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

Case 1:07-cv-00530-SLR—LPS Document 10 Filed 02/08/2008 Page 1 of 2
K QAO 440 (Rev. 8/Ol) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
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SUMMON S IN A CIVIL CASE
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i (Name, and addre5?fDcfcnd;1u%/ V/,_€ @ 7} %/ ` O
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YOU ARE HEREBY SUl\/[MONED and required to serve on PLAINT1FF’S ATTORNEY (name and address)
an answer to the complaint which is served on you with this summons, within ? § 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.
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Case 1 :07-cv-00530-SLR—LPS Document 10 Filed 02/08/2008 Page 2 of 2
¤AO 440 (Rev. B/01) Sunnnons in a Civil Action
RETURN OF SERVICE
DATE .
Service of the Summons and complaint was made by mem Qi Q U Q
NAME OF SERVER (PRINT) TITLE
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Check one box below to indicate cz ro rictte method 0 service
EJ 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 eomplaint were left: i A
El Returned unexecuted: -
XO er(specify): " i -_ . }· A· St » ’ '__ . . .
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STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
l declare under penalty of perjury under the laws of the United States of America that the foregoing infomation
contained in the Return of Service and Statement of Service Fees is true and co ect.
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Executed on » ~ · { "
ate Signature of Serv ` {7
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- Address cf Server
(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 10

Filed 02/08/2008

Page 1 of 2

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

Document 10

Filed 02/08/2008

Page 2 of 2