Free Amended Document - District Court of Delaware - Delaware

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Case 1:07-cv-00775-GI\/IS-LPS Docunpent 11 Filed 12/10/2007 Page 1 of 1
RETURN OF SERVICE R 1
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Service of the Summons and complaint was made by mem DATE /2 M7
NAME or snnvan (PRINT) TITLE 1 V 1
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Check one box below t0 indicate appropriate method 0f service
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Left copies thereof at the def ndant's dwelling house or usual place of abode with a pers - .
and discretion then residing therein. 1
Name of person with whom the summons and complaint were left: /é/5 1
Returned unexecuted: ( [IQWW77 77¢ A!}
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Other (specify): l 4
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STATEMENT OF SERVICE FEES 1
TRAvEL ——-··"‘ SERVICES -··*‘ ToTAL —————
DECLARATION OF SERVER ` M A A 1 A 1
I declare under penalty of perjury under the laws of the United States of America that the foregoing H a u 1
information contained in the Return of Service and Statement of Service Fees is true and correct, __ p j_ 1
Executedon: 0 ll I) 1 { I OW 7 [
A Date Signature of Server
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(I) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. A
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Case 1:07-cv-00775-GMS-LPS

Document 11

Filed 12/10/2007

Page 1 of 1