SUMMONS - CIVIL
`JD-CV~1 Rev. 2-20
`C.G.S. §§51-345.51-347,51-349.51-350, sz-asa.sz-4a,52—2s9:
`P.B.§§3-1lhrough 3-21.6-1.10-13
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`For information on
`ADA accommodations
`contact a court clerk or
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`to
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`go
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`STATE OF CONNECTICUT ,
`SUPERIOR COURT "
`wwaud. cl. gov
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`Instructions are on page 2.
`E] Select if amount. legal interest. or property in demand, not including interest and costs. is LESS than $2,500.
`Select if amount, legal interest, or property in demand. not including interest and costs. is $2,500 or MORE.
`[3 Select lfclaiming other relief in addition to. or in place of. money or damages.
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`TO: Any proper officer
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`By authority of the State of Connecticut, you are hereby commanded to make due and legal service of this summons and attached complaint.
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`Ad-ress at court C er
`(Number, street, town and zip co-e
`Telephone number oi clerk
`Return Date (Muslbe a Tuesday)
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`
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`155 Church Street, Putnam, CT 06260
`(860 ) 923 - 7749
`11/10/2020
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`At (City/Town)
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`GA.
`Case type code (See list on page 2)
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`P utna m
`[:1 Number: __
`Ma or: C
`Minor: 40
`[3 Housing Session
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`For the plaintiff(s) enter the appearance of:
`Name and address of attorney. law lirm or pia ntiit lt sell-represented (Number, street, town and zip code)
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`St. Onge & Broulllard - PO. Box 550 Putnam. CT 06260
`Telephone number
`Signature oiplalntitf (itself-represented)
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`(860) 928 - 0481
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`E-mail address for delive oipapers under Section 10-13 ofthe
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`The attorney or law firm appearing for the plaintiff. or the piaintlf't if
`Connecticut Practice Boo (ll agreed)
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`self-represented. agrees to accept papers service) electronical y
`MRB@bsblaw.net
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`In this case under Section 10-13 of the Connecticut Practice Book.
`Yes [I No
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`Name (Last, First, Middle Initial) and address of each
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`party (Number; street; P.O. Box; town; state; zip,- country, itnol USA)
`Name:
`Jolly John‘s Truck 8. Equipment
`P01
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`Address: 380 North Main Street. Moosup. Connecticut 06354
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`Name:
`Address:
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`Jurls number (lialtorney or law firm)
`101398
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`P-OZ
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`Richard Cheney
`Name:
`Address: 42 Oak Drive. Mansfield Center, Connecticut 06250
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`Name: Mattern COHSVUCUOH. lnc. Addruss: 26M Bushnell Hollow Road, Baltic. Connecticut 06330
`Serve Agenl- George Maltern. 25M Bushnell Hollow Road. Baltic. Connecticut. 05330
`Name:
`Address:
`Name:
`Address:
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`0'01
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`0.02
`p.03
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`p.04
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`Total number of defendants: 2 [:l Form JD-CV-Z attached for additional patties
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`Total number of plaintiffs: 1
`Notice to each defendant
`1. You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff ls making againstyou.
`2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-tz) with the clerk at the address above. Generally.
`it must be filed on or before the second day after the Return Date. The Return Date is not a hearing date. You do not have to come to
`court on the Return Date unless you receive a separate notice telling you to appear.
`it you or your attorney do not file an Appearance on time, a default Judgment may be entered against you. You can get an Appearance
`form at the court address above. or on-llne at hftgsrii udgt ggyiwgbformsi
`ifyou believe that you have Insurance that may cover the claim being made against you in this lawsuit. you should immediately contact
`your insurance representative. Other actions you may take are described in the Connecticut Practice Book. which may be found in a
`superior court law library or on-llne at
`'
`if you have questions about the summons and complaint. you should talk to an attorney.
`The court staff is not aIIOWed to give-vlc-
`- l matters.
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`Commissioner or Superior Court
`Name of person signing
`
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`Clerk
`Mark R. Brouillard
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`Fdr Court Use Only
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`. The signing has been one so that the platnllflis) will not be denied access to the courts.
`It is the responsibility of the plaintiffis) to ensure that service is made in the manner provided by law.
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`c. The court staff is not permitted to give any legal advice In connection with any lawsuit.
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`. The Clerk signing this summons at the request of the plainllff(s) Is not responsible In any way for any
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`errors or omissions in the summons. any allegations contained in the complaintI or the service ofthe
`summons or complaint.
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`File Date
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`1. Type or print legib/y. if you are a self-represented party, this summons must be signed by a clerk of the court.
`If there is more than one defendant, make a co
`py of the summons for each additional defendant. Each defendant must receive a copy of
`this summons. Each copy or’ the summons mu
`st show who signed the summons and when it was signed. If there are more than two
`plaintiffs or more than four defendants, oompl
`ate the Civil Summons Continuation of Parties (form JD-CV-2) and attach it to the original
`and all copies of the summons.
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`py of the summons to each copy of the complaint. Include a copy of the Civil
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`3. Attach the summons to the complaint, and attach a co
`Summons Continuation of Parties form, if applicable.
`4. After service has been made by a proper officer, file the original papers and the officer’s return of service with the clerk of the court.
`5. Use this summons for the case type codes shown below.
`Do n_o_t use this summons for the following actions:
`(a) Family matters (for example divorce, child support,
`custody, paternity, and visitation matters)
`(b) Any actions or proceedings in which an attachment,
`garnishment or replevy is sought
`(0) Applications for change of name
`(0’) Probate appeals
`
`(e) Administrative appeals
`(0
`Proceedings pertaining to arbitration
`(9) Summary Process (Eviction) actions
`(h) Entry and Detainer proceedings
`(i) Housing Code Enforcement actions
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`Defective Premises - Private - Snow or ice
`T 02
`Defective Premises“ Private - Other
`T 03
`Detective Premises - Public - Snow or Ice
`T 11
`Defective Premises - Public - Other
`T 12
`Products Liability - Other than Vehicular
`T 20
`T 28 Malpractice - Medical
`T 28 Malpractice - Legal
`T 30 Malpractice - All other
`T 40
`Assault and Battery
`T 50
`Datamation
`T 61
`Anrmals - Dog
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`T 69
`Animals -Other
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`T 70
`T 71
`T 90
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`Ffflse Amid
`F“ Damage
`All other
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`V 01
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`Motor Vehicles'- Driver and/or Passenger(s) vs. Driverls)
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`V 04 W” VEh'C'ES' ' Fadesmfi" VS‘ Oliver
`V 05 Motor Vehicles‘ - Property Damage only
`V 06 M°i°i V9i‘i5i9' ' Products Liabiiliy including Warranty
`V 09 Motor Vehicle' - All other
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`Case Type Codes
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`CODE f
`MAJOR
`CODE
`Ma arr
`MINOR DESCRIPTION
`Ma or/
`MINOR DESCRIPTION
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`£ESCRIPNON Mhior
`__ ‘IEELSCRIPTi—ON _.__M_"]1°r
`______
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`i—C 00
`Property
`P 00
`Foreclosure
`Construction - All other
`1
`C 10
`Construction - State and Local
`P 10
`Partition
`C 20
`insurance Policy
`P 20
`Quiet Title/Discharge oiMortgage or Lien
`C 30
`Specific Performance
`P 30 Asset Forfeilure
`C 40
`Collections
`P 90
`All other
`C 60
`Uninsured/Underlnsured Motorist Coverage
`C 60
`Uniform Limited Liability Company Act — C.G.S. 234—243
`Torts (Other
`C 90
`All other
`._i___—___i than Vehlcular)
`E 00
`State Highway Condemnalion
`E 10
`Redevelopment Condemnation
`E 20
`Other State or Municipal Agencies
`E 30
`Public Utilities & Gas Transmission Companies
`E 90
`All other
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`H 10 1 Housing - Return ofSecuriiy Deposit
`H 12
`Housing - Rent and/or Damages
`.
`.
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`.
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`H 40
`Housing - Housing - Audiia Querelallniunction
`.
`.
`.
`r
`Housmg . Administrative Appeal
`H 50
`H 60
`Housing - Municipal Enforcement
`H 90 Housing. All Other
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`_L
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`3 gflgfliflsmp
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`Receivership for Abandoned/Blighted Property
`M 15
`M 20 Mandamus
`M 30 Habeas Corpus (extraditionI release from Penal institution)
`M 40
`Arbitration
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`rVehicular Torts
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`M 50
`M 63
`M 66
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`Declaratory Judgment
`Bar Discipline
`Department of Labor Unemployment Compensation
`Enforcement
`
`V10
`V 20
`V 30
`V 40
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`Boats
`A‘FF'anes
`Railroads .
`Snowmobiles
`
`Bar Discipline - Inactive Status
`M 68
`M 70 Municipal Ordinance and Regulation Enforcement
`M 80
`Foreign Civil Judgments- C.G.S. 52-604 & C.G.S. 50a-30
`Construction otVWis and Trusts
`W 10
`Wills, Estates
`m :3
`Small Clgimts Tirangegto Regular DDCkEt
`oreign
`ro at Ma
`r er
`M as
`CHRO Action in the Public Interest- P.A. rose
`and Truss
`W90
`A” Other
`
`M so
`All other
`-
`L
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`,
`,
`A3] other
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`V90
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`J
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