17, Case 3:20-cv-03678-MCR-EMT Document 12 Filed 12/10/20 Page 1 of 2

'1/r/t

AO 440 (Rev. 06/12) Summons in a Civil Action

United States District Court

for the

Northern District ofFlorida

)

UNITED STATES OF AMERICA, ex ) rel.

ROBERT V. SMITH )

)

Plaintiffs) )

) v. Civil Action No. 3:20CV3678/MCR/EMT )

)

)

JAY A. ODOM and OKALOOSA COUNTY,

BOARD OF COUNTY COMMISSIONERS )

)

Defendants) )

SUMMONS IN A CIVIL ACTION

To: (Defendant's name and address) Jay A. Odom

4652 Gulfstarr Drive

Destin, Florida 32541

A lawsuit has been filed against you.

Within 60 days after service ofthis summons on you (not counting the day you received it) — or 60 days ifyou

are the United States or a United States agency, or an officer or employee ofthe United States described in Fed. R. Civ.

P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of

the Federal Rules ofCivil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,

whose name and address are: MICHAEL J. SCHOFIELD/AMELIA H. BEARD

CLARK PARTINGTON

125 EAST INTENDENCIA STREET

PENSACOLA, FLORIDA 32591-3010

Ifyou fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.

You also must file your answer or motion with the court.

V

pAf '

JESSICA J. LYUBLANOVITS

CLERK OF COURT 67

t

Date: 12/10/2020 j /s/ Monica Broussard, Deputy Clerk

Signature ofClerk or Deputy Clerk

:

.o> SrcAj-fi. , (CT

-V t-ttJ / *

■ V i

fNi-n i'-

Case 3:20-cv-03678-MCR-EMT Document 15 Filed 12/23/20 Page 1 of 3
Case 3:20-cv-03678-MCR-EMT Document 12 Filed 12/10/20 Page 2 of 2

AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)

Civil Action No. 3:20CV3678/MCR/EMT

PROOF OF SERVICE

(This section should not befiled with the court unless required by Fed. R. Civ. P. 4 (l))

This summons for (name ofindividual and title, ifany) j A

was received by me on (date) j | 2_—jjga

qA-o fl'i

-0) Srt *

□ I personally served the summons on the individual at (placej

on (date) ; or

□ I left the summons at the individual’s residence or usual place of abode with (name)

, a person ofsuitable age and discretion who resides there,

on , and mailed a copy to the individual’s last known address; or (date)

J^fserved the summons on (name ofindividual)

designated by law to accept service ofprocess on behalf of(name oforganization)

aj , who is t-Q AJ (-

A - on (date) | 4- ? o ZcvP’ or

□ I returned the summons unexecuted because ; or

O Other (specify):

My fees are $ for travel and $ for services, for a total of $ 0.00

I declare under penalty ofpeijury that this information is true.

A y/ Server’ssignature

Date:

fjfff

{f>( <7 <f£. AJc/So J /l,^ t /)^S, X/.

Server's address

Additional information regarding attempted service, etc:

Case 3:20-cv-03678-MCR-EMT Document 15 Filed 12/23/20 Page 2 of 3
RETURN OF SERVICE

-^73^ A 0C>O/K I'V

— To be served *■ Address *4-Lp S A Dy?

7> ^ _____________ Zip: . j^L5~«yy

CASE NO Jc rU -b’ClX/A? (L/L/^^r

City: ___________State:

COUNTY COURT: k 3-

::

PLAINTIFF/PETITIONER: [ cj rmo S iTl'Z M/lit,slff *<t A-l: y;^ /

v/ 5,►»« /TJ

DEFENDANT/RESPONDENT: . /3 , OQo^

&s>A rf o <;") /: C’oc/^y (lc c

/3 t/J G/{t? /COSk{ 4^ a/

A

Type of Writ: ^//^rw * j' s f<_/r

/^//1>h A rAttn^ji+ r* ’______________________

Citv: M State: ^ Zip:

, 20?e . at__ ^ (acrrrj or (p.m.) and served the

-P- Oq (a.m.) orfcrmj) on the /‘/day of . 207a. as follows:

Ljflr-a.J 3r<rv/^ —2________(recipient) as /tf /Torti-i

ATTORNEY/FIRM

Address/?<^ « x., $,

Received this writ on the /JQay of

same at

______________ (title)

-7^ Zip J?5<f-r

To:

r For (OPCC/u.

At 5 ? /v u ^wxi/tsi /S -t

_INDIVlDUAL/PERSONAL SERVICE, pursuant to F.S. 48.031

City. State

__ SUBSTITUTE SERVICE, pursuant to F.S. 48.031

__ CORPORATE SERVICE, pursuant to F.S. 48.081-1, 48.08-3 or 48.091.

GOVERNMENT AGENCY, pursuant to F.S. 48.121 or 48.111

^DESIGNATED RECIPIENT, pursuant to F.S., 48.031-4a

^_POSTED SERVICE: By attaching a copy of this process, together with any attachments to a

conspicuous place on the property described herein after two or more attempts to obtain personal or

substitute service at least six (6) hours apart.

Attempts at service

__ NON-SERVICE: After diligent search and inquiry, I was unable to locate the within names subject

County, Florida.

J___ at (a.m.) or (p.m.) &__/_/_at__:__(a.m. or p.m.)

in

__ OTHER:

MILITARY: YES yifo. MARITAL STATUS: YES ^

I, the undersigned do here by certify that I am competent to serve process, am over eighteen years old, not interested in this

action and duly authorized to serve the above described process. I further certify that I received this process at the time and

dated described above and served a true copy of the same, together with attachments if any, with the date and hour of

service endorsed thereon by me.

Under penalty of perjury, I declare that I have read the foregoing affidavit and the facts contained therein are true and

correct to the best of my knowledge.

/ NAME: __________ ID#448 CERTIFIED PROCESS SERVER

FIRST JUDICIAL CIRCUIT OF FLORIDA JirfTtn^le7Tr.^Pl,?PS #448

Jim Ingle, Jr., 619 E Nelson Avenue, Ste A, Defuniak Springs, Florida 32433

(850)585-5340

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