Clemons v. Google, Inc.

Filing 5

Summons Returned Unexecuted by Richard Clemons as to Google, Inc. (dvanm, )

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PROCESS RECEIPT AWiR&WRN U.S. Department of Justice "Imtructiom for Service ofProcess United States Marslials Service Marshal" COURT CASE NUMBER PLAINTIFF l:17cv963 Richard demons p DEFENDANT 3: 29 Service of Summons Google, Inc. Jndemn NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR SERVE Google, Inc. { ADDRESS (Street orRFD, Apartment No., City. Stale andZIP Code) AT 1875 Explorer St., Reston, VA 20190 SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW Number of processto be served with this Form 285 Number of parties to be Richard demons Address Unknown served in this ease Check for service on U.S.A. SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Inclutf^ Btf^fness ^nd AHernate Addresses, All Telephone Numbers, and Estimated Times AvailableforService): Fold Fold ature ofAttorney other Originator requesting service onbehalfof: 0 PLAINTIFF DEFENDANT TELEPHONE NUMBER 703-299-2101 Liz S^rF. RFi.OW TOR US^^OF U.S.'MAfe^HAL ONLY- DO NOT WRITE BELOW THIS LINE I acknowledge receiptforthe total numberof processindicated. (Sign only USM285 ifmore for District of District to Origin Total Process Signature ofAuthorized USMS Deputy orClerk Serve f than one USM285 is submitted) the individual, company, corporation, etc., atthe address shown above Ihereby certify and return that Iam unable to locate the individual, company, corporation, etc. named above (See remarks below) • Nameand titleof individual served (ifnot shownabove) Aperson ofsuitable age and discretion thenresiding indefendant's usual place of abode Date Address (complete only different than shown above) \000 W seroe.^ £vi-\4>r So v; Service Fee \ -Vo tureiJCtliS) Total Mileage Charges Forwarding Fee including endeavors) Total Charges Advance Deposits Amount owedto U.$.!Marshal* oV^ (Amount ofRefund?)-J 2%% U5 -r:$oiob c.-) r f- REMARKS: r- \ \ ^ - ^ •7-=V \ lau. \Wafl 1. CLERK OF THE COURT .SSS~= ^^.9^ 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 is owed. Please remit promptly payable to U.S. Marshal. 5. ACKNOWLEDGMENT OF RECEIPT Form USM-285 Rev. 11/13 AO440 (Rev.06/12) Summons in a CivilAction United States District Court for the Eastern District of Virginia Richard Clemens Plaintiff(s) Civil Action No. 1:17cv963 V. Google, Inc. Defendant(s) SUMMONS IN A CIVIL ACTION To: (Defendant's name 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 in Fed. ^iv. P. 12 (a)(2) or (3) —you must serve on the plaintiffan answer to the attached complaint or amotion under Rule 12 or the Federal Rules ofCivil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney, whose name and address are: Richard demons Address Unknown 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. ERK OF COURT Date: 08/29/2017 Signatum ofCl^ orDeputy Clerk AO440 (Rev.06/12) Summons in a Civil Action {Page 2) Civil Action No. 1:17cv963 PROOF OF SERVICE (This section should not befiled with the court unless required by Fed. R. Civ. P, 4 (D) This summons for (name ofindividual and title, ifany) was received by me on (date) ^ j jI ' • I personally served the summons on the individual at(place) on (date) j or O I left the summons atthe individual's residence or usual place ofabode with (name) , a person ofsuitable age and discretion who resides there, on (date) , and mailed acopy 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) on {UUIC/ Ull (date) TV^is Sfl returned the summons unexecuted because SyJ^nwxS 0 OXhQX (specify): My fees are $ oA- j or 9 -HiK for travel and $ 2.^.? U ;or SH-P. U.\r^rv^ic,. r \000 So VNOVjAi Ip 5 . - J CA- services, for atotal of$ 'O-OO ^y.91, 1declare under penalty of perjury that this information is true. Date: ^|p|n Server's signature Printed name and title LlOl ^"=1 Server's address Additional information regarding attempted service, etc: •

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