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

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Case 1 :07-cv-00804-SLR-LPS Document 3 Filed 12/28/2007 Page 1 of 1
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RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE $1/cy [ /07
NAME OF SERVER (PRINT) TITLE Q`} <; ia M ~ hb! A ir r a§`i
Ri Coe ir Gro ky! ji·i‘iV'€’$+‘§0`z/U‘F ·"'R.selr·." ag; 1
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Check one box below to indicate appropriate method of service 1
Served personally upon the defendant. Place where served: 1
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. 1
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Name of person with whom the summons and complaint were left: Hg,/1 r( q_"H’Q;i_ crt/q " Q_ ( gl i it Air.? {F 7L) 1
R€tU1'Il€d UH€X€Cl.1(€dZ 1
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Other (specify):
A STATEMENT OF SERVICE FEES A
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing 1
information contained in the Return of Service and Statement of Service Fees is true and correct. 1
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Executed on: /,,4{ / G"} LA ‘ JCU,. ij»» /UJF1,L/{JL`, /»iL4§,.i E V 1
Date Signature of Server S+q*f€ *3 ' Q
'Dowf CD E /9 fO/
Address of Server 1
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(1) 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 3

Filed 12/28/2007

Page 1 of 1