Free Waiver of Service Executed - District Court of Delaware - Delaware

Case 1:04-cv—01385-Gl\/IS Document 16 Filed 10/31/2005 Page 1 of 2
U S De attment of J ustice PROCESS RECEH I M ID RE I URN
' _ ' P ` _ See Instructions for "Service of Process by the US. Marshal"
United States Marshals Service on the reverse of tree form.
•
PLAINTIFF r e COURT CASE NUMBER
if A J H I
D JN · NT L. TYPE}OF PROCESS t, fd
- ‘ r ,é_;
0 . » , _ A A .@L . /VI-3
S RVE N E OF INDIVIDUAL, COMPANY CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
» I 64* I
ADDRESS (Street or RFD, Apartment No., City }State and IP Code) 4
, _¤ Mt
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AT CEC . a.a_.a,» yl 4 4 I · .
¥§'Ll*.@EQ32.'1E$E’!SE EQDLTQ BIQILEETEILPQ SWE £l`B2;\P.DBI§i‘@i)!;-| Number O ‘ meets .0 bg
· '"E 2 pf Iserved with this Form - 285 /
[Eat A/I P
0 9 :2 I
M / F _ I Number of patties to be
/‘ » I sented in this case _
5 7 ; ; ICheek for service
________ _ ___________________________ : on u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Busine and Altemate Addresses, All
Telephone Numbers, and Estimated 'Hmes Available For Service): /
FEE C A 5’ _, A Mz I EE
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tf ’ 6/ " { /57/9
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3* '( 7T M Q %
ry. /:2 ( · , {ff Q . / ;
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Sig ure of Atto y or other Origi ator quest 'A = vice on behalf of: PLAINTHIF TELEPHONE NUMBER DATE
J; » " _ _ _ ij DEFENDANT Q-2


SPACE BELOW FOR US ' OF U.S. MARSHAL ONLY — DO NOT VVRITE 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. oI'()rigin to Serve
(Sign only first USM 285 if more [ 1) 5
than one USM 285 is submitted) No. No. __-s.., ` e .. > JL
I hereby certify and retum that I [I have personally served. E have legal evidence of service, [I have executed as shown in "Remarks", the process described
OI'l the individual, company, corporation. etc., at the addres s own uhove or on the individual. company, corporation. etc., shown Eat the address inserted below.
lil I hereby certify and retum that I am unable to locate the individual. company, corporation. etc., named above (See remarks below)
Name and title of individual served (if not shown above) A pggsgn or Sujlabie age and gis-
Cl cretion then residing in the defendanfs
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
it Qu .,..
Signature ag Marshal or Deputy
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS:

PRIOR EDITIONS 1 FORM USM~285 (Rev. I2/`I5/BO)
MAY IIE USED °

Case 1:04-ev—01385-Gl\/IS Document 16 Filed 10/31/2005 Page 2 of 2
RETURN OE WAIVER OI? SERVI(`lC OF SUNlI\*I(.)NS
I acl-tnowledge receipt ofthe request that l can waive service of summons in the niaucr of
C`./\. No.tl4—t385 in the United States District ol`Dclawarc. I have also received a copy oline
COIITIUILIIIII lll IIIC ZICIIOII, two CO])I€S OISIIIIS ITOTIII. Z1CO])VOl`Il`tCOl`tlCl`t.>'l`lllC(`Otlfl <lllI(>l'I7.llt§l
service LIIILI 2I ITICZIFIS VVIIICII I CHU I`CIIll`ll IITC SIgl1€(I \\’2lI\’Cl` \\#`lIlIOIlI cost to INC.
I LtgI`L3C to SEIVG IIIC COSI (if service OI`}! SUIIIIIIOIIS Ztlltl Ztll Zltl(Ill.IOl]&Il COD)! ol` IIIC COITIIIIIIIIII
in this lawsuit by not requiring that I be served witltjudicial process in the manner provided hy
Rule 4. I will retain all defenses or objections to the lawsuit or to the jurisdiction or venue ofthe
COIIYI. except l`Ol` OIQICCIIODS IULISGCI Ol] Zi defect III IIIC SLIITIIIIOIIS OI` III IIIC S€1`\/ICC OISIIIC SIIIIIIIIOIIS.

I LIIILICISIQZIIICI IIIZII Z1_lIl(Ig€lH€IIl Illily IDC €lII€l'€(I llgZIIl]SI IIIC Dklfty Oil VVITOSC I7ClIZI.ll`l (Illl
acting il` a response is not served and tiled within 60 days after: October I I. 2005.
Date; /0 U ri
zSignatt of Defendant Printed or Typed Name -
DUTY TO AVOID UNNECESSARY COST OF SERVICE OF SUIVIMONS
Rule 4 ofthe Federal Rules ol`Civi| Procedure requires certain parties to cooperate in sayin;
tIlIllCCCSSLll`}·' cost OI? service Of`ll]C SIIITIIITOIIS ZIIIQI IIIC COIIIDILIIIII. A (ICIICIICIHIII I()C1\IC(I Ill III(‘
United States, who, after being notified of an action and asked to waive service of siinini0¤$
on belialfof a plaintiff located in the US, fails to do so will he required to hear the cost of
SHCI! S€I`VIC€ IIIIICSS gO0(I CZIIISC I)C SIj()\VIl f()I` YIIHT (I(2I.CII(I2lIII`S IIZIIIIIVC I() SIQII IIIICI E`l?IIII'lI {IIC
waiver. I
It is not good cause lor a tailure to waive service that a party believes that the complaint is
IllIfOIIlI(lCtI, Ol` IIIZII `IIIC ZICIIOFI IIEIS DGCH lJ]`OlIgllI III lll] IltI]]l`O}7Cl` IUILICC Ol` ll] 21 COIll`I` IIILII IIICIQS
LIYISCIICIIOIT OVCl` IIIC SLII7_l ect lTI2Il§lQCl` ofthe HCIIOII Ol` OVCI` LICITCIHILIIIIIS ])Cl`SOl] OI` ]`II`Opt)l`ly.
defendant who waives service of summons retains all detcnses and obiections. except any
l`CILlIIl)g tothe SLIIUINOIIS Ol' IIIG service OICSIIITIITIOIWS, llllll Witty I£Il;Cl` OI`1_lC(;I to IIWC _itlt‘ISt.II<;ti<>t1 0 Ii llttf
Court or to the place to where the action has been brought. I
/\ defendant who waives service must within the time specilied on the "Return of Waiver"
lt>l`lTl SCl`\’CtI Ott plttllllllrl`, Ii`lIlII`C|)1`CS€l`tlCLI Ol' Ol] IJIZIIIIIIIIIIS IIIIOYIICV, it l`CS])0l1SC to IIIC (dttlttplilltll
tllI(l IDIISI tllSO lilc it SIQDCCI (20})}/ OIIIQIIC I`CS|)OlISC \Vll.l] IIIC (SOIIYI. IIIC tIllS\\’Cl` Ol` it IUOIIOII IH IIOI
served within this time, a defaultiudgement maybe talten against that defendant. liv waiving
service, Lt tICIl‘ClI(lkIlIIL is LIIIOWCCI IHOYC IIIIIC to Etl]S\\/Cl' lltilll IIIIIIC SLIITIIDOIIS Ililtl IUCCH LICILILIIIY
served when the request for waiver of service was received.
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