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

Case 1:06-cv—00019-SLFI Document 14 Filed 05/18/2006 Page 1 of 1
U S De artment of Justice ‘ PROCESS RECEIPT M m REI URN
' _ ' P ` _ See Instructions for "Service of Process by the US. Marshal"
UH1t€d States Marshals SCIVICC on the reverse of this form.
PLAINTIFF .. COURT CASE NUMBER
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DEPENDANT TYPE OF PROCESS
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SERVE NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., T SERVE OR DESCRIPTION OFPR PERTY TO SEIZE OR CONDEMN
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ADDRESS (Street or RFD, Apartment No., City St te and ZIP Code)
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. ‘ I served with this Fomt - 285 I
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.CL—M~;xi EK “€‘>‘Y‘A’tt£ C]??‘te.¤a Boi leans i Numbe of ¤·¤·*i·=¤ P be ·
, . N ‘ i 4 _ __; S {served in this case · Q
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" I {yr; 'E ,, ` g _ __ Check for service · »
____________ ,1 _____ L ____ _____________ } on U.s.A. ‘ · .
` SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXFEDITING SERVICE (Include Business and Altemate Addresses, All ~
gegephone Numbers, and Estimated Times Available For Service); ‘ ` · Hd
· Signa re o Atto s or o er ginator requesting service on behalf of: M P AINTIFF TELEPHONE NUMBER _ I DATE _
s.tt -·s.l LA {JG ti DEFENDANT “·l·— gd ·— cate
SPA E BELOW FOR USE OF 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 E- ,
_ (Sign only first USM 285 if more · jg
, than one USM 285 is submitted) No. ._.__.... No. ._..._.... .....;..._. ....._—
I hereby certify and return that I have personally served, Cl have legal evidence of service, lj have executed as shown in "Remarks", the process described
‘ on the individual, company, co oration, etc., at the address shown 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, ete., named above (See remarks below)
Name and titl of individual rved (if not shown abov ) A person of suitable age and dis» ·
·~ , J f- i I] cretion then residing in the defendants
i I- , - _ usual place of abode,
Address (complete only if different than shown a o e) Date of Service Time am
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Signature of’U Marshal or Deputy
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Serviee Fee · Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U,S. Marshal or Amount of Refund
(including endeavors ) ·
REMARKS:
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