Free Amended Document - District Court of Delaware - Delaware

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Case 1:07-cv-00775-G|\/IS-LPS Docurriient 12 Filed 12/10/2007 Page 1 of 1
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p 4 RETURN OF SERVICE ’
Service of the Summons and complaint was made by_ mem DATE / p i
NAME OF SERVER (PMNT) TITLE F _ f
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Check one box below to indicate appropriate method of service ` * ·
Served personally upon the defendant. Place where served: 05Qng /OU/5//2 , » .73
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Left copies thereof at e defendant's dwelling house or usual ·place of abode · i a pe on of suitable age X
and discretion then residing therein.
Name of person with whom the summons and complaint were left: [Q A }
Returned unexecuted: ( &{P g0¢77An/ Aff]
Other (specify): ( {
. STATEMENT OF SERVICE FEES
TRAVEL ·—··*Z` SERVICES """`“"` TOTAL """‘““'_"
DECLARATION OF SERVER
I declare under penalty of perjury under the laws of the United States of America that the foregoing i
information contained in the Return of Service and Statement of Service Fees is true and correct.
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Address of Server
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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-00775-GMS-LPS

Document 12

Filed 12/10/2007

Page 1 of 1