Free Summons Returned Unexecuted - District Court of Delaware - Delaware

Case 1 :07-cv-00147-SLR Document 30 Filed 12/03/2007 Page 1 of 2
IN THE UNITED STATES DISTRICT
COURT OF DELAWARE

· ] ]
ANTHONY PORTERFILED, SUMZMONS (IN A CIVIL CASE
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CORRECTIONAL MEDICAL SERVICES : d
(CMS); DR. DALE RODGERS; DR. DURST; : C.A. # 07 -cv-147
GAIL ELLER; NURSE MEGGETT; _ _ :
CORRECTIONAL OFFICER KNEUPP; : l
NURSE CHRISTINE ROE, individually and :
as employees and agents for the Correctional : A
Medical Services, :
Defendants.
:
TO: Nurse l\/leggett
1181 Paddock Road
Smyrna, DE 19977
YOU ARE HEREEBY SUMMONED and require to serve on Plaintiffs Edward
]. Fornias, III, Esquire, Plaintiffs attorney, whose address is 910 Gilpin Avenue .
Wilmington, 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,
judgment hy 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.
W ··a‘ ni ? i \
ti sz ll is , ge \ { ( I 07
_ CLERK DATE
(By) DEPUTY CLERK
.
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Case 1 :07-cv-00147-SLR Document 30 Filed 12/03/2007 Page 2 of 2 I
%AO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN or sanvica — N0N—SRRVI@ RETURN Q
DATE gimp g
Service of the Summons and complaint was made by mem abbNOVtEdEI_ 28 I 200.7 at 2 :10 P•M.
NAME OF SERVER (PRINT) TITLE
Jeffrey L. Butler process server 5
Check one box below to indicate tz ro riate method o 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:
g Rcmmgd uucxgcutcdz unable to serve? service of process refused — Nurse Meggett
no longer employed by Correct 1' onal Medi cal Serv1' ces

El Other (specify):

4 STATEMENT OF SERVICE FEES
TRAVEL n/3 SERVICES $10 · OO TOTAL $10 · OO
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information l
contained in the Return of Service and Statement of Service Fees is true and correct. I
Executed on November 28 , 2007 LA] x » »
Date Signazu f.S`e e V
•{¢ 7» = !·» Inc.
P . O . BOX 886
New Castle , Delaware 19720-0886

' Address of Sewer
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E . (l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. l ' V
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