Free Summons Returned Executed - District Court of Connecticut - Connecticut

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f Case 3:03-cv-00620-DF|\/I _ .F1§d 10/14/2003 Page 1 of 1 1
1 U.S. Department or Justice 1 v ·‘1‘ if »/=1 " 1I’IIDIII?.S DDFDIPI AND TDIIN 1
1 U · d S , _ See Insrru·ct1ons for Service of Process by the US. Marshal"
1 S€I·VIC€ __,,1..= 1 1 pn 'léigrgrgg gf {his f0;·m_ ,
1 PLAINTIFF . . —
1 · CHAD · *U 1 1l;CTl€ COURT CASE NUMBER
1 5l‘r·¤=11»O Hermrcmclezg l6$1I@`lIlBl` geggaorgesg RN; bpm
1 DEFENIIANI I - TYPE or PROCESS ¢"'W£77F¥
.$·:;•\¤~ \q¤W\6`lrrc>1»s ~ Cccrxmxéesio/GC.? OID C0 P1"` C21;) 1 1 o ru " • B
-$ NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN 1
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1 ADDRESS `(Street or RFD, Apartment NE., CK-;. .Srate and ZIP Code) C/O mana? Gan Z { 61Q,L ` 1
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-..D..I`i.DEQ>I2E.§`IB}’L‘2E‘LD.I?.IL.I.9. BIBQEETEILEIQ NWE .·;'§iD.;.*.I2.DLII£`>$;IEQ}.‘.’;-1 Number of process to be \ TTM IUI ` 09--1
-- ‘ I - I d ‘1hrh‘ F -285 CI G he
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C-Ol_`l""\ig]’\} CC: \"I"‘ :NI.Imber of panics to be ` END IIN-II '·-DID` 1
l C1 Y (0 ·J\}OF"‘t.A,l 1 C/\-\ 1\§‘_,, f_____, \_`§Do\(; gserved In th1s case cj rMC§;?)g·:k_·;_\ _
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___________.. _-........,.......... ___.__.___ ____________: on U.S,A, . 1
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business anfé-` ltenilite Adilressds. All
. ggéephone Numbers, and Estimated Times Available For Service): , _ ___ (..2 ·· * , .1 .1 I 1
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Signature f Attorney or other Originator requesting service on behalf of: ¤ PLMNTIFF TELEPHONE NUMBER DA'l`E/
_ jJ·· , ;=i__ 1] DEFENDANT 9..C;>%·*5°?Cr·"‘5‘§§ tel Y /Y/OS 1
SPACE BE Ir"' USE OF U.S. MARSHAL ONLY—DO NOT WRITE BEIIOW 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 1
(Sign only first USM 285 if more __ A 'J
than one USM 285 ls submitted) No.! No. _& A K A 1
I hereby certify and return that I ave personally served, I] have legal evidence of service, I] have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual. company, corporation, etc., shown at the address inserted below. =
lil I hereb certify and retum that I am unable to locate the individual, company. corporation. ctc., named above (See remarks below)
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Name and ` le of individual rved (if no shown above)_ A person pf suirabtg age and dig-
I / ' { 5% lil cretion then residing in the defendants `
AALLI: r I , ·’ U A- Q4, usual place 0 abode.
Addres (complete only ifdl ferent han shown above) Date o Serv'ce Time @
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Service Fee Total Mileage Charges Forwarding Fee T I Charges Advance Deposits Amount owed to U.S. Ma§‘§l1_a.lior c·;:)Am•}q”H_T;bf Refund
_,- (includin; e eavors) dm rg? E4: Q _ 1
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FORM USM 285 (Rem I2/I5/80)
3 I’IIIDII EDITIONS 1. CLERK OF THE COURT ` 1
I MAY BE USED 1
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