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IN THE UNITED STATES DISTRICT COURT


SOUTHERN DISTRICT OF OHIO
EASTERN DIVISION

MATTHEW DAVID KELLY : CASE NO: 2:14-cv-307
144 Flintstone Drive
Harrison, Ohio 45030 :

Plaintiff :

-vs- :

CLINTON E. SINES : COMPLAINT AND JURY DEMAND
Fayette County Deputy Sheriff
in his individual capacity :

c/o Vernon P. Stanforth :
Fayette County Sheriff
113 East Market Street :
Washington Court House, Ohio 43160
:
and
:
VERNON P. STANFORTH
Fayette County Sheriff :
in his official capacity
113 East Market Street :
Washington Court House, Ohio 43160
:
and
:
BRYAN COOK
Ohio State Trooper :
in his individual capacity
:
c/o Ohio State Highway Patrol
Wilmington Patrol Post :
950 Rombach Avenue
Wilmington, Ohio 45177 :

Defendants :

PARTIES

For his complaint against Defendants Clinton E. Sines, Vernon P. Stanforth, and Bryan
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Cook, Plaintiff Matthew D. Kelly states as follows:
1. Plaintiff Matthew D. Kelly is a natural person who resides in the City of Harrison,
Hamilton County, Ohio.
2. Defendant Clinton E. Sines is a natural person who resides in Washington Court
House, Fayette County, Ohio. At all relevant times, Sines was employed as a deputy sheriff by
the Fayette County Sheriffs Office and was acting under color of state law.
3. Defendant Vernon P. Stanforth is and at all relevant times was the Sheriff of
Fayette County, Ohio and employed Defendant Clinton E. Sines as an assistant deputy sheriff.
4. Defendant Bryan Cook is a natural person who at all relevant times was employed
as a patrol officer by the Ohio Highway Patrol and was acting under color of state law.
JURISDICTION AND VENUE
5. This action is brought under 42 U.S.C. 1983 to redress injuries to Mr. Kelly
caused by Defendant Siness use of excessive force against Mr. Kelly and Defendant Cooks
failure to intervene to stop Siness use of excessive force. This court has jurisdiction of this
cause under 42 U.S.C. 1983 and 28 U.S.C. 1331. This court has supplemental jurisdiction of
the state law claims pursuant to 28 U.S.C. 1367(a).
6. Venue in the United States District Court, Southern District of Ohio is proper
pursuant to 28 U.S.C. 1391(b) as the acts complained of occurred in this judicial district.
FACTUAL ALLEGATIONS
7. In the early morning hours of May 25, 2013, Mr. Kelly was a passenger in a
pickup truck being driven southbound on Interstate 71 by his friend, Justin Runck. Mr. Kelly
was asleep in the front passenger seat when State Trooper Bryan Cook signaled Runck to pull
over for a traffic violation.
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8. Runck pulled his pickup truck onto the inside shoulder of the highspeed lane of
Interstate 71. Cooke ordered Runck from his truck and had Runck perform field sobriety tests.
He then handcuffed Runck and arrested him for driving under the influence of alcohol. Cook
placed Runck in the front seat of the police cruiser, which was parked directly behind Runcks
pickup truck.
9. Mr. Kelly remained asleep in the front passenger seat of the pickup truck.
10. Defendant Sines arrived at the scene, left his vehicle, and stood near Cooks
cruiser. Cook asked Sines to watch Runck while he went to wake up the passenger.
11. Cook opened the drivers side door of Runcks pickup in order to awaken Mr.
Kelly. Cook, leaning over the drivers seat, said Partner, hey partner. When Mr. Kelly did not
respond, Cook reached into the truck and shook Mr. Kellys arm and shoulder, yelling Hey,
hey, hey.
12. Mr. Kelly was startled and flailed his arms over his head. He remained in the
passenger seat of the pickup restrained by his locked seatbelt. Cook stepped back and shouted
Wake up, wake up, get up.
13. Sines then ran to the passenger side of Runcks pickup truck and opened the door.
Sines pointed his taser at Mr. Kelly and said Sheriffs Office, show us your hands. Cook said,
I know youre asleep, now get out.
14. Without giving Mr. Kelly time to comply with these commands, Sines grabbed
the back of Mr. Kellys sweatshirt and attempted to pull him out the passenger side of the truck.
Mr. Kelly was restrained by his seatbelt; Sines continued to pull on Mr. Kellys sweatshirt so that
his head and torso came outside the truck into a horizontal position.
15. Sines pulled Mr. Kelly so far from the truck that Mr. Kellys hands and then his
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feet touched the pavement. But the seatbelt prevented Sines from pulling Mr. Kelly entirely free
of the truck. Sine said Ill tase you.
16. Sines lost his grip on Mr. Kellys sweatshirt and he was pulled towards the truck
by his seatbelt. Sines fired his taser at Mr. Kelly. A taser prong struck Mr. Kelly in his right
eye. Mr. Kelly slumped into a sitting position in the open truck door, still restrained by his
seatbelt.
17. Sines told Mr. Kelly to Get on the ground, get on the ground, now, get on the
ground, Ill do it again, get on the ground. While his taser prong was embedded in Mr. Kellys
eye, Sines activated his Taser for a second time, sending a second surge of high-voltage
electricity into Mr. Kellys eye.
18. Cook then asked Sines, Has he got a seatbelt around him? Sines ordered Mr.
Kelly to face away from him. Mr. Kelly complied with this order. Cook then reached through
the drivers side door of the truck and unfastened Mr. Kellys seatbelt. The officers handcuffed
Mr. Kelly and called for a medic to treat his injuries.
19. The taser prong remained in his eye. Mr. Kelly was taken by ambulance to
Fayette Memorial Hospital and then to Ohio State University Hospital where the taser prong was
eventually removed by an eye surgeon in the afternoon. The taser prong damaged the retina of
Mr. Kellys eye, resulting in the near-total loss of vision of his right eye.
COUNT I
(42 U.S.C. 1983 - Excessive Force)
(Against Defendant Sines)

20. Plaintiff repeats and re-alleges the allegations contained in paragraphs 1 through 19
as if fully restated herein.
21. Sines had no basis to use any force against Mr. Kelly. Sines used excessive force
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when he pulled Mr. Kelly from Runcks truck, tased him in the eye, and then tased him again in
the eye knowing that his taser prong was embedded in Mr. Kellys eye.
22. Siness actions were made under color of state law. They deprived Mr. Kelly of
his right to be free from excessive force under the Fourth and Fourteenth Amendments to the
United States Constitution.
23. Siness use of excessive force caused significant injuries to Mr. Kelly, including
permanent loss of vision in his left eye, post-traumatic stress, other psychological injuries, loss of
enjoyment of life, and other injuries.
24. Under 42 U.S.C. 1983, Sines is liable to Mr. Kelly in damages in an amount to
be proven at trial, plus an award of his attorneys fees.
COUNT II
(42 U.S.C. 1983 - Excessive Force-Failure to Intervene)
(Against Defendant Cook)

25. Plaintiff repeats and re-alleges the allegations contained in paragraphs 1 through
24 as if fully restated herein.
26. Defendant Cook had a duty to prevent Sines from tasering Mr. Kelly.
27. Cook failed to prevent Sines from tasering Mr. Kelly. This failure resulted in
injuries to Mr. Kelly, including permanent loss of vision in his left eye, post-traumatic stress,
other psychological injuries, loss of enjoyment of life, and other injuries.
28. Cooks actions were made under color of state law. They deprived Mr. Kelly of
his right to be free from excessive force under the Fourth and Fourteenth Amendments to the
United States Constitution.
29. Under 42 U.S. C. 1983, Cook is liable to Mr. Kelly in damages in an amount to
be proven at trial, plus an award of his attorneys fees.
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COUNT III
(Battery under Ohio Law)
(Against Defendant Sines and Stanforth)

25. Plaintiff repeats and re-alleges the allegations contained in paragraphs 1 through
24 above as if fully restated herein.
26. Siness actions constituted an intentional and unconsented to and unlawful
offensive contact with Mr. Kelly.
27. Siness actions were motived by ill-will, hatred, and contempt towards Mr. Kelly,
and were therefore malicious.
28. Under Ohio law, Sines is liable to Mr. Kelly for compensatory and punitive
damages for battery in an amount to be proven at trial.
29. Under Ohio law, Defendant Vernon P. Stanforth is liable under the doctrine of
respondeat superior for the damages caused by his employee, Deputy Clinton Sines.
COUNT IV
(Negligent Retention and Supervision)
(Against Defendant Stanforth)

30. Plaintiff repeats and re-alleges the allegations contained in paragraphs 1 through
29 above as if fully restated herein.
31. In 1999, Deputy Sines was given a disciplinary letter for unprofessional conduct
and failure to perform his duties. In 2010, he was given two reprimands for neglect of duty. In
2011, Sines was sued for violating the constitutional rights of an 18-year old female during a
traffic stop. Bases on these and other incident, Defendant Sheriff Vernon P. Stanforth knew or
should have known that Sines was an incompetent and untrustworthy employee.
32. Stanforth negligently failed to properly train, supervise, and discipline Sines and
negligently retained Sines as his employee.
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33. Stanforths negligence was the proximate cause of the injuries inflicted by Sines
on Mr. Kelly.
34. Under Ohio law, Stanforth is liable in damages to Mr. Kelly in an amount to be
proven at trial.
WHEREFORE, Plaintiff Matthew D. Kelly demands judgment against Defendants as
follows:
i. On Count I, an award of compensatory damages against Defendant Clinton E. Sines in
an amount to be proven at trial that is in excess of $5,000,000.00;

ii. On Count II, an award of compensatory damages against Defendant Bryan Cook in an
amount to be proven at trial that is in excess of $5,000,000.00;

iii. On Count III, an award of compensatory damages against Defendants Sines and
Stanforth in an amount to be proven at trial that is in excess of $5,000,000.00 and an
award of punitive damages in an amount to be proven at trial;

iv. On Count IV on Count I, an award of compensatory damages against Defendant
Stanforth in an amount to be proven at trial that is in excess of $5,000,000.00;

v. On all Counts, an award of his attorneys fees and the costs of this action; and

vi. On all Counts, such other relief as he may be entitled to in law or equity.

Respectfully submitted,



/s/ Jeffrey Albert Witt
Jeffrey A. Witt (0066274)
119 E. Court Street
Cincinnati, Ohio 45202
(513) 421-5297
Facsimile: (513) 721-5824
Jawitt_2001@hotmail.com
Trial Attorney for Plaintiff





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JURY DEMAND

Plaintiff respectfully demands a trial by jury of all issues so triable.


/s/ J effrey Albert Witt_________
Jeffrey Albert Witt (#0066274)
Counsel for Plaintiff



Case: 2:14-cv-00307-GLF-NMK Doc #: 1 Filed: 04/02/14 Page: 8 of 8 PAGEID #: 8
JS 44 (Rev. 12/12)
CIVIL COVER SHEET
The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as
provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the
purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)
I. (a) PLAINTIFFS DEFENDANTS
(b) County of Residence of First Listed Plaintiff County of Residence of First Listed Defendant
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)
NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED.

(c) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (If Known)
II. BASIS OF JURISDICTION (Place an X in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an X in One Box for Plaintiff
(For Diversity Cases Only) and One Box for Defendant)
1 U.S. Government 3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Government Not a Party) Citizen of This State 1 1 Incorporated or Principal Place 4 4
of Business In This State
2 U.S. Government 4 Diversity Citizen of Another State 2 2 Incorporated and Principal Place 5 5
Defendant (Indicate Citizenship of Parties in Item III) of Business In Another State
Citizen or Subject of a 3 3 Foreign Nation 6 6
Foreign Country
IV. NATURE OF SUIT (Place an X in One Box Only)
CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
110 Insurance PERSONAL INJURY PERSONAL INJURY 625 Drug Related Seizure 422 Appeal 28 USC 158 375 False Claims Act
120 Marine 310 Airplane 365 Personal Injury - of Property 21 USC 881 423 Withdrawal 400 State Reapportionment
130 Miller Act 315 Airplane Product Product Liability 690 Other 28 USC 157 410 Antitrust
140 Negotiable Instrument Liability 367 Health Care/ 430 Banks and Banking
150 Recovery of Overpayment 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS 450 Commerce
& Enforcement of Judgment Slander Personal Injury 820 Copyrights 460 Deportation
151 Medicare Act 330 Federal Employers Product Liability 830 Patent 470 Racketeer Influenced and
152 Recovery of Defaulted Liability 368 Asbestos Personal 840 Trademark Corrupt Organizations
Student Loans 340 Marine Injury Product 480 Consumer Credit
(Excludes Veterans) 345 Marine Product Liability LABOR SOCIAL SECURITY 490 Cable/Sat TV
153 Recovery of Overpayment Liability PERSONAL PROPERTY 710 Fair Labor Standards 861 HIA (1395ff) 850 Securities/Commodities/
of Veterans Benefits 350 Motor Vehicle 370 Other Fraud Act 862 Black Lung (923) Exchange
160 Stockholders Suits 355 Motor Vehicle 371 Truth in Lending 720 Labor/Management 863 DIWC/DIWW (405(g)) 890 Other Statutory Actions
190 Other Contract Product Liability 380 Other Personal Relations 864 SSID Title XVI 891 Agricultural Acts
195 Contract Product Liability 360 Other Personal Property Damage 740 Railway Labor Act 865 RSI (405(g)) 893 Environmental Matters
196 Franchise Injury 385 Property Damage 751 Family and Medical 895 Freedom of Information
362 Personal Injury - Product Liability Leave Act Act
Medical Malpractice 790 Other Labor Litigation 896 Arbitration
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 791 Employee Retirement FEDERAL TAX SUITS 899 Administrative Procedure
210 Land Condemnation 440 Other Civil Rights Habeas Corpus: Income Security Act 870 Taxes (U.S. Plaintiff Act/Review or Appeal of
220 Foreclosure 441 Voting 463 Alien Detainee or Defendant) Agency Decision
230 Rent Lease & Ejectment 442 Employment 510 Motions to Vacate 871 IRSThird Party 950 Constitutionality of
240 Torts to Land 443 Housing/ Sentence 26 USC 7609 State Statutes
245 Tort Product Liability Accommodations 530 General
290 All Other Real Property 445 Amer. w/Disabilities - 535 Death Penalty IMMIGRATION
Employment Other: 462 Naturalization Application
446 Amer. w/Disabilities - 540 Mandamus & Other 465 Other Immigration
Other 550 Civil Rights Actions
448 Education 555 Prison Condition
560 Civil Detainee -
Conditions of
Confinement
V. ORIGIN (Place an X in One Box Only)
1 Original
Proceeding
2 Removed from
State Court
3 Remanded from
Appellate Court
4 Reinstated or
Reopened
5 Transferred from
Another District
(specify)
6 Multidistrict
Litigation
VI. CAUSE OF ACTION
Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):

Brief description of cause:
VII. REQUESTED IN
COMPLAINT:
CHECK IF THIS IS A CLASS ACTION
UNDER RULE 23, F.R.Cv.P.
DEMAND $ CHECK YES only if demanded in complaint:
JURY DEMAND: Yes No
VIII. RELATED CASE(S)
IF ANY
(See instructions):
JUDGE DOCKET NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-1 Filed: 04/02/14 Page: 1 of 2 PAGEID #: 9
Matthew David Kelly
144 Flintstone Drive
Harrison, Ohio 45030
Hamilton
Jeffrey A. Witt
119 E. Court Street
Cincinnati, Ohio 45202 (513) 421-5297
Clinton E. Sines, et al.
c/o Sheriff Vernon P. Stanforth
113 East Market Street, Washington Court House, Ohio 43160
Fayette
42 U.S.C. 1983
excessive force, tasering traffic-stop passenger in right eye
5,000,000.00
04/02/2014 /s/ Jeffrey A. Witt
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JS 44 Reverse (Rev. 12/12)
INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44
Authority For Civil Cover Sheet
The JS 44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleading or other papers as
required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is
required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk of
Court for each civil complaint filed. The attorney filing a case should complete the form as follows:
I.(a) Plaintiffs-Defendants. Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government agency, use
only the full name or standard abbreviations. If the plaintiff or defendant is an official within a government agency, identify first the agency and
then the official, giving both name and title.
(b) County of Residence. For each civil case filed, except U.S. plaintiff cases, enter the name of the county where the first listed plaintiff resides at the
time of filing. In U.S. plaintiff cases, enter the name of the county in which the first listed defendant resides at the time of filing. (NOTE: In land
condemnation cases, the county of residence of the "defendant" is the location of the tract of land involved.)
(c) Attorneys. Enter the firm name, address, telephone number, and attorney of record. If there are several attorneys, list them on an attachment, noting
in this section "(see attachment)".
II. Jurisdiction. The basis of jurisdiction is set forth under Rule 8(a), F.R.Cv.P., which requires that jurisdictions be shown in pleadings. Place an "X"
in one of the boxes. If there is more than one basis of jurisdiction, precedence is given in the order shown below.
United States plaintiff. (1) Jurisdiction based on 28 U.S.C. 1345 and 1348. Suits by agencies and officers of the United States are included here.
United States defendant. (2) When the plaintiff is suing the United States, its officers or agencies, place an "X" in this box.
Federal question. (3) This refers to suits under 28 U.S.C. 1331, where jurisdiction arises under the Constitution of the United States, an amendment
to the Constitution, an act of Congress or a treaty of the United States. In cases where the U.S. is a party, the U.S. plaintiff or defendant code takes
precedence, and box 1 or 2 should be marked.
Diversity of citizenship. (4) This refers to suits under 28 U.S.C. 1332, where parties are citizens of different states. When Box 4 is checked, the
citizenship of the different parties must be checked. (See Section III below; NOTE: federal question actions take precedence over diversity
cases.)
III. Residence (citizenship) of Principal Parties. This section of the JS 44 is to be completed if diversity of citizenship was indicated above. Mark this
section for each principal party.
IV. Nature of Suit. Place an "X" in the appropriate box. If the nature of suit cannot be determined, be sure the cause of action, in Section VI below, is
sufficient to enable the deputy clerk or the statistical clerk(s) in the Administrative Office to determine the nature of suit. If the cause fits more than
one nature of suit, select the most definitive.
V. Origin. Place an "X" in one of the six boxes.
Original Proceedings. (1) Cases which originate in the United States district courts.
Removed from State Court. (2) Proceedings initiated in state courts may be removed to the district courts under Title 28 U.S.C., Section 1441.
When the petition for removal is granted, check this box.
Remanded from Appellate Court. (3) Check this box for cases remanded to the district court for further action. Use the date of remand as the filing
date.
Reinstated or Reopened. (4) Check this box for cases reinstated or reopened in the district court. Use the reopening date as the filing date.
Transferred from Another District. (5) For cases transferred under Title 28 U.S.C. Section 1404(a). Do not use this for within district transfers or
multidistrict litigation transfers.
Multidistrict Litigation. (6) Check this box when a multidistrict case is transferred into the district under authority of Title 28 U.S.C. Section 1407.
When this box is checked, do not check (5) above.
VI. Cause of Action. Report the civil statute directly related to the cause of action and give a brief description of the cause. Do not cite jurisdictional
statutes unless diversity. Example: U.S. Civil Statute: 47 USC 553 Brief Description: Unauthorized reception of cable service
VII. Requested in Complaint. Class Action. Place an "X" in this box if you are filing a class action under Rule 23, F.R.Cv.P.
Demand. In this space enter the actual dollar amount being demanded or indicate other demand, such as a preliminary injunction.
Jury Demand. Check the appropriate box to indicate whether or not a jury is being demanded.
VIII. Related Cases. This section of the JS 44 is used to reference related pending cases, if any. If there are related pending cases, insert the docket
numbers and the corresponding judge names for such cases.
Date and Attorney Signature. Date and sign the civil cover sheet.
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-1 Filed: 04/02/14 Page: 2 of 2 PAGEID #: 10
AO 440 (Rev. 06/12) Summons in a Civil Action
UNITED STATES DISTRICT COURT
for the
__________ District of __________
)
)
)
)
)
)
)
)
)
)
)
)
Plaintiff(s)
v. Civil Action No.
Defendant(s)
SUMMONS IN A CIVIL ACTION
To: (Defendants name and address)
A lawsuit has been filed against you.
Within 21 days after service of this summons on you (not counting the day you received it) or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are:
If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.
CLERK OF COURT
Date:
Signature of Clerk or Deputy Clerk
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-2 Filed: 04/02/14 Page: 1 of 2 PAGEID #: 11
Southern District of Ohio
Matthew David Kelly
2:14-cv-307
Clinton E. Sines, et al.
Clinton E. Sines
c/o Vernon P. Stanforth
Fayette County Sheriff
113 East Market Street
Washington Court House, Ohio 43160
Jeffrey A. Witt
119 East Court Street
Cincinnati, Ohio 45202
AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
Civil Action No.
PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on (date) .
I personally served the summons on the individual at (place)
on (date) ; or
I left the summons at the individuals residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on (date) , and mailed a copy to the individuals last known address; or
I served the summons on (name of individual) , who is
designated by law to accept service of process on behalf of (name of organization)
on (date) ; or
I returned the summons unexecuted because ; or
Other (specify):
.
My fees are $ for travel and $ for services, for a total of $ .
I declare under penalty of perjury that this information is true.
Date:
Servers signature
Printed name and title
Servers address
Additional information regarding attempted service, etc:
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-2 Filed: 04/02/14 Page: 2 of 2 PAGEID #: 12
2:14-cv-307
0.00
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AO 440 (Rev. 06/12) Summons in a Civil Action
UNITED STATES DISTRICT COURT
for the
__________ District of __________
)
)
)
)
)
)
)
)
)
)
)
)
Plaintiff(s)
v. Civil Action No.
Defendant(s)
SUMMONS IN A CIVIL ACTION
To: (Defendants name and address)
A lawsuit has been filed against you.
Within 21 days after service of this summons on you (not counting the day you received it) or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are:
If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.
CLERK OF COURT
Date:
Signature of Clerk or Deputy Clerk
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-3 Filed: 04/02/14 Page: 1 of 2 PAGEID #: 13
Southern District of Ohio
Matthew David Kelly
2:14-cv-307
Clinton E. Sines, et al.
Vernon P. Stanforth
Fayette County Sheriff
113 East Market Street
Washington Court House, Ohio 43160
Jeffrey A. Witt
119 East Court Street
Cincinnati, Ohio 45202
AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
Civil Action No.
PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on (date) .
I personally served the summons on the individual at (place)
on (date) ; or
I left the summons at the individuals residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on (date) , and mailed a copy to the individuals last known address; or
I served the summons on (name of individual) , who is
designated by law to accept service of process on behalf of (name of organization)
on (date) ; or
I returned the summons unexecuted because ; or
Other (specify):
.
My fees are $ for travel and $ for services, for a total of $ .
I declare under penalty of perjury that this information is true.
Date:
Servers signature
Printed name and title
Servers address
Additional information regarding attempted service, etc:
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-3 Filed: 04/02/14 Page: 2 of 2 PAGEID #: 14
2:14-cv-307
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AO 440 (Rev. 06/12) Summons in a Civil Action
UNITED STATES DISTRICT COURT
for the
__________ District of __________
)
)
)
)
)
)
)
)
)
)
)
)
Plaintiff(s)
v. Civil Action No.
Defendant(s)
SUMMONS IN A CIVIL ACTION
To: (Defendants name and address)
A lawsuit has been filed against you.
Within 21 days after service of this summons on you (not counting the day you received it) or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are:
If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.
CLERK OF COURT
Date:
Signature of Clerk or Deputy Clerk
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-4 Filed: 04/02/14 Page: 1 of 2 PAGEID #: 15
Southern District of Ohio
Matthew David Kelly
2:14-cv-307
Clinton E. Sines, et al.
Bryan Cook
c/o Ohio State Highway Patrol
Wilmington Patrol Post
950 Rombach Avenue
Wilmington, Ohio 45177
Jeffrey A. Witt
119 East Court Street
Cincinnati, Ohio 45202
AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
Civil Action No.
PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on (date) .
I personally served the summons on the individual at (place)
on (date) ; or
I left the summons at the individuals residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on (date) , and mailed a copy to the individuals last known address; or
I served the summons on (name of individual) , who is
designated by law to accept service of process on behalf of (name of organization)
on (date) ; or
I returned the summons unexecuted because ; or
Other (specify):
.
My fees are $ for travel and $ for services, for a total of $ .
I declare under penalty of perjury that this information is true.
Date:
Servers signature
Printed name and title
Servers address
Additional information regarding attempted service, etc:
Case: 2:14-cv-00307-GLF-NMK Doc #: 1-4 Filed: 04/02/14 Page: 2 of 2 PAGEID #: 16
2:14-cv-307
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