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Case 1:07-cv-00469-LO-BRP Document 4 Filed 05/22/2007 Page 1 of 2
MAY 2 2
United States District Court
District of
HARLE Y LE WIN
CASE NUMBER: \\ O^Cv1
HARLEY LEW1N
GREENB0RO.TRAURIOLLP
1750 TYSONS BLVD
SUITE 1200
.MCLEAN, VA 22102
YOU ARE HEREBY SUMMONED and required to serve on PLAINTIFF'S ATTORNEY (nameand *ukh)
an answer to the complaint which is served on you with this summons, within gl^ days after service
of this summons on you, exclusive of the day of service. If you &il to do so, judgment by default will be taken against you
for the relief demanded in the complaint. Any answer that you serve on the parties to this action must be filed with the
Clerk ot this Court within a reasonable period of time after service.
pfirnando GaHndo.
CLERK
DATE
Dockets.Justia.com
Case 1:07-cv-00469-LO-BRP Document 4 Filed 05/22/2007 Page 2 of 2
RETURN OF SERVICE
DATE
Service of the Summons and complaint was made by me1"
S-iu-cfl
NAME OK SERVER (PRINT) Tl
S\kH
H
Check one box below to indicate appropriate method ofservice
D Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and
discretion then residing therein.
Name of person with whom the summons and complaint wen: left:
D Other (specify):
DECLARATION OF SERVER
1 declare under penalty of perjury under the laws of the United States of America that the foregoing information
contained in the Return of Service and Statement of Service Fees is true and correct.
Executed on
Date
Address ofServer
(1) As 10 who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.