U S D is J · PROCESS RECEIPT AND RETURN
. . epattment 0 ustice S . .. I .,
_ _ ee Instructions for Service of Process by the U.S. Marshal
UHIIGO SIEIICS IVIEIISIIHIS S€I`VlC€ on the reverse of this form.
PLAINTIFF ___` COURT CASE NUMBER
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NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC., TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN
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ADDRESS (Street or RFD, Apartment N0., City, State and ZIP Code)
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§F§lLl`£’E9.5.€’E¥$‘3}’EE.(;OE.Y.T9Bl1?!E§T.E‘L/°i.li&"EA@.é'2DB§SJ2EE.Ol’;-i Number of process is be
\·—* ( _ Iserved with this Form — 285 I
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â€n’ib' "" ""-I '5_ "‘ "°" ‘ VL" " {Number of parties to be
bs;'Lr.·.t.,.,— ··c L arr- -·=_·\ .·r,·\r.-I C__.· \*r re Iserved in this case -3
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I ·br_\\ff_m JW bi \,1(:?_! }Cheek for service
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SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alt te I es, All
Telephone Numbers, and Estimated 'Iimes Available For Service): — i J-.
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Signature of Attorney or other Originator requesting service on behalf of: . TELEPHONE NUMBER TE l if
. Q PLAINTIFF
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SPACE BELOW FOR USE OF U.S. MARSHAL ONLY — DO NOT WRITE BELOW Tl-HS LINE
I acknowledge receipt for the total Total Process District District Signature of Authorized USMS Deputy or Clerk Date
number of process indicated. of Origin to Serve
(Sign only tirst USM 285 if more A { ___ E ·’
than one USM 285 is submitted) No. _ No. _ ._. _;. ;,__ ,,_ U é 5
I hereby certify and return that I _ have personally served, l I hare legal evidence of scrvice, II have executed as shown in "Remarks", the process described
on the individual, company, cor tration. etc., at the address shown above or on the individual, company. corporation, etc., shown `at the address inserted below.
I hereby certify and return that I am unable to locate the individual, company, corporation. ctc., named above (Sec remarks below)
Name and title ol individual served (if not shown above) _ \ _.\ pcrggn gf Suitable age and dis,.
— t I _ /7 _ cretion then residing in the defend:ml`s
ll r JI l l I A., L _ gl.} usual place of abodc.
Address (complet nly ildifle rli than shown above) Date oi Service Ti:nc am
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(.5 la I 2/0 pm
Signature of I'..`_ Marshal or Deputy
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Scnice Fee Iotal Mileage Charges Forwarding lice Total Charges Advance [Deposits Amount owed to ILS. M rshal or Amount of Rcluntl
(including endeavors)
REMARKS:
` FO M-28 I1!]
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