Free Summons Returned Executed - District Court of Delaware - Delaware

Case 1 :07-cv—00354-GIVIS Document 3 Filed 06/15/2007 Page 1 of 2
QAO 440 (Rev. 8/01) Summons in a Civil Action
UNITED STATES DISTRICT COURT
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YOU ARE HEREBY SUMMO ED 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 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 filed with the
Clerk of this Court within a reasonable period of time after service.
PETER MLLEO
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CLERK _ DATE
(By) DEPUTY CLERK

Case 1 :07-cv—00354-GIVIS Document 3 Filed 06/15/2007 Page 2 of 2
QAO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN OF SERVICE
DATE , · .
Service of the Sumrnons and complaint was made by me"’ Lg UQ \ QCO-l QZ \ 5 fm
NAME OF SERVER ( PRINT) _
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Check one box below to indicate a r ro riate method 0 service
El Served personally upon the defendant. Place where served:
El 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.
Name of person with whom the summons and complaint were left:
D Retumed uncxecuted:

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STATEMENT OF SERVICE FEES
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing infomation
contained in the Retum of Service and Statement of Service Fees is true and correct.
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Address of Server
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(I) As to who may serve a summons sec Rule 4 of the Federal Rules of Civil Procedure. T