Free Summons Returned Executed - District Court of Delaware - Delaware

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ase 1.07 cv 00147 SLR Document 34 Fnled 12/03/2007 Page 1 of 2 l
IN TI-LE UNITED STATES DISTRICT
COURT OF DELAWARE .
1

ANTHONY PORTERFILED, 2 SUMMONS IN A CIVIL CASE
riamsrr, 2 A
CORRECTIONAL MEDICAL SERVICES :
(CMS); DR. DALE RODGERS; DR. DURST; : C.A. # 07—ev—l47 S
GAIL ELLER; NURSE MEGGETT; :
CORRECTIONAL OFFICER KNEUPP; : ~
NURSE CHRISTINE ROE, individually and :
as employees and agents for the Correctional : ‘ S
Medical Services, : 1
Defendants. U
:
TO: Dr. Dale Rodgers
1181 Paddock Road
Smyrna, DE 19977 W ’
YOU ARE HEREEBY SUM}/IONED and require to serve on Plaintiffs Edward
]. Fornias, III, Esquire, Plaintiffs attorney, whose address is 910 Gilpin Avenue
Wihnington, DE 19806. ·
An answer to the complaint which is served on you with this summons, within 20 days
after service of this summons on you, exclusive of the day of service. If you fail to do so, A
judgment by default will be taken against you for the relief demanded in the complaint.
Any answer that you serve on parties to this action must be filed with the Clerk of this
Court within a· reasonable period of time after service. ·
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L° an l; L `i-· l G ‘t’- Ll i'‘'
K CLERK DATE A
i (By) nsrurv CLERK
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Case 1 :07-cv-00147-SLR Document 34 Filed 12/03/2007 Page 2 of 2
%AO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN OF SERVICE _
DATE
Service of the Summons and complaint was made by me") Ngvgmbg; 28 , 2007 3*,; 2 ; ]_0 P,M,
NAME OF SERVER (PRINT) TITLE i
Jeffrey L. Butler process server l
Check one box below to indicate tz ro riate method o service
El Served personally upon the defendant. Place where served:

i
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:
C] Returned unexecuted:
4 i

a e
g Omg, (spgcify): left copies tthereof with Jeremy McEntire for Dr . R56g€yS( as a person
of suitable age and di screti on tfien employed Eherem who acknowledged tEat He
was authorized to accept service of process for the named defendant l ‘ g
l
STATEMENT OF SERVICE FEES
TRAVEL n/a SERVICES · TOTAL .
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 Return of Service and Statement of Service Fees is true and correct.
Emmcd on November 28 , 2007 l .
Date Signature of S er
legal a , Inc .
P. O . Box 886
New Castle, Delaware 19720-0886

Address of Server _
i (1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. ·