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


File Size: 58.4 kB
Pages: 1
Date: October 4, 2005
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 552 Words, 3,860 Characters
Page Size: 622.08 x 792 pts
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. · PROCESS RECEIPT AND RETURN
Dcpanmcnt Of Justice _ See instructions for ‘1Service of Process by the [LS. Marshal"
Umted States Marshals Servtce on me reverse of no nm.

PLAINTIFF COURT cAsE NUMBER -.
.c>br—l A L..t..€ KEULEY GV c»4— cb ·· 1 " $‘B 5 ms)
DEFENDANT u TYPE 01= PROCESS
Gr Keats ET L. cm an . 1 e.¢·.u·~1·r .· ·
SERVE NAME OFINDIVID A1., COMPANK CORPORATION, E·rc,,·r0sERvE OR DESCRIPTION OF PRO -,-q·i ·· · v · • : •.• .o ., T
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____ ___ _________ _ ________ _ __________ ______:¤¤ u.s.A. ,,- 1
SPECIAL msrRucrl0Ns OR OTHER INFORMATION THAT wru. Asslsr IN EXPEDITING SERVICE (Include Business and Anemara é All
Telephone Numbers, and Estimated Times Available Har Service): co ,;,-4 U3 :*1
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SPACE BE `°i FOR USE OF U.S. T t · ONLY- DO NOT WRITE BEIDW THIS LINE
lacknowiedge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk - Date
number ofpmcess indicated. of Origi to Se Q X
(Sign only lirsr USM 285 'f more n é { _
than one USM 285 is submitledj No. No. J _ J- JT
lherehy certify and rctum that l El ave personally served, [1 have legal evidence of service, [I have executed as shown in "Remarlts", the process described
on the individual, company, c rporation. etc., at the address shown above or on the individual, company, corporation. etc., sh0wn‘at the address inserted belqvm _ _ _ _
EI I hereby certify and retum that I am unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of suitable age and dis-
D cregimn {hen residing in the defendanfs
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Address (complete only if differcnttir sh »- above) Date of Service Time ` am
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Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed •,.- .S. Mars al or Amount of Refund
(including endeavors)
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PRIOR EDITIONS FORM USM-185 {Rev. 12fl5f80)
MAY BE USBDase 2:04-cv-00103-SSB-ECG ocumenlffsgl Billed 10/O3/2005 Page 1 of 1

Case 2:04-cv-00103-SRB-ECV

Document 33

Filed 10/03/2005

Page 1 of 1