Case 1:07—cv—00847-JJF Document 15 Filed 08/12/2008 Page 1 of 1
· PROCESS RECEIPT AND RETURN
Dcpa‘rtm€nt Of Justice _ See Instructions for "Service of Process by the U.S. Marshal"
on t e reverse 0 t IS orm.
United States Marshals Service ir r ir r
PLAINTIFE COURT CASE NUMBER
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DEFENDANT TYPE or PROCESS
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SERVE NAME 4 INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION or PROPERTY TO SEIZE OR CONDEMN
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ADDRE5$ ¢ Apartment N0., City State and ZIP Cvdcl MQ of péksuh {IQ _
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EEEEIPIIQEBE EEIEYEESOEILTQ BIQQEEETEEE EWE éI`£P;°* B€§·§IEI.@X';..| Number gf process ro bq
I; ·~ — I served with this Form - 285 : 2
(LIM-·t$>?I`•#
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t,cI‘e.. G Bdtx 500 G e.<:.— C5; \¤.m' »
I _;w'¢~€-l Q :Ch€l(3kSf(K' Service
____ ____ __,__ _______ _ _____ _ _______________ I Ol'! . . .
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDIâ€I?IG SERVICE (Include Business and Altemate Addresses, All
h N , E ` T 'I F0 ' : » A I
gig}; one umbers and sttmalvd HUGS AVS! ablc F Service) _1-7,,q Ag I * fe I F" •# e E
J€fé,\J¤_h.,L [lan A2 fav/1{ Aé SI 6t,b0 VQ AQ J' 7%€_
pg/Oarfmén )L' Q7: Q0f‘f°€G» ION.? of? D€I¤»i•<)¤U'€ C40 Pfc */tele You t,,;t°#\
#.3 M t‘¤f»·».1(wn .r Her cel! phone, number /wwéw/er` IS 4/92 -**3 V3··· 635y
and SI/IQ re-S' Clég In SHOLJ A/I0 mdf /4A%
Signatu e I Attom y or ot j Originator r esti g service on behalf of: TELEPHONE NUMBER DATE
y A ir E’FLAINT[FF
. I. .. »I I, . w AI--. . ¤ DEFENDANT 5 ·‘ /?‘0.?
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve
(Sign only hrst USM 285 if more 1 "OY
than one USM 285 is submitted) No. No. ; _.;
I hereby certify and return that I I] have personally served, I] have legal evidence of service, E have executed as shown in "Remarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, etc. shown `at the address inserted below.
I hereby certify and return 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) U A pgrggn of Suirabw age and djs.
cretion then residing in the defendant`s
usual place of abode.
Address (complete only if different than shown above) Date of Service Time am
0
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Si naturc o U. I al ••I¢·•
"E
of e
Service Fee Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or qund
(including endeavors) —-
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REMARKS: ¤¤·
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PRI0:EE:J);;l;)NS 1. FORM USM-285 (Rem 12/I5/80)
Case 1:07-cv-00847-JJF
Document 15
Filed 08/12/2008
Page 1 of 1