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Case 1:07-cv-00567-CC-RGV Document 23 Filed 06/05/2007 Page 1 of 2

SAO 440 (Rev . 8/01) Summons i n a Civil Action

UNITED STATES DISTRICT COURT


District of r G ~

j9O NPr~ (IA)G5


SUMMONS IN A ACTION
V.

1
coo 0'~" / lvc CASE NUMBER: / ' {J 1 - C V 6 6 7 -cc f( G v

TO : (Name and address of Dc&ndant) 1E

Jdl A~u iii way )9 ~~~i~~i C'(~ j o/ 6~

YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF'S ATTORNEY and address)

Do N. n r o lUIV ~ S

~1-0 - /--1'1
k'~~ - a 6 iC G P 3 0 ) -f z

an answer to the complaint wh i ch is served on you w ith this summons, w ithin _ %7 d _ days after service .
of this summons on you, exclusive of the day of serv ice. Ifyou fail to do so, j udgment by default will ~e taken against you
for the rel ief demanded in the complaint. Any answer that you serve on the parties to this action m ast be filed w ith the
Clerk of this Court within a reasonable period of time after service .

0 .1 sm MM
CLERK DATE
~-~

( By) DEPUTY CLERK


Case 1:07-cv-00567-CC-RGV Document 23 Filed 06/05/2007 Page 2 of 2
SAO 44 0 (Rev . 8 10 1 ) Sum m o n s i n a Civi l Action

RETURN OF SERVICE
BATE 6
Service of the Summons and complaint was made by me ( `) U.S. [? . C,

4 ME OF SE &VER (PX1V7) .~ _ TITLE.,,f

~rru Rri nrrsnn ai iv u u .'3r the u Ei::,.a,~.^,t. n;:we -, .,here 3e :, 'r:i:

D Left copies thereo f at the defendant's dwell ing hous e or u sual place of abode with a person of suitable age and
d iscreti on then resid ing therein.
Name of person with whom the summons and complaint were left :

0 R etu rned unex ecuted :

0 Other (spec i fy) :

STATEMENT OF SERVICE FEES


SERVICES
$0 .00
DECLARATION O F SERVER

I declare under p enalty of perjury under the laws of the United State s o f Am eric a that the foregoing infor mation
co ntai ned i n the Return o f Service and Statement of Service Fees is true and co

Executed on t ~
Date r of n~er

Address of Server

(1) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure .

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