Clemons v. Google, Inc.
Summons Issued, via USMS, as to Google, Inc. (dvanm, )
U.S. Department of Justice
PROCESS RECEIPT AND RETURN
United States Marshals Service
See "Instructions for Sei-vice of Process hv U.S. Marshal"
COURT CASE NUMBER
TYPE OF PROCESS
Service of Summons
SERVE J Google, Inc.
AT I address (Street or RFD. Apartment No., City, State and ZIP Code)
SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW
Numberof processto be
served with this Form 285
Number of parties to be
served in this case
Check for service
SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE
Bmtnm md Alter,Addresses,
All Telephone Numbers, andEstimated Times Availablefor Service):
ture ofAttorney other Originator requesting service onbehalf of;
BELOW TO USEOF U.S,^MAfe^HAL ONLY- DO NOT WRITE BELOW THIS LINE
I acknowledge receipt forthe total
numberof process indicated.
(Sign onlyfor USM 285if more
Signature ofAuthorized USMS Deputy orClerk
than one USM 285 is submitted)
1hereby certify and return that I• have personally served ,• have legal evidence ofservice. • have executed as shown
on the individL ,company, corporation, etc.. at the address shown above on the on the mdividual. company, corporation, etc. shown at the address mserted below.
• Ihereby certify and return that Iam unable to locate the individual, company, corporation, etc. named above (See remarks below)
|~| Aperson ofsuitable age and discretion
Name and title of individualserved (if not shown above)
then residing indefendant's usual place
Address (complete only different than shown above)
Signature of U.S. Marshal or Deputy
Total Mileage Charges
Amount owed to U.S. Marshal* or
I 1. CLERK OF THE COURT
PRIOR EDITIONS MAY BE USED
• 2. USMS RECORD
3. NOTICE OF SERVICE
4. BILLING STATEMENT*: To be returned to the U.S. Marshal with payment,
ifany amount isowed. Please remit promptly payable toU.S. Marshal.
5. ACKNOWLEDGMENT OF RECEIPT
AO440 (Rev.06/12) Summons in a CivilAction
United States District Court
Eastern District ofVirginia
^UG 2^ P 2* 5
CLERK US DISTRICT COURT
Civil Action No. 1:17cv963
SUMMONS IN A CIVIL ACTION
To: (Defendant's mme andaddress) Google, Inc.
1875 Explorer St.
Reston, VA 20190
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 ifyou
are the United States or aUnited States agency, or an officer or employee ofthe United States described mFed. RP. 12 (a)(2) or (3) —you must serve on the plaintiffan answer to the attached complaint or amotion under Rule o
the Federal Rules ofCivil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are:
Ifyou fail to respond, judgment by default will be entered against you for the reliefdemanded in the complaint.
You also must file youranswer or motion with the court.
CLERK OF COURT
Signature ofClerk or Deputy Clerk
AO440 (Rev.06/12) Summons in a Civil Action(Page2)
Civil Action No. 1:17cv963
PROOF OF SERVICE
(This section should not befiled with the court unless required by Fed. R. Civ. P. 4 (I))
This summons for (nameof individual and title, ifany)
was received by me on (date)
• I personally served thesummons onthe individual at (place)
• I left the summons at the individual's residence or usual place of abode with (name)
, a person ofsuitable age and discretion who resides there,
, and mailed a copy to the individual's last known address; or
• I served the summons on (name ofindividual)
designated by law to accept service ofprocess on behalf of(name oforganization)
• I returned the summons unexecuted because
My fees are $
for travel and $
for services, for atotal of$
I declare under penalty of perjury that this information istrue.
Printed name and title
Additional information regardingattemptedservice, etc:
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