Free Return of Service Executed - District Court of Delaware - Delaware

Case 1 :08-cv—00080-JJF Document 4 Filed 02/ 1 4/2008 Page 1 of 3
%AO 440 (Rev. S/Ol) Summons in a Civil Action
UNITED STATES DISTRICT Counr
District of _ DELAWARE
Palamarchouk .
SUMMONS IN A CIVIL ACTION `
Vw
Chertoff, Gonzales, Novak, Mueller l
CASE NUMBER; - pj- 277f ‘
A l
TOS (Name and address of Defendant) F E 1 2008
Honorable Colm F. Connolly
United States Attorney's Oltice .., _ i
District of Delaware . U.S. DISTFHCT COURt‘ I
P_O_ BOX 2046 Dlsii-HCT GF DELAWARE p ,
Wilmington, Delaware 19899 95
YOU ARE HEREBY SUMMONED 3.11d 1’€C[l.1lI‘€d to SSIVC UILPLAINTIFI: is ATTORNEY (name and address) ‘
VITALY S. PALANIARCHOUK T l· U
34 IVIEADOWBFIOOK LN .
NEWARK, DE, 19711 __
Phone: (I302)234-1260 or .
Email: [email protected] i
an answer to the complaint which is served on you with this summons, within 60 days after service
of this summons on you, exclusive ofthe day of service. If you fail to do so, judgment by default will be taken against you
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the l
Clerk of this Court within a reasonable period of time alter service.
CLERK . DATE
(By) DEPUTY CLERK

Case 1 :08-cv—00080-JJ F Document 4 Filed 02/ 1 4/2008 Page 2 of 3
%AO 440 (Rev. 8/01) Summons in a Civil Action r
RETURN OF SERVICE
DATE
Service of the Surnmons and complaint was made by me") X
NAME OF .ERV`ER (PREV?) TITLE
I at 5wm/
Check one box b ow to indicate o ro riote method o service
I] Served personally upon the defendant. Place where served: M; Q EQ 0 M
Béft copies thereof at the def`endant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein. _
Name of perstimiiiiith whornthe summons and complaint were leit:
CI Retumed unexecuted:
III Other (specify): ·
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
. - _ $0.00
. ‘ DECLARATION OF SERVER ‘ E
I declare under penalty of perjury Linder the laws ofthe United States of America that the foregoing information
contained in the Return of Service and Statement of Service Fees is true and correct. . >
- EX€Cl.1lZ€d 01] IZ, r _
. _ · Date Signature of Server _ .
. ;°f’//¢°iz’#¢0i¢wz: 4
Address of Server .
H/5¤» if /%z/
{1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure.

Case 1 :08-cv—OOO80-JJF Document 4 Filed O2/14/2008 Page 3 of 3
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Case 1:08-cv-00080-JJF

Document 4

Filed 02/14/2008

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Case 1:08-cv-00080-JJF

Document 4

Filed 02/14/2008

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Case 1:08-cv-00080-JJF

Document 4

Filed 02/14/2008

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