Free USM 285 Returned Executed - District Court of Delaware - Delaware

Case 1 :06-cv-00281-JJF Document 5 Filed 1 1/07/2006 Page 1 of 1
USM-285 is a 5-part form. Fill out the form and print 5‘c0pies. Sign as needed and route as specified below.
U·$- Department <>f Justice PROCESS RECEIPT AND RETURN
Umted States Marshals Scrvlcc See "lnstrzzcrions {hr Service 0{`Pmcess by US. Mars/ml"

PLAINTIFF COURT CASE NUMBER
UNITED STATES OF AMERICA 06-281 T5 F
DEFENDANT TYPE OF PROCESS
RUTH ROBERTS SUMMONS AND COMPLAINT
, coapoiucrion. Etc. to seizviz oa oiasciziptioiv or Pizovtaizrv to seize on con oisivm
SERVE
AT ADDRESS (Street 0r RFD, Apartment N0., City, Stare and ZIP Code}
426 WESTWOODS ROAD, MILLSBORO, DE 19966
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW Number Ofpmcess to be
——————-——————·——————-———————————-——·—--------------—--——---—--——----------——------—----·-----·---—------——----------------------~-------·-·---···-----·—-----· · —----···- served with this Form 285 I
RENEE A‘ AUSTIN Number ofparties to be
PARALEGAL SPECIALIST Served in this case
UNITED STATES ATTORNEY`S OFFICE
1007 ORANGE STREET. SUITE 700 Check I-or Scwice V '___)
WILMINGTON. DP 10299 On U_g_A_ Z _____
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business uudAIterriIitéAddressesi-I,
All Telephone Numbers, and Estimated Times Availablefor Service): __ .
rata _ I I ` 'I rom
-
{T Enin- [ ’ ·’ I
{R · ' J
Signature ol‘Attorney other Orig` tor requesting service on behallol`: , PLAINTIFF TELEPHONE NUMBER DATE ·
l` T DEFHNDANT 302—573—6277 IEA? 5**4%
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District of District to Signature ol`Authorized USMS Deputy or Clerk Date
number oi` process indicated. Origin Serve / _ y —-. ._ _
(Sign anlyfnr USM 285 g"m0re I (’ ` 5 ' C {Q; _, C) L
than one USM 285 is submitted) No. No. I!
I hereby certify and return that I _l have personally served , ._ have legal evidence oiservice, l_ have executed as shown in "Remarks", the process described
on the individual , company, corporation, etc., at the address shown above on the on the individual , company, corporation, etc. shown at the address inserted below.

.0 I hereby certify and retum that I am unable to locate the individual, company, corporation, etc. named above (See renmr/cs below)
Name and title ofindi ` ual served (y"n0t hmvn above) _ _ A person Ofsuitablc age and discretion
T2 _ K __ I/__ _ _ then residing in defendants usual place
*_ \,? ·‘ * 2 srll IC J olabode
Address (complete cnn} dtferent than shown nbove) r, Date , Time . .
T5 -9 C9 I 6./ ,- Q t.— Il :2 r ’ Pl t.= . , ·~ , .. . - am
.. U N ( [prix J __ I \ {O 3 JU., j;>l\»Dl·>·<-Pm
_.-` ’¤ _ { _·_, * . _ * r" (T
l"ll `J " `". IT I1-01-9 {_ ;·ture Y' ·. al0rDepu@j
` A x _ _ ' " ` ·l - Yr .» _
l’() f ir`/1*-JI"-Il ’ “’ ll gvl I.: L-.i*L$‘l" \» 2.-_,a.»t1·t5· KC, “ —; C1- —
Service Fee otal Mileage Charges Forwarding Fee Total Charges Advance Deposits Anionnt owed ti A/larshal* or
including endeavors) (Amount ot` Ref ,
$0.00
REMARKS:
PRINT 5 COPIES: 1. CLERK OF THE COURT PRIOR EDITIONS MAY BE USED
2. USMS RECOIUD
3. NOTICE OF SERVICE
4. BILLING STATEMENT? To be returned tothe U.S. Marshal with payment, Form USM—285
ifany amount is owed. Please remit promptly payable to U.S. Marshal. Rev. 12/15/80
5, ACKNOWLEDGMENT OF RECEIPT Automated 01/00