Free Summons Returned Executed - Complaint/Habeas Petition Only - District Court of Arizona - Arizona

Department Of Jusugc _ E Ta __ Sec Instructions for "Service by the LLS. Marshal" I
Umted States Marshals Servnce pn me reverse of we rm. .. -
nigrrw ‘ I ‘ I counr C-ass.
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DEFENDANT as . TYPE OF PROCESS " _ _ 5 ·; .
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I‘ SE NAME IZNDIVIDU L, COM I I‘ c0n1>qIgA*I10N, SERVE OR DESCRIPTION OF RO EKTYTO E , g_;ég_ *jk;-_; \
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ADDRESS ($i¢I'B€I` Of EPD, NO., ity; St8lB`l11d*Z[P I I
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“= l'NS'I'RUCl'IONS OR 0*11:%:11 IJEFDRMKTION TI·IA1‘_ WILL ASSIST IN EXPEDITING SERVICE (Include Busi I and AI _ Addre J5, All .;
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. SPACE BELOW I .. ONLY—l1O NOT ' ·· ‘ I I _ ‘ _
latna , “"“' T"“” mi I ETQSB SII IIIIII III I I I °‘?’IL`Q’s "‘**** I I ‘ ·‘ a tsE‘
i- · I (S;Qg1a.0nL1r___rirst USM 285 if more I fg I & I - S - _ II eg; |
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I hereby certifyIand‘return°Ihat I EI hawje personally senred, I] havedegal evidence of service, FI ave executed a§`!1wwg_ir¤ 'Remarks", she -
` I pr; individual, conipany,-corporation, etc., at rbeaddr~ess_sh0wn above er en-the indiyidual. company. corporation, enc., slfbvfi btjlpe aidressinséned " n
h hereby ccrtifyrsand irwkrn that [ em unable to individual, ‘c0r;_1panV, ecrporrztienill;-ete,,4 (Sec remarks bélere) T . - *2.
Name and title-of individual served (if nor alibvej " II ~ II I` I ~. II A pcrsnn of suitable age and dis- ‘·I
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II —ServiceFee ‘· I ffctal Mileage Charges Forwarding Jeml Charges Deposits! lkmuuntpeled I0 Marshal or Krnnuntcf Refund I ~;
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° I£Y.·°§E m°” I is 1. EL£m I "%as_e 2:04—cv—00572—I\/IHIVI—LOA Document 62 ;FnIed_ 08/22/2005 Page 1 of 1 I
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Case 2:04-cv-00572-MHM-LOA

Document 62

Filed 08/22/2005

Page 1 of 1