United States of America v. Nellermoe

Filing 1

COMPLAINT against defendant(s) Mark D Nellermoe, filed by United States of America. (Attachments: # 1 Exhibit 1, # 2 Exhibit 2, # 3 Exhibit 3, # 4 Civil Cover Sheet, # 5 Summons)(Bartlett, Anastasia) (Fee Waived)

United States of America v. Nellermoe

Doc. 1 Att. 5

AO 440 (Rev. 5/85) Summons in a Civil Action

United States District Court
W ESTERN DISTRICT OF W ASHINGTON UNITED STATES OF AM ERICA Plaintiff,

SUMMONS IN A CIVIL ACTION

v.
M ICHAEL D. NELLERM OE Defendant.

CASE NUMBER:

TO: ( Name and Address of Defendant)

Michael D. Nellermoe 5216 N. 49th Street Ruston, WA 98407 YOU ARE HEREBY SUMMONED and required to file with the Clerk of this Court and serve upon
PLAINTIFF'S ATTORNEY (name and address)

JENNY A. DURKAN United States Attorney
700 Stewart Street, Suite 5220 Seattle, W ashington 98101 By: ANASTASIA D. BARTLETT Assistant United States Attorney [phone] an answer to the complaint which is herewith served upon you, within 20 days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint. You must also file your answer with the Clerk of this Court within a reasonable period of time after service.

________________________________________________
CLERK

__________________________________________
DATE

______________________________________________________ (BY) DEPUTY CLERK

AO 440 (Rev. 5/85) Summons in a Civil Action

SUMMONS IN A CIVIL ACTION (342.W P ) 1

Dockets.Justia.com

RETURN OF SERVICE
DATE

Service of the Summons and Complaint was made by me1
NAME OF SERVER TITLE

Check one box below to indicate appropriate method of service

G Served personally upon the defendant. Place where served:____________________________________

____________________________________________________________________________________ G Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name of person with whom the summons and complaint were left:________________________________ ____________________________________________________________________________________ G Returned unexecuted:__________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ G Other (specify):________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL

DECLARATION OF SERVER

I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service Fees is true and correct.

Executed on_____________________________
Date

_______________________________________
Signature of Server

____________________________________________ ____________________________________________ Address of Server

1

) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.

SUMMONS IN A CIVIL ACTION (342.W P ) 2