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

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ip Case 1 :07-cv-00196-GIVIS Document 8 Filed 05/04/2007 Page 1 of 2
QAO 441 (Rev. 8/01) Third Party Srmrrnons in a Civil Action i
UNITED STATES DISTRICT COURT
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District of Delaware §
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THIRD PARTY SUMIWONS IN A
v. DEFENDANT AND THIRD PARTY PLAINTIFF _ L CIVIL ACTION 3
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V. THIRD PARTY DEFENDANT i
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T0:.Name and address of Third Party Defendant
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YOU ARE HEREBY SUMMONED and required to serve on
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PLA1NT1FF’s ATTORNEY (name me adams) I DEFENDANT AND THIRD-PARTY PLAINT1FF’s ATTORNEY
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an answer to the third-party complaint which is served on you with this summons, within days after E
the service of this summons on you, exclusive of the day of service. If you fail to do so, judgment by default may be taken
against you for the relief demanded in the third-party complaint. There is also served on you with this summons a copy 3
of the complaint of the plaintiff. You have the option of answering or not answering the plaintiff s complaint, unless (1) §
this isa case within Rule 9(h) Federal Rules of Civil Procedure, and (2) the third—pa11y plaintiff is demanding judgment
against you in favor of the original plaintiff under the circumstances described in Rule 14(c) Federal Rules of Civil g
Procedure, in which situation you are required to make your defenses, if any, to the claim of plaintiff as well as to the claim
of the third—party plaintiff. Any answer that you serve on the parties to this action must be tiled with the Clerk of this Court i
within a reasonable period of time after service. %
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CLERK DATE
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(sy) DEPUTY CLERK _A
MAO 441 (Rev. 8/Ol) Third Party Summons in a Civil Action i
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Case 1 :07-cv-00196-G IVIS Docu ment 8 Filed 05/04/2007 Page 2 of 2 Q
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- RETURN OF SERVICE §
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Service of the Summons and complaint was made by mem / y
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Check one box elow to i icate a ro riate method o service i
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g&Served personally upon the third- arty defendant. Place where served:
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I] Left copies thereof at the third-party defendanfs dwelling house or usual place of abode with a person of suitable age and g
discretion then residing therein.
Name of person with whom the surrmrons and complaint were left:
E! Returned unexecuted:

EI Other (specify):
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STATEMENT OF SERVICE FEES
TRAVEL snnvrcas roms §
DECLARATION OF SERVER
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I declare under penalty of perjury under the laws of the United States of America that the foregoing information
contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on 2 if 0 E ‘ ` §
Date Signature of Server i
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ddress of Server I
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(I) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. i
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