· PROCESS REICEIPT AND RETURN
D€pa‘rtmcnt Of Justlce _ See Instructions for “‘Service of Process by the UAS. Marshal"
UHlICd States Marshals SCYVICC on the reverse of this form.
i>i.AiNrii=E y coukr CASE NUMBER
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DEFENDANT TYPE oi=_ PROCESS /é/
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SERVE NAME or NDIVIDUAL, COMPANY, CORPORATION, Erc. TO SERVE oa DESCRIPTION or i>Ror>ERTY TO SEIZE on CONDEMN
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
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EEEILIPESEBE WEEE QODLTQ BEPEEETEEE SWE él`P£*BD.l$§il¥5LOY;..| Number of process to be [
. __,, I served with this Fomi — 285
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I 4 eéé J? 0 ·-
LL/)//,4M jése W . JF 2456 sa , _ [
1 I Number of panics to be `5
lg Z/v € /K (O4 Iserved in this case
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A *_'
I A 6 / j I |Chc~ck for service
______________ L_____ ______ ___,.,. ........... {cn U.S.A.
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alteig Adgsiies, All
Telephone Numbers, and Estimated Times Available For Service): L- git
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· ‘ ‘ ‘ ‘ it t; 1-Ei>i-ioN MBER DA
Signature of L/Originator requesting service on ha 0 PLAINHFF TE M T
A t 1] DEEENDANT _ /5 lf
SPACE BELOW FOR USE OF .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 Orig 0 Serve 6/ .
(Sign only Hrst USM 285 if more N l ( / / 67
than one USM 285 is submitted) No. No. _ I _ t.1.
I hereby certify and return that I E have personally served, I] have legal evidence of service, Cl have executed as shown in "Remarks", 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.
g I hereby certify and retum that I am unable to locate the individual, company, corporation, ctcr, na ned above (See remarks below)
Name and title of individual Served (lf not Shown above) A person of suitable age and dis-
l;l cretion then residing in the defendant's
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
pm
Signature of U.S. · a hal_..0r Deputy
Mt
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amor nt owed to U.S. Ma shal or Amount of Refund
(including endeavors) l
REMARKS: _ _ . . e
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