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Case 1:04-cv—01542-Gl\/IS Document 52 Filed 11/08/2005 Page 1 of 1
U S De artment of Juqtice PROCESS RECEH I M In RETURN
' _ ' p _ _` _ See lrtstmctions for "Service of Process by the UCS. Marshal"
UHlI€d SIZHICS IVIBISIIHIS S€I`VlC€ on the reverse of this form. ' _ _ _ ; i
I PLAINTIFF - l 74) ’ COURT CASE NUMBER I I I
I/' - I_ I- Cl —·c/5 , ‘ -fVl·.5"..
DEFENDAN - *_ TYPE OF PROCESS . »
SERVE NAME OF INDIVI UAL. COMPANY, ORPORATIOIEI, ETC.,TO§ERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
' l/KU"}/lt`
· ADDRESS (Street or RFD. Apartment N0., Ciry State and ZIP Code)
AT // / /4 ck I . . S`m»· Q- Q7;
§*?~."llLli'9EQ5PE @@55 QODJQ BIQEEETEILE Eellii ;’*.@;°*P.DE§§*El§l’ ; - I Numbc, or pmc ss K, be
I—— · lf N Q [ l lserved with this Form— 285 /
Ke z » ._ O
. r I Number of parties to be 7
// 9 X C K R cf Iscrved in this Case
7
I , X 7 7 ICheck for service
__________ ___ __________________________ : on u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAI` WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alremate Addresses, All
Flglephone Numbers, and Estimated Times Available For Service):
ta rata
Signature of ttorney or othe l iginator reque· ng rvice on behalf •.. r TELEPHO E NUMBER DATE
_ . L_, y [ I! LAINTIFF ____
J; ri . ·* lj DEFENDANT ‘ S -5 ··" (J- 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 ol Authorized USMS Deputy or Clerk _ Date
number of process indicated of Origin to Serve/ `
{Sign only first USM 285 if more / , U {
than one USM 285 is submitted) No. No. · _ ?;_ . ~
I hereby certify and return that Ktave personally stgvied, Q have legal evidence of service. l] have executed as shown in "Remarks". the process described
on thc individual, cotnpany, corpor tion, etc. at the address shown above or on the individual. company. corporation. etc., zthown ht thc address inserted below.
ll;] I hereby certify and return that I am unable to locate the individual. company. corporation. etc. named above {Set- r.-:n1arlr.» below)
Name and title OI individual served {ltr not 5l’10W.•‘l 21b€t\/8) ·°`· I I;] A peryon. t_>l` xottablc age and dix-
‘_ V __ ` _ i ` cretion then residing inthe def`endant`s
L f» ‘ m.· _ ` " †" my · ·_ I usual place of abode.
Address (complete only if ditlerent than shown above) I Date of Service Time am
. : // of _3 TZO Pm
. l i. ~ _ U . _ I • Mar i or Deputy
_ _ — J I I fr r Cfujjy
N--`_ "" IMM :
Service Fee Total Mileage Chargcw Forwarding Fee Total Charges Advance Deposits Amount owed to Marsltal or · ount of Refund
(including cndea vors)
REMARKS: ` t
TSKLI Slmvétl —- A’§w\..,/\ bldg
-28 {Rev. l2JI5/80
{gg>gE¤g;“;¤gNS 1. cuzmc or THE count '*°*“* USM 5 t