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

Case 1 :07-cv-00517-LPS Document 6 Filed 08/30/2007 Page 1 of 2
QAO 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 E. GOMBEH-ALIE, MD., individually; iviuHAivuviAD ARIF NIAZ,
M.D., individually; CORRECTIONAL MEDICAL SERVICES, INC., a W
Missouri corporation; coRi= DELAWARE, INC., a Delaware corporation; JOHN DOE MEDICAL
PERsoNNEL; and .1oi—iN Dos CORRECTIONAL Psnsonnst,
Defendants.
TOC (Name and address of Defendant)
Correctional Medical Services of Delaware, Inc.
c/o National Registered Agents, lnc.
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.
‘ “ zi ’ `°ii“ K, i m
_ {egg;
CLERK P DATE
R E C E I V E D
(By) DEPUTY CLERK
AUG 3 gi 2007

Case 1 :07-cv-00517-LPS Document 6 Filed 08/30/2007 Page 2 of 2
§AO 440 (Rev. 8/Ol) Summons in a Civil Action
RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by mem August 29 I 2007 (3 : 31 P.M. )
NAME OF SERVER (PRINT) TITLE
Jeffrey L. Butler rocess server
Check one box below t0 indicate zz ro riate met/wd 0 service
I] 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:
I] Returned unexecuted:


Qi Other (specify); left copies tthereof with Debbie Sealund of National Registered Agents
Ing. at [QQ Qreeptree Drjye , Sggj te ]()] , Dggggy, DE] awa gg ]99Q4 - 35 ];EgjS1;E];Ed
agent for coggorate defendant , Qorrectiona] Medi ga] Sem;] ces Qf JE] am gg , Im; ,
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
1'1/at $50.00 50.00
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.
Exeemea on August 29 , 2007 _ /A/PV cf [ ‘ “—’
Date Sigmztur Se e V "
Leg e Inc .
· P. o. Box 8- .
New Castle, Delaware 19720-0886
Address 0fSen»er
(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

Case 1:07-cv-00517-LPS

Document 6

Filed 08/30/2007

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Case 1:07-cv-00517-LPS

Document 6

Filed 08/30/2007

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