Free Summons Returned Executed - District Court of California - California

Case 3:07-cv-02187-IEG-NLS

Document 12

Filed 12/28/2007

Page 1 of 2

Summons in a

Civil Actio (Rev 11197)

F\LED
01 ND\¡ \ 5 I'M 3: 54

United States District Court
SPUTHERN DISTRICT OF CALIFORNIA
l§riited. States lof~Amer¡ca,
r Plaiñtlf ... ., ,-. ~,~~. ".~ ., J'-'-.

CLERK. UO.SIST~:Cl OF C'L1FORNi,
SOIJTHE.RN

~ lRICl COURl

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tf

DEPUT'

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vs
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SUMONS IN A CIV ACTION
Case No.

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'01C' 2. 18 71EG

~~;~~:rl~~~~~tlt~~:~~~~_: '"
TO: (Name and Address of

Defendant)

Rebecca Tyree , .
6460 GorivRYCm:rt, 'SpitceUI j.~;
San bi~gO....èAo'"9ii..i?,: '. " ,,',~. :.~.~,.. ¡ , , . ';, -. .....-. .
);: r, .id'~'~::i;t)~,.:¡?, .
'-', 1',; I '.'.

YOU AR HEREBY SUMMONED and required to file with the Clerk of ths Court and

serve upon PLAITI'S ATTORNY
'~'~nnI~Mø~FÄå;;;,-~:,~:;:, '.:~:\¡!. ," ',~:_ -",

~~.s;~\m~päritrm:Jf,lt;èW~i:st¡tii:' .

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,

An answer to the complaint which is herewith served upon you, within. __.. ' days àfter

'1', '20

service of ths summons upon you, exclusive of the day of servce, If you fail to do so, judgment

by default will be taken against you for the relief demanded in the complaint,

W. Samuel Hamck, Jr.

NOV 1 5 200
DATE

A 4)uz
By
Sumons in a Civil Acton

, Deuty Clerk
Page 1 012

::ODMA\PCDO\WORDPERFCT1443\1 May 5,1999 (I 1:34a)

Case 3:07-cv-02187-IEG-NLS

Document 12

Filed 12/28/2007

Page 2 of 2

RETURN OF SERVICE
Service of

the Summons and Complaint was made by me

DATE f)" -/lg - Ó l-

NAME OF SERVER M.

P-PG/hkr

T:ç

c:rVlf

o-F

R bC.~

Check one box below to indicae appropriate method of service

IX'

r----- ~'1

I : Served persnaly upon the defendant. Place where served.

L--- discretion then reidîng therein:

, 6U. Dj .
: - -, -. Di~!J R '7tJ/ 17'

'Rebec.ca. 7Vr e.e.
abode witl a persn of suitale age and

'.'¿''I146 ConVD't Cbur-r 4t/5'

i I Left copies the fat the defendat's dweliing, house or usual place of

Narç pf person with whom the summons and complaint were left:

r-- --i
,

_J Retum unexecute:

_J OTer C-.. (speifY:

STATEMENT OF SERVICE FEES
TRAVEL
I

I SERVICES

I TOTAl

I

DECLARATION OF SERVER
I declar unr penalty of pe~ ury under the laws of the Unite Staes of Amenca ti the foregoing infonnaton contained in

the Retu of Service is tre and corrct.

,

Executeon: 12-/IR-ör
Datel:Z-liR-() l- Signatu of

~/-/7
Server

"

""

)p/' 7()T"'JfAddres of Seer

S.n" ",'

v

(lß ti /) I I c:

NOTICE OF RIGHT TO CONSENT TO TRIAL BY A UNITED STATES MAGISTRATE
IN ACCORDANCE wim mE PROVISION OF 28 USC 636(C) YOU ARE HEREBY NOTIFIED THAT A U.S. MAGISTRATE OF THIS DISTRICT MAY, UPON CONSENT OF ALL PARTIES, CONDUCT ANY OR ALL PROCEEDINGS, INCLUDING A JURY OR NON-JURY TRIAL, AND ORDER THE ENTRY OF A FINAL JUDGMENT. COUNSEL FOR THE PLAINFF HAS RECEIVED A CONSENT FORM.
YOU SHOULD BE AWARE THAT YOUR DECISION TO CONSENT OR NOT CONSENT iS ENTIRELY VOLUNTARY CLERK OF COURT. ONLY IF ALL PARTIES CONSENT WILL THE JUDGE OR MAGISTRATE TO WHOM THE CASE HAS BEEN ASSIGNED BE INFORMED OF '\OUR DECISION. ,
AND SHOULD BE COMMUNICATED SOLELY TO THE

JUDGEMENTS OF THE u.s. MAGlSTRA TES ARE APPEALABLE TO THE u.S. COURT OF APPEALS IN ACCORDANCE WITH THIS STATUTE AND THE FEDERAL RULES OF APPELLATE PROCEDURE.
I) As to who may serve a summons se Rule 4 of

the Federa Rules of Civil Procedure
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,ODMAIPCOOS\WORDPERFECTlI4443\1 May 5. 1999 (I

1:4am)