Mims v. US Dept. of Health & Human Svcs, et al

Filing 7

ORDER Directing USMS Service of Process re Summons, #1 Complaint, and this Order upon Defendant HHS and on the required government officers and agencies in accordance with Federal Rule of Civil Procedure 4(i). Signed by Magistrate Judge Brian K. Epps on 10/23/2024. (Attachments: #1 U.S. Dept of HHS - USM Form, #2 Attorney General - USM Form, and #3 Civil Process Clerk - USM Form.) (jlh)

USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below.
U.S. Department of Justice
United States Marshals Service

PROCESS RECEIPT AND RETURN

PLAINTIFF

COURT CASE NUMBER

JOHNNA JOWANNA MIMS

CV 124-167

DEFENDANT

TYPE OF PROCESS

US DEPARTMENT OF HEALTH & HUMAN SVCS, et al.

Summons, Complaint, Order

{

NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN

SERVE
AT

Civil Process Clerk of the United States Attorney for the Southern District of Georgia
ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code)

PO Box 2017, Augusta, GA 30903

SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW

Johnna Jowanna Mims
P.O. Box 1468
Waynesboro, GA 30830

Number of process to be
served with this Form 285

3

Number of parties to be
served in this case

3

Check for service
on U.S.A.

X

SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses,
All Telephone Numbers, and Estimated Times Available for Service):
Fold

Fold

The United States Marshal shall effect service of the Complaint on the required government officers and agencies in
accordance with Federal Rule of Civil Procedure 4(i) and shall include a copy of this Order with the summons and Complaint.
Service must be effected within ninety days of the date of this Order. See Fed. R. Civ. P. 4(m).

Signature of Attorney other Originator requesting service on behalf of:

John E. Triplett, Clerk of Court

✘

PLAINTIFF
DEFENDANT

TELEPHONE NUMBER

DATE

706.849.4400

10/23/2024

SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE
I acknowledge receipt for the total
number of process indicated.
(Sign only for USM 285 if more
than one USM 285 is submitted)

Total Process

District of
Origin

District to
Serve

No.

No.

Signature of Authorized USMS Deputy or Clerk

Date

I hereby certify and return that I
have personally served ,
have legal evidence of service,
have executed as shown in "Remarks", the process described
on the individual , company, corporation, etc., at the address shown above on the on the individual , company, corporation, etc. shown at the address inserted below.
I hereby certify and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below)
Name and title of individual served (if not shown above)

A person of suitable age and discretion
then residing in defendant's usual place
of abode

Address (complete only different than shown above)

Date

Time

am
pm

Signature of U.S. Marshal or Deputy

Service Fee

Total Mileage Charges Forwarding Fee
including endeavors)

Total Charges

Advance Deposits

Amount owed to U.S. Marshal* or
(Amount of Refund*)

REMARKS:

PRINT 5 COPIES: 1. CLERK OF THE COURT
2. USMS RECORD
3. NOTICE OF SERVICE
4. BILLING STATEMENT*: To be returned to the U.S. Marshal with payment,
if any amount is owed. Please remit promptly payable to U.S. Marshal.
5. ACKNOWLEDGMENT OF RECEIPT

PRIOR EDITIONS MAY BE USED
Form USM-285
Rev. 12/15/80
Automated 01/00