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Case 1:06-cv-00791-SLR Document 28 Filed O9/17/2007 Page 2 of 2 __
·u,s. GPO: 2005-ais-sssrsotos
U S De artment of Justice PROCESS RECEH I M m RE I URN l
‘ _ ' p * _ See Instructions for "Service ot" Process by the U.S. Marshal" I
UHllf€d States Marshals S€I`V1C€ on the reverse of this form. I
PLAINTIFF COURT CASE NUMBER I
DEFENDANT I TYPE OF PROCESS I
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN I
· ADDRESS (Street or RFD, Apartment N0., Cir)4 State and ZIP Code)
AT I
§E§.¤..N9lI<2‘€£>£%.EE’!9§.<;0£Y.T9.SELQEESTEILAIMLVIEAl*Ll?1~9¤J.¤§§§.*£5*.e£>!."; - i Number of process to be
I-— I served with this Form - 285
I Number of panics to be I
{served in this case .
I
I lCheck for service
____ ___ ____________________ ___ _________ _____Iee u.s.A. _
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All _
Flgiephone Numbers, and Estimated Times Available I-`br Service): Fold
. l
i
Signature of Attorney or other Originator requesting service on behalf of: E PLAINTIFF TELEPHONE NUMBER DATE
El oereuoaivr I
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
[acknowledge receipt for the total Total Process Distr t H District l Signature of Auth rized USMS De ty or Clerk l l _ Date l H
number of process indicated. of Origin to Serve
(Sign only first USM 285 if more .
than one USM 285 is submitted) No. ___ _No. ..e._.._._.; _...;.
I hereby certify and return that I [l have personally served, [I have legal evidence of service, l] 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.
El I hereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) H l A pgysm-I gf suitable ag.; and djs-
lj cretion then residing in the dcfendanfs
' usual place of abode.
Address (complete only if different than shown above) Date of Service I Time am
I pm
`Signature of U.S. Marshal or Dcput
Service Fee ‘ Tot ]- leage Charges ` Forwarding Fee I Total Charge l dvance De osits I Amount owed to U.S. arshal or Amount 0 Re und
1 (including endeavors) I I I ·
REMARKS: l I I U H I l _ I l