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

Case 1 :07-cv-00774-JJF Document 4 Filed 01 /08/2008 Page 1 of 2
¤=sAO 440 (Rev. 81*01) Summions in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
Jennifer Chao
SUMMONS IN A CIVIL CASE
V.
Christiana Care Health System, Inc., CASE NUMBER: y
me a Medical Center of Delaware e
Group Long Term Disability
Insurance Plan
TOS (Name and address of Defendant)
Christiana Care Health System, Inc.
f/k/a Medical Center of Delaware Group
Long Term Disability
501 West 14th Street
Wilmington, DE 19899
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFFS ATTORNEY (name and address)
William J. Rhodunda, Jr.
Oberly, Jennings & Rhodunda, P.A.
1220 Market Street; Suite 710
P.O. Box 2054
Wilmington, DE 19899
an answer to the complaint which is served on you with this summons, within ig Q days after service
of this summons on you, exciusive 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 tiled with the
Clerk of this Conn; within a reasonable period of time after service.
I ....
gay; eeetyrv crass

Case 1 :07-cv-00774-JJF Document 4 Filed 01 /08/2008 Page 2 of 2
• AO 440 (Rev, 8/01) Summons in a Civil Action
RETURN OF SERVICE
Service ofthe Summons and complaint was made by me(l} $3/gfgg
NAME OF SERVER (PPJNT) TITLE 1
BARRY EVELAND SPECIAL PROCESS SERVER
Chee/c one box below to indicate tz ro ritzte method 0 service
B Served personally upon the defendant. Place where served: CHRISTIANA CARE HEALTH SYSTEMS? TNC AT
501 WEST I4TI—I ST. WILMINGTON, DE ACCEPTED BY SHRYA WALKER
E 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 Returned unexeeuted:


E Other (specify):


STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
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 Se/i}v,Lce Pees is time and correct.
1 it ti’tt
Executed GH
Date Signature of Server
BRANDYWINE PROCESS SERVERS, LTD.
P.O. BOX 1360
WILMINGTON, DE 19899-1360
302- 475-2600
{ I r i m ia e a ies; or e e e , I I I I I I I iiii I I I I V I iiii I Iiiiii I I if `I I

Case 1:07-cv-00774-JJF

Document 4

Filed 01/08/2008

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Case 1:07-cv-00774-JJF

Document 4

Filed 01/08/2008

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