Case 1:07-cv—00031-Gl\/IS Document 16 Filed 05/21/2007 Page 1 of 1
U S D is J · PROCESS RECEIPT AND RETURN
. . epartment 0 ustice . .. . ,,
_ _ See Instructions for Service of Process by the U,S. Marshal
United States Marshals Service on the merge Or this ram
PLAINTIFF . . . .
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DEFENDANT TYPE P PROCESS ·
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SERVE NAME F INDIVIDUAL, Co PANY, CORPOR TION. ETC. , `I`O SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
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» ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
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SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW;
-—-—-———————————-—-—-— -— -———--—--——--—- | Number of process to be /
T . ’ 6 ` I served with this Form - 285
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l,/\/,·/Ari"`? Jil/~jC’U T? Z-Szgjté I
- . ‘ Number of panics to be
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D!/E, Iserved in this case /
I . z O E re: ev
IJ / ICheck for service Z
______________________________________ : on U.S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Telephone Numbers, and Estimated Times Available For Service):
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Signature of Attomey or other Originator re estin rvice on behalf of: TELEPHO E NUMBER DATE
. ’ —. / . MPLAINTIFF
_ __/ . , /__ /...· [I DEFENDANT 0 O
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY —- DO NOT WRITE BELOW THIS LINE
l acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve r/
(Sign only ftrsr USM 285 if more X "/
than one USM 285 is submitted) NO. _ No. ._ .,IL- ,T ‘
I hereby certify and return that I IT.] have personally served. [I have legal evidence of service. IJ haxe executed as shown in "Remarks", the process described
On the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, etc., shown`at the address inserted below,
I-, I hereby certify and return that I am unable to locate the individual, company, corporation. ctc., named above (See remarks below)
Name and title of individual served (if not shown above) _ A person of suitable age and dis-
I_ cretion then residing in the defendants
usual place of abode.
Address (complete only ifdifferent than shown above) Date of Service Time ain
is/Ito
Signature of§'.$/glppshal or Ilepuly
Service Fee Total Mileage (`harges Iorwarding Fee Total ('liarges Atlvaince Deposits Amount owed to U5. 5/Iarshal or Amount of Refund
(including endeavors)
REMARKS:
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FORM USM-285 . I2/l5!80
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