AO 440 (Rev. 12/09) Summons in a Civil Action

UNITED STATES DISTRICT COURT

for the

Northern District of Texas

Sambrano et al 

Plaintiff

)

)

)

)

)

)

)

 

v. Civil Action No. 4:21-cv-01074-P

United Airlines Inc 

Defendant

Summons in a Civil Action

TO: United Airlines, Inc.

A lawsuit has been filed against you.

 Within 21 days after service of this summons on you (not counting the day you received

it) -- or 60 days if you are the United States or a United States agency, or an officer or

employee of the 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 of Civil Procedure. The answer or motion must be served on the plaintiff or the

plaintiff’s attorney, whose name and address are: 

 John Sullivan

 1717 Main St 

 Suite 3200 

 Dallas , TX 75201 

 If you 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. 

CLERK OF COURT

DATE: 09/21/2021

Signature of Clerk or Deputy Clerk

Case 4:21-cv-01074-P Document 4 Filed 09/21/21 Page 1 of 2 PageID 37
AO 440 (Rev. 12/09) Summons in a Civil Action (Page 2)

 Civil Action No. 4:21-cv-01074-P

PROOF OF SERVICE

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

 This summons for (name of individual and title, if any) _______________________________________________________

was received by me on (date) ______________________.

 I personally served the summons on the individual at (place) _____________________________________________

__________________________________________________________ on (date) ___________________________; or

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

____________________________________________________, a person of suitable age and discretion who resides there,

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

 I served the summons on (name of individual) __________________________________________, who is designated

by law to accept service of process on behalf of (name of organization) _________________________________________

_________________________________________________________ on (date) ______________________________ ; or

 I returned the summons unexecuted because ______________________________________________________ ; or 

 other (specify) __________________________________________________________________________________

__________________________________________________________________________________________________

My fees are $ _________________ for travel and $ __________________ for services, for a total of $ _____________

I declare under penalty of perjury that this information is true.

Date: ______________________ ______________________________________________________

Server's signature

______________________________________________________

Printed name and title

______________________________________________________

Server's address

Additional information regarding attempted service, etc: 

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