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` EDL
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`Susan Y. Soong
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`A T E S DISTRIC
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`T
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`S T
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`E D
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`UNIT
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`N O R T
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`05/30/2018
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`C
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`O
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`U R T
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`RNIA
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`A LIFO
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`C
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`H
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`E R N
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`DISTRICT O F
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`Case 4:18-cv-03194-YGR Document 11 Filed 05/30/18 Page 2 of 2
`Case 4:18-cv-03194-YGR Document 11 Filed 05/30/18 Page 2 of 2
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`AO 440 (Rev. 06/12) Summonsin a Civil Action (Page 2)
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`Civil Action No. 4:18-cv-03194
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`(This section should not befiled with the court unless required by Fed. R. Civ. P. 4 (1)
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`PROOF OF SERVICE
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`This summonsfor (nameofindividual andtitle, ifany)
`was received by me on (date)
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`I personally served the summonsonthe individualat (place)
` on (date) ; or
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`
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`1 I left the summonsat the individual’s residence or usual place of abode with (name)
`, a person of suitable age and discretion whoresidesthere,
`on (date)
`, and mailed a copyto the individual’s last known address; or
`
`, who is
`O I served the summons on (nameofindividual)
`designated by law to acceptservice of process on behalf of (name oforganization)
`
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`on (date)
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`; or
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`[1 | returned the summons unexecuted because
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`
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`> Or
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`O Other (specify):
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`Myfees are $
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`for travel and $
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`for services, for a total of $
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`0.00
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`I declare under penalty of perjury that this information is true.
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`Date:
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`Server's signature
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`
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`Printed name andtitle
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`Server's address
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`Additional information regarding attempted service, etc:
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