Case 1:07-cv—00031-Gl\/IS Document 12 Filed 05/21/2007 Page 1 of 1
U S De acrment of Justice PROCESS RECEH I M ID REI URN
‘ _' p * ` _ See Instructions for "Service of Process by the U.S. Marshal"
United States Marshals Service on the reverse Or this raim.
PLAINTIFF ·‘ _,.-— if COURT CASE NUMBER
Us/i//»·1"’? @6.} O; /
DEFENDANT XI TYPE OF PROCESS / .
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NAME Ol; INDIV?UAL, COMPANY, COR7RATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
» ,52 fit? EQ2 DZ 5*/ ' /cig/flow/I CRMMISY/§h€»V
ADDRESS (Street or RFD, Apartment 0., City, State and ZIP Code)
. { . ’ '
AT /mi/(er,.
§E§lLl‘£>E(25i)E§$@’EE.€.O£Y_T9 BIQEEETEILE ENE &"@;*2DBE§IEl£’!;-i Number Or process to be
T , f I I served with this Form - 285 /
im; aa Ji was az rf Mm? .
` |Number of parties to be
{ i. / E J I served in this case /
D/at NYI /peat;/€>i’< U? _
I /r/I /,5 { l' ~ 7 Check for service /
________ §__)j__J _______ ___________ Ion 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): ,3 R,
Fan __ ia
J @3 .
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Signature of Attomey or o er Originator reques `ng rr ice on behalf of: TELEPH NUMBER DATE ..
» / WPLAINTIFF , _
...-¤· . \ I] DEFENDANT
SPACE BEL()W 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
(Sign only tirst USM 285 if more XI ig /5)
than one USM 285 is submitted) No. No. ,_ .. ? - . . _
I hereby certify and return that I I I have personally served, IMI have legal evidence of service, I-. have executed as shown in "Rcmarks", 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 hereby certify and return that I am unable to locate the individual, company. corporation. CIC . named above (See remarks be/ow)
Name and iitle of individual served (if not shown above) |_ A person gf curlabie age and dp,.
._ cretion then residing in the defendants
usual place of abode
Address (complete only rl ditlerent than shown above) Date of Service Time am
WI 8/ Q7 pm
Signature Marshal or Deputy
Service Fee 'lotal Mileage Charges l·nrv·.arding Fee Total Charges Advance Deposits Amount owed to US. Marshal or Amount of Refund
(including endeavors) ·
REMARKS; , of
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PRIOR EDITIONS 1 CL K lg- TH FORM USM-285 (Rem 12/I5/80)
MAY BE USED . ER O E COURT