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

Case 1 :07-cv-00530-SLR—LPS Document 12 Filed 02/08/2008 Page 1 of 2
%sAO 440 (Rev. E/01) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of U Delaware
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Q O _V (I O j ··-A [Q SUIVHVIONS INA CIVIL CASE
, CASE NUMBER: O _
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V TOZ (Name and address of Defendant}
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YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFFS ATTORNEY (name and adams) C
an answer to the complaint which is served on you with this summons, within 2 O days after service
of this summons 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.
1 EETER lt DALLEQ FEB Q 6 mg
CLERR n DATE
. GL
qsy; DEPUTY CLERK

Case 1 :07-cv-00530-SLR—LPS Document 12 Filed 02/08/2008 Page 2 of 2
I QAO 440 (Rev. S/Ol) Summons inaCivil Action
RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by mem b ‘ _,
av |i
N AME OF SERVER (PRINT) TITLE __
rm ‘ G- ia . ` A- 3*1.
Check one bex below to indicate a ro riate 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:
in Returned unexecuted:
Q Other(specify): , ` - - ` `- I \ I »» · Ig l ,,-.4 i.}
‘ I ‘ ‘ ·
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
I declare tutder 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 Q! fg, ¥ E é Zi;] 2
V atc Signature cfSen¤er _
vte N / {,.">»\»v~'·~b“te¤/ p_g;1<»18 F/l
Address ofServer
(1) As to who may serve a summons see Rule 4 ofthe Federal Rules of Civil Procedure. '

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

Document 12

Filed 02/08/2008

Page 1 of 2

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

Document 12

Filed 02/08/2008

Page 2 of 2