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

_ Case 1 :07-cv;00543-JJF Document 5 Filed 10/29/2007 Page 1 of 2
P§*Q·¤i4O (Kiev. 10/93) Summons IU a Civil Action
t*"‘"` ~ is United States District Court l
District of Delaware
State Farm Mutual Automobile Insurance Company (as subtogee of Cynthia
Thoma s ) {
Plalmrrr,
v. SUMMONS IN A CIVIL ACTION l
United States of America (U.S. Post Office) & Ryan T.
Rowe _ CASE NUMBER: O 7 __ 5 A 3 &
Defendants. -
TOZ(Name and Address of Defendant)
I
United States Attorney‘s Office f
District of Delaware i
P.O. Box 2046
Wilmington, Delaware 19899
YOU ARE HEREBY SUMMONED and required to serve upon PLAlNTlFF’S ATTORNEY (name and i
address)
an answer to the complaint which is herewith served upon you, within twenty (20) days after service of this summons
upon you, exclusive ofthe day of service. lf you fall to do so, judgment by default will be taken against you for the relief
demanded in the compiaint. You must also file your answer with the Clerk of this Court within a reasonabie period of time ‘
after service. U Z
PETER T. DALLEO 2 égg U 2 .
CLERK 2 CN DATE .I
sv oe TY clean (
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Case 1:07-cv—00543-JJF Document 5 Filed 10/29/2007 Page 2 of 2
AQ 440 _gl§iev.10/93 Summons in a Civil Action
I H I I ~ · ` ' RETURN OF SERVICE
Service of the Summons and Complaint was made by mel DATE [0 all O 7
NAME oi= seavea ‘*’““" i p
sli ng nanfa y
Check one box below to indicate appropriate method of service
W Senied personally upon the defendant. Place where served: A/€fYi cures S CD) Su. ite 7 0 0
Ltjll/iv¤li~lc~‘¤ M {lh? Z‘-'l?‘?‘i’ AT /03 VA-lm. 0 A Spipyaalq g,r¢»m7\}
El Left copies thereof at the defendants 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:
El Returned unexecuted: Q
El Other (specify):
STATEMENT OF SERVICE FEES
TRAVEL senvices TOTAL I
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 i
Return of Service and Statement of Service Fees is true and correct. *
Executed on /0 2’7’ 07 [N ·
A te Signature of Senrer .·.
Address of Server 2 3 O AI /l/lA·fL{d-G£"T`5
ni r LM oe I ti 66 ;
° As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 1:07-cv-00543-JJF

Document 5

Filed 10/29/2007

Page 1 of 2

Case 1:07-cv-00543-JJF

Document 5

Filed 10/29/2007

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