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

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( Ul’l1llCd States N[3ISh3lS SC1`VlC€ on the reverse oftthis form _ K ‘“* KK i (
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Carlos Arthur Powell (Charles) C @D“g§Q(§1ZIS9[;§’| :_·— TW · _ I
DEFENDANT K ` K K` ‘ n E if C}F£»Fi!EC`¤i*JA K ‘ 7
K Cora Miles . et. al . _ " E, _ °·= ¤¤·=-¤·= ·~ ~·»= ·· e 1`i{1'*/tlK9;E‘?$€I‘
I SERyE NAME 0I= INDIVIDUAL, COMPANY, c‘cgRI>oRn1‘ION, e*rc..·r0 sgavgoa DESCRIPTTONOF seize OR CGNDEMN
` · Region Director: Glucoh, CorrectiorI‘§’ Corp. of America,
ADDRESS (sueezor-RFDQK}tpmmaent No., Ciiyqsuge andZ£Pqode) ~ , · K · Q ’ `
AT 1705 East Hanna Rd. {Administration Bldg.) Eloy , AZ 85231-9612
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I Carlos Arthur Powell (Charles) ( " i _ ’
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I Adelanto, CA 923016300 ,}€¤¤¤l¤f¤r¤=¤¤·=·= . (_ _ _ I
SPEClAL INSTRUCTIONS OR 0I‘tIeIt INFOH1/lATEON—TI:LATWlLL Asstsr IN EXPEDTTING tsenvtcse (manure Busmess me Mmmm Addresses, AH -
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Iacknowledge woeipt forthe total "lhtaI Process District 'C ‘ District ` Signature of Deputy or Clulci , K V K ~ _K
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K . 1 hereby certify that I [I have personallyiirerve e lege} eyi&rIce¤~?’service, U erteiéutecl as §l`1aw1I in "Remarks"[ the proeess·described _
on the individual, company, corporation. etc., at the a · iabove dren the individual, company. corporatiometc`., shown lat the address inserted below K- `
_ I] l hereby certify-and return that I am unable to locate theK individual, corrtppoy. corporationl etc., named above (See remarks below) _K »-
NBHIC and title of llldllfldllil served (ifnot K ~ Apgpggn ggimblgpggg and A
K K · lj cretion then residing in the defenda:1t‘s
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Address (complete only ifdiI‘i"erent than shown above) 1- K .. _. Date of Service Time am
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7 _ ` - ’ _ Signattifét [ U.S. Mstahll or Deputy
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~ Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or Amount of Refund ‘·
(including endeavors) I _ ·' wl >
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PW BE USED Case 2:03-cv-01819-JAT Document 164 4 Filed O1/11/2006 . Page 1 012 . , K


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V4,. Ir)- QAO 399 (Rev. 10/95)
WAIVER OF SERVICE OF SUIVIMONS gg tg tg l *5 E; it _ W
Gb ?‘*l_~*\%l?iE·i!—\i-E SEltVlC·‘
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TO; Carlos Arthur Powell {Charles) l
AME OF PLA1'NTlFF’S ATTORNEY OR UNREPRESENTED PLA TIFF) ,
(N d its at /19.23
I, Reg ion Director for CCA-Mr . G luch , , acknowledge receipt of your request l
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‘“E““"°""“"" E’ I.~€~"iRlCt ti.- t.t.t.zst.r
that I watva aatviaa Ofsummons in tha action at- Carlos Arthur Powell v . Cora Milets , et . al .
—1 t . _ t (CAPTION or ACTION)
which is case number gv Q 3- 1 Q 1 Q —gHX—JAT in the United States District Court
(DOCKET NUMBER}
for the District of ARI ZONA _
I have 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
t_ 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
_ IB! 1 6 HIE
answer or motion under Rule 12 is not served upon you within 60 days after ,
(DATE neouesr wAs SENT)
or within 90 days after that date if the request was sent outside the United States.
Q- Qt — 0**6 · Q
(DATE) (SIGNATURE)
Printed/TypedName:
As Sjgg, gc..&»x;gg, hh Qitihor Qé tgt E I Q};
(TITLE) (CORPO re oerarm
Duty to Avoid Unnecessary Costs of Service of Summons
Rule 4 ofthe Federal Rules of Civil Procedure requires certain parties to cooperate in saving unnecessary costs of service ofthe summons and
complaint. A defendant located in the United States who,atter being notified of an action and aslced by a plaintiff located in the United States to
waive service of summons, fails to do so will he required to bear the cost of such service unless good causebe shown for its 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 action has been brought in
an improper place or in a court that lacks jurisdiction over the subject matter of the action or overits person or property. A party who waives service
of the summons retains all defenses and objections (except anyrelating to the summons or to the service of the summons), and may later object to
the jurisdiction ofthe court or to the place where the action has been brought.
A defendant who waives service must within the time specified on the waiver form serve on the plaintiff" s attorney (or unrepresented plaintiff)
a response to the complaint and must also tile a signed copy of the response with the court. lf the answer or motion is not served within this time,
a defaultjudgment may be taken against that 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 2:03-cv-01819-JAT Document 164 Filed 01 /1 1 /2006 Page 2 of 2

Case 2:03-cv-01819-JAT

Document 164

Filed 01/11/2006

Page 1 of 2

Case 2:03-cv-01819-JAT

Document 164

Filed 01/11/2006

Page 2 of 2