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Case 1 :07-cv-00804—SLR—LPS Document 26 Filed 04/01 /2008 Page 1 of 1
RETURN OF SERVICE l
Service of the Sunnnons and complaint was made by mem ‘ DATE 3 5/ g;
NAME OF SERVER (PRINT) TITLE . l
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AMDLD . 9 5 Of I l
KY ' ,»
Check one box below to indicate appropriate method of service A/fg/%
Served personally upon the defendant. Place where served: _
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Left copies thereof at the • fendant's dwelling house or usual place of abode with a person of suitable age A
and discretion then residing therein. _ l
Name of person with whom the summons and complaint were left: A0 !
Returned unexecuted: l
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Other (specify): %
STATEMENT OF SERVICE FEES
TRAVEL —-·/’ SERVICES -——*.. TOTAL *‘""_“""
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.
Executed on: I / V { /
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at Signature of Server l
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Address erver / /
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(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.
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Case 1:07-cv-00804-SLR-LPS
Document 26
Filed 04/01/2008
Page 1 of 1