Free USM 285 Returned Executed - District Court of Delaware - Delaware

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Case 1 :07—cv—00405-JJF Document 41 Filed 05/28/2008 Page 1 of 1
U S De artment of Justice PROCESS RECEIPT Al ID RE I URN
' _ ' p ` _ See Instructions for "Service of Process by the U.S. Marshal"
United States Marshals Service on the reverse of this form.

PLAINTIFF _ couizr CASE NUMBER
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DEFENDANT TYPE or PROCESS
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SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC., ro SERVE oa DESCRIPTION or PROPERTY TO SEIZE OR CONDEMN
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» ADDRESS (Street or RFD, Apartment N0., City State and ZIP Code)
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AT . o Af E . s r iser I . 5/Y 0
EFEIDEEQEBEEWEEQOELTQ BBPHEETEEE NNE &l`P.i’*2DBl§$.*£E'é)X’;-| Number of process to be
T _ I `# A I served with this Form - 285 I
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_ _5 I · I Number of parties to be
HiR•y‘6iE Iservedinthiscasc
LU _ |Check for service _
______________________________________ : on U.S.A. `/
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
[Telephone Numbers, and Estimated Times Available For Service): F0
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Signature of Atto ey r other Or' ` I. • requesting s rvice on behalfofz TELEPHONE NUMBER DATE , .
p . MPLAINTIFF
A til DEFENDANT ’ 6E
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SPACE ELOW FO ' SE OF U.S. MARSHAL ONIIY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Dep ty or Clerk Date .
number of process indicatedr of Origin to Serve I I ‘
(Sign Only HIS! USM 285 if more \ ‘<
than one USM 285 is submitted) No. 4 No. é i
I hereby certify and return that Ihihave personally served. l;l have legal evidence of service, I:] have executed as shown in "Remarks". the process described
on the individual, company, co 0 tion, etc., at the address shown above or on the individual, company. corporation, etc., shown at the address inserted below.
[Il I hereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of suitable age and dis-
_ lj cretion then residing in the defendants
/ A ' IIA ' ’ V usual place of abode.
Address complete nly if differe t than sh n above) Date of Service Time za am
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Signature of U . Marshal or Deputy
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Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS; _
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****0* E”'“°NS 1 CLERK or THE count “"“’ "S’”·”5 me ms")
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