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

· Case 1:O7—cv—OO642-Gl\/IS Document 9 Filed O3/O4/2008 Page 1 of 1
U S De artment of Justice PROCESS RECEIPT M In REI URN
’ _ ' P * L _ See Instructions for "Service of Process by the US. Marshal"
United States Marshals Service on the reverse of mrs form.
PLAINTIFF COURT CASE NUMBER
NINA SHAHIN, CPA C1V.N0.D7—642-GMS-LPS
EFENDANT TYPE OF PROCESS
BELAWARE DEPARTM NT OF STATE, DIV. OF CORP. OC
NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OFPROPERTY TO SEIZE OR CONDEMN
SERVE
DR. HARRIET SMITH WINDSOR, SECRETARY OF STATE
» » ADDRESS (Street or RFD, Apartment No., City State and ZIP Code)
AT 820 N. BRENCH Street, Wilmington, DE 1 9801
EFEEEOEQEQEEEEEE QOBYJQ BIEQEEETEIUE EEVIE §.'iP;“EDB'§i*§l€LOB’;-. N..,t,.. or .....5. I. t,. 1
F I served with this Form - 285
NINA SHAHIN, CPA iNumber of parties to be 3
Iserved in this case
I O3 SHINNECOCK RD.
1 I Check I`0I' service
___________ L __________________________ I tm u.s.A.
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Altemate Addresses, AII
gelephone Numbers, and Estimated Times Available For Service): _ FDM
in .
—— all state of:E1ces to be —
served are located in the
PAUPER CASE _
Carvel State Offrce Bldg.
Signature of Attorney or other `ginator questing service on behalf of; TELEPHONE NUMBER DATE
E ""“NT'FF 302 6 e 1805 2/11-/2008
ot. E < » 7 -
SPACE BELOW FOR USE OF U.S. MARSHAL ONLY - DO NOT WRITE BELOW TI-HS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve .·.
(Sign only Hrst USM 285 if more - { _ .-* 6 Z
than one USM 285 is submitted) No. I- No. M ) "
I hereby certify and retu that E7 ` ave personally served. I] have legal evidence of service. I] have cxecuted as shown in "Remarks”, the process described
on the individual, company, corporation, etc., at the address shown above or on the individual, company, corporation, etc., shown `at the address inserted below.
lj I hereby certify and retum that I am unable to locate the individual, company. corporation, ctc., named above (See remarks below)
Nam and title of individual served (if not shown above) E A person of suitable age and dis-
. { V _ 1:. __ A .. _ ~ cretion then residing in the defendant’s
@.41 sign} C/IIr'$I‘=·" ·~‘:‘·’? tf . Ce ’;/;i»<·““·lf/·¢+·-*.1 J'j—;a= exim; ari" usual piae. of abode.
Address (complete only ifditferent than sliownabo e) Date of Service Timc Pam.-
si/I»’;·'1¢’f.j_!·i`;;\·r",/fl nijdt/' /7: / ,/." I *2 r J-"`-_-I
‘ .2 52 Zeta; »’ --t»;¤
Vg! rg'? svéi Zibf I P _`
QDQ Q_:/I) 1 E: S » _ , ,-Ma sha ;· Deputy p
¢· L; _,;ilé_ _. _ .-· A -· _ __./(CQ}? ;_,;r,4.,
Service Fee Total Mileage Charges Forwarding Fec Total Charges Advance Deposits Amount owed to U.S. Marshal or `§·rioti' l§§efund
(including endeavors) ;$ i gd; -
F"' PI-.
FU Laid _
REMARKS: · _ I _ I I - - , _ - .
I_)t\.(fjq__,;_i,¤ OI; "' / /,
. rn , SEQ
[TDI $I"'· § Qjvgj
. 3_ - ... 0 ` sg? ¤
30 'I 31 3 `7 F} 5
PR.l0:EE3;;II?NS 1. FORM USM-285 (Rev. I2/I5/80)

Case 1:07-cv-00642-GMS

Document 9

Filed 03/04/2008

Page 1 of 1