Free USM Return Executed - District Court of Connecticut - Connecticut

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U S Department of Justice . . S
‘ _ ' ` _ See Instructions for "Service of Process by the US. Marshal"
UHltCd_ States Marshals SGYVICC on the reverse of this form. r l M
PLAINTIFF ' COURT CASE NUMBER
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DEFENDANT T R§);ES?
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I NAM O I IVIDUA · , COMP NY, CORPORATIO ETC., TO SERVE OR DESCRIPTION OF PROPERTYTO SEIZE OR CONDEMN
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· A DR S (Street or RFD, Apartment No., Cir , State I `d ZIP Code)
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EEEILYEEQBE EEISE 9.0.*1*LTQ BEEEETEEAI NW2 .£*.l`@;’·.*2D.§'S'i$E.*£ZI§lV‘. ... I Number of gémccss to `be < eeié
I-—— ’· / ` . ‘ » · . » IS served with this Form - 285 3
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‘ Q.) S I Number ur./·pmiesS to be · { 6
@ ig OO, O 3 E Iserved in this case
I _ I ' Ichgck fg; Service` ‘ ’
____________ ,__; _______ L ____, _______ :0.1 u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDIT ING SERVICE (Include Business and Altemateiialidresses, All
Telephone Numbers, and Estimated Times Available For Service): Q ti`!-*1 We
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Si ature of Originator requesting service on behalf of: x PLAINTIFF TELEPHONE NUMBER DA ml
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SPACE BE /| FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW TI·HS 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 V /
(Sign only Hrs! USM 285 if more ‘ _ ·‘ _ _ _, I , _ . L
than one USM 285 is submitted) No. I- No. ` S » .;.. _.._.._ ..;..;
I hereby certify and return that I ave personally served, [J have legal evidence of service, l] have executed as shown in "Remarks", the process described
on the individual, compaiwco rayon, etc., at the address shown above or on the individual, company. corporation, etc;, shown at the address inserted below. X
lj I hereby ify and,-Qsfum unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and `t indixmpal ser ,gf not shown above) A person of suitable age and dis-
2, lm- ""j“" K] cretion then residing in the defendant’s
o I , F V “'‘_ p A JI usual place of abode.
Address (c W · te onlyi differem liitggshow above) Date of Service Time ’Hnn....
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Lt., ;» asv , /&: %0@
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§’ (f€Z`¤L' ure of U. arshal or Deputy
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Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors) · __
REMARKS:

PRIOR EDITIONS A FORM USM-285 (Rem 12/15/80) .
MAY BE USED 1. CLERK OF THE COURT