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

UNITED STATES DISTRICT COURT

for the

__________ District of __________ 

)

)

)

)

)

)

)

)

)

)

)

)

Plaintiff(s)

v. Civil Action No.

Defendant(s)

SUMMONS IN A CIVIL ACTION

To: (Defendant’s name and address)

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 plaintiff’s attorney,

whose name and address are:

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 of Clerk or Deputy Clerk

District of Oregon

DOUGLAS WILLIAMS

2:15-cv-01760-SU

GRANT COUNTY, SHERIFF GLENN PALMER,

JACKSON DEROSIER, and MICHAEL ALLEY

MICHAEL ALLEY

GRANT COUNTY JAIL

205 S HUMBOLT

CANYON CITY, OR, 97820

Lynn S. Walsh

209 SW Oak Street, #400

Portland, OR 97204

10/29/2015 By: s/Elizabeth Potter, Deputy Clerk

Case 2:15-cv-01760-SU Document 5 Filed 10/29/15 Page 1 of 4
AO 440 (Rev. 06/12) Summons in a Civil Action

UNITED STATES DISTRICT COURT

for the

__________ District of __________ 

)

)

)

)

)

)

)

)

)

)

)

)

Plaintiff(s)

v. Civil Action No.

Defendant(s)

SUMMONS IN A CIVIL ACTION

To: (Defendant’s name and address)

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 plaintiff’s attorney,

whose name and address are:

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 of Clerk or Deputy Clerk

District of Oregon

DOUGLAS WILLIAMS

2:15-cv-01760-SU

GRANT COUNTY, SHERIFF GLENN PALMER,

JACKSON DEROSIER, and MICHAEL ALLEY

JACKSON DEROSIER

GRANT COUNTY JAIL

205 S HUMBOLT

CANYON CITY, OR, 97820

Lynn S. Walsh

209 SW Oak Street, #400

Portland, OR 97204

10/29/2015 By: s/Elizabeth Potter, Deputy Clerk

Case 2:15-cv-01760-SU Document 5 Filed 10/29/15 Page 2 of 4
AO 440 (Rev. 06/12) Summons in a Civil Action

UNITED STATES DISTRICT COURT

for the

__________ District of __________ 

)

)

)

)

)

)

)

)

)

)

)

)

Plaintiff(s)

v. Civil Action No.

Defendant(s)

SUMMONS IN A CIVIL ACTION

To: (Defendant’s name and address)

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 plaintiff’s attorney,

whose name and address are:

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 of Clerk or Deputy Clerk

District of Oregon

DOUGLAS WILLIAMS

2:15-cv-01760-SU

GRANT COUNTY, SHERIFF GLENN PALMER,

JACKSON DEROSIER, and MICHAEL ALLEY

GRANT COUNTY

c/o Grant County Counsel Ron Yockim

PO Box 2456

Roseburg OR 97470

Lynn S. Walsh

209 SW Oak Street, #400

Portland, OR 97204

10/29/2015 By: s/Elizabeth Potter, Deputy Clerk

Case 2:15-cv-01760-SU Document 5 Filed 10/29/15 Page 3 of 4
AO 440 (Rev. 06/12) Summons in a Civil Action

UNITED STATES DISTRICT COURT

for the

__________ District of __________ 

)

)

)

)

)

)

)

)

)

)

)

)

Plaintiff(s)

v. Civil Action No.

Defendant(s)

SUMMONS IN A CIVIL ACTION

To: (Defendant’s name and address)

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 plaintiff’s attorney,

whose name and address are:

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 of Clerk or Deputy Clerk

District of Oregon

DOUGLAS WILLIAMS

2:15-cv-01760-SU

GRANT COUNTY, SHERIFF GLENN PALMER,

JACKSON DEROSIER, and MICHAEL ALLEY

Sheriff Glenn Palmer

Grant County Sheriff's Office

205 S HUMBOLT

CANYON CITY, OR, 97820

Lynn S. Walsh

209 SW Oak Street, #400

Portland, OR 97204

10/29/2015 By: s/Elizabeth Potter, Deputy Clerk

Case 2:15-cv-01760-SU Document 5 Filed 10/29/15 Page 4 of 4