Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 1 of 8 PageID 279

AO 440 (Rev. l2109) Sumrnons rn

Civil Action

{Page 2)

Civil ActionNo. 3:12-cv-0325 l-P

PROOF OF SERVICE

(Thls seclion should not beftted with the coaft unless reguired by Fed. R. Civ. P. 4 $)) This summons for (name of indiviQa
was received by me on

title, if any)

@atel f{i'

!*

I personally served the surrrmons on the individual at Qtlace)

f*

t teft the summons

at the individual's residence or usual place

of

abod e

,
on {date)

a person

and mailed a copy to the individual's last known address; or

Fo g
on (date)

il*

I served the summons an {name of inditidual) by law to accept service ofprocess on behalfof{name oforgani:ation'y

f*

I returned the sumtrtons unexecuted because

Th e

My fees are $

#.

{,{,}

for travel and $

&?.

tit'

I declare under penalfy ofperjury that this information is true'

of

nd

\/s^{tt? {rf ti fi. v. {,

I tpvavt

bo w.
on (date)

with {nane} ofsuitable age and discretion who resides there,

for services, for atotal

Printed name and title

ie

gytw #f ff*eq*ot w,: ,#**.&,*_!&

Server's address

Fr

Additional information regarding attempted service, etc:

co m
;or
who is designated

,rs 0 ' #)

f;ii?

Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 2 of 8 PageID 280

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Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 3 of 8 PageID 281

l9-lJ9-q:l:.-i?1-0:l-s-lry:s-rll9-Lv:Lff !er*(S.89?)**-Civil Action No. 3:12-cv-03251-P PROOF OT SERVICE

(Thls section should not betiled wilh the court unless required by Fed. R. Civ, P. 4 (I)) This summonsfor (name
was received by me on (date)

of

f*

I personally served the summons on the individual at {place)

t ten

rhe summons at the individual's residence or usual place

of abode with (nanre)

a person

on (dute)

, and mailed a copy to the individual's last known address; or

Fo g
on (date)

i*

I served the summons on (name of indi' idual)

by law to accept service ofprocess on behalfof(name oforganization)

bo w.
on (date)

ofsuitabls age and discretion who resides there,

I rehrrned the surnmons unexecuted because

PEu'tP'r
My
fees are $

Th e

#. t't;

for travel and $

fi" Ct'

for services, for

total

I declare under penalty of pedury that this information is true

nd

of

Y'r,,{;a Yurt
Printed name and title

ie

5'/w #J.{{*s*,kr

*rta #,ee,&,a

Server's address

Fr

Additional information regarding attempted service, etc:

co m
who is designated

;or

;or

ort 0 M)
"

r$, tt;x*r

Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 4 of 8 PageID 282

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postage Cenilied F66

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Total postags & Fees

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Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 5 of 8 PageID 283

a"- **_----

AO440 (Rcv. l2109)Sumrnons

rn a

Civil Action

(Page 2)

Civil Action No. 3:12-cv-03251-P

PROOF OF SERVICE

(This section should not beliled with the court unless required by Fed R. Ctv. P. a @) This summons for (name of individpal any' title, if any)
was received by me on

(drO f{l;:i /kfl

I personally served the sunrmons on the individual at (place)

f-

I tet the summons

at the individual's residence or usual place

of

abod

a person

on (date)

, and mailed a copy to the

f*

I served the summons on (name of indtuidual)

Fo g
on (date)

by law to accept service ofprocess on behalfof(name oforganization)

bo w.
on (date)

f*

e with (nanrc)

ofsuitable age and discretion who resides there, individual's last known address; or

l'-

I returned the summons unexecuted because

P*U iPf
M1' fees are $

Th e

0. [,{)

for travel and $

fi. * r'

for services, for

totat

I declare under penalty of perjury that this information

of

is true.
l

Server's signature

nd

Y,r/;a

Yu*
Printed name and title

ie

7/w #^{/*pafu,

{Ne idd,&"r? qfr,

Server's address

Fr

Additional information regarding attempted service, etc:

co m
who is designated

;or

,f

()

rr

Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 6 of 8 PageID 284

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Postage Certified F66

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Total Pctage & Fees

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of

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it v,i 1

co m

Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 7 of 8 PageID 285

fp_i]-O tnev, I 2/09) Surnrnons in

a Civit Action (page 2)

Civil Action No,

3: I

2-cv-032J I -P

PROOF OF SERVICE

(Thls section shoald nol befiled with the coart unless requhed by Fed R. Civ. p. a @) This summons for (name of indiui$nl anl title, if any)
was received by

meon(dare)

if/ii

/,,A']/L

I personally served the summons on the individ ual at (place)

f-

t ten the summons

at the individual's residence or u$ual place

of

abod

a person

on (ddte)

and mailed a copy to the individual's last known address; or

J*

I served the summons on(name oJ'indit'idual\

Fo g
on (date)

by law to accept service ofprocess on behalfof(name oforgani.ation)

bo w.
on (date)

f'-

e with (nante)

ofsuitable age and discretion who resides there,

I returned lhe sumnrons unexecuted because

{rkt ip/M1' fees are $

0. t'l'

Th e

for rravel and

fr. t,l'

for services, for a total of

I declare under penalty of perjury that fhis infonnation is true.

of

signature

nd

Y*{;,t

(Let

Printed name and title

ie

li/ff; (l-fir,eqfut rta< /#g*"&,n {:/ f;vi?

Server's address

Fr

Additional information regarding attempted service, etc:

co m
;or
who is designated

;or

;or

$ 0 . 6V)

Case 3:12-cv-03251-P Document 11 Filed 09/04/12

Page 8 of 8 PageID 286

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