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

f. q J Case 1 :07-cv-00675-GIVIS-LPS Document 19 Filed 02/21 /2008 Page 1 of 2 l
SAO 4410 (Rev. 8/01) Summons in a Civil Action W l
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UNITED STATES DISTRICT COURT I
' District of Delaware l
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• _, , et. al; I I
SUMMONS IN A CIVIL CASE g
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State of Delaware, et. al. CASE NUMBER: Q T T 6 T 5
TOZ (Name and address of Defendant) · V _
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YOU ARE HEREBY FSUMMONED and required to serve on PLAIN TIFF ’S ATTORNEY (name and address)
Matthew Hayes Osbome, Esq.
Schmidt, Kirifides, Pearson, Koutcher & Fridkin, P.C.
1301 N. Harrison Street, Suite 105
Wilmington, Delaware 19806
an answer to the complaint which is served on you with this summons, within ZA) days after service
of this summons on you, exclusive ofthe 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 filed with the
Clerk of this Court within a reasonable period of time after service.
V . 0131 2 5 Im:
F EE 11 DAFIELEQ
CL K ’ y · DATE

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p Case 1 :07-cv-00675—GIV|S-LPS Document 19 Filed 02/21 /2008 Page 2 of 2 i
` %AO @0 (Rev. 8/01) Summons in a Civil Action 1
(By) DEPUTY CLERK
*stAO 440 (Rev. 8/01) Summons in aCivi1 Action
RETURN OF SERVICE
_ DATE i
Service ofthe Summons and complaint was made by mel') Décambér 28 I 2007 at 1 :07 P _M_ K
NAME OF SERVER (PRDVD TITLE
Jeffrey L. Butler process server
Check one box below to indicate a ro riate method o service
EI Served personally upon the defendant. Place where served: ‘
Cl Left copies thereof at the defendant’s dwelling house or usual place of abode with a person of suitable age and g
discretion then residing therein. l
Name of person with whom the summons and complaint were left:
III Returned unexecuted:
IE Other (specify): left copies tthereof with Debbie Coll igan, assistant regional administrat -
a person authorized to accept service for defendant Delaware Department of V Service i
gm; Qbj ] gjpgn , mirth 5, Ibej 3; Eamj 1 j es , at 3.21 East llth Street [ Suite 300K Wilmingtn ,
•,- - .e - • : • T
STATEMENT OF SERVICE FEES
TRAVEL it/e SE‘“""ES $35 .00 TOTAL $35 . 00
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DECLARATION OF SERVER
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 ee, neeemeer 28 , 2007 AJ · /
Date Signatu f /7 r / Y
Leg ze. /¤— Inc.
P. • . Box 8 6
New Castle , Delaware 19720-0886
Address of Server
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Case 1:07-cv-00675-GMS-LPS

Document 19

Filed 02/21/2008

Page 1 of 2

Case 1:07-cv-00675-GMS-LPS

Document 19

Filed 02/21/2008

Page 2 of 2