Free Waiver of Service Executed - District Court of Arizona - Arizona

.`_ , V FiE§Ei‘l'Ei? {WC; A l U -
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i ` · _ _ CEIPT AND RETURN *
Devmment Of Justice _ see rnnmcmm rm ··s¤wr¤¤ or Process by me us. Marsrrw
UD1tCd States M3ISh3lS SCYVICC _ on the reverse of this form.
I · s a';·1|1a1§."'Ht’|IIlI5I. —
PLAINTIFF Y. " ' ' ' i COURT CASE NUMBER "
Armando Yo buts Ava; IH · cu-o .·aot;— R1- g a
DEFENDANT . .. . .. . .. ...~,.r; A S.-·:r•.\l’ S
t@T1<11:¤ ui ;1:n;1.i.-11aW' 1 .
lbrnbon . LZ AZ . ` . Fllifiln ain lp H
SERVE NAME OFINDIVIDUAL, CORPORi\Tll)Nr,EI‘C..TOSERVE OR DESCRIPTION M p l ‘ r ¤· ·’
· Corrtehonal Diitcev IIE S haulrri 1 V __
e ADDRESS (sneer or- Rm, Apartment No., Cion Sw: ¤ndZlP€`¤d¤) A5 P L — F lo g,-nee,
i AT t’.o. Box. Bzoo ‘ Fluent; Arrasna Boaz:. C ,_ ' _
l s.¤.e¤.¤~m<;¤i>;s.¤¤;va=ae¤.¤:‘Lr2e¤@a¤a1ie¤..a.11a¤ee¤2£¤@a¤e¤1e-. Nmw of . t§§THlC`l` gggar
- T 1 Iserved witl1y ' · _ · :._ _, — ..
It Armsnlls K. Ams mi 4F disco! ‘i - · e u.
A5P£.- ’l'Zte;o·n I Rincon Llnfl. ‘- ’~ lrrumberorpmnesmbe C+] `
tooo:. 5. Iahlmat EA. . H _ )1¤¤~¤d_i¤¤·i¤<=¤¤= '?“' `
I P.o. Box 1++oz A ’ ,Ch_xH0r mm
....... .1-*£f2°2..1 .4; 'L*.’:£‘.1é..8..5.7§f; ..°i;°l2§ ........ :011 u.s.A. 1 E
SPECIAL rNsTRUCI‘10Ns OR OTHER INFORMATION mar wm. Assist IN Ex1>ED1‘rnvG SERVICE {rmrude Busrmm me Armm Adauems. All
gllephone Nurnbers, and Estimated Times Available Rv Service): H md
"’ De-ienllzu-if l.Seh.a.ttlm [First name/tnthal unknown l I5 'PC.Tl‘l.1lC- anal is of _
A‘l)1'lL2.|1 Amr.·r1c.:1.n cieccnf . jh:. is present ly 15$tg"1”lLCl-`HS 'l`l·t¢.l c.h.11·rpe·r.so1"l
Di: ih:. £·1s*lt·ll.L'l1or1.a l Cjssstfrcaiton Commtliee C IF.;) liar Curr} ral Und`;
anal 1:. weapons. bla ·h>r Teclasslpying ll‘l‘ll'l8.ll£..S 4.l* ‘l’l‘1aL+ -pae1ltf)4 . 1 e ·-
., :__ . _ _ ., , `FlorLnt'.£. .. _. I '
L [:1-l1i*rl.11:lr.al. wovli l’Lou.rS 7 BYDD·‘1.m. ··' BZOD U) { Com te! l·1¤ne#'J$ l i . - ‘ ll)
Signature ofAttorney%tl1er Originator requesting eelrvice on behalfofs I. PLAINTIFF TELEPHONE UMB ' DATE _
djlmycdla . due. E I 1:1 DEFENDANT D"i /23 '/D5
SMCE BEIDWFOR USE OF 1U . MARSHAL 0NIY—DO NOT WRITE BEIDW THIS LINE
[acknowledge meeipr forthe mm mai Process manu District sig .- · or . · my usavis Deputy mma; —
number ofprooess _ ofOri 'n to * V V ·
(Sign only first USM 285 if more I Q . §t if ‘ M V F ‘
than one U3M285is submitted) No. _...._. No. __ A_ ‘ _
I hereby certify and retum that ll] have personally ·. · lilirve legal evidence of servi¤e·,—[:I have executed as shown in "Remarks", the process described
on the individual, oornpany, corporation, etc., at the shown above or on the individual. company, corporation, etc.t shown at the address inserted below.
El I herehy certify and return that 1 am unable to locate the individual, company. corporation. etc., named above (See remarks below), d
Name and title of individual served (if not shown above) A person of suitable age and dis- ' K
‘ El cretifm {hen iesiding in the defendants
_ HERE. PEC O . ln
Address (complete only if different than shown above) ` Date of Service Time Q
1 u qj !0!$' 1 1,,,,
1 Q ` V
W;. -~ 1 mmm- ».. . ‘
MEIH .
Service Rae Total Mileage Charges Forwaedinglke Total Charges Advance Deposits Amount owe · U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS: A
e asawicg wa[v;.;d pursnizhi i? Filifljfgig _
gf the Fcclcrcé F.u:;: o. ent. F .uT;eqr
on: L'- · '- · ""“"
as eupp L QJ _
***0* mmm 1 1.121ER or THE co R mm “S**·”’ We '”'*"°*
WY 'E Wm Case 2:04-cv—OO306—SF% p ocument 30 I!ledr11/10/2005 Page 1_ of 2 _

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WAIVER OF SERVICE OF SUMMONS ` i.;Tjlj‘ji;g?-bg §E"R l,/gg;
TO: Armaniclo/lgo l>tri.o Arai ILT Nl]! -2 P! I
(`NAME OF PLA1'N'IIFF’S ATTORNEY OR UNREPRESENTED PLAINTIFF) ·
I, CD HI Sc.h.1ii i I ii , acluiowlddgeliietieiptpfyjojigiiegjuest
(DEFENDANT NAME) -# Jl
that I waive service of summons in the action of llrmsmclis Qsltu hi ilrss lll v Qabtnson I at ai ,
(caption or Acnom
which is case number ilu · ot - bots — Pt-l it - srt B [Lon X in the United States District Court
(oocicar masses)
forthe District of Arizona . . ·
Ihave also received a copy of the complaint in the action, two copies of this instrument, and a means
by which I can return the signed waiver to you without cost to me.
I agree to save the cost of service of a summons and an additional copy ofthe complaint in this lawsuit
by not requiring that I (or the entity on whose behalf I am acting) be served with judicial process in the
A manner provided by Rule 4.
I (or the entity on whose behalf I am acting) will retain all defenses or objections to the lawsuit or to the
jurisdiction or venue of the court except for objections based on a defect in the summons or in the service
of the summons.
I understand that a judgment may be entered against me (or the party on whose behalf I am acting) if an
answer or motion under Rule I2 is not served upon you within 60 days after g 0,S ,
roars Us was sam;
or within 90 days after that date if the request was sent outside the United States.
{ATE) l E Q » (siomruasi
Printed/Typed Name: e · T0
AS (mot ;'?5
(mrs) rconroizars D
L C
.- Duty to Avoid Unnecessary Costs of Service of Summous
Rule 4 ofthe Federal Rules of Civil Procedurerequires certain parties to cooperate in saving unnecessary costs of service ofthe summons and
complaint. A defendant located in the United States who,after being notified of an action and asked by a plaintiff located in the United States to
waive service of summons, fails bo do so willbe required to bear the cost of such service unless good causebe shown forits failure to sign and return
the waiver. ‘ ’
It is not good cause for a failure to waive service that a party believes that the complaint is unfounded, or that the acnon has been brought in
an improperplace or in a court that lacks jurisdiction overthe subject matter ofthe action or overits person orproperty. A party who waives service
ofthe summons retains all defenses and objections (except anyrelating to the summons or to the service ofthe surmnons), and may later object to
the jurisdiction of the court or to the place where the action has been brought.
A defendant who waives service must within the time specihed on the waiver form serve on the plaintiffs attorney (or unrepresented plaintiff)
a response to the complaint and must also file a signed copy ofthe response with the court. If the answer or motion is not served within t`r1is time.
a default j udgment may be taken againstthat defendant. By waiving service, a defendant is allowed more time to answer than if the summons had
been actually served when the request for waiver of service was received.
Case 2 :O4—cv-00306-SRB Docu ment 30 Filed 11/10/2005 Page 2 of 2

Case 2:04-cv-00306-SRB

Document 30

Filed 11/10/2005

Page 1 of 2

Case 2:04-cv-00306-SRB

Document 30

Filed 11/10/2005

Page 2 of 2