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

Case 1 :07-cv-00419-GIVIS Document 4 Filed 07/09/2007 Page 1 of 2
*2sAO 440 (Rev. 8.*01) Summuns in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
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SUMMONS IN A CIVIL CASE
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I TO: (Name and Adams ur Defendant)
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YOU ARE HEREBY SUMIVIONED and required to serve on PLAINTIFFS ATTORNEY (name and address)
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an answer to the complaint which is served on you with this summons, within 20 days after service
of this summons on you, exclusive of the 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 Court within a reasonable period of time after service.
EETEE l`, DALLECZF
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CLERK W mrs p
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(By) DEPUTY CL BK _

Case 1 :07-cv-00419-GIVIS Document 4 Filed 07/O9/2007 Page 2 of 2
K mAO 440 (Rev. Sftll) Summons inaCivil Action '
RETURN OF SERVICE
DATE , R
Service of the Summons and complaint was made by mem j' U K Q Q/U 0 7
NAME OF SERVER (PRINT`) U TITLE _ F /
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Check one box below I0 indicate a ro rirtte method 0 service . i
gf Served personally upon the defendant. Place where served: Ci Hi
_ EI Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and
{ discretion then residing therein.
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i Name of person with whom the summons and complaint were left; Zi ONE} [/U C"'! `/LU J` ·€k
i EI Returned unexecuted:
EI Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the Unite States of America that the foregoing infomation
contained in the Ret1.u·n of Service and Statement of Service Fees is e nd correct.
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Executed on ’
r Date Sigmxmre of Server
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Address of Server I
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. U I K