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

I FILED _____ Looeau
_____ RECEIVED ____ COPY
AUG 1 5 2005
CLERK U S DISTFIICT COURT
DISTRICT OF AHIZOSISPUTY
James Rozalcwycz S ~E:—.“ E _ ° ' tu _,_ W.,
136 w. Main street, sorta 101 District of Arizona 2
Mesa, AZ 85201
(480) 962-1186
Albert D°L°°n Case Number 04-446 PHX PGR (MS)
Plaintiff
Vs.
. DMR S°h"i"° ( Certificate of Service by a
Private Process Server
A Defendant
I, James Rozalewycz, the undersigned, being duly sworn and say: That I am duly qualified and licensed in the
County of Maricopa to serve process in and for the State of Arizona, pursuant to ARS Statute 13-472 and RCP
4(d), 4(e) and 45(b). Having been so appointed by the Court, that I received the documents for the following
action listed below:
Summons in a Civil Case and Civil Rights Complaint by a Prisoner
That I received those said documents and that I personally served true copies of the above documents on the
person / entity in the above action at the time and place shown below:
Date and Time: August 11, 2005 at _____AM 1:15 ____ PM
_ Location: 1104 N 3"' St., Coolidge, AZ 85228 l
Person Served: Michael Reyna _
Relation: Self
I declare under penalty of peri ury that the foregoing is true and correct.
Sammy; of Cost:
es Rozalewy A.C.P. 44 Service: $100.00
Maricopa County Process Server Doc. Prep:
I Mileage: $36.45
Executed on: August 15, 2005 TOTAL: $136.45
State of Arizona ) Subscribed and sworn (or affirmed) before me this [5.1% day
County of mad m an ) of 20 0 .
____ OFFICIAL SEAL .
I ,;;.1...:-:; (;Hm5T]NA M gotary Public 0 Q
I —- ~· F2 2 - I FI ~
Is); "mmltihkplcoum
. _ mom. Ir•eJ¤¤-3°·2°°7
Case 2:04-cv-00446-JAT Document 154 Filed 08/15/2005 Page 1 of 2

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UNITED STATES DISTRICT COURr y it
District of
1 Albert DeLeon sUMMoNs IN A CIVIL CASE
V. ` ‘ `
. Dora Schriro
CASE NUMBER: 04-446 PHX PGR (MS)
TO: (Name and address er Defendant) _ C i
· .· . ·· = - .· ..: .,··z·w»` .`,. mer ···· eee-..=ee¤••··-.n»»¤e•v.·ms,;.e. . ~·;,e—.ie-.:~e»m¤.—»eimn¤¤¤mwv ~. ¤|%**\‘·i
Michael Reyna · ‘
Corrections Officer _ .
552 W. Spruell Ave `
Coolidge Ave 85228 - ‘ `
in _ an YOU ARE HEREBY SUMMONED and required to serve on PLAINTI1-TS A'1;I`ORNEY (name een adams) - A
Albert DeLeon #32814 l ‘`"i Ti
ASPC Lewis RAST Unit `
_ PO Box 3600
Buckeye AZ 85326
an answer to the complaint which is served on you with this summons, within 20 days after service
of this summons on you, exclusive ofthe day of service. If you fail to do so, judgment by default will be taken against you
f6i‘°`tIiE`t"é’lief de1nairdettt‘in"tilé“o ‘“‘?t'1tty‘/aj‘its = "u ‘= ·‘‘‘ •"· •1 · ·- · •· 1 — »e» · _ » · · ‘ so · a·‘ ·· — »·
— Clerk of this Court within a reasonable period of time after service. I
I I I · . I or C . 2 I
5 . -·.` ; I . Z- I- no 1 1 I
F ei _- YJ y ` I “ ``il`- if .‘·- C i
Richard egiiev`- it — ·.=t ` . 8/09/2005 A
cram; . _ 1 DATE ‘
C S/M.1ae1eee t*'t * 1 ~ ~ 1 I D
Q (ay) DEPUTY cram;
— Case 2:04#cv-00446-JAT Document 154 Filed 08/15/2005 Page 2 of 2

Case 2:04-cv-00446-JAT

Document 154

Filed 08/15/2005

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Case 2:04-cv-00446-JAT

Document 154

Filed 08/15/2005

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