MORT et al v. LAWRENCE COUNTY CHILDREN AND YOUTH SERVICES et al

Filing 11

AMENDED COMPLAINT against All Defendants, filed by ELIZABETH MORT, ALEX RODRIGUEZ. (Attachments: # 1 Exhibit A, # 2 Summons) (Dodge, Patricia) Modified on 12/2/2010 to correct typo. (ksa)

MORT et al v. LAWRENCE COUNTY CHILDREN AND YOUTH SERVICES et al

Doc. 11 Att. 2

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

UNITED STATES DISTRICT COURT
for the

Western District of Pennsy Ivania
Elizabeth Mort and Alex Rodriguez

Plaintif
v.

) ) ) )

Civil Action No.2: 1 0-cv-01438-DSC

Lawrence County Children and Youth Services, Lawrence )

County, Chrissy Montaçiue and Jameson Health System, Inc. )

Defendant )

SUMMONS IN A CIVIL ACTION
To: (Defendant's name and address)

Lawrence County

430 Court Street New Castle, Pennsylvania 16101

A lawsuit has been fied against you.

you 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,
Within 21 days after service of this summons on you (not counting the day you received it) - or 60 days if are the United States or a United States agency, or an offcer or employee of

whose name and address are: MEYER, UNKOVIC & SCOTT, LLP
AMERICAN CIVIL LIBERTIES FOUNDATION Patricia L. Dodge

OF PENNSYLVANIA Quinn A. Johnson Witold J. Walczak Antoinette C. Oliver

S13 aAtwood StreetSmithfield Street ar J. Rose 535 Suite 1300 3

Pittsburgh, PA 15213 Pittsburgh, PA 15222

If you fail to respond, judgment by default wil be entered against you for the relief demanded in the complaint. You also must fie your answer or motion with the court.

CLERK OF COURT

Date:
Signature of

Clerk or Deputy Clerk

Dockets.Justia.com

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

tile, ifany)

was received by me on (date)

n i personally served the summons on the individual at (place)
on (date)

; or

n 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

n i served the summons on (name of individual)
designated by law to accept service of process on behalf of (name of organization)

, who is

on (date)
o I retuned the summons unexecuted because

; or ; or

n Other (specif):

My fees are $

for travel and $

for services, for a total of $

0.00

I declare under penalty of perjur that this information is tre.

Date:
Server's signature

Printed name and title

Server's address

Additional information regarding attempted service, etc: