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

is “ Case 1 :07-cv—00726-IVI PT Document 3 Filed 11/19/2007 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
RHONDA CARTER : CIVIL ACTION
Plaintiff 1
: NO:
v. : O 7 " 7 2 5 ""‘
CHRISTIANA CARE HEALTH SERVICES
Defendant :
TO: Christiana Care Health Services, Inc.
501 West 14* Street
Wilmington, DE 19899
YOU ARE HEREBY SUMMONED and required to serve on PLAIN TIF F’S ATTORNEY
G. KEVIN FASIC, ESQUIRE at 1225 KING STREET, SUITE 200, WILMINGTON,
DELAWARE 19801 an answer to the complaint which is served on you with this simmons,
within 20 clays after service of this summons on you, exclusive of the day of service. If you fail
to do so, judgment by default will be taken against you for the relief demanded in the complaint.
Any answer that you serve on the parties to this action must be tiled with the Clerk of this Court
within a reasonable period of time after service. -
I TQ it ?§5 ii F
cLnR1<` `I “ " I" ``‘`‘i DATE
(By) DEPUTY CLERK

‘ Case 1 :07-cv—00726-IVI PT Document 3 Filed 11/19/2007 Page 2 of 2
RETURN OF SERVICE
GTVICCO C Umm C0lT1p H1I`1 WHS ITI {Lf! }
S ' fth S ons and I ’ t ade by me' DATE n h
- NAME or SERVER (PRINT) TITLE `
BOOM) serie; grantees
Check one box below to indicate appropriate method ofservice
El Served personally upon the defendant. Place where served:

El 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.
Name of person with whom the summons and complaint were left:
m Return unexecuted. _
%Dther (specify); I ` S SEHJUQ ‘§· fr?'Ai{?- (J '
S 4., * e·» I S t- ‘ SSS?-er ’$~~.i:>~/et.
V4 Se" :6-5 L./Mi T
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare under penalty of perjury under the laws ofthe United States of America that the foregoing
infomation contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on Z ft 07
Dat Signature ofSer·ver
E30 A) nt/t-¤uLe1—St*-ggltgtig gg; 1 Fd;
Address of S erver `
1As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 1:07-cv-00726-MPT

Document 3

Filed 11/19/2007

Page 1 of 2

Case 1:07-cv-00726-MPT

Document 3

Filed 11/19/2007

Page 2 of 2