Free Summons Returned Unexecuted - District Court of Connecticut - Connecticut


File Size: 58.4 kB
Pages: 1
Date: October 14, 2003
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 602 Words, 3,996 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/23072/10.pdf

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Case 3:03-cv-00701-JBA Doc ment 10 `e 1§l%%§OO3 Page 1 of 1
U.S. Department of Justice * ¤ . » .. . AND RETURN
, , _ ,_ __ A Clrons for Service of Process by the U.S. Marshal" g
United States Marshals Service on the mma or me ra.-m.
PLMNTIFF count casa NUMBER Q
ut ED STATES OF At·t1t.RICA_ _ 3;o3(;v0t)o701 53,11..;; K 5
DEFENDANT was or tuzocess
·t ¤· e·* ·, .·~·· A t · SUMMONS & COMPLAINT
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. , TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
· l
ADDRESS (Street or RFD A artment N0., City, State and ZIP Code)
95 WOODLAND AVENUE
AT BLOOPIFIELDA CT 06002 ‘
SEND NOTICE OF SERVICE · i
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F I served with this Form - 285 1 t
CHRISTINE SCIARRIN0 I
ASSISTANT UNITED STATES ATTORNEY |N¤¤¤l>·=r ¤F t¤¤¤i<=S to be
CONNECTICUT FINANCIAL CENTER |"°"'°d '“ the cm 1 p. I
I 157 CHURCH STREET, 23RD FLOOR ICM k f _ /
Of l‘V -
aavatt, eomtacrtctrr 06510 I ° ’° '°° .
..... ..... .... --.. ....... ... .... ....._,,_ _____ ., ____ I on U.S.A. _
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Add -; es, All
Figgephone Numbers, and Estimated 'limes Available For Service):
___ me =
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_./ . .. l
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Si fAttorney r` inat requesting service on behalf of: &PLAlNTIFF TELEPHONE NUMBER DATE
_" ' `(_ r `.. L at
__ __ _ __ __ _lt_ __ _j L_ p tj DEFENDANT (203) 82],.3200 Qt? mj- ;»}ot3
Q|’ ‘ J] ‘\ I I , II n ,· LN7 ·»- it .··T
SPACE B tr W FOR USE OF U.S. MARSHAL ONLY- DO NOT WRITE BE 1
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk {LZ)
number of process indicated. of Origin to Serve ""i ll yi:.
(Sign only first USM 285 if more - `
than gm; USM 285 ig gubmjlted) / N0. L`!_____ Nt). - r _ I —-2—.».;;._ --2..
I hereby certify and return that I I] have personally served. lj have legal evidence of service, I;] have executed as shown in "Remarks". the process described
on the individual, company, corporation, ctc., at the address shown above or on the individual, company. corporation, etc., shown at the address inserted below.

whereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individegl served (if not shown above) A pcrggm pf suitable age and (tts-
5;-3 [.7 . K] cretion then residing in the defendants
Qi; $*7 usual place of abode. |
Address (compl rtly l'f?FfTereiil {Agn shown above) Date of Service Time am t
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LL-I I': ;;t€
g cg:. gz.; to S" é pm t
·-·—-• N if Sigrt tu • .S. Marsha! or Deputy `
Ll 31 gi:
in GJ in jg; _ tl/I,/4//}.4 4
I Y4'1.ۤI.Qtl 1*
Service Fee Totaglglilea e arges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount o efund
(irt%i8ing Erideavors)
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REMARKS; 3
t
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FORM USM-285 (Rev. 12/15 ·
PRIOR E“m°"S 1. CLERK OF THE COURT M)
MAY BE USED _
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