Free Summons Returned Executed as to USA - District Court of Delaware - Delaware

Case 1 :07-cv—00829-SLR Document 4 Filed 12/21/2007 Page 1 of 2
UNITED STATES DISTRICT COURT
DISTRICT OF DELAWARE
DELAWARE HEALTH CORPORATION, )
a Delaware corporation, ) SUMMONS IN A CIVIL CASE
)
Plaintiff, ) g
v. ) CASE NUMBER:" O [ L 8 2 9 -
)
MICHAEL O. LEAVITT, )
Secretary of the United States Department of )
Health and Human Services, )
)
Defendant. )
TO: (Name and address of Defendant) Michael O. Leavitt, Secretary of the United
States Department of Health and Human Services
c/o The Honorable Colm F. Connolly
United States Attorney’s Oftlce
District of Delaware
1007 N. Orange Street, Suite 700
P.O. Box 2046
Wilmington, DE 19899
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF’S ATTORNEY
(name and address)2
Robert J. Katzenstein, Esquire
SMITH, KATzENsTEn~1 & FuRLow, LLP
800 Delaware Avenue, l0"‘ Floor
P.O. Box 410
Wilmington, DE 19899
an answer to the complaint which is served on you with this summons, within twenty g2O [ 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 filed with the Clerk of this Court within a reasonable period of time after service.
PETER T. DALLEO {A Q Zig 7
CLERK DATE
(BY) PER DEPUTY CLERK
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Case 1 :07-cx/-00829-SLR Document 4 Filed 12/21 /2007 Page 2 of 2
• AO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN OF SERVICE
Service ofthe Summons and complaint was made by me(l) 132;;)/-7
NAME OF seRvER(1>1>Jr~1T> TTTLE
BARRY EVELAND SPECIAL PROCESS SERVER
Check one box below to indicate a ro riate method o service
D Served personally upon the defendant. Place where served:

C] Left copies thereof at the defendants 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:
D Retumed unexecuted:


E Othgy (S mg); SERVED: MICHAEL O. LEAVITT, SECRETARY OF THE U.S. DEPARTMENT OF HEALTH &
nutvmft s . . . . ,

STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
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 Retum of Service and Statement of Se
Executed on
Date Signature of Server
BRANDYWINE PROCESS SERVERS, LTD.
P.O. BOX 1360
WILMINGTON, DE l9899-1360
302- 475-2600
(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure,

Case 1:07-cv-00829-SLR

Document 4

Filed 12/21/2007

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Case 1:07-cv-00829-SLR

Document 4

Filed 12/21/2007

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