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

I U S De artment of Justice PROCESS RECEH I M ID REI URN
' ° _ ’ P ‘ ` _ See Instructions for "Service of Process by the LLS. Marshal"
UHIICCI SIZEIICS Marshals S€l"VlC€ on the reverse of this form.

PLAINTIFF COURT CASE NUMBER
• n.
L ·_`\. 4 .5 \. L ¤- ` — ,_ " \ - Q; -_;p `§\ - .\,. u \{_•..
DEFENDANT TYPE OF PROCESS
,:1 · 5... Inv. ° ..-»..s-.. •.__.·. ._ wa. wax 1
NAME OF INDIVIDUAL. COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PRO ERTY TO SEIZE O CONDEMN
» ari ;..- C 19:% Y rsr¤;¤\.. — in. he ..1; ‘A\ at F1 c r .
(STIBBF or Ap3ITI"I'I€l'I[ NO., City, SIRIB Bhd . "*·~—·.
AT _ A ‘ . , M D ___ copy
V A A.-.\. Q]. h ‘\"•.¤ . \ L ; 7 4a- _ i 4
EEEEQQFQEEIEBYIQEQOBLTQ 3.@EE§TE.lL=°E H-*°:l`:*.E.€·.'*@;’·Ell‘E$$.;*?.'?·§’l’.*’L...r Number of process to be I A I 6 2[]t]§
I-— ` - ' iserved with this Form - 2§5 CL HK U
. ~ 1 =* c I. I
`R\·NI3~§ \.zR:so&_ '?I·\'&¥~b$©\Q V u I _~m,UT FF · Dum
SW \,—b- \·z_.-(tg) `" |N¤mb·=r vt parties to be r BY · ~*` AFIIZQNA
N-5 ’P c, \‘.s:>:¤.g ¤‘°"’°" ‘" ****5 mt L""" ·" —-——-Ji Deaui
·?~G~°E:bX. '@;1_§:) - rxr -_-_"`
I r Bncxexee A1, ‘&S52.te I a. '°h·==*< fm 5·=·t*== · ' ' K
_____ ______; _____ Q ________ ___ _____________ { on U,S,A,A it ;-,.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST- IN EXPEDITING SERVICE (Include Business and E E are Addreii§e§jlAll
Telephone Numbers, and Estimated Times Available For Service): _ _ rr-. __ jg; *~-_,§,i
ESE ` ._ ii? ‘;‘_,—‘ JJ `*· -,5 E
§?:s‘?·*EaN>L§Y ";5 *:3;;%, · Qhqqmbb __O
las? `stswoesug =si=¤,_ e ~ N "
—· » r if ·- LLC
Signature of Attorney or other Originator requesti_ng"_service on behaillof; or ,_ _xPLATEri_IFF TELEPI-EINE NUMBER _ ’ DATE
S$)¤`t B Quxg t' ‘ tjoarauomr ‘ gg i * S‘··\`t *05
SPACE BELOW FOR USE OF U.S. ONLY ·+·r·DO_NOT BEIJOVVVTI-[IS LINE
I acknowledge receipt for the total Total Process District District. _ - Signature of Authorized USMS Deputy or Clerk `. < ~ :· Date
number ofprocess indicated. , , o£Orig to Se - , r ’» _ V. r t - ,; V . .
(Sign only first USM 285 if more ` ` / . __ -’ _. V _ V_ Q -V
than one USM 285 is submitted) No. No. Ar I [124 .»‘ ' . ’
-•h
I hereby certify ahd retum that I [I have personally we ve legal evidence of service, []·have executed as shown in "Rcmarksl'.-`the process described
on the individual, company. corporation, etc., at the address s own above or on the individual. company. corporation. etcj shown at the address insertedbelow ` `
I:} l hereby certify and retum that I am unable to locate the individual, company, corporation. ctc., named above (See remarks below)
Name and title of individual served (if not shown above) A person of suitable age and dis-
Ij crction then residing in the defendants
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
rm /.5220 g
. Marshal or Deputy V .·
L {A , a4.4;ca.*
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owe to U.S. Marshal or Amount of Refund
(including endeavors)
REMARKS:
"Sowice v.·;·iv-:**1 ctc.: 2 to Thai;} 4.<_;l) I
Oithe Fc:£::t·1.._l ‘3 c. me-;:.tlure
as suppc;‘ti;i diver
PRIOR ED NS . - (Rent 12/15/80)
my BE ,,§§se 2:O3—cv—O1928—Fl®S-QIEKRKUBEJEHE (ZDUKi[ed 09/16/2005 *lA“’a*g‘e"5f"¤’t"z

) REEEIVED SEP 0 720US
••..aom (Rcv.1U.’9S) Q'
K 0 `- .··'»”’ ·—,L}
r 7 V; J \__ __;;,g{ (gx.; Mw-
Wmmg 19;; §ERVTCE OF sUMMONs Q 6%,50
_ . TO? —.·.‘v•\\ x as Na. e.- .1 »·er.. ; .. u··-..· 4S'¢:>..: - g. 4 sl L. evt. . -. '..~-L A "·1¤t•. ..¤.!•».u.. . .
(N "·'7· 0 ·N '| " r *A •'4— YORUNRE.PREsm~FrBDPLxmH1FF)
I, hg; ; ; _ gg; l _ , _ . . _ - -, _e _ . . , acknowledge 1:eceipt_c>fy0u1· request
. •:s:·.`T"`*= V1 * ¤· * *" - V
that I waive service of summons in the action of _ -“ ._ . *_\ · Xx _ ¤..¤.. “,.:“ ., zgqu 4 .
_ . qc»¤.1>·1·10:~r 01= Acnom
which is case number Q$···bB -E gg-Egg-• —· I > in thc United States Distdct Court
- (1: y .
0 f¤r ‘¤h—·= DiS¤i¤t ¤f · .
I have also received a copy ofthe complaint in the action, two copies oftbis i1;r.=:t1·u111e11t, and a means by which I can
0 return the signed waiver to you without cost to mc.
I agree to save the cost ofscrvice ofa summons and anaddificml copy ofthe complaint in this lawsuit by not requkinga
- that I (01* the entity on whbsc bcha1fI am acting) be served with judicial process in the mzumcr provided by Rule 4.
. · I (er the entity 011 whose behalfl asm acting) will retziin all defenses or objections to the lawsuit or to the jurisdiction-
2 or venue ofthe court except for objections based orra defect in the summons or iu th:c·sc1·vice ofthe 'summens. ~ ·
I understand that an judgment may be entered against me (or the party 011 whose behalf I am acting) if an
_ _ _ _ QP 1 ·· ‘&
answer or m0t10n under Rule 12 15 not served upon you wmthm 60 days after , ,
(mm REQUEST wAs smm
or within 90 days aiier that date if thc request was sent outside the United States.
(DATE; " ' QEGNATURE) 4
0 /C<2 "’@ ·
Printedf'I`ypcd Name: nw fl MJ
' AS of M65?) -
mrrz) _ . · (c01u¤01uvr¤ ¤m=m~¤mm·;
_ 2 Duty tn Avoid Unnecessary Costs of Service of Summuns
~ Rule 4 uf the Federal Rules of Civil Procedure requires certain parties to cunpcmxe in saving unnecessary costs of service of the sutruncns and complaint. A
defendant located in the United States who. after being notified ofan action and asked by a plaim:iH'1¤catcd in the United States to waive service nf summons, fails to
do so will be required to bam- the mst ofsuch service xmlcss good cause be shown for its failure to sign and rcmrn the wa.ivm·.
lt is not good cause for a failure tc waive savicc that a believes that the complaint is unfounded, ur that th: action has been brought in an improper place
or in a court that Iacksjurisdicticn over thcsubject matter ofthe action or nvcr irs person or property. A pany who waives service cf th: summons retain; all defenses
and objections (except any reinting to the summons crm the scxjnrice ofthe summons), andmay later object to tbcjurisdicticu ofthe court 0:10 thc place Where the action
has been brought.
A defendant who waives service must within the time speciiied on the waiver form serve cm the plaintiffs attorney (or umrepresented plaintiff) a respnuse to the
complaint and must also file a signed cdpy cftherespormeuridxthe coun. If the answer cr motion is not scrvccl w·ithi.n this time, a d¤&u1tjudgmcm may be taken against
. that defendant By waiving service. a defendant is allowed more time tu answer than ifthe s1m1.mm·1s had been actually served whcn the request fur waiver nfscrvice
was received. , `
Case 2 :03-ev-01 928-ROS-IVI EA Document 14 Filed O9/16/2005 Page 2 ef 2 0

Case 2:03-cv-01928-ROS-MEA

Document 14

Filed 09/16/2005

Page 1 of 2

Case 2:03-cv-01928-ROS-MEA

Document 14

Filed 09/16/2005

Page 2 of 2