Case 1 :07-cv—00775—G|\/IS-LPS Document 6 Filed 12/07/2007 Page 1 of 1
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· I RETURN OF SERVICE I
Service of the Summons and complaint was made by mem DATE / /0 ') · I
N’“K‘i°FSER"ER‘P’*’â€i" ISHLE Jr sca ,t..‘+t.· $ € ¢
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Check one box below to indicate appropriate method of service A _ A
Served personally upon the defendant. Place where served: I
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Left copies thereof at the defendant‘s dwelling house or usual place of abode with a person of suitable age I
and discretion then residing therein. I
Name of person with whom the summons and complaint were left: Q4/{t` 5 0 {A SQ C I 1
Returned unexecuted:
Other (specify): A I
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION oF SERVER I A
I declare under penalty of perjury under the laws of the United States of America that the foregoing I
information. contained in the Return of Service and Statement of Service Fees is true and correct .i., . E e ‘
Executed on: ] /ET/G 7 J I _ j x " I I
Date Signature of Server i gag gl t/'Q gi`. E
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Address of Server I
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(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. I
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Case 1:07-cv-00775-GMS-LPS
Document 6
Filed 12/07/2007
Page 1 of 1