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

Case 1 :07-cv-0051 5-GlV|S—l\/I PT Document 4 Filed O9/19/Zegn Ifjaggi
•e·.AO 440 (Rev. SIU!) Summuns in as Civil Action
RETURN OF SERVICE
_ _ I in DATE
Service ofthe Surnmons and complamt was made by me August 2 -7 I 2 D 0 7
NAME OF SERVER (PRINT) TITLE
¤ . - • • rmem Plaintiff' S Attorney
Check one box below ro iriclicnre o » ro rfore rnerhod o service
I] Served personally upon the defendant. Place where served:
I] Left copies thereof at the defendanfs dwelling house or usual place of abode with El person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint were left:
El Returned unexecuted: K
E Omg, (Specify). sgerved by certi fied mei]. , return receipt requested
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
DECLARATION OF SERVER
1 declare under penalty of peijury under the laws ofthe United States of America that Lhc foregoing infomation
contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on 'U fl Ul {9 1 { 2 Q ”;·
Date Sigr1unrrc7.rfScn·er
5"Qol lz iwonbeerltomei ,$r,,Tl;> 9 i‘/
zlddress of Senicr .·— (D6;
}¤1lln»t·¢»ggl¤~’»t (O L ll
(1) As to who may serve zz summons see Rule 4 of the Federal Rules of Civil Procedure,

Case 1 :07-cv-00515-GIVIS-IVIPT Document 4 Filed O9/19/2007 Page 2 of 2
' . .. .. _ .. r, .. ._ , A. . _ . .. _. _ .e._ ..... .,
ll Complete items 1, 2, and 3. Also complete A- S|El¤¤¤-W ! I
item 4 lf Restricted Delivery is desired. X ,é4u;éZ WO ./ U Assn! P
I Print your name and address on the reverse MW El Addresses .
so that we can return the card to yy u. - [ _ %
I Attach this card to the back of the xallplece, B` RECEIVE! by§¤€F5EdévEg8)Z[]Q .r Data Dfuaumry {
or on the front If space permits. ·
D. ls delivery address different from item 17 El Yes E
1' Article Addmssad tm lf YES, enter delivery address below: U ND
A\\\C>€»i’ Cj OVXZCL ug J
U- S. Athvmy C°r¤»¢~<¤..»<~l
· • » “ ertined Mall Express Mall
g QD Cl Flegistered ij Fletum Flecelpt for Merchandise
- NW EI Insured Mall I] G.O.D.
MSM-¤ { ’l'UV\ [ C, _ 5 Qjg 4. Restricted Delivery? {Extra Fee) lj Yes
2. Artl le Number -
(Trazsferfrom serv.'cer'abeU rl O G1 Q GD l I A! O B Sr
PS Form 3811, February 2004 Domestic Flerurn Receipt 102ses-u2-M-1s4¤
Urnreo Smres Poem. Srzavrce · FHSFCIESS Man
Egségge & Fees Paid
Permit No, G-10
° Sender: Please print your name, address, and ZlP+4 in this box °
CHARLES srvyg
530'I Lili/lESTOl`\lE Ftgglgmwr RA.
WlLlVllf\lGTOl\l DEL I SUITE 2m
· AWARE 19808
fliiijlifliilIituiilllliifliulljiiiuiHitéliullliliniilfi

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

Document 4

Filed 09/19/2007

Page 1 of 2

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

Document 4

Filed 09/19/2007

Page 2 of 2