Q _’ ‘ _ ‘ P * _ " ` " for "Service of Process by the US. Marshal"
United States Marshals Service 5 7} on the reverse of me ram].
PLAINTIFF COURT CASE NUMBER
Vladimir Bagotsky CD7-25li6EBl.
DEFENDANT TYPE OF PROCESS
i Fichael Chertoff, et al **See Below
SERVE - NAME OF INDIVIDUAL, COMPANK CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN ·
l Robert S. Mueller, Director · of. FBI. [ _ , ‘ TQ.
l · ADDRESS (Street or RFD, Apartment No., City State and ZIP Code) _
AT 935 Pennsylvania Avenue, NW, Washington DC 20530 l
I EEHFDLOEQEPE QEEIEE ESPELTQ BEQEEETEILAI EWE £*.'*E’.*}2[?.l.*'.§§*2‘;E’.‘Z.";-| Number .-ar pmacgs to be :
|——_ _ Ka - _ · : .· Q -- -_ lserved with this Form-285 - ll
_ on1_ca ne - _ p _‘ _ - . 1 - - ,
Jewish Family and Children Services .a·‘ I r -:Nuarim.ar panics is be -
2534 Judah Street _ U _ Iserved in this case 6
``._ San Francisco, CA 94122 `- l ‘ : _ - { ` __ _ i
I _ ` l ·' · n" ·`._ ‘ · · ` ` ~_ Check fornservice-· ‘ '‘`·` ‘
······· *ér··#~···r ···· r ·r·· r··rr·····“·_rr·irrr-°“ . - X
SPECIAL INSTRUCTIONS .0R OTHER--INFORMATION.THAT WILL-ASSIST -lN_ EXPEDITING SERVICE (Include Business and Alternate Addresses, All
g - gggephone Numbers, and Estimated Times Available For Service): ·. . -_ __ · , ` _ _ · : ._ ._ · . _ · F0
l =lc%]_ Pg[;j_1;j_()]1 and CZl.VZI.}. COVE]? Sheet ` I · ` I ` l I ` E M .·`· 7: l
2. Application to Proceed Inforina Pauperis l
3_ ADR Scheduling Order _- .. - __ . _ · .‘-‘ _ ‘ -... - . T .‘‘. F .- . ‘ ’
it- Order. te Application to- Proceed. Informa Paupgrign " 2 7 g
Signature of Attoiney or othe riginator requesting wsiervce on behalf of: ._ _ _ _%§LAIN,l,IF1g · t T C UP? DATE ·
i r _ 1 ‘ g “` “ ‘“"; ‘r _ _
l “ SPACE BE ` W FOR SEOF U.S. MARSHALONIIY-DO NOT WRITE BELOW TI·HS LINE · .
Iacknowledge receipt for the total _ Total Process District - -_ District -Z‘ » Signature of Authorized USMS Deputy or Clerlt `T .. _.___ Date
numberofprocess indicated. ` - ,_ · _ ofOrigin _ to Serve . _ _ -. n- __ __ l l . l ,
(SignonlyHrstUSM285ifh10tc ‘ ‘ l - l in _" `r.‘ _ , _ -, ~._._ K . l · -
than one USM285issubmitted) 4; No. _lL_ No. ll; ` 9***, I‘’` ‘ ’ ‘ ` 1 ` D V.
I
I hereby certify and return that I I] have personally served, mhave legal evidence of service; Elhave exectited as shown in ;‘.‘Re_marks", 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.
§
lj I hereby certify and rctum that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below)
Name and title of individual served (if not shown above) A pgrsgn of Suitable: age and djs-
, lj cretion then residing in the defendanfs
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
O(ll?}l(Y`l LL?. Il/lcaull pm
Si nature of U.S. Marshal or Deputy
~L$¤ 9.
i Service Fee g Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal Amount of Refund
(including endeavors) _; _
sr4t’°"" Jt·
" e
ggllf G1 (L_g_E_9,w_g_,@, Q.ek¢»¤Ul&%_o·aaJk’ all S-¤v'~Jl\°¤-»· .. S-Q.rtJiu__, 0,, Q/¢p,[r]‘7_
I’RI0§EE3&lI§)NS _ FORM USM-285 (Ren IMSIBII)
l L E Case 5:07-cv—02546-HRL Document 9 Filed 06/27/2007 Page 2 of 3 I-
; i AO 440 (Rev. 10/ 93l Summons in a Civil Action
Umted States DISITICI Court
NORTHERN DISTRICT OF CALIFORNIA
Vladimir Basvtsky SUMMONS IN A CIVIL CASE
-
CASE NUMBER: CV07-02546HRL
v.
Michael Chertoff, etal _
TO:
Robert S. Mueller, Director of FB1
935 Pennsylvania Avenue NW
Washington, DC 20530 .
YOU ARE HEREBY SUMNIONED and required to serve upon Pl.AINT|FF’S A`l`l`ORl\lEY
J Monica Kane
Jewish Family and Children’s Services
2534 Judah Street
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
ofthe day of service. lt 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.
~(Z.J.~¤~§l\l¤l-\k)£»k ` may is, 2007 7
l CLERK _ DATE
(BY) DE _'FY CLERK
AO440(R¤v.I0/91®i1$$¤5¤Z(BY€BMwG2¤546-HRL Document 9 Filed 06/27/2007 Page 3 of 3
1 RETURN OF SERVICE
\ DATE
Service of the Summons and Complaint was made by me ‘ O(¤{ M?/[ '—*"`C
NBITIB of SERVER (PRINT) ·r|T|_E
he » ·. 't Ein- US M-:
Check one box below to indicate appropriate method of service
Q Served Personally upon the Defendant. Place where served:
5
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:
Q Other (specify): R¤.c£.w-QSL ¤.»s.u..»J_;.£g;£;ggL;,,..%.»l-— Q Q §,g &\, k` ga. 0%- [gi-! O'?
STATEMENT OF SERVICE FEES I
rmvizi ssravicss rout
**4-¤"" WA
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 Senrice and Statement of Service Fees is true and correct. `
I Executed on °L=( W lo?
Date Sign&IM§'Et’J S MARSHALS SERVICE
280 sourri rmsr srnrsisr noon 2100
sm Joss, CA 95113
I Address of Server
I I ~rr’.f"tti Ti: .
Ett00it0
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. .
Case 5:07-cv-02546-HRL
Document 9
Filed 06/27/2007
Page 1 of 3
Case 5:07-cv-02546-HRL
Document 9
Filed 06/27/2007
Page 2 of 3
Case 5:07-cv-02546-HRL
Document 9
Filed 06/27/2007
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