Free Return of Service Executed - District Court of Delaware - Delaware


File Size: 110.4 kB
Pages: 4
Date: February 14, 2008
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 908 Words, 6,129 Characters
Page Size: 622 x 792 pts
URL

https://www.findforms.com/pdf_files/ded/39728/6.pdf

Download Return of Service Executed - District Court of Delaware ( 110.4 kB)


Preview Return of Service Executed - District Court of Delaware
Case 1 :08-cv—00080-JJF Document 6 Filed 02/ 1 4/2008 Page of 4
°§AO 440 (Rev. 8/Ul) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of H - DELAWARE _
Palamarchouk _
SUMMONS IN A CIVIL ACTION
V.
Chertoff, Gonzales, Novak, Mueller
CASE NUMBER: " ` S (U "·’
TOZ (Name and address ofDefendant) FE I it
Emilio T. Gonzalez, Director `
U.S.Citizenship and Immigration Services (USCIS) U_S_ EETFNC? COURT
U.S. Department of Homeland Security " Digmigr nr ngraipirgg
Washington, DC 20528 i =
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF’S ATTORNEY (name and address) ·
VITALY S. PALANIAFICHOUK l ` ..
34 MEADOWBROOK LN
NEWARK, DE, 19711
Phone: (302)234-1260 , N
Email: Vitaly.paIamarchouk@ astrazenecagcom ·
an answer to the complaint which is served on you with this summons, within 60 days after service
of this summons on you, exclusive of the 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 tiled with the
Clerk of this Court within a reasonable period of time after service.
CLERK DATE
(sy) DEPUTY CLERK

Case 1 :08-cv—00080-JJ F Document 6 Filed 02/ 1 4/2008 Page 2 of 4 T
%AO 440 (Rev. 8/01) Summons in a Civil Action
RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by mel') /0f
NAME or vER (P NT · TITLE
digmmgp Mem me
Check one box below to indicate o ro rictte method o service
El Served personally upon the defendant. Place where served:
I] 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:
• ’ r- • S I
IAM (Specify). M}/[E') F/V 0!%}AJ° V/Q $,%.5 [Z!//F/@9 /04/4
EER/liv BBC2//FY jid/#5220/ 04/ 4;,3,/yjpg
STATEMENT OF SERVICE FEES ` l
TRAVEL - SERVICES TOTAL l
$0.00 ~
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing information
· contained in the Return of Service and Statement of Service e and correct.
I Executed on [ . — .. E
_ _ Date · Signature of Server
A I/f??iz&.5!0:¤,£ 4/
Address of Server
Axfvlff, if /?7Z//
[1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. -

0- -’*K
USPS · TY@Fz¥s£* §V*-00080-JJF Document 6 Filed 02/14/2008 Page 3 of 4r¤e·= L U1 1
E i
FOSTJL. $ ·e Home [ Hey;

_m____mww___MA_m__mm_____m____%_____m,____“m_“m_;] I
Track & Cnnfrrm ,
Search Results I
Label/Receipt Number: 7004 1160 0003 8376 8521 —-—————--————»,_ ..
Detailed Results: Track Se Confirm ·- _ l
· Delivered, February 11, 2008, 8:10 am, WASHINGTON, DC 20528 Enter Label/Receipt Number. .
· Arrival at Unit, February 11, 2008, 3:09 am, WASHINGTON, DC I
20022 I
• Acceptance, February 07, 2008, 4:32 pm, WILMINGTON, DE 19803 if i
,....... l
{
hletiiieaiiori Options - y _ _ _ H _ .
Track & Confirm by email
Get current event infomation or updates for your item sent to you or others by email. _r‘}e:.~ ’i
. Site Ma @ntagj_l,Ls @@ Gov't Se ' s @ Priv Polic Term Lug Nation r mi rA ouns
_ Copyright©1999—200T uses. Aii Rights Reserved. No EEAR Act EE0 Data FOIA 8 _ '-.`
U.S. Postal.Servi‘ceTii _ ` . ‘ ` - -- ‘ .
Q -.CEFITIFIED Il/IAILW RECEIPT __ . _._;
. mi (Domestic Mail On/y;-No Insurance Coverage Provided) ·
-
Q For delivery information visit our website an www.usps.com-E 2 Q`_
rr; 7 ·· §
qj ` _ - I. ‘ -3 JQ
0 Milt? ee
i:.:i . " .
¤ . . . , a ‘ tyrméa
I-;. Retum FIeciept_Fee §_g _ Hem i,
(Endorsement Required) I ¤ - *2
E ,§,?.§".e°é°;¤“e‘3$iéi§£ii'Z§ il* '¥‘*¥* 1 EB O 7 ECTS
_ FI I $5 . "·i _ I32z'U7!2Ell33 E ‘
I ’°“““°““°*F°§ei?ee T. eeccees e
E S"""T° U.S.Citj.zensh:i. . §g€I_IirBi ation
D- %E%,jjigKE·*-· Sexvices (USCIS) 'A
A °"’°B°·"'V°- U. S . Department of Homeland
Security I
PS Frm asm; Ju Washington, DC 20528 i
http://tzrkcnfrml .smi.usps.com/PTSIntemetWeb/IntcrLabelDctai1.do 2/1 1/2008

Case 1 :08-cv-00080-JJF Document 6 Filed 02/14/%)-8 klgage 4 of in _J
e A W —¤ S? ge?
1 z *r— gif 3;.-:
5 ·¤ ·
- ca R ali?
· _ E US e' iih{“ T ·’e‘
i\\\ V wg? e
_ Q) S ._.- ·§.*_;[ e J
W >y §— ;; · ·.:F$i·~’
n a ‘ e I Q. ?°`Y; 1
_ $\ Q —%f"`g. -§’ F:-:1
- Qs -
g\ a,.> I ‘
' . F m JE 0 g} Q =~‘ *`°{#"€f*··?“’[ I l
' - K gl n
- ¤<= “ -» ‘= ,
ee Q E zi xg ,~ ¤ ‘
e S g gi in - " *- ¤<. ? "%&Q@
; . u ¤“ F ‘·*‘. :3
i EE 5 ?‘*—~€»;i Ig E 4
= we E E,
e e e E ” L e ~
6 "& q~, _ ; ;§¤iii§fwgJ L3
e i ? .. ., ci
4 Ti · ><§ l · E) ` ·¤*·*~¤ ; [,1
` ’ Ei ‘- ‘§g - e ` `.`` `* wQ¢‘Jf1
e§ ""‘* in e -\·e i * 5,:: < ’
- - T ::5 ,¤
e · 1 i 4
· ` e ` ` ji; ‘ . ¤,,, ·-
. A _.._ _ _. . .‘ . {QM ;"
=“‘ e
fji··:¤g*$‘-;" ¤ " *··’
~ ·‘ e’e ·r=

Case 1:08-cv-00080-JJF

Document 6

Filed 02/14/2008

Page 1 of 4

Case 1:08-cv-00080-JJF

Document 6

Filed 02/14/2008

Page 2 of 4

Case 1:08-cv-00080-JJF

Document 6

Filed 02/14/2008

Page 3 of 4

Case 1:08-cv-00080-JJF

Document 6

Filed 02/14/2008

Page 4 of 4