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

Case 1 :07-cv-00419-GIVIS Document 3 Filed 07/O9/2007 Page 1 of 2
%AO 440 (Rev. S/Ol) Surnmotts i.uaCivil Action
UNITED STATES DISTRICT COURT
District of Delaware
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SUMMONS IN A CIVIL CASE
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BIML CASENUMBER: O T - A 1 9
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TOS (Na me and address of Defendant)
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YOU ARE HEREBY SU`Ml\/IONED and required to serve on PLAINTIFF’S ATTORNEY (name and address)
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an answer to the complaint which is served on you with this summons, within Z0 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.
PETER. T. DALl..EC> 7 ,. -7
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ctsmc 7 fj __g DATE
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(sy) nssurrrctsrut

Case 1 :07-cv-00419-GIVIS Document 3 Filed 07/O9/2007 Page 2 of 2

{_ I *·¤z».AO 440 (Rev. 8/01) Sumrnons in aCivil Action
" ` ` I I * . RETURN i £`gSIiiRVICE .
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Service ofthe Sumrnons and complaint was made by mem K I 5 Z1;} _]
NAME 01§jiRVER {PRINT) TITLE zi-§i" - __ /
{`Ed/Fl _ Qéf iw is I ti, ._ " id,·#,r\_°l" ..»·£J3'or\ -— Q6? L (*1* S
Check one box below to indicate rr ro riate method 0 service ` N L
III Served personally upon the defendant. Plaee where served: Em} E; 5 I [ L ii Q [Tk
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. M Left copies thereof at the defendant’s dwelling house or usual place of algg with a person of suitable age and
discretion then residing therein. gk ,_.&__f. Q to B &l,\ {/" /
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Name of person with whom the summons and complaint were left: . 2- `
I] Returned unexecuted: V
III Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the n`ted Stat? of America that the foregoing information
contained in the Return of Service and Statement of Service Fe is e and correct.
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Executed on 7 ” 3 N7 0/} ________ `
Date Signature of Server
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Address of Server
(1) As tc who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.