Jacobs v. Robeson County Public Library, et al

Filing 1

MOTION for Leave to Proceed in forma pauperis filed by Sherryl Lynn Jacobs. (Attachments: # 1 Proposed Complaint, # 2 Equal Employment Opportunity Commission Forms, # 3 Proposed Summonses, # 4 Proposed Waivers, # 5 Civil Cover Sheet) (Grady, B.)

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

UNITED STATES DISTRICT COURT
for the

Eastern District ofNorth Carolina

Southern Division

)
)

Plaintiff,
SHERRYLLYNNJACOBS

)

)
)

vs

Civil Action No.

Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

SUMMONS IN A CIVIL ACTION
To: ROBESON COUNTY PUBLIC LIBRARY, 101 N Chestnut St, Lumberton, NC 28358
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: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

Civil Action No .

_

PROOF OF SERVICE

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

This summons for (name ofindividual and title, if any) was received by me on (date).

c; I personally served the summons on the individual at (place)
on (date)

_

.; or

C! 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)
I-I

~.

--", and mailed a copy to the individual's last known address; or

I served the summons on (name ofindividual)

----:>'

who is

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

_

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _on (date)
,-!

'-' I returned the summons unexecuted because

'-I
~

; or

- - - - - - - - - - - - - - - - - - - - - '; 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:

_

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

UNITED STATES DISTRICT COURT
for the

Eastern District of North Carolina

Southern Division

)
)

Plaintiff,

SHERRYL LYNN JACOBS

)

vs

)
)

Civil Action No.

Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

SUMMONS IN A CIVIL ACTION
To: BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY, 101 N Chestnut St, Lumberton, NC 28358
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 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 of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff's attorney, whose
name and address are: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

AD 440 (Rev. 12/09) Swnmons in a Civil Action (Page 1)

Civil Action Noo

_

PROOF OF SERVICE

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

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)
I-I

~

~,

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)
I-I

.~

I returned the summons unexecuted because

:; or

- - - - - - - - - - - - - - - - - - - -; or

I-i

.~

Other (specify):

My fees are $

for travel and $

for services, for a total of $

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

Date:
- - - - - - - -

Server's signature

Printed name and title

Server's address

Additional information regarding attempted service, etc:

_

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

UNITED STATES DISTRICT COURT
for the

Eastern District of North Carolina

Southern Division

)
)

Plaintiff,

SHERRYL LYNN JACOBS

)
vs

)
)

Civil Action No.

Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

SUMMONS IN A CIVIL ACTION
To: ROBERT F. FISHER, 101 N Chestnut St, Lumberton, NC 28358
A lawsuit has been filed against you.
Within 21 days after service ofthis 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 ofthe

Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney, whose
name and address are: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

Civil Action No.,

_

PROOF OF SERVICE

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

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-I

~

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)
I-I

~'

-', 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)

,-I
~

; or

I returned the summons unexecuted because

; or

1-'
'-' 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:

_

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

UNITED STATES DISTRICT COURT
for the

Eastern District of North Carolina

Southern Division

)
)

Plaintiff,

SHERRYL LYNN JACOBS

)

vs

)
)
Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

Civil Action No.

SUMMONS IN A CIVIL ACTION
To: GAYLE MCLEAN, 101 N Chestnut St, Lumberton, NC 28358
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: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

Civil Action No.

_

PROOF OF SERVICE

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

This summons for (name ofindividual and title, if any) was received by me on (date) .
'-I

'--' I personally served the summons on the individual at (place)

on (date)

I-I

~

_

; 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-!

~,

,-,
~

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 peIjury that this information is true.

Date:

Server's signature

Printed name and title

Server's address

Additional information regarding attempted service, etc:

_

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

UNITED STATES DISTRICT COURT
for the

Eastern District of North Carolina

Southern Division

Plaintiff,
SHERRYLLYNNJACOBS

)
)

)

vs

)
)

Civil Action No.

Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

SUMMONS IN A CIVIL ACTION
To: HORACE STACY, 101 N Chestnut St, Lumberton, NC 28358
A lawsuit has been filed against you.
Within 21 days after service ofthis 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 ofthe
Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff's attorney, whose
name and address are: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

Civil Action No.,

_

PROOF OF SERVICE

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

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-I

~

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-I

'-' 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)
I-!

--..,; I returned the summons unexecuted because

; or

---------------------; or

c; 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:

_

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 1)

UNITED STATES DISTRICT COURT
for the

Eastern District of North Carolina

Southern Division

Plaintiff,

SHERRYL LYNN JACOBS

)
)

)

vs

)
)
Defendant(s)
)
ROBESON COUNTY PUBLIC LIBRARY
)
BOARD OF DIRECTORS, ROBESON COUNTY PUBLIC LIBRARY)
ROBERT F. FISHER; HORACE STACY
)
GAYLE MCLEAN; TINA MELLEN-STEPP-THOMAS
)

Civil Action No.

SUMMONS IN A CIVIL ACTION
To: TINA MELLEN-STEPP-THOMAS, 101 N Chestnut St, Lumberton, NC 28358
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: Sherryl Lynn Jacobs, PO Box 175, Orrum, N C 28369

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

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

Civil Action No.'--

_

PROOF OF SERVICE

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

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

1-'
'-" 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

1-'

--..: 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)
'-I

......, I returned the summons unexecuted because

,-,
......,

; or

--------------------; or

~her(specilY):

My fees are $

for travel and $

for services, for a total of $

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

Date:
- - - - - - - -

Server's signature

Printed name and title

Server's address

Additional information regarding attempted service, etc:

_