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Case 1:07-cv-00567-CC-RGV Document 36 Filed 07/02/2007 Page 1 of 2

SAO 440 (Rev . 10193) Summons in a C ivi l Act i on

UNITED STATE s DisTRICT COURT


~;0 t~ District of G~ ,~ d2 ~ r a

DID 1v a c D To uE-~s
SUMMONS IN A CIVIL CASE
V.

CASE NUMBER : / ' 07 - . C j , S 0 - C L ~- G 'v°

TO: (xanz and addren of Defendant)

}loo Q .Qc(c 75 Ll 7D

AT(A ~TA

YOU ARE HEREBY SUMMONED and required to serve upon PLAIlVTIFF'S ATTORNEY (name gnd address)

*'ID To kits

R o . 3 '3 X 2 C. /
Rte oQ ~ , GA 3aa~2

an answer to the complaint which is herewith served upon you, within _1 0 days after service of this
summons upon you, exclusive of the day of service . If you fail to do so, judgment by default will be taken against you for
the relief demanded in the complaint . You must also file your answer with the Clerk of this Court within a reasonable
period of time after service .

JAMES N. AATTFN ~ 9 JUN 2W


CLERK DATE

(By) DEPUTY CLERK


Case 1:07-cv-00567-CC-RGV Document 36 Filed 07/02/2007 Page 2 of 2
SAO 440 (Rev . 10/93) Sum mons in a Civil Action oqd
RETURN OF SERVICE inw"`',;if,),c
.,7 2
Serv ice of the Summons and complaint was made by me t' I DATE -

OF S E,~)VER (NT} , ~ T1'ffyf~~ ~ ~~


0-7

u •- v
0 Served personally upon the defendant. Place where serv ed :

~ L,efk copies thereof at t he d efendant's dwellin g house or usual place of abode w ith a person of sui table age an d
discretion th en residing the rei n .
Name o f pe rson with whom th e sum mons and compl aint were left :

D Returned unexecated :

D Other (specify):

STATEMENT OF SERVICE FEES


AL

DECLARATION OF SERVER

I declare under penalty of perjury under the l aws of the Uni ted States of Am eri ca that the foreg oing information
contained in the Return of Service and Statement of Serv ice Fees is true and correct.

Executed on 9e
7 ?6::::e -~ ~`
Date S~ tore Of Server

Address ofServer

(f) As to who may serve a summons see Rule 4 of the Federal Rules of C ivil Procedure .

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