Free USM 285 Returned Executed - District Court of Delaware - Delaware

Case 1:04-cv—01542-Gl\/IS Document 53 Filed 11/08/2005 Page 1 of 1
U S De artment of Justice PROCESS RECEIPT AND RETURN
‘ _ ' P ‘ ` _ - See Instntcrinns for "Service of Process by the U.S. Marshal"
UHII€Cl SIHIBS Marshals Serv ICE on the ievec·cg· of this form. _ — -

PLAINTIPE · , , { COURT CASE NUMBER
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DE ANT __,. - _ - _ _ _ y TYPE OF PROCESS P ,
4/. .Derr‘tc.;< Gmc/ /rx AJ c,t/,/
NAME OF INDIVIDUAL, COMPANY, CORPORATION, TC. . TO SERVE OR DESCRIPTION OF PROPERTYTO SEIZE OR CONDEMN
VE ' g ¤ P
ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
/ I ‘ · . ·
AT E { E, Q
§EElL"PEE?.‘?£SEE’EE QODLT9. EEEPELEETEILSI EWE £.l`ll).L*2Dl*’.¥*S;.Efl£’E’;-| Number Or prgcgyg [0 be /
’ ’ _ { I served with this Fonn - 285
I K6!//V C- gt`F’r·’i7zl£~’F?/ i' Q-
, _ {Number of panics tn be -
/ tcl O C ‘ * - - ·
Iserved IH [h]S CDSC
’ / _; 3; |Check for service
____ ___ _____ __, ____ _ _______________ ______:on U.S.A,
SPECIAL INSTRUCTIONS OR OTHER INFORMATION TI-IAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses. All
F'Ig£ephone Numbers, and Estimated Times Available For Service);
Fold
Signature 0 tomey or other ' ' ator requesting se ice on behalf of: TELEPHO NUMBER DATE
_ g rs PLAINTIFF ,... P
./L " I] DEFENDANT fj T 5 "CJ S
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature oi` Authnrized USMS Deputy or Clerk Date
number of process indicated. of Origin _ to Serve _,/"
(Sign only Hrst USM 28*5 if more ( ‘ 4 i &/ S D >
than one USM 235 is submitted) No. ,_,_ No. __, _, ;__.._ · —
I hereby certify and return that I ave personally served. K] have legal evidence of service. [E have executed as shown in "Rcmarks". the process described
On the individual. company, eorpo ·tion, etc., at the address shovvn above or on the individual. company. corporation. etc., shown `at the address inserted below.
lj I hereby certify and return that I am unable to locate thc individual. coiitpaity. corporation, etc., naitnetl above {See .|'|.'J'7I3I`.kS below.)
Name and title of individual served (if not shotvn above) _ _ _ _ __r_i A person ol' suitable age and dis-
3 _ j - · - e ` i lj cretion then residing in the defend.ant`~.
L r I, » ~ ‘” { L ; _ I [ g usual place uf abode.
Address (complete only ifdiffereiit than . hown above) I U H r' Date of Service Time am
i . 0 » ,
rd /0; _s. 2O Em ,
Signature of " . M· hal or Deputy
I I I wev-
{
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits .·’\mount owed to US Marshal or A nount of Refund
( including endeavors) _
REMARKS:
T et `
F RM -285
¤‘*¤°;EPg;ggNS 1. CLERK or THE coURT ° USM me mw)