AO 4JO (Rev. 06!12} Summons m a Civil Action 

UNITED STATES DISTRICT COURT 

for the 

District of Oregon 

JANE DOE, 

Plaintifj(s) 

v. 

UNIVERSITY OF OREGON, DANA DEAN AlTMAN. 

as an individual 

Defendant(s) 

) 

) 

) 

) 

) 

) 

) 

) 

) 

) 

) 

) 

Civil Action No. {r; ;f).- f!,l}- '1 2... 

SUMMONS IN A CIVIL ACTION 

To: fDefendant'snameandaddressJ UNIVERSITY OF OREGON. c/o Douglas Y.S. Park. Acting General Counsel 

219 Johnson Hall. 1226 University of Oregon 

Eugene. OR 97403-1226 

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 plaintiffs attorney, 

whose name and address are: Jennifer J, Middleton 

Johnson Johnson & Schaller, PC 

975 Oak Street, Suite 1 050 

Eugene. OR 97401-3124 

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: .............................. ···---~ ., .. ····-··-··----·-········--~ ... . ··---~~#---

Signature ~~r Clerk or Deputy Clt!rk 

01/09/2015 By: s/K Finerson, Deputy Clerk

Case 6:15-cv-00042-MC Document 2-1 Filed 01/09/15 Page 1 of 4
AO 440 (Rev. 06/12) Su!lli1)()ns in a C1vil Act10n (Page 2) 

Civil Action No. 

PROOF OF SERVICE 

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

This summons for (name a/individual and title, if any) 

was received by me on (dateJ 

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

on (date) 

--------------------------------------------- ----------------

0 I left the summons at the individual's residence or usual place of abode with (lUlmeJ 

;or 

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

on fdate) . and mailed a copy to the individual's last known address; or -----------------

0 I served the summons on {name of individual) , who is --·· ... ·-----------------------------· .. ·--····· ... 

Date: 

designated by law to accept service of process on behalf of {name of organi:ation) 

on (date) 

------------------

0 I returned the summons unexecuted because 

0 Other (specify).· 

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

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

--------··-··----------------------- Server's signature 

Printed name and title 

Server 's address 

Additional information regarding attempted service. etc: 

; or 

0.00 

; or 

Case 6:15-cv-00042-MC Document 2-1 Filed 01/09/15 Page 2 of 4
:\0 ~0 (Rev. 01'/l:!) Summons in a C1vil Action 

UNITED STATES DISTRICT COURT 

JANE DOE 

for the 

District of Oregon 

--~-·------------

v. Civil Action ~o. {o .'IS-~ V- 4 2 

P!aintiff!s) 

UNIVERSITY OF OREGON, DANA DEAN AlTMAN, 

as an individual, 

Defendan[(sJ 

SUMMONS IN A CIVIL ACTION 

To: (Defcnd.mt ~~name and address; DANA DEAN AlTMAN 

clo Douglas Y.S. Park, UO Acting General Counsel 

219 Johnson Hall, 1226 University of Oregon 

Eugene, OR 97403-1226 

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 ofticer 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 Kules of Civil Procedure. The answer or motion must be served on the plaintiff or plainlifr:s attowey, 

whose name and address arc: Jennifer J. Middleton 

Johnson Johnson & Schaller. PC 

975 Oak Street Suite 1050 

Eugene, OR 97401-3124 

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

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

CLERK OF COURT 

Date: 

Signarnre of Clerk or Deputy Clerk 

01/09/2015 By: s/K Finerson, Deputy Clerk

Case 6:15-cv-00042-MC Document 2-1 Filed 01/09/15 Page 3 of 4
AO 440 (Re,· 06il2J Sommons in a Civil.\ction (Page 2> 

Civil Action No. 

PROOF OF SERVICE 

(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 {1)) 

This summons for (name of individual and title, !.f any) 

was received by me on rda~<:J 

0 I personally served the summons on the individual at rplacei 

on (date) ; or -------------------

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

, a person of suitable age and discretion \Vho resides there, 

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

0 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) 

------------------------

0 I returned the summons unexecuted because 

; or 

·------------------------· 

0 Other (specify): 

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

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

Date: 

Server 's signature 

Printed name and title 

M" 

Server's address 

Additional information regarding attempted service, etc: 

; or 

Case 6:15-cv-00042-MC Document 2-1 Filed 01/09/15 Page 4 of 4