U-s.Depa,.trnentosausticc PR O CESS RECEIPT AN D RETURN

UnitedState's'M arshalsService See''Ir?.s'/,-2/c/?'r.?/,?.sfol.s'c,-,'/c'(?of-lol-ocess/?.)?u.s.?:z/t.?pv/kc?/''

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PLANTIFF ' . COURTCASENUMBEI

LEEM ITCHELL JOI-INSON, o 20-80709-CV-I1UIZ

DEFENDANT TYPEOFPROCESS '

DEPUTY W ILLIAMS ZZ -j..

, etal., SUM M ONS& COM PLAIN

NAM EOI7INDIVIDUAL,COMPANY,CORPORATION,ETC,TO SERVEORDESCRIPTION OFPROPERTY l'OSEIZEORCONDEMN

SERVE DeputyWi1liams .-.--

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l7alm BeachCountySheriff'sOffice3228GunClubRdW estPalm Beach,FL33406

SENDNOTICEOFSERVICECOPYTOREQUESTERATNAMEANDADDRESSBELOW NtlnberOl'processtobe

LeeM itchellJohnson,ProSe,lnmate/o384240 4tp serveds/itl.tlisl7tlr'lyl285 1)

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SPECIAl-INSTRUCTIOHSOIlOTHERINFORMATIONTHATWILLASSISTINEXPEDITINGSERVICElllclle#l.1lt?.%.andzl//tlr/lfl:Addresses,

AIITelepholeSl/lspnj',flf/i2j.j'#1fl/t!f/Tilte.î/1vailtlbleforUVCFP/CCI.

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AcE BELOW FOR USE OF U.S.M ARSHAL ONLY -D0 NOT W RITE BELOW THISLI E

Iacklowledgereceiptfortl:etotal TotalProcess Districtol- Districtto siglatureofAuthorizedUSMSDept rClerk ' Date

ntl:berot-processindicated. origin Serve

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individual-col:palpl./,corporation,etc,,attlpeaddressshownaboveontl:e01tl:eildividtlal,colupany,corporation,etc.showl:attleaddressilsertedbeloyv.

!1IlerebyccrtifyandrettlrlthatIan'ltlnabletolocatetheil:dividual,conlpany,corporation,etc.nalmedabove(See?'c/?c?l-/(,5'belojf')

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REMARKS

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PRIORVERSIONSOFTHISI7ORM AREOBSOLETE Rev.II/I8

Case 9:20-cv-80709-RAR Document 29 Entered on FLSD Docket 12/08/2020 Page 1 of 2
40446(Ilev.06/l2)StlmmonsinaCivilAction(Page2)

dcivi'lActionNo. 2O-80709-CV-RUIZ

PRO O F OF SERVICE

(Tlti-%Ncc/ft?/'lsltotllda//befiled'ç'f//ltllect/1r/unlessrequiredbyFc#.R.Civ.P.4(0)

Tbisstlmlnonsfor(llameofindividualand?p/r?,ç'fan-b Deputyvviliams

wasreceivedbymeon(dale) 'r2..*7...- . q'e .

(D lpersonaliyserved thestll-nlnonsontheindividtlalat(place)

O Ileftthesulnlnonsattheindividual'sresidenceorustlalplaceofabodewithlnalnel

7apersonofsuitableageand discretionwho residestlere,

on (dale) ,andlnailedacopytothe individual'slastknownaddress',or

ID Iservedthestll-nl-nonson(hamec/-/nl/wWlfcl/.,l ,Wl1O is

designateclbyIav toacceptserviceofprocessonbehalfof(nameoforganizatiol:)

01(date) ,'O1'

Iretul-nedtheSLI1'A0nStlnexecutedbecatlse)JL 1d.!n')1LfJ.

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Myfeesare$ fortraveland$ forservices,foratotalof$ ()()0 .

1declaretlnclerpenaltyofpeljtlrythatthisinforlmationistrue.

Date:j-slaIzozo

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A dditionalinforlmation regardingattelnpted service,etc:

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Case 9:20-cv-80709-RAR Document 29 Entered on FLSD Docket 12/08/2020 Page 2 of 2