Case 1:06—cv—00778-Gl\/IS Document 41 Filed 07/19/2007 Page 1 of 1
U S Department of Justice PROCESS RECEIPT Al m REI URN
' _ ' L _ See Instructions for “S'ervice of Process by the U.S. Marshal"
United States Marshals Service on the reverse of this form.
PLAINTIFF im, COURT CASE NUMBER
fleeoortj cox @ I #778 Gm)
DEFENDANT l _ M TYPE OF PROCESS
/77 fit? Q C E36 C ` Q
SERVE NAME OF INDIVID AL, COMPANY, CORPORAT N, ETC., TO SERVE OR DESCRIPTION OF P OPERTY TO SEIZE OR CONDEMN
_ 2>e¤w7o/ deve » 6;; Ar wz V .
ADDRESS (Street or RFD, Apiirtment No,, City, State and ZIP Code) p
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AT A//7 S,] __ L/It /Lp],/l;f\•({}?@, _ E/(Q. [
EEEIDLMJQEQE SEEEE QOELTQ BEQEEETEILAI NSE'?. jé. j*2Di®l*2E@}.";-| Number Ur process to be /
· 4 · », ’ ' l ‘ * s · Iserved with this Form - 285
| {[7 mm /*5 Z/ewts {$53/ Hisroaa 22
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Cr INumber of patties to be er: _
D C" I { Iserved in this case ""J iii
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I . (QC · · wsj i..» · » ·
I ‘ I D Q J Sl i H |Check for service 1;- £§f"'*’§
____ ____ ___ ______ ___ ____ ______ ______ __ ______ : On U,S.A. MD
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alteniite All
Telephone Numbers, and Estimated Times Available For Service): $,.,*3
Fold O3 £"* aqua
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l igna ure of Attorney or other Originator req ti service on behalf of: TELEPHONE NUMBER DATE
. L a 14 ` ‘}___ â€'E' I -Ryl r -g i ·‘ · » fg; U DEFENDANT _ l' 00
S ACE BEIDW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BEIDW THIS LINE
I acknowledge reeeipt for the total Total Process Distri t Distr ct Signature of Authorized USMS Depnty or Clerk Date
number of process indicated. of Origin to Scrvc [ · . __
(Sign only hrs! USM 285 if more / 7 { KO )
than one USM 285 is submitted) No, No. - ‘ _t(
I hereby certify and return that I Pl have personally seized, I] have legal evidence of service, [I havc executed as shown in "Remarks", thc process described
on the individual, company, co n r ion, etc., at the address shown above or on the individual, company, corporation, ctc., shown `at the address inserted below
lj I hereby certify and retum that l am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not s own above) _ A B A person of suitable age and dis-
- __ ( _ j' . ‘ ' cretion then residing in the defendant's
VA } ` L! _ _ S " . usual place of abode,
· ddress (complete on if different t an shown above I - Date of Service Time am
tltyltv pm
Signature of U. rshal 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:
PR10:EEIlZg;:l;)NS 1- FORM USMJBS (Rest 12/15/80)