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

Case 1 :07-cv-0051 5-GlV|S—lV| PT ` Document 5 Filed O9 C·Fr' 1 of 2
=eAO 4-10 (Rev. B10!) Summons in a Civil Action
RETURN OF SERVICE
Service ofthe Summons and com laint was made b nn-:"' DATE
P Y September 10, 2007
NAME OF SERVER ( PRINT j TITLE
Charles Snydexman Pletin*t::i.ff' s Attorne
Check one box below ro fndieme o ro rime method 0 service
El Served personally upon the defendant. Place where served:
[Z`} Left copies thereof at the defemlant‘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:
Ei Returned unexecuted:
X] Other (specify): served by Qgftj fj gg] ma j I ];Ej;]] gg gggggj pj; ;Eq_uES-tad
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 Retum of Service and Statement of Se `ce Fees is true and correct.
Executed on E '
Date `_ rflfhrre of Server
QSO! Ll@jQ jltgg [Emil € QV`!
Address ofServer '\’6V\. ¥ `
(I) As to who may serve a summons see Rule 4 ofthe Fedeml Rules of Civil Procedure.

Case 1 :O7—cv—OO515-G|V|S—IV|PT Document 5 Filed O9/19/2007 Page 2 of 2

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item 4 IfHestr1¤ted Delivery Es desired. fi W Ei Agent l
I Print your nemeend address on the reverse 0 ` EI Addmssee l
so that we can return the card to you. ' , = I _ _ _ {
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or on the front if space permits. I -••=i. rf ;
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` 5 _ EI Registered EZ] Fieturn Receipt for Merchandise
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PS Form 381 `I , February 2004 Domestic Fleturn Fleeelpt masse-e2·M-1540
UNITED STATES POSTAL SERVICE Fil-SPCIBSS Mail
Postage & Fees Paid
USPS
Permit No. G-10
° Sender: Pleese print your meme, eddress, and ZlP+4 in this box °
CHARLES SN\’DERlV|At`~i, RA.
5307 LINIESTONE F10!-\D.SUtTE 2'U1
\!`u"1Li`v'fl|‘—iCé"i`C)i\·I, DELAWAFIE 19808
IIHIIIIIIJHIIIIIHIIIITHln}IIJIHl1iiII$1IIH1IHI§I\1§I

Case 1:07-cv-00515-GMS-MPT

Document 5

Filed 09/19/2007

Page 1 of 2

Case 1:07-cv-00515-GMS-MPT

Document 5

Filed 09/19/2007

Page 2 of 2