U S De artment of Justice PROCESS RECEH I Al JD RETL RN
' _ ’ p ` _ See Instructions for "Service of Process by the U.S. Marshal"
UHIICCI States Marshals SCYVICC on the reverse of this form.
PLAINTIFF /1/_ /, ,` 4 COUl@CASE NUMBER
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DEFENDANT / TYPE OF PROCESS
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ADDRESS ( reet or RFD, Apartment No., City State and ZIP Code)
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§€§.Q.l*@EQ52E. QEWEE QOBYJQ BIEPEEETEKE EWE é"@;’*2Di“F§i*£5'§X’;-i Number of process to be
`,___ .6 , J __&,/ p lserved with this Form - 285
l _l cralcays A. QI; eer;cc// ,Z£§_é]‘2 I
/6) t ··;»·· Number of panics to be
_ ' ‘ I served in this case
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(Aly . 7 P i Check for service Q _
__.____ é%3.f..£/-’jZ@L .__...._............. ' on u.s.A. gg Ei?
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alte Ad qps, All
Telephone Numbers, and Estimated Times Available For Service): -.§ gn ____
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Signature of Attpmey or otlztfr Orig` ator requesting service on behalf of: LAINTIFF TELEPHONE NUMBER DA17
_/ ‘ J { . J/_ ,·"/_ [l DEFENDANT /y/ §
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' · ¢ LOW FOR USE OF U.S. MARSHAL ONLY — DO NOT VVRITE 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 1/_
(Sign only hrs! USM 285 if more 5 E ' `
than one USM 285 is submitted) No; No. l
I hereby certify and retur that I Yi have personally served, [I have legal evidence of service, lil have executed as shown in "Remarks", the process described
on the individual, company, co ·r• tion, etc., at the address shown above or on the individual. company. corporation, etc., shown at the address inserted below.
lj I hereby certify and retum that l am unable to locate the individual, company. corporation, etc., named above (See remarks below)
N me and title of individual served (if not shown above) · A person of suitable age and dis-
· i * Cl cretion then residing in the defendant`s
N l / usual place of abode.
Address (complete only ifdif erent than shown above) Date of Service Time am
I Z4 (5 IS /
ignature of U.S. Marshal or eputy
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Ll.
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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)
REMARKS:
PRIOR EDITIONS FORM USM·285 (Rev. I2/I5/80)
MAY BE USED 1. CLERK OF THE COURT
Case 1:07-cv-00845-GMS
Document 16
Filed 07/22/2008
Page 1 of 1