Case 1:06-cv-00009-GMS
Document 9
U.S.. Department of Justice United States Marshals Service
PLAINTIFF
7
PROCESS RECEIPT AND RETURN
See Instmctions for "Service o f Process by the U.S. Marshal" on the reverse o f this form.
COURT CASE NUMBER
Filed 03/17/2006
Page 1 of 2
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DEFENDANT
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TYPE OF PROCESS
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SERVE
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION
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PROPERTY TO SEIZE OR CONDEMN
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ADDRESS (Street dr RFD. Apartment No., City, State and ZIP Code)
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SEND NOTICE OF SERVICE COPY TO RE!QUESTER AT NAME AND ADDRESS BELOW:
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Num/ber of pmess to bc I sewed with this Form - 285
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Number of parties to be served in this case
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I I Check for service I U.S.A.
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and ~lte&$k Addresses, AR Telephone Numbers, and Estimated 7imes Available For Service):
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&INTIFF DEFENDANT
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TELEPHONE NUMBER
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332-~ / 2- ~337 7 - X -a~ 3
Date
SPACE BELOW FOR USE OF U S MARSHAL ONLY -DO NOT WRITE BELOW THIS LINE ..
I acknowledge receipt for the total Total iJroce\s District number of process indicated. of Origin (Sign only first USM 285 if more No. than onc USM 285 is submitted) I hereby certify and return that I have personally served on the individual, company, corporation, etc.. at the addre
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District to Serve
No.
Signature of Authoriretl USMS Deputy or Clerk
e legal evidence of hervice. 0have executed as shown in "Remarks", the process described n above or on the individual, company. corporation, etc.. shown Bt the address inserted below.
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I herehy certify and return that I am unable to locate the individual, company. corporation. ctc.. named above (Scc remarks below) Name and title of individual served (if not shown ahove)
17
A person of suitable age and discretion then residing in the defendant's usual place of abode. Time am
pm
Address (complete only if different than shown above)
Date of Service
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Service Fee
Total Mileage Charges (including endeavors)
Forwarding Fee
Total Charges
Advance Deposits
Amount owed to U.S. Marshal or
Amount of Refund
REMARKS:
PRIOR EDITIONS MAY BE USED
1. CLERK OF THE COURT
FORM USM-285 (Rev. 12/15/80)
USPS - Track & Confirm -
Case 1:06-cv-00009-GMS
Document 9
Filed 03/17/2006
Page 2 of 2 Page 1 of 1
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LabellReceipt Number: 7004 1160 0006 7939 8135 Status: Delivered Your item was delivered at 6:16 am on March 15, 2006 in WASHINGTON, DC 20530.
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