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

Case 1 :07-cv—OO530-SLR-LPS Document 13 Filed O2/08/2008 Page 1 of 2
QTAO 440 (Rev. 8/01) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
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Q (\ , rx q \< rj SUMMONS INA CIVIL CASE
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TOZ (Name and address of Defendant) G"` r_
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Dot/er"' / D6 /?`? YOU ARE HEREBY SUMMONED and required to serve on PLAIN TIFF’S ATTORNEY (name and address)
an answer to the complaint which is served on you with this surmnons, within Q O days after service
of this surmnons on you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the
Clerk of this Court within a reasonable period of time after service.
PETER T. DALLEO F,. I
. .-3 T) G 2305
CLERK DATE
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(By) DEPUTY CLERK

Case 1 :07-cv—OO530-SLR-LPS Document 13 Filed O2/08/2008 Page 2 of 2
A QAO 440 (Rev. 8/01) Surnrnons in a Civil Action
i RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by mem 9, Q O B
NAME or sERvER (PRINT) TITLE
_. y _ ., Q ul C(`}UxJ‘(L{`
Check one box below to indicate a ro riote method 0 service
El Served personally upon the defendant. Place where served:
I] 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:
I] Returned unexecuted:
,QP)th r(specify): r ' Os i A A * • r ; n, DQ léem; Y V
o c ·. 'I.'l§HH|lt!!i$'El!L'$rHl5'i.HE1E¤ · c/N
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 [ [ 8 / y
Q Date Signature of er
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Address of Server
(l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure. R

Case 1:07-cv-00530-SLR-LPS

Document 13

Filed 02/08/2008

Page 1 of 2

Case 1:07-cv-00530-SLR-LPS

Document 13

Filed 02/08/2008

Page 2 of 2