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

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Case 1 :07-cv—OO775-GIVIS-LPS Document 10 Filed 12/10/2007 Page 1 of 1 I
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` RETURN OF SERVICE I
Service of the Summons and complaint was made by mem DATE I
NAME OF SERVER (PRINT) TITLE I I _ I
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Check 0ne box below t0 indicate appropriate method of service
Served personally upon the defendant. Place where served:
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Left copies thereof at the defendants dwelling house or sual place of abode with a person of suitable age
and discretion then residing therein.
Name of person with whom the summons and complaint were left: ,4, &
Returned unexecuted: I
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Other (specify): I
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STATEMENT OF SERVICE FEES
TRAVEL \....X~ SERVICES `.=,...2 TOTAL ~———-———·
I I DECLARATION OF SERVER 1 I
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. p
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Executedon: / ' I ' I ' [ //(p I
I ate Signature 0f Server
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Addres Se f I
imag Ur new
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(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. I
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Case 1:07-cv-00775-GMS-LPS

Document 10

Filed 12/10/2007

Page 1 of 1