. . epa. . S . ,, . ,,
- _ , _ ee Instructions for Service of Process by the US. Marshal
Umted States Marshals SCYVICC me reverse area erm.
PLAINTIFF couar case NUMBER
F Vladimir Bagotsky _ CD7-2546HRL
DEFENDANT TYPE OF PROCESS
Michael Chertoff, et al **See Below
SERVE NAME OF INDIVIDUAL, COMPANEZ CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTYTO SEIZE OR CONDEMN
Emilio T. Gonzales, Office of General Counsel, Department of Homeland Security
· ADDRESS (Streetor RFD, Apartment`N0., Cit}g`Stare and ZIP Code) `
AT 425 I Street NW, washington, DC -29535- - -- . - . - -- - ·
§§§'Ll`@E€a`52£ EECEE QOBYETQ BEQEEETEESZ-EQIE &l`.U?l°*2Pl¥_l§$;*§QlL,| -N,,mt,., gf ,,,0,,,,, to bc-. _ O 4
. _ _ - .- ‘ ` ‘ - -- · _ 9 Iserved-with this Form --285 - _
I Monica Kane . ‘ -- _ g _ _ _ ,
I Jewish Family and Children Services _ . l _:N,imbE,..0f.PaniCS mba
E Iggrvgd in this case 6
Q ‘ ‘ San Francisco-, CA 94122 1 < - ~ -: -‘ I . _
I - - ·` - ` ¤- . = . `- ~ I .2 _ · {Check for service ‘ ` _
....... ·...—--........--;‘+;-.........,..;‘;' ...._ ;.__._`__i;;_;: on U.S.A. ‘ ._ . ., X
SPECIALINSTRUCTIONS -OR-OTHER lNFORlVIATl_ON. THAT?WIl.L ASSIST.-lN·EXiPEDlTlNO SERVICE ir`i_`_2;ir =j‘t `nes cl ernate Addresses, All
Telephone Numbers, and Estimated- Times Available For Service).· · __ _ _ , · __ _` . ` Q_ `__` _ gf ``"†` J.- ;§‘ 3
EEE - - .- .... ;- - . - .. ·. _ . · · · . · ‘ _,__ EE
**1. Petition and Civil Cover Sheet I l Q Q " l Z. -_ . . . . A
2. Application to Proceed. Informa Pauperis 2 I? Yi
3. ADR Scheduling-Order ·· -. .1 *1-of · -- -1 - I- - I
4. Order re Application to Proceedinforma Pauperis Ii · 2. HlCHAHD_W WPEKI
CLERK U S I NG ’
· S y y to NORTHERN ,,· ·"·"S““"¤i¢¤¤·=+r
i Signature of Atto'rn_ ther O ginatorreqhuesting s _ic_éb¤ behalf of: _'`. U _'`.. i l CLAINTHQF `_ _: ·`‘_ DATE -
Betty wait - ’ [ - -- / -· ‘-.· · I;] ‘DEFENlE)AN"I` . 403-535-5513 .- 5/18/7
I- ‘ · SPACE BELOW F Ir USE OF U.S. MARSHAL- ONLY—DO NOT WRITE BELOW THIS LINE
i Iacknowledge receipt for the total _ Total Process District _: District lren Deputy_or'Clérk l _. - Date
l number of process indicated- . , _ofOrig_in _. to__Serve' `_ . ,_ 4 '_ ' _u_` `_ ` _ J ‘ ‘‘‘` " ‘
(Slgnonlylirst USM285ifmore· M · `V ` ·‘ -" .. _ `- `-_- · ---- - ~
l than one USM 285 is submitted) 4 No. No. l‘ ____;.- -` " = * " `- 7* ‘- p `L 6-I
- I hereby certifyandretum that I I] have pers0naIly·served",`,' have legal evidence of serviceglj vejexecuted as-shown in-"Rem_ark_s’7-, the process described-
on the individual, company, corporation, etc., at the address shown above or on the individual. company, corporation, etc., shown-ht the address inserted below
]
l lj I hereby certify and return that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
l Name and title of individual served (if not shown above) A pcmm of Suitable age and dis-
l lj cretion then residing in the defcndanfs
usual place of abode.
Address (complete only ifdiffenent than shown above) Date of Service Time am
I
i Oh tf ¤'t 0,9. Moat vm
Signature of U.S. Marshal or Deputy
j x . Gig} ,
, - if ilrl
E Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Mars U1 Amount of Refund
f _., '(including endeavors) fao
1 ser ~*
l REMARKS: _ ___ _ `
QQ;] zfffgj KAu.¢\\.•9· C»<.v·l*t.C¢·te.0a 1*-*LU*‘¤’* 29-L°*F"'(
Z _,¢`
l rilngm Agri--.
_ I ELC;
PRIOR EDITIONS FORM US - (Rest l2Jl5/80)
; MAY BE USED
L. -... . - . - - - .... . ... .... . . . .
_. Case 5:07—cv—02546-HRL Document 8 Filed 06/27/2007 Page 2 of 3
n I AO 44CtjR;:v. I0/93] Summons in a Civil Action
United States Distrrct Court
NORTHERN DISTRICT OF CALIFORNIA
Vladimir Bagotsky SUMMONS IN A CIVIL CASE
· CASE NUMBER: CV07-02546HRL
V.
A · Michael Chertoff, et ai
l TO:
l Emilio T. Gonzales, Oflice of General Counsel
Department of Homeland Security
425 I Street NW
Washington, DC 20536-0003
-
l YOU ARE HEREBY SUMMONED and required to serve upon PLAINTIFF’S ATFORNEY
j Monica Kane
i Jewish Family and ChiIdren’s Services
` 2534 Judah Street
l San Francisco, CA 94122
an answer to the complaint which is herewith served upon you, within 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.
i You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
·JQ‘°)"°"'Am · T May 18, 2007
cuanx _ .DATE .
- KAR tggmfht ‘ :··;·—
Bert W on ._ T my {iw
· rev) psa { v crsnx _
I AO 440 (Ra. I0/9Z$€E1$$c>5Z{B7€EMnG2546·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 ‘ 06 UW °*
NSITIB of SERVER (PRINT) ·;·|·r|_|-3
I awa. i, I-Irnmuit 4,, U S · MN.
Check one box be/ow 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 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:
E
Q Returned unexecuted: ·
E Other (specify): Eg; gh Ig Mkmgéggggg ,,D g;u·;g, Qrggmk sa GG [;g,[t3j
STATEMENT OF SERVICE FEES
rrmvet siaevacizs rom.
tS<[ .\'°$°' {*4;*2.
DECLARATION OF SERVER
l declare under penalty of perjury under the laws of the United States of America that the foregoing
information contained inthe Return of Service and Statement of Service Fees is true and correct.
Executed on O *¤ (IB fo 7
· g RSHAIS SERVICE
Dam Sfgmwggm M<_?rREEt I>.ooM 2100
. 280 SOUTH FIRST 1
E I stm rosa, Gt 9513
Address of Server
€%t@dt;0
(1) As to who may serve a summons see Rute 4 of the Federal Rules of Civil Procedure.
Case 5:07-cv-02546-HRL
Document 8
Filed 06/27/2007
Page 1 of 3
Case 5:07-cv-02546-HRL
Document 8
Filed 06/27/2007
Page 2 of 3
Case 5:07-cv-02546-HRL
Document 8
Filed 06/27/2007
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