Case 1:07-cv-00261-JJF Document 30 Filed 08/23/2007 Page 1 of 1
U S De artment 0f Justice PROCESS RECEIPT M JD REI URN
' _ ' P ‘ “ _ See Instructions for "Service of Process by the [LS. Marshal"
UHlL€d States Marshals S€I`VlC€ on the reverse of this form.
PLAINTIFE COURT CASE NUMBE ,
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DEFENDANT TYPE OF PROCESS _
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SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN
» Loser;. R . gm EM HAI.,
ADDRESS (Street or RFD, Apartment No., City; State and ZIP Code)
AT - %9·¤>N·F F.~c I _- I t tj ‘ 1.- ·..t E NSG!
EEEFLHQEQEBE. EWEE ELOBLTQ EEQEEETEILFE EJWE &l`£)i*P.D.E.*E`·§'§l€LO.LV; _ I Number nf process to bg
l-J-[ Es E lic E e { I I [ I served with this Fomt - 285
ll :Number of parties to be
, Iserved in this case
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I |Check for service V
______________________________________ : on U.S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, AH
Eiephone Numbers, and Estimated Times Available For Service): Fold
— P RtTu¤"M REc£iâ€PT REQuEs1'Et> 7’¤ P/m1¤rir»=· "
Au? ER C SE .
A UIUSI Senvtcg To Au. oereuoews
Signature of At orney or er Originator ues ` g e on behalf of; YPLAINTIFF TELEPHONE NUMBE ‘r • €__ DATE
M ._ . . . / /.-1 _ I EDEFENDANT [3¤Q\3QQ—'·]6I& 7££é£g2
SPACE BELOW FOR USE OF U.S. ‘ v·¤‘ HAI. ONLY —DO NOT WRITE BELOW TI·HS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of proeess indicated. of Origin to Serve J5 V
(Sign only first USM 285 if more - ' / 2 {
than one USM 285 is submitted) No, No. _; ‘r
I hereby certify and retum that I 2 have personally served, [I have legal evidence of service, l] have executed as shown in "Remarks", the process described
on thc individual, company, corporation, etc., at the address Shown above or on the individual, company. corporation, etc., shown `at the address inserted below
ij I hereby certify and return that I am unable to locate the individual, company, corporation. etc.. named above (See remarks below)
Na _• and title of individual served (if not shown above) A A person of suitable age and dis-
_ it - I . Ei cretion then residing in the defendant`s
1.1 . _ V A I __ _ _ l ` usual place of abode. H
Address (complete 0 if ifferent th s own above) Date of Service Tizne @
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Signature 0 U. rshal or eputy
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Service Fee , Total Mileage Charges Forwarding Fce Total Charges Advance Deposits Amount owed to U.S. Mars al or Amount of Refund
(including endeavors) -
EMARKS:
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PRlO§EE'l-I;;:`l;)NS 1- Eszsggil " FORM USM·285 (Rev. l2fI5/80)