Clemons v. Google, Inc.

Filing 5

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

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:

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\

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-

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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:

•