QA!} 440 (Rev. 8/01) Summons in a Civil Action -
UNITED STATES DISTRICT COURT
U District of l DELAWARE
Palamarchouk _
SUMMONS IN A CIVIL ACTION
V.
Chertoff, Gonzales, Novak, Mueller
, CASE NUMBER: ‘“· O S ` XO ""A
TOS (Name and address of Defendant) H 5: Fg ri fr 8
Paul Novak, Director `
` U.S. Citizenship and Immigration Services —~·-· ` .
- Vermont Service Center 75 Lower Welden St. Saint Albans, .
Vermont 05479 ‘ ·
S YOU ARE HEREBY SUMMONED and required to serve on PLA1NTIFF’S ATTORNEY (name me address) l
VITALY S. PALAMARCHOUK T ‘ ‘
34 IVIEADOWBROOK LN . .=
NEWARK, DE, 19711
Phone: (302)234—1260 · . ‘
Email; Vitaly.palamarchouk@ astrazenecacom
an answer to the complaint which is served on you with this summons, within 60 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
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the
Clerk of this Court within a reasonable period of time after service.
CLERK DATE
(By) DEPUTY CLERK
Case 1 :08-cv—00080-JJ F Document 8 Filed 02/ 1 4/2008 Page 2 of 4
%AO 440 (Rev. S/Ol) Summons in a Civil Action
‘ RETURN OF SERVICE
mrs
Service of the Summons and complaint was made by mem 02 0 3
NAME or Rvsn (PRINT) · TITLE
éhrm Sum-M iv 0
Check one box below to indicate o ro riate method o service ·
I] Served personally upon the defendant. Place where served:
Cl Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were left:
El Returned unexecuted:
· ' . • ,. . __
Qéther (Sperry); Wd/[ E0 {/$105 CZ[/ HEP /}!d/Z/ [F/MQ/lr EEC?//’/.
pg; versa exp/A2.
STATEMENT OF SERVICE FEES
rsavsr. ssavrcss Tomi.
_ » A $0.00
‘ DECLARATION OF SERVER -
I declare under penalty of perjury under the laws of the United States of America that the foregoing infom1ation
contained in the Return of Service and Statement of Service Fees is true and correct. .
Executed on _
Date Signature of Se er
QQ J/Fwmélaoe Ze
Address 0 Server
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(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure.
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Label/Receipt Number: 7004 1160 0003 8376 8514 I
osisiisd Results: Track & Uvnfirm s
· Delivered, February 11, 2008, 4:07 pm, SAINT ALBANS, VT 05479 Enter Label/Receipt Number.
r Arrival at Unit, February 11, 2008, 3:12 pm, SAINT ALBANS, VT I
05478
· Acceptance, February 07, 2008, 4:33 pm, WILMINGTON, DE 19803 ij;
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Case 1:08-cv-00080-JJF
Document 8
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