 3
A AO’44U !Rev. li]/93) Summons in a Civéi Action
Umted States DISTYICI Court
NORTHERN DISTRICT OF CALIFORNIA
S&¤i·P
V.
Michael Chertoff, etal
TO:
Civii Process Cierk ‘
United States Attorney’s Office
Post Oftice Box 36055
450 Golden Gate Avenue Q
San Francisco, CA 94102
YOU ARE l-EEREBY SUMNIONED sim required to serve upon i¤i.AiNni=i=·s Arronuev
Monica Kane
Jewish Family arid Chiidrerfs Services
2534 Judah Street
San Francisco, CA 94122
an answer to the compiaint which is herewith served upon you, within 60 days after service of this summons upon you, exclusive
of the day of service. if you faii to do so, judgement by default witi be taken against you for the relief demanded in the complaint.
You must aiso file your answer with the Cierk of this Court within a reasonabie period of time after service.
“Q‘*‘)"°"‘A°° · wif;. I May 18, 2007
ctenx om;
stty Waite M
(sv) ospurvgtear W
AO 440rRw tcrs;y(§l§,§.Qm'§>;tO;7c&;i{AQtt?0§45-HF¥L Decument 6 Filed 06/O4/2007 Page 3 of 3
Z RETURN OF SERVICE
one
service ot the Summons and Comptalnt was made by me ‘ B oqr ¤‘
Name ot SERVER (PRINT) rms ‘
bosom (Mui'; US nr
Check one box below to indicate appropriate method of service `
Q Served Personally upon the Defendant. Place where served:
Q Left copies thereof at the defendants dwelling house or usual piece of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were tett:
Q Returned unexecuted:
gg Other (specify): (Lx¢:.e.w»¤9_, <».`k,··m...1l.2% gm@ ec ; yur:.-n. , Qiefuicw. Q. Sgsspg
STATEMENT OF SERVtCE FEES
Tsmvei. SERVICES TOTAL.
· g` {HQ" ~¤`
I 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.
Executed on kfof [cb'? _ {
Date Signature er
tserreu eearee rtrtaaeeate eeavtca
aaa rtree? Etlliié
Q Address of Server `
(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civii Procedure.
Case 5:07-cv-02545-HRL
Document 6
Filed 06/04/2007
Page 1 of 3
Case 5:07-cv-02545-HRL
Document 6
Filed 06/04/2007
Page 2 of 3
Case 5:07-cv-02545-HRL
Document 6
Filed 06/04/2007
Page 3 of 3
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