Free Waiver of Service Executed - District Court of Delaware - Delaware

Case 1 :07—cv—00006-GIVIS Document 22 Filed 08/07/2007 Page 1 of 2
2 .,,, F 13:32 FP 05 WQRSHQLS niLm.0E3e2 $?3 Baie TO Bnieieea ¤.n:
gt *7 » 0 4b 5 A r
C0rg;¤:>:n:i;.*t5nti:y Dutbntlzint ·
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RETURN OF w.A§‘t·’ER GF SERMQTE OF SUMMUNS ·
l ncknnwlciige rancipt of the rcqiiesi thai I can waive servici: of siimincins in the mime: of
CA. t~in.i[/_;§}_§ in tht: United States Disuici of Dciaware. E have aim rcccivcd a copy ni thc:
cmnptuim in thc acucn, i·.~.·c> copiers ofihiii iimn, at copy of the Order at thc Coun nnilinriining .
service mid a means by which i can return the signed waiver witl-mm mst to mz.
i agree :0 xiwc iht: cost of service ofa summons and an aclclitioimi copy :>l'il1c complaint
in this lawsuit hy noi requiring than the cniity nn whose bcimlfl urn acting bc zcrvcd xvitiijuiiisiat
gmiizziir in ilic manner prtwiticd by Rule 4.
Thr: cmiiy nn whusc l;rr;hai.t" I nm acting wili miaiin all defenses nr nhjeuziurisr in the lriwiiiir
or to the nntsdiction ur venue nttim Conn, except lin nbicctiuris iiinizd on n dctisct in the
. iwiimmuiis or in me service of the summons. ivlidcrslatnti than at judgernent may be entered .
against: thc party un wlmsc i>ch:1lf`i urn acting if ¤ x‘csp<.>n:ic is not s<;wr;».i and iiicci within 60 days
aftrstz jpne 5 , 2*%]; "
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ei \ tr
2.. . _ __ ..... ....,..w—x5;;...j...9·.—.,;>~L.·$.‘%...Z$2;€E....
bag r mrc 01 Dsisndimi Prmtcci or iypcd iw iChO—£JJ\L.\ QCELWKL
i3·l>‘§`Y Ti`} AVUXB BNNECESSARY CGST GF S£XWiC.E GF StiMtvit’iN$
itnliz .1 of thi: Federal Exiles v.»t`iQKivil Proccdnnr requires ccmiin panics ici catiptiiviiez in rmi-incnsstiary mst nt" service ¤¥`tlw summons amd the ctbmpiziint. A ziefenrinni iucuicti in tht: I
Unircd Siam, wlm, after being nntitieci of an uutitm and asked in waive sairvicei ni' snmrnom
un behalf nf ii piaimiif Situated in the US, fnilx to do su will be required In hum- tim cast of
such iicrvicc unless guard cause: bc rshuwn lb? that ¢,ii:t`éndani°S faiiurt: in sign mid 3‘:‘.•Sw‘n the
wztivcr
it is not good cause liir at failure to wiiivc service that a pany believes ihni thc compiiiirn is
untmiiiuact. or tnm me action has been brought in an iinyirnpcr place ut in n anim mm lacks
iurisitietinn nvcr the subject rnaucr ufilic action at om zkrtizncliiiifs ptstwn in- pnnpcrzy. A
defendant who waiver xm vicc of sttinnwmz mains ull dcliiiiscs and obiizctinns., .-zxccm any
relating tm thc sumnwns OI Lht: scrvice 0i` summons, amd may later Objtsisi to lliciuristiiciiun of {lic
·iQYmm or in this place to whcrc tht: action has hccn tai·¤ugt~ii.
A dcfcndzint who waives service must within tit: timc specified tin the "Rv.:mrn of \A.·*nm;r"
tnrm seritcd nn plniniifti if nnrcprcscnml ur on pleiiiititw aitnrncy, zz response to thc ilcizriplaint
and mum iitsa tile at signed copy of thc response with thc Coun. ll` tin: answer nr ii minion is not
éléiivtii Wiiiiiil ii1i$. li7Ytt¥, H tif‘i`F’t\.$ii jl.\ti;g:.`~1\‘>G1‘xl£ IDB} bt! \iui·ZR\'t Sghinst !i1.E.\'|. duibiidainl. Hy ‘·\'¤i\'ir1t$
service, A d¤=:T`¤:m.l:rnt is nllmvtrni mtnrc time in zinxwex ihnn ifflte mmtitmns had bccn actually __
served witcn thc rcqucsi Fur walivtsr af sewiuit was Icceivisd. Eg
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Case 1:07—cv—00006-GIVISA Document 22 Filed 08/07/2007 Page 2 of 2
U S Department of Justice PROCESS RECEIPT M m REIURN
‘ _ ' “ _ See Instructions for "Service of Process by the US. Marshal"
United States Marshals Service on the reverse of une rerrrr.

PLAINTIFF _U COURT CASE NUMBER
ze mi Q. Br@a7‘/>»Q,J ;·r’¢ erz·~ooé·~·G`-r ,s~.
DEFENDAN ' _ _ { TYPE or PROCESS 1
I . C. 2/-/ /o /<£· cz; v
SERVE NAME or INDIVIDUAL, COMPANY, CORPORATION, ETC. , TO SERVE on DESCRIPTION OF PROPERTY TO SEIZE on c0NoE1vIN
ADDRESS (Street or RFD, Apartment No., City; State and ZIP Code) 3 LJ; QL,. l -
AT [ tsl •_ eG»1: t‘Y·'r·' _. Fr Dex/err D6. /?'?<5‘2‘”
EEEFLYEEFIEQLQQE EIEEEQOELTQ EE29.E.§TE'%.:"£E EQNE .*1@.£*ED.‘E*.‘§E·€·..'?i€!’EL.-t Number of process to be
‘ . ,.,, . ’ ,..· I served with this Form - 285 /
l He l//Al Q BK#277%J»7/ 72 I
0/ 7 ‘ ' |Number of parties to be
// E I G ` Iserved in this case
I S DEE / 9 9 7 7 lCheck for service
______________________________________ : on U.s.A. ,
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE Llnclude Business and A ternate Addresses, All
Telephone Numbers, and Estimated limes Available For Service):
Raid Pr Fold
" %}*L‘7@~:/—?/we T5 ¢·”?C2’2/r{7[ S 5 " ‘
// 5**/ PWWGC/C Kd I
»·"`
.SlV`\}/Y'/UF} l>&· /‘}`?7‘7
Signature of Att o ther Originator re · ;, iery ice on halt ?@r___ ¢V£uNTIFF TELEPHONE UMBER \ DATE
_ / . - EDEFENDANT _ .5/‘?"G7
SPACE BELOW FOR USE 0 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 F ,¢ -
(Sign only lirst USM 285 if more {O -7
than one USM 285 is submitted) No. ___ No. ___
I hereby certify and return that I I] have personally serve&{-iishave legal evidence of service, Q have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address s own above or on the individual, company, corporation, etc., shown at the address inserted below
lj I hereby certify and return that I am unable to locate the individual, company, corporation. ctc, named above (See rengarks below)
Name and title of individual served {if nor shown above) U U A person of suitable age and dis-
lj cretion then residing in the defendants
usual place of abode.
Address (eomplete only if different than shown above) Date of Service Time am
I
n fl/O O pm
Signature o? Ugwahal or Deputy _
Service Fee ; Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS: U V
*¤°gEEgggNS 1. CLERK or rue counr “”**“ USMS me '”**’“">