Case 1:07-cv—00031-Gl\/IS Document 14 Filed 05/21/2007 Page 1 of 1
U S D f J · PROCESS RECEIPT AND RETURN
. . epartment 0 usttce S . .. . .,
_ _ ee Instructions for Service of Process by the US. Marshal
UHIICCI States Marshals S€I`VlC€ on the reverse of this form.
PLAINTIFF COURT CASE NUMBER
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DEPENDANT F ,._ TYPE OF PROCESS ,
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SERVE NAME O - INDIVIDUAL, COMPANY, CORPORATION, TC., TO 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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EFEILEOIEQEBE SPWEE QOEILTQ BIEPEEETEILOI EWE £l`£’;*BDBE§$.*¥LOXL-| Number Or process to bg
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P t/lima ti. t» ta tf 660.% ,
, , |Number of parties to be
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H 4 D F / I . 7 ICheck for service /
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
Zgsephone Numbers, and Estimated Times Available For Service):
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Signature of Attome or Origi ator req sting service on behalf of: TELEPHONE N MBER —DATE ’
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SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I 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 V
(Sign only first USM 285 if more J
than one USM 285 is submitted) NO. _ No. _ ...é. _
I hereby certify and return that I I have personally served. . .haxe legal evidence of service. I - have executed as shown in "Reinarks", 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.
gi 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-
ii cretion then residing in the defendaiits
usual place of abode.
Address (complete only ifdifferent than shown above) Date of Service `Iime am
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Signature of U. ` Marshal or Deputy
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Service Fee "lotal Mileage Charges lwwardiitg I·`ee Total Charges Advance Deposits Amount owed to US. Marshal or Amount of Refund
(including endeavors)
REMARKS:
PRIOR EDITIONS FORM USM-285 (Rev. I2/I5/80)
MAY BE USED 1. CLERK OF THE COURT