Case 3:07-cv-04759-WHA
AO 440 (Rev. 10/93) Summons in a Civil Action
Document 9
Filed 09/26/2007
Page 1 of 2
United States District Court
NORTHERN DISTRICT OF CALIFORNIA
MAGDALY ORTIZ-MORALES
SUMMONS IN A CIVIL CASE
CASE NUMBER: CV 07-04759 WHA
V.
TO: ALBERTO GONZALEZ et al
YOU ARE HEREBY SUMMONED and required to serve upon PLAINTIFF'S ATTORNEY
Iraj Shahrok, Esq. 572 Ralston Ave. Belmont, CA 94002 (650) 591-9604
an answer to the complaint which is herewith served upon you, within 60 days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgement by default will be taken against you for the relief demanded in the complaint. You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
September 26, 2007
CLERK DATE
Susan Imbriani
(BY) DEPUTY CLERK
AO 440 (Rev. 10/93) Summons in a Civil Action
Case 3:07-cv-04759-WHA
Document 9
Filed 09/26/2007
Page 2 of 2
RETURN OF SERVICE
DATE
Service of the Summons and Complaint was made by me 1
Name of SERVER (PRINT)
TITLE
Check one box below to indicate appropriate method of service
9 9 9 9
Served Personally upon the Defendant. Place where served: ______________________________________ ______________________________________________________________________________________ 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 (specify): __________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
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 Fees is true and correct.
Executed on
___________________________
Date
______________________________
Signature of Server
______________________________
Address of Server
(1)
As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.