Free Waiver of Service Executed - District Court of Connecticut - Connecticut

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I Case 3:03-cv-00692-PCD Document I1 léiocgggd 03Qg/2004 Page 1 of 1 I
* U.S, De artmen A ’
I U . d t Of Ju` ucc _ _ See Instructions for "Service of Process by the US. Marshal"
I nite tates Marshals Serv1ce on the reverse Or ma nm.
PLAINTIFF couar cAsa NUFAD ,,,
I MARK ALAN MAsoN _ 3,O3Cv69hg—(FI.zh, &5__@t,,) A
I DEFENDANT rags or Paocass ` I
I WARDEN STRANGE, as AL RDER O SHOW CAUSE! A
- 1 R ll} ’.-L ilk ai I It- •
SERVE NAME or INDIVIDUAL, COMPANY, CORPORATION, arerro sanva on DESCRIPTION or •‘*" · ' "5 sa " is IF c ‘ •· • N
» MICHAEL E . 0 ' I-IARE I SUPERVISORY ASSISTANT STATE ’ S ATTORNEY
ADDRESS St torRFDA rt tN.,C`t,Stt dZ[PCd Ul5l‘l,.} ,. ii-,?
oasxcb nba tuna ‘Ea"f’ea°sulATsiI§" ATTSIINEY gRIU{;§:E;i{¤1;·`,»"}·‘*£ ‘ I
AT 300 CORPORATE PLACE , ROCKY HILL I CT 06067 " "I I
EEEYLIEQHQEPE. EEYIQELOBLTQ [email protected]§.TE'L*E SWE Al@;’*P.DB*E§§'LE!’HL..-i Number of pmcess to be
I*“ Iserved with this Form - 285 1
MARK ALAN MASON #188879
CARL ROBINSON CORRECTIONAL INSTITUTIOINumber of panics to be I
PO BOX 1400 Iserved in this case ¤_ I" 1 i
ENFIELD. CT 06083 I Zn I
I Check for service "‘“ i ` Jl UQZI `
-------- -. ------ .... ....... - ...... ... "...... I vn U.S.A. I {II
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business Egg Al efnate Ad ` sses, All
Filggephone Numbers, and Estimated Times Available For Service): gi -- -, ·, `·
.w.. - - ,· git Fold
*— ._ if Z:‘:S.` " ' ——
C12, E; 2-zé _I¤‘ I
is " _,J " ·~·l ~ . I
{.2 .— IN FORMA PAUPERIS EE _ E
I i `‘‘· I yl ‘ . 4;.3 sz? y_ ,
Lili`. 'OO- VICE ON OR BEFORE NOVEMBER 5 I 2003 I
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':~···’ ir (-rf) 'i
I-f·J·,·, »RElQS_PONSE DUE ON OR BEFORE NOVEMBER 19 , 2003 I
Signatumiefgilgttomeyidr othefr3Originator requestin ervice on behalf of: 2] PLMNTIFF TELEPHONE NUMBER DATE ‘
CLERK"`S_:..`·OF'E;IC · I iii DEFENDANT {2Q3)529,,..5B6] ]Q!29 {Q3 I
SPACE BELOW FOR ` E OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
l acknowledge receipt for the total Total Process District District Signature of Auth d USMS Deputy or rk Date
number of process indicated. of Origin to Serve _
(Sign only first USM 285 if more 1 _
than one USM 285 is submitted) I No. A. N0. &; I U ‘* I
I hereby certify and return that I Eave personally served. I] have legal evidence of service, E have executed as shown in "Re s", the process described I
on the individual, company, corporation, ctc., at the address shown above or on the individual, company, corporation, etc., shown at the address inserted below.

I;] I hereby certify and return that I am unable to locate the individual, company, corporation, ctc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of suitable age and dis-
l;l cretion then residing in the defendant’s
usual place of abode.
Address (complete only if different than shown above) Date of Service Time W I
ȢA //.*2r pm
Signat · of U.S Ma . I or Deputy
.. L. ,
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U,S. Marshal or Amount of Refund I
{vv/_ (including endeavors) ac, % - ..22
éf 3·:-‘? 4 SPO' }-gc'? I
REMARKS: I
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tneuznsiaa
PRIOR '?"“"°NS 1. CLERK OF THE COURT I I
MAY BE USED I
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