Case 1:05—cv—00013-Gl\/IS Document 79 Filed 10/06/2006 Page 1 of 1
- PROCESS RECEIPT AND RETURN
U.S. Department of Justice . .. . ,,
_ _ See Instructions for Service of Process by the US. Marshal
UHIIZOCI SIEIICS Marshals SBIVICC on the reverse of this form.
PLAINTIFF COURT CASE NUMBER
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DEFENDANT TYPE OF PROCESS
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SERVE NAME OF INDIVIDUAL, COMPANY] CORPORATION. ETC., TO SERVE OR DESCRIPTION F·;j‘ROPERTY TO SEIZE OR CONDEMN
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» ADDRESS (Street or RFD, Apartment No., Cir}; State and ZIP Code)
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§F·E'Ll`£’II‘£i2ES;PEâ€IS§*l0£`LT2 BEQQEETEUE ./WE &l‘£’i*2DL**§$;Â¥l£L’;-. Number of ,,,0.... rc, I,. C {
, I served with this Form - 285
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`\ q l` 1) ' Iserved in this case _
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I g fY\; M} D E § ‘ ‘ Check for service
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, All
gelephone Numbers, and Estimated Times Available For Service): F Id
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·; ’. - e of Attomey or Other Originator requesting service on behalf of: TELEPHO NUMBER DATE ·
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J I z., __ I -J / .. _ I . 4 lj DEFENDANT 7 ‘ 0
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SPACE BELOW FO ' USE OF U.S. MARSHAL ONLY- DO NOT WRITE BEIJOW TI-IIS I
I acknowledge receipt for the total Total Process Distri t Distriet Signatute of Authorized USMS Deputy or Clerk Datc
number of process indicated. of Origin to Serve
(sign only not USM 2.95 if more ’ m
than one USM 285 is submitted) No. No.
I hereby certify and return that IE gave personally served, Q have legal evidence of service, I] have executed as shown in "Remarks", the process described
on the individual, company, eorporation. etc., at thc address Shown above or on the individual, company. corporation, ctc., Shown at the address inserted below.
EI I hereby certify and retum that I am unable to locate the individual, company. corporation. etc., named above (See remarks below)
Na_ e and title o individual served (if not shown above) A pm-Sm gf Suugblg age and dis-
I n { . l , I KZ I;I cretion then residing in the defendanfs
‘ _ ( , · I J · I usual plaee of abode. _
Address (complete only if different tha shown above) Datc of Service Time am
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Sign ture f U.S. Marsha r ·f•~ »I
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Serviee Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amo · of Ref§‘é`¢iI:
(including endeavors) It
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REMARKS. C? ig:)
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*’_{:$gEEg;;¤gNS 1. CLERK or THE COURT mm “S’“·â€5 me â€â€™â€œ'°°’