Case 1:04-cv—01542-Gl\/IS Document 51 Filed 11/08/2005 Page 1 of 1
U S De artment of Justice PROCESS RECEH I M m REI um
' _ ‘ p ` _ See lnstnrctlrrns for "Servlce of Process by the U.S. Marshal" _
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United States Marshals Service . I · · r i· r _ _
Pi..AIN"l'"IFP ,. _ - .- _ I COURT CASE NUMBER
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DEFENDANT , _ TYPE OF PROCESS
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NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC., TO SERVE OR DES RIPTION OFIROPERTY TO SEIZE OR CONDEMN
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ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
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AT ·O- is e 3 O • is ·‘ Q,. z,%5"73'7
2$§'L’*PEQi2E @@55 QOELTQ EQQEETEULI EWE &"P;’*2D£§§.'£€E’H; - I Number Oi process [0 be
IV L! ·. E B Q J .·-/rg Iserved with this Form - 285 /
M _ : Number of parties to be
C K gserved lT`| this CBSC 9 J
I S -/ C2 ? lCheck for service
______ _ ____ _ _______ ‘________;_ _ ___£__ _____:on U,S.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE {Include Business and Alremaee Addresses, All
Eilephone Nun sIimated Times Available For Service):
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Signature ofAttomey or other Originator re ` service behalf of: TELEPHONE NUMBER DATE
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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 of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve
(Sign only first USM 285 if more
than one USM 285 is submitted) No. No. __ T,.
I hereby certify and return that I lj have personally served. [I have legal evidence of service. lil have executed as shown in "Remarlts", the process described
On the individual, company. corporation, etc., at the address shown above or on the individual, company. corporation. eIc.. shown bt the address inserted below
F I hereby certify and return that I um unable to locate the individual. company. corporation, etc,. named above (Sec remarks below)
Name and title of individual served tif not shown above) - __ A pgrggn gf sutiable age and dis,.
Z ` ’ l__. cretion then residing in the defendants
{ ‘~ ‘ - usual place of abode.
Address (complete only if different than shown above) l V Date of Service Time am
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Signature of U.S. Marshal or Deputy
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Service Fee Total Mileage Charges Forwarding Fee rTotal—Charges Advance Deposits . Amount owed to U.S. Marshal or Amount of Refund
( including endea vers)
REMARKS: `
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