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

Case 1 :07-cv—OO570—SLFl Document 4 Filed 10/O3/2007 Page 1 of 1
RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE C7 Q / (jj
NATfTEOFS]TR"ER(PR"YT’ TTTLE _ Seam.; H.’.aj..a»€
R. Car? Qreckbgf T1T.-t/¤2Si~e5ai'~>»' §)\0g..,‘Cu€,;
Check one box below to indicate appropriate method of service
Served personally upon the defendant. Place where served:
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: Lckgglq \ 9.
Returned unexecuted: ;

Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
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 on: C" Q 5*/C; ‘7 J wk
Date Signature of Server LI'] (/ +5 ,
TDLQU f {
Address of Server
I
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 1:07-cv-00570-SLR

Document 4

Filed 10/03/2007

Page 1 of 1