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`NO. CV 2015-
`
`
`
`This Summons is for
`
`PROOF OF SERVICE _
`
`SENDER: COMPLETE THIS SECTION
`
`COMP! FTE THIS SECTION ON DELIVERY
`
`
`:1
`
`C]
`
`
`:1
`
`— I Print your name and address on the reverse
`
`I I l Complete items 1, 2, and 3. Also complete
`item 4 if Restricted Delivery is desired.
`It *A‘
`El Agent
`* -dressee so that we can return the card to you.
`
`I 1: I Attach this card to the back of the mailpiece.
`'
`or on the front if space permits.
`— 1. Article Addressed to:
`
`from item 1? El Yes
`D. Is delivery address differe
`If YES, enter delivery address below:
`L_.l No
`
`I 1
`p15
`
`'
`
`Teri L. Cheney
`_ , 213 S. Old Wire Read
`Lowell, AR 72745
`,
`
`,
`
`D I c
`in
`
`3_ Service Type
`manned Mail
`El Registered
`El Insured Mall
`
`El Express Mail
`urn Receipt for Merchandise
`COD.
`
`4. Restricted Delivery? (Extra Fee)
`
`.A‘7
`
`5
`
`511 2. Article Number
`rats tueu Dune asus mass
`
`(fiansfer fi'om service tabs!)
`102595-02-M—1540 ;
`Domestic Return Receipt
`,
`
`PS Form 3811, February 2004
`
`K I am the plaintiff or an attorney of record for the plaintiff in this lawsuit, and I
`served the summons, complaint, declaration of taking, and order of possession on
`the defendant by certified mail, return receipt requested, restricted delivery, as
`shown by the attached signed return receipt.
`
` :I
`
`I am the plaintiff in this lawsuit, and I mailed a copy of the summons and
`complaint by first-class mail to the defendant together with two copies of a notice
`and acknowledgment and received the attached notice and acknowledgment form
`within twenty days after the date of mailing.
`
`
`
`3 Other [specify]:
`
`
`
`:l
`
`I was unable to execute service because:
`
`
`"m
`
`(Dug? tee is $
`
`FlLED
`
`lelSBUG31”fl81‘
`
`
`
`

`

`IN THE CIRCUIT COURT OF BENTON COUNTY, ARKANSAS
`2“d DIVISION
`
`Arkansas State Highway Commission
`Plaintiff
`
`v.
`
`No. 2015-1062-2
`
`Teri L. Cheney,
`Defendant
`
`THE STATE OF ARKANSAS TO DEFENDANT
`
`SUMMONS
`
`Teri L. Cheney
`213 S. Old Wire Road
`
`Lowell, AR 72745
`
`A lawsuit has been filed against you. The relief demanded is stated in the attached
`Complaint, Declaration of Taking and Order. Within 30 days after service of this summons
`on you (not counting the day you received it), or 60 days if incarcerated in any jail,
`penitentiary, or other correctional facility in Arkansas, you must file with the clerk of this
`court a written answer to the complaint or a motion under Rule 12 of the Arkansas Rules of
`Civil Procedure.
`
`The answer or motion must also be served on the plaintiff or plaintiff’s attorneys, whose
`names and address are:
`
`Rita S. Looney, Chief Counsel
`By: Mark Umeda, Staff Attorney
`Post Office Box 2261
`
`Little Rock, AR 72203-2261
`
`If you fail to respond within the applicable time period, judgment by default will be entered
`against you for the relief demanded in the complaint.
`
`Address of Clerk’s Office:
`
`Benton County Circuit Clerk
`Courthouse
`102 NE A Street
`
`Bentonville, AR 72712
`
`BRENDA DESHIELDS
`CLERK OF COURT
`
`[Signature of Clerk or Deputy Clerk]
`
`Date:
`
`July 23: 2015
`
`

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