Free USM 285 Returned Executed - District Court of Delaware - Delaware

Case 1:O7—cv—OO643-Gl\/IS Document 11 Filed O4/O9/2008 Page 1 of 1
U S De artment of Justice PROCESS RECEIPT Al ID RETURN
‘ _ ‘ P “ _ See Instructions for "Service of Process by the UCS. Marslral"
United States Marshals Service on rrrrr reverse of rrrrr form.

PLAINTIFF COURT CASE NUMBER l
NINA SH1-¤·IINr CPA c1v.1~t¤. 07- 643—GMS—LPS
DEFENDANT TYPE OF RO ESS
DELAWARE OFFICE OF MANAGEMENT AND BUDGET P C OC
SERVE NAME OF INDIVIDUAL, COMPANK CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTYTO SEIZE OR CONDEMN
JENNIFER W. DAVIS, DIRECTOR OF OMB
* ADDRESS (Street or RFD, Apartment No., City; State and ZIP Code)
AT HASLET ARMORY, 122 WILLIAM PENN ST. , DOVER, DE 19901 (P0].:i.cy & EXI1. Aff
EEEEEOEQEBEEEEEEQOBLTQ B@liE§.TElL*E NME £*.@éE’PB'§i*1$'£E;-r Number of process to rrr 1
F I served with this Form - 285
NINA SHAHIN, CPA I Number of parties to be I
Iserved in this case 3
1 O3 SHINNECOCK RD.
I DOVER, DE 1 ICheck for service
______________________________________ : on U.S.A. _
VSPKIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses, All
Fiflegephone Numbers, and Estimated Times Available For Service): V
I FDM
PAUPER AND PRO SE CASE
EM UG
am
*0 52;;
W
I -
~¤
Signature of Attomey er O uesting service on behalf of: — TELEPHONE NUMBER QATE zi} `-
. · r KKPLAINTIFF r——·;e_~
Mr \.O 1] DEFENDANT I3°2I678·‘B°5
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BELO Wil
I acknowledge r ceipt for thc total Total Process District District Signaturc of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve M
(Sign only tirst USM 235 if more S fl
than one USM 285 ig submitted) No. I No. L
I hereby certify and retu that ,2 have personally served, E have legal evidence of sewice, U have executed as shown in *‘Rernarks", the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company. corporation, ctc., shown `at the address inscrted below
lj I hereby certify and return that I ain unable to locate the individual, company, corporation, etc., named above (See remarks below)
Name and title of individual serv d (lf trot shown above) E A person of suitable age and dis-
. ` ·, ` \ ·‘ = cretion then residing in the defendant’s
Ldulfyk '* usual place of abode.
Address [complete only if different than shown above) Date of Service Time agp
,,,,,5 ff tt ?&>"’@
QS Signature of S. Mar I or Deputy _
Service Fee · Total Mileage Charges Forwarding Fee Total Charges Advance Deposits Amount owed to U.S. Marshal or · ou t of Refund
(including endeavors)
REMARKS:
/69 Mrd'J EVWCD Tl!//f
PRIOR EDITIONS ` FORM USM-2.85 (Rem 12/|5!8|I)
my BE USED 1. CLERK OF THE COURT

Case 1:07-cv-00643-GMS

Document 11

Filed 04/09/2008

Page 1 of 1