Free Summons Returned Executed - District Court of Delaware - Delaware

Case 1 :07-cv-00517-LPS Document 7 Filed 08/30/2007 Page 1 of 2
%AO 440 (Rev. 8/Ol) Summons in a Civil Action
UNITED STATES DISTRICT COURT
District of Delaware
DARYL J. CARTER,
Plaintiff,
SUMMONS IN A CIVIL CASE
V.
STANLEY W. TAYLOR, individually; RAPHAEL WILLIAMS, individually;
SITTA B. GOMBEH-ALIE, M.D., individually; MUHAMMAD ARIF NIAZ,
M.D., individually; CORRECTIONAL MEDICAL SERVICES, INC., a
Missouri corporation; CORRECTIONAL MEDICAL sERv1cEs or CASE NUMBER: » » 4 »»,.
DELAWARE, INC., a Delaware corporation; JOHN DOE MEDICAL ‘ I
PERSONNEL; and Joan DOE CORRECTIONAL r>ERsoNNEL,
Defendants.
TOZ (Name and address of Defendant)
Correctional Medical Services, Inc.
c/o National Registered Agents, Inc.
160 Greentree Drive, Suite 101
Dover, DE 19904
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFFS ATTORNEY (name and address)
Michael L. Sensor, Esquire
Perry & Sensor
One Customs House, Suite 560
Wilmington, DE 19899-1568
(302) 655-4482
an answer to the complaint which is served on you with this summons, within twenty (20) 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.
- “§“ t t i
EETEE ttataé.0 g/,1,/{07
CLERK DATE
(By) DEPUTY CLERK 3 Q

Case 1 :07-cv-00517-LPS Document 7 Filed 08/30/2007 Page 2 of 2
QLAO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN OF SERVICE
DATE _ Q
Service ofthe Summons and complaint was made by mem August 29 r 2007 (3 · --1 P•M• )
R N TITLE
£l1{E{éf pI'OC€SS SGIVGI
Check one box below to indicate rz ro riate method 0 service V
D Served personally upon the defendant. Place where served:

El 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;
E Returned unexecuted:

‘
zg Other (Specify); left copies tthereof with Debbie Sealund of National Registered Agents
Inc . at 160 Greentree Drive, Suite IUI , Dover , Del aware [9904 - as regis
agent for corporate defendant, Correctional Medical Services , Inc . ‘
STATEMENT OF SERVICE FEES
TRAVEL H/3 SERVICES $50 _ TOTAL _ OO
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 AUQUSP 29 I 2007 /l/L , I “'
Date Signature, s e ey} I \·~/
Leger B ¤ {Kes, nc .
P.0. Box 886<
New Castle , Delaware 19720-0886
Address ofServer
(l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 1:07-cv-00517-LPS

Document 7

Filed 08/30/2007

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Case 1:07-cv-00517-LPS

Document 7

Filed 08/30/2007

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