- PROCESS RECEIPT AND RETURN
D cpartrncnt Of Justice _ See Instructions for "Service of Process by the US. Marshal"
UH1t€d States Marshals SCYVICB on the reverse of this form.
t·1.A1NT1rr ·.--—-- COURT cass NUMBER _
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DEFENDANT SQ . TYPE or r· ocEss
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SERVE N ME or INDIVIDUAL, coM Nv, CORPORATION, ETC., TO SERVE on DESCRIPTION or PROPERTY T0 SEIZE on coNoEMN
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ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code)
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AT xsal 6, /277% .:~ wxtm g l7$J
EFHIDPEEEPE. EBYEE QOELT2 BEPQEETEEE §*LEél`P;°~E'2L‘E*LlH5B)H;-i Number of process to be (/
I served with this Fonn - 285
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I Cheek for serviee
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SPECIAL INSTRUCTIONS on orrnea INFORMATION THAT wrist. ASSIST IN EXPEDITING SERVICE rrrrerrrrle Business and Arrrrrrrnr.- Arrrrrrmr, All
lialjephone Numbers, and Estimated Times Available For Service): , F ld
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Si nature of At.tomey or other Originat requesting serviee on behalf of: n ' AINTIFF TELEPHO E. NUMBER
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ACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW TI·IIS LINE
I acknowledge receipt for the total Total Process District Distr ct Signature ofAuthorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve I _ ·
(Sign only Hrst USM 285 if more { O
than one USM 285 is submitted) No. __ N0. __..
I hereby certify and return that I I] have personally served, lj 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, eompany, corporation, etc., shown at the address inserted below
{ I hereby eetiify and rctum that I am unable to locate tbe individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of suitable age and dis-
U eretion then residing in the defendant`s
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
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Signature if U.iMarshal or Deputy
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits l Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS: _ V
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P¤¤gEEg;;¤gNS 1. CLERK or THE count *`°““ USFFS °‘**· """°°*