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

Case 1 :07-cv-00468-JJF Document 4 Filed 07/30/2007 Page 1 of 2
UNITED STATES Drsrincr Couar
District of Delaware
ICU MEDICAL, INC.
SUMMONS IN A CIVIL CASE
.. P
V. CASE NUMBER: O ? Ji B J
RYMED TECHNOLOGIES, BNC. .
TO: (Nami ssa address sr osrsmsam)
Rymed Technologies, Inc.
c/o The Delaware Corporation Agency, inc.
222 Delaware Avenue, 9th. Floor
Wilmington, DE 19801
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFFS ATTORNEY {name ssa address)
Richard L. Horwitz (#2246)
Kenneth L. Dorsney (#3726)
Hercules Plaza, 6th Floor
1313 N. Market Street
Wilmington, Delaware 19801
302-984-6000
an answer to the complaint which is served on you with this summons, within 20 days aher service
of this summons on you, exclusive of the day of service. H 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 tiled with the
Clerk of this Court within a reasonable period of time after service.
PETER T. mi; EQ 7 /2 7 {Q7
creme mrs
{sy) DEPUTY crsmc

Case 1 :07-cv-00468-JJ F Document 4 Filed 07/30/2007 Page 2 of 2
%A0 440 (Rev. SIO1) Summcms in a Civil Action A -
RETURN OF SERVICE i":
_ DATE , .
Service of the Summons and complaint was made by mem J VI Q7 6}, y I 0*
NAME OF SERV R (PRINT§ · 'I'I'I`LE _
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Check one box below to indicate a » ro ricxte method o service
IZZI Served personally upon the defendant. Place where served: ‘ Z ‘.`-';2
El Left copies thereof at the defendanfs 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:
IZ] Returned unexecuteci:
E Other (specify): _ • »’ » 4. Sévvdcl I2 4.; eel K r cl - e 4 4* · T ¤
eu Ti p- 2 es we Fa.,
- M . , ». ee e . a t tdeer 6., —a,
STATEMENT OF SERVICE FEES
IHRAVEL snnvtces 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 Renim of Service and Statement of Service Fees is true and correct.
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Executed on 7z VIQOVQ g !
tc Signature of Server
We dev? U? eee N. Alt st
llvvi l gl $:0
Address of Server
(1) As to who may serve a summons see Rule 4 of the Federal Rulw of Civil Hccedure.