Free Summons Returned Executed - District Court of Connecticut - Connecticut

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· Srirvlcc of Process by
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AFFIDAVIT OF SERVICE — Individual l
Service of Process on: i
caiwou co1.sUnN,LL1> —R*¢l¤¤•‘¢l L- $¤•¤t>¤¤¤ `
Ms sheney Label! Court Case No. __________ B
ss Griftin nm seam 31 O3 QV l OO%>C$(e·L°· i
Bloomfield, CT tltillll2 E
o ssw___________ssssssHYwm ______ _. sssssv M _ _ __ _ i
State ol`: Tgxag )ss. I
County ol': Bexar I
Name of Server: E , undersigned, being duly swom, deposes and says
that at the time of service, sfhc was over the age of twenty-one, was not a party to this action;
D¤f¢fTim¤ nl $¤•‘vi¤¢= that on the 2.!l$}.day of 20 9;, at 4.aA.‘§,<>’¤l0¤k .P.M S
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l"¤<=¢ ut S="*·=<== at ............................ - .................. . .............. · in y
Documents Served: the undersigned served the documents described ast iso Z
Summons and Complaint ‘ - `D i
It i ri '’’‘
Service of Process on: A tmc and correct copy of the aforesaid document(s) was served on: {
Richard L. Sampson - l·· '
§;s§:dS§g?&;': Q] By personally delivering them into the hands of the person to be served. r .0
[I By delivering them into the hands of , a person of
suitable age and discretion residing at the Place of Service,
whose relationship to the person to be served is
Description of Person The person receiving documents is described as follows:
R°°°l"l“‘# D°°““‘°"*" Sex .M._; Skin Color .Jith.:i..t..e._; Hair C0lor.B.i:.¤;nm......; Facial H&ir.N..Z.A.............
Approx. Age 50 ; Approx. Height Approx. Weight L
I3 To the best of my knowledge and beiieii said person was not engaged in the US Military at
the time of service.
Signature of Server: Undersigned declares under penalty of perjury Subscribed and swom to before me this
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S' of Server (Date) N Public (Commission Expires) `
APS International, Ltd. _
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{ June 5,2007 E l
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