Free Summons Returned Executed - District Court of Connecticut - Connecticut

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DATE: 1.0/03/03 TIME: 11:25 : 6 k z- 81-2 D-6 — ·-· - · - ‘
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L AFFIDAVIT OF SERVICE - Individual
Service nf Process on:
CANTOR COLBURN, LLP -Allison li. Sampson
Ms Shelley Lebell Court Case No. ___________
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N¤¤¤¤ of $¤¤’¤'= E1 , undersigned, being duly sworn, deposes and says i
that at the time of service, sfhe was over the age oftweuty-one, was not a party to action;
Date/Time of Service: that on the 2 nd day of October , 200§__, at 4 = 45 .o'cloel{.fE M
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Documents Served: the undersigned served the documents described as: ‘ , is i
Summons and Complaint I
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Service of Process on: A true and correct copy of the aforesaid doeument(s) was served on: in ii)
Allison H. Sampson '"
:l°;£LS:li;:dé;': I] By personally delivering them into the hands ofthe person to be served.
Ek By delivering them into the hands of . eperson ot` -
suitable age and discretion residing at the Place ot`Serviee,
whose rclatiqgship to the person to be sCI'vCd is
Description of Person The person receiving documents is described as follows;
R“°M"g D°°'"“°“t”° Sex JL; Skin Color .i£h.j..t.ie.,; Hair Color.,B,r:,q,un_,_,,_; Facial I-]air_MLA_____ L
Approx, Age 5 O ; Approx. Height 5 ' 1 0 " ; Approx. Weight _§_QQ____ (
I3 To the best ofmy knowledge and belief said person was not engaged in the US Military at
the time of service.
Signature of Server: Undersigncd declares under penalty ofpcrjury Subscribed and sworn to before me this
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APS International, Ltd.
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