`SS: HARTFORD
`
`COUNTY OF HARTFORD
`
`MARCH27,2023
`
`Page 1 of 1
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`Then and there, by virtue hereof and by direction of the Plaintiff’s Attorney, I made due and legal
`service of this original Motion to Cite in Party Defendant, Order, Certification, Memorandum of Law in
`Support of Plaintiff's Motion to Cite in Party Defendant, Certification, Exhibit, Writ, Summons, Third
`Amended Complaint, Ad Damnum, Statement of Amount in Demand and Exhibit upon the within named
`defendant:
`
`SCHNEIDER ELECTRIC USA,INC,
`
`And afterwards in East Hartford, CT on the 27" day of March, 2023, by leaving a true andattested copy
`of the original Motion to Cite in Party Defendant, Order, Certification, Memorandum of Law in Support
`of Plaintiffs Motion to Cite in Party Defendant, Certification, Exhibit, Writ, Summons, Second Amended
`Complaint, Ad Damnum, Statement of Amount in Demand and Exhibit, with my doings thereon
`endorsed, with and in the hands of SHELLEY KURPASKA, ADMINISTRATOR OF
`CORPORATION SERVICE COMPANY,225 ASYLUMST,207! FLOOR, AGENT FOR
`SERVICE FOR SCHNEIDER ELECTRIC USA,INC., HARTFORD, CT 06108
`
`The within and foregoing is the original Motion to Cite in Party Defendant, Order, Certification,
`Memorandum of Law in Support of Plaintiffs Motion to Cite in Party Defendant, Certification, Exhibit,
`Writ, Summons, Second Amended Complaint, Ad Damnum,Statement of Amount in Demand and
`Exhibit, with my doings hereon endorsed.
`
`FEES:
`
`ATTEST:
`
`$
`
`Travel
`Copies
`Service
`Endorsements
`
`12.00
`24,00
`50.00
`5.00
`
`Total
`
`$
`
`91,006
`
`
`
`
`
`KEITH D. NIZ \ NKIEWICS
`
`STATE MARSHAL
`HARTFORD COUNTY
`
`CONRADJOHNS, ET AL VS. SCHNEIDER ELECTRIC USA INC
`
`
`
`SUMMONS
`
`SUPERIOR COURT
`
`. 2,3andPrepare o ewriter: sign original summons (top sheet) and conform copies of the sum: ‘sheets, 4).
`
`fion to or in feu of money
`
`X ONE OF THE FOLLOWING
`CIVIL {except family actions)
`Amount, legal interestor pro-
`JO-CV-
`perty in demand, exclusive of
`GEN. STAT. 51-346, 51-347, 51-349, 51-350, 52,-45a
`‘erest and costs is
`52-48, 52-259
`less than $2,500
`INSTRUCTIONS
`PR. BK. 49, 63, 66
`4.
`Prepare
`on typewriter:
`sign
`original
`(top
`sheet)
`and
`conf
`ies
`ofth
`heets,
`2, 3
`and 4)
`$2,500 through $14,999.99
`
`
`
`
`
`
`
`
`
`2
`OF there are more than ‘wedefendants, prepare ore hotocopy conformedsummons for eachad itional defendant.
`i5,000 al
`,
`3. Attach the originalsummons to the original compiaint, and attach a copy ofthe summonsto each copy ofthe complaint. Aiso,
`applicable)
`.
`if there are more than 2 plaintiffs or 4 defendants prepare form JD-CV-2 and attachit to the original andail copies of the com-
`Claiming other relief in addi-
`plaint.
`4, After service has been madebyofficer, file original papers and officers return with the clerk of the court.
`damages.
`6.
`The party recognized to pay costs must appear personally before the authority taking the recognizance.
`6. Do not use thisform for actions in which an attachment, garnishmentor replevy is being sought. See Practice Book Section 49
`or offer exceptions.
`TO: Any properofficer; BY AUTHORITY OF THE STATE OF CONNECTICUT,you are hereby commanded to make due and [egal service
`
`
`of this
`Summons and attached Complaint.
`
`
`
`
`
`AT (Town in which writ is returnable}(Gen. Stat, 51-349)
`RETURN DATE(Mc., day,yr}
`[4] JUDICIAL DISTRICTom
`
`
`
`Bridgeport
`[TGA.
`[]JHGUSING SESSION
`“ADDRESS OF CLERK OF COURT WHERE WRIT AND OTHER PAPERS SHALLBE FILED (GEN. STAT. 51-247, 51-350)(No., st, town & zip code}|CASE TYPE(From Judic. Dept. case typelist-see back)
`
`
`Minor 20
`1061 Main Street, Bridgeport, CT, 06604 (203) 579-6527
`
`
`
`PTY
`NOTE: individual's Names:
`NAME AND ADDRESS OF EACH PARTY
`PARTIES [x] Form JD-CV-2 attached|NOLast, First, Middle Initial (No., street, town & zip code)
`
`
`
`
`
`FIRST NAMED
`Johns, Conrad, 220 South Federal Highway, #2, Lake Worth, FL 33460
`PLAINTIFF
`
`
`
`Additional Lon|ainti Johns, Elizabeth, 220 South Federal Highway, #2, Lake Worth, FL 33460
`
`
`
`
`
` SchneiderElectric USA,Inc., Corporation Service Company, 100 Pearl Street, 17th Floor, MC-CSC1,“FIRST NAMED so|_DEFENDANT
`
`Hartford, CT 06103
`
`
`Additional
`Defendant
`
`
`Additional
`Defendant
`
`
`Additional
`Defendant
`
`
`
`Commissionerof Superior
`|_| Assistant Clerk
`
`FILE DATE
`
`For Court Use Only
`
`advice in connection with any lawsuit
`
`
`
`Major T
`
`;
`
`
`
`
`
`
`
`A
`DEF
`6. The Appearance form may be obtained at the above Court
`4. You are being sued.
`address.
`2. This paper is a Summonsin a lawsuit.
`:
`oo
`3. The Complaint attached to these papers states the claims that
`If you believe that you have insurancethat may cover the
`7.
`each Plaintiff is making against you in this lawsuit.
`is being. made against you in this lawsuit, you
`claim that
`4, To respondto this summons, or to be informed of further
`should immediately take the Summons and Complaint
`proceedings, you or your attorney mustfile a formcalled an
`to
`Appearance with the Clerk of thé above named Court at the your insurance representative.
`above Court address on or before the second day after
`the above Return Date.
`8.
`If you have questions about the Summons and Complaint,
`5. If you or your attorney do notfile a written Appearance form
`you should consult an attorney promptly. The Clerk of Court
`on time,.a judgment may be entered against
`you by default.
`is not permitted to give advice on legal questions.
`; DATE
`SIGNED
`Lx] Commissioner of Superior Court
`TYPE IN NAME OF PERSONSIGNING AT LEFT
`
`
`
`.
`s/438191
`_
`03/06/2023
`LJ Assistant Clerk
`Kyle R. Navin
`
`
`
`PLAINTIFF(S) ENTER THE APPEARANCE
`FOR THE
`OF:
`=
`
`NAME AND ADDRESS OF ATTORNEY, LAW FIRM, OR PLAINTIFFIF PRO SE(No., street, town &.zip code)|TELEPHONE NO. . |. JURIS NO.(If atty. or law firm)
`
`Early, Lucarelli, Sweeney & Meisenkothen, LLC
`777.
`
`265 Church Street, 11" Floor, New Haven, CT 06510 203-777-7799,|409080
`“NAME AND ADDRESS OF PERSON RECOGNIZED TO PROSECUTE IN THE AMOUNTOF $250 (No.,street, town & zip code)
`SIGNATURE OF PLAINTIFF IF PRO SE
`Alphonse Ippolito, Esq., 388 Orange St., New Haven, CT, 06511
`NO.PLFS.
`NO, CNTS,
`|SIGNED(Official taking recognizance, x proper box
`2
`3
`$/438191
`iF THIS SUMMONSIS SIGNEDby a CLERK:
`a. The signing has been donesothat the Plain-
`tiff(s) will not be denied access to the courts.
`d. The Clerk signing this Summonsat the re-
`in. It is the responsibility of the Plaintiff(s) to
`quest of the Plaintiff(s) is not responsible
`see that service is madein the manner pro-
`in any way
`for any errors or omissions in
`vided by law.
`the Complaint, or the service thereof.
`¢. The Clerk is not permitted to give any legal
`
`
`“Thereby certify | have read|SIGNED (Pro se plaintiff DATE SIGNED DOCKETNO.
`and understand the above.||
`SUMMONS,Civil
`
`