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

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- , _ = rt r · . » e Instructions for Service of Process by the LIS. Marshal
, UII1I€d States Marshals SCTVICC on the reverse of this form.
PLAINTIFF I "
I J S COURT CASE NUMBER
I Saul»·Rjr]:i:s‘ _ CD7-2545HRL
DEFENDANT TYPE OF PROCESS
I M1cl1ael Chertoff, et al st.--kgeg Below
NAME OF INDIVIDUAL, COMPANY CORPORATION, ETC., TO SERVEOR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN -
l » Michael Chertoff, Sectretary of Departnien‘tj_`of Homeland Security, Office of
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
AT General Counsel, 425 I Street, Washington, DC 20536 _
§liEl?.l`LO1IQ*?.9E§?@E§.9.°£lLT2BEl?EE§TElL=”E EEE £l`Q;'°lEDBl§&E.l§h.OE’;-|‘Num;,cy‘or ,,.,C‘.,,, R-, bg - . -
. t " “ · - V -‘.- Iserved-withthisFo¤n—285 lg.
, I ` `ltlonicr-1Ka.ne · ` - -'· -| ` .
Jewish FHJILIIY and Children Services ‘ n l- ·` ` $‘|~Number of parties to be n I
_ 2534 Judah Street _ _ _ _ _ |$°“’°*`·l in Ibis mc 6
‘ San Francisco, CA 94122 ` ` " __ ` - " I · .. _
I ·‘ ‘·· ·` ` " · ‘ * Cliecknforservicc
_ _ "| USAQ _= . .
r *”'“ ““‘*_"‘T"""* --**" _"fTf_f“iT —"···· i·····é·é····j#|°" ‘‘‘- K. . X
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT-WILL ASSIST IN.-EXPEDITING SERVICE (Include Business and Alternate Addresses, All
kirgeplrone Numbers, and Estimated Times Available For Service): - . . . . _. . __ _; . - V . . . -_ - _ _
**1. Petition and Civil Cover Sheet ‘ · ‘ ` `? ··-` ” -? ‘ ‘ U
2. Application to Proceed Informa Pauperis _ V _ r _ L
3. ADR Scheduling Order` '‘‘‘ _` f_ ‘ _ ` ‘· `I ’ ‘ ‘_· N I ```'‘ -r A
lt. Order re Application to Proceed Informa Pauperis l I` Url,}/tj tp y
I I Signature ofAttom her Originator requesting service on berralifqf; n I _ 1 yl EILAINQIQIFF-_ _- U TY giarrg
I V Betts Wa __V_,;,gg/ J - - I 1 I - -- ‘ ra -nsr=ar~r¤Asr H elr0a+5;§€’-‘¥i%¤.¤eC?‘;L*-: i_<:>=:. 5#;r18/2007
I SPACE tf! Re USE OF U.S. MARSHAL ONLY—D0 NOT WRITE BELOW T 'li LINE
[acknowledge-receipt for the total V Total Process District, -_ I -Distrir;t‘-· , Signature of Authorized USMS.De uty or Clerk _. . ` .Date
V . . . r. P . V _ __
I numberofprocess indicated. -- ._ _ - · I ofOrigin __ to Server _V V __ . , _ _ - _ _
I (Sign only first USM 285 ifmore _ ‘ n n I" 1) n ·_ n ` " n .
than one USM285 is submitted) 4 No. L No. l “ ° ° ‘ _
l l`t€t`¤bY Ctittlfy-and 1`6.lttm·¥h¤t-I Elnhavc péfsvttélly Served.- lit. ave legal evidence of service. [I have executed assshown in "Remarks“, the process described > I ·
on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation; etc., _shown`at the address inserted below
l;l I hereby certify and retum that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below)
V Name and title ef individual served (if not shown above) A person of sniratne age and ais-
III cretion then residing in the defendanfs
V usual place of abode.
Address‘(complete only if different than shown above) Date of Service Time am
_ ` bbllilq (JS Mt-al Pm
Sig · ure of U.? Marshal or Deputy
\ " I
U U Serv Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal o I Amount of Refund .
(including endeavors) - · M
dm dsa dar
· REMARKS: ·
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. 2 Case 5:07-cv—02545-HRL Document 10 Filed 06/27/2007 Page 2 of 3
H . 440 £R•::»<._ 10/93l Summons in a Civil Action
Umted States D1st1r1ct Court
NORTHERN DISTRICT OF CALIFORNIA
\
l 5
S¤¤1·Rr+rS· SUMMONS IN A CIVIL CASE
I · CASE NUMBER: CV07-025451-IRI.,
Michael Chertoff, et al
TO: _. _ _ _
Michael Chertoff, Secretary Homeland Security__ n C
. Office of General Counsel
425 i street Nw
Washington, DC 20536-0003 . ,,
YOU ARE HEREBY SUMIVIONED and tequtted to serve upon i=·i.AmTiFF·s Arroartav
I Monica Kane -
Jewish Family and Chiidren’s Services ‘
{ 2534 Judah Street
F San Francisco, CA 94122
I 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, judgement by default will be taken against you for the relief demanded in the complaint.
l - You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
l
l
“Q.e)Am cuzr Q tty W 1% ¥" Tv rr.- - M ..,
(SY) DEP3 LERK -

A0440 7
RETURN OF SERVICE
I DATE
Sen/ice of the Summons and Complaint was made by me ' OCSUJ G'! ,
Name of SERVER (PRtNT) TITLE l
I . T T G ZL. 0 mr
I Check one box below to indicate appropriate method of service
I Q Served Personally upon the Defendant. Place where served:
` Q Left copies thereof at the defendants 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:
I Q Other (speciry): DBI if ICS] Y~9..•:,u u·@¤L ¤¤¤l<¢Lc»b.\LQ¤E.§g,..;.4..,»¢!-r Q T Q id;
-
I STATEMENT OF SERVICE FEES
TRAVEL ssrevices TOTAL
DECLARATION OF SERVER_
i
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.
I Executed on OQI Nfs-I
I Date Signature of S rver g
LiNiTt£D STATES MARSHAL5 5E.R‘JICE_
280 SOUTH FIRST STREET ROOM 2100
Ad ress 0 Server
E”"' rms
e li "i‘ t‘"*‘rT..’
I R&LL@§£@
` (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 10

Filed 06/27/2007

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Case 5:07-cv-02545-HRL

Document 10

Filed 06/27/2007

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Case 5:07-cv-02545-HRL

Document 10

Filed 06/27/2007

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