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

I Fi"' V1_, I CESQGICHII/$$=lI§l¤%ET Document 17 Filed O2/21 *i;%=?iFi’·:·• 1 of 2
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gcwbu gm- pmgougmmg, hm I Natrona/Assocmuon ol Philadelphia Aeaoclauon I
Profession! Process Servers ¤rFrolmarbn¤l Procosa Servers I
|__C1' Qt aI ; COURT United States District Court
VS _ [J al v. ul .·.,iq_
` ` ' COUNTY I
State of Delaware, etal : CASE NUMBER 07~675 I
AFFIDAVIT OF SERVICE
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COMMONWEALTH OF PENNSYLVANIA: B&R Control # PS0081 19 - Z
COUNTY OF PHILADELPHIA: Reference Number
SERVICE INFORMATION
On 17 day of January, 2008 we received the
Summons and Complaint
for service upon BreAune Catlett _
at izaieseeuae. Lala; i, I/alle ·@i/J<`-<,Y"<·
__,__l _ ____ _ _ ___________________i .--_.9uZ;Q •=f,iéIJL·1»L*¤.4ez1a,._%€I ./B’&3.__-....... . .. ...._-...---...,.... .... -.
*** Special Instructions ”’*
IE served Date i P8 Time [QJ Dem Accepted By; ,44 ( q ____
In the manner described below. I
Personally served.
; Adult family member. Relationship is ________________ v____________________________________ ____________________________
Adult in charge of residence who refused to give name and/or relationship. _ ________________ ____ _ __ ____ _ ______
Manager/Clerk of place of residence lodging *___________________'____
Agent or person ln charge of oftice or usual place of business _____________ __ _ _ ___________________ ___________ _________ _____
mi ¤¤l¤ar______________________, -.....--.......c---_-..c..-.... . . g
Description of Person Age ,33 Height g k>•i_ _'___ Weight [Qs Race _____ Sex QM/(
¤lh¤r _._;..........-. .. .... . ......
[II not served nate Tlme
Not Served information
jj Moved ; Unknown I No Answer 3 Vacant i Other I
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. ........- -.............-... ...--.-..__ . . --_..._... ‘E9'il.@_°§”.§*&I“.°F PENNSYLVANIA .,.......--.—-.-.-» - I
The Process Sewer. being duly sworn. John F Public Sworn to and subscribed before me this
depoeee and says that the facts set forth Susqugtaarm Twpw éauphm mum, il ,-`
hGl'9If'I BTG true Bhd COITBCI to II16 IJGSI O eir My O°ynmISSIOn Explrgs SGPL 28. 2010 y of by _ _—m 3 I
kn°wI8dgE' mfommtmn and bell Member. Pennsylvania Association of Notaries E
Qrocess Sen/gi/Sheriff _ W l”¤¤li¤ `
L. _r?i_ E no -1511 Wn s1 sooo r?_—·~*———-”—__ " _ N °——-—_-—*—“—“—· ` u · _ ·
aw rm one ( or I Serve By Date 2/8/2008
Maureen Wagner 5
r,1rt, I a s r,_, .1 1 -:,-_, rson, Koutchera Fridkin I Filed Date 10/25/2008
.. .. -...--. .-...-1 - +-M .... ......_-.---.._-L....."... ...- ---.---- —·—-—--~--~—-————————— ——
ORIGINAL ¤1rvci=· I
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Case 1:07-cv-OO675—GlV|S-LPS Document 17 Filed O2/21/2008 Page 2 of 2
¤aA0 ·: 'Rev. 3/01) Summcns in a Civil Action , · ]
(By) nerrrrv CLERK ° ’ = ’ I
'8¤AO 440 (Rev. S/01) Summons in a Civil Action I
RETURN OF SERVICE
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Service of the Summons and complaint was made by mem DATE · l
1300% ra me l
NAME0FsERveR RIM) .. WH-B l
.* LS °p (SS <» ver 5
Check one box below to indicate or ro rmze method o service ‘ p
X Served personal upon the defendant Place where served: ` ,· A u//8 . &/T in eff
c /¢» O
El Left copies thereof at the defendenfs dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein. l
Name of person with whom the summons and complaint were left:
lj Retumed unexecuted: v
E! Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL ‘ senvrces tom.
DECLARATION OF SERVER ·
I declare under penalty of perjury under the laws ofthe United States of America that the foregoing infomation l
contained in the Return of Service and Statement o eand correct. _
{ E _. ...» · / "`"S
Date Si {{7 - qf Server
po. ex c/ew
/Jerk/·;/argl /2/ /7/¢6
Adaress qfServer
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Case 1:07-cv-00675-GMS-LPS

Document 17

Filed 02/21/2008

Page 1 of 2

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

Document 17

Filed 02/21/2008

Page 2 of 2