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RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE 52 /1 E (_) 7
NAME on SERVER (PRINT) TITLE 5,; lwn¤!)1·-i*;)¤5g»x , 1
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R- G’FL,·.b
Served personally upon the defendant. Place where served:
Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age 1
and discretion then residing therein.
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Name of person with whom the summons and complaint were left: *2 1 10 { (5GC > 1
Returned unexecuted: 1
Other (specify);
STATEMENT OF SERVICE FEES 1
TRAVEL SERVICES TOTAL 1
' DECLARATION OF SERVER 1
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 Fees is true and correct. 1
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Executed on: /1;} / U 7 n W 1 ' .
Date Signature of Server ix ‘1(’€ ,
igwgry D5 16*%/ 1
Address of Server 1
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(I) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.
Case 1:07-cv-00804-SLR-LPS
Document 5
Filed 12/28/2007
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