Free Certificate of Service - District Court of California - California

Case 3:07-cv-04765-CRB
A 0 440 (Rev. 8/01) Summons in a Civil Action

Document 6

Filed 10/03/2007
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Page 1 of 1

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RETURN OF SERVICE
Service of the Summons and Complaint was made by me
Name of SERVER
,

'

DATE

September 21,2007 Process Server

Charles A. Coulombe
Check one box below to indicate appropriate method o f service Served Personally upon the Defendant. Place where served:

TITLE

-

Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name of person with whom the summons and complaint were left:

Returned unexecuted:

Other (speciffl:

Personally served upon the CT Corporation designated agent fbr service of process for Defendant American Express Travel Related Sewices Company Inc. 818 West Seventh Street Los Angeles, CA 90017
STATEMENT OF SERVICE FEES

TRAVEL

3ERVlCES

TOTAL

Service of Process
DECLARATION OF SERVER

$50.00

I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service Fe

Executed on

September 21,2007
Date

614 A Fano Street, Monrovia, CA
Address of Sewer

(1)

As to who may serve a summons see Rule 4 of the Federal Rules of Clvll Procedure