Case 1:14-cv-00420-ABJ Document 5 Filed 04/14/14 Page 1 of 3 USS. Department of Justice PRUCESS RECEIPT AND RETURN "astructions for Service of Provess by U.S. Marshul United States Marshals Service PLAINTIEE SAAD 8, NOAH 14-420 ABI ‘DaFENDANT "TWPE OF PROCESS JOHN KERRY, SECRETARY, U.S, DEPARTMENT OF STATE, etal oTsc [NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE J US. Atomey General - US. Dept. of Justice "AT. ADDRESS (Srveror RFD, Apormant No, City Stave anTZP Cade) 950 Pennsylvania Ave, NW, Washington, D.C. 20530 {END NOTICE OF SERVICE COPY TO REQUESTER AT NaM AND ADDRESS BELOW ine RECEIVED” ‘Number of proces 1 be secre hs Porm 285 ‘Nunbor of puesto be apr 14 2004 ved inis ese District ancl (Check for service Le Steere onus. AU Telephone Numbers, and Estimated Times vale for Serie? Dcanmiee Cberenpant Taslsactndgeresip reo nsnbe of proces dese (Sign ony or USAP8S fare tha ne USI4 285 submaed) Onn Seve eto fannie ‘hereby cer and retum that have personaly served CI hve legs evidoncoofervioe, L] have executed at shown in "Remarks" the process described nthe individ company, corporation, eat theatres shown above othe ante invidial compan, copoation, a shown atthe adres inserted blow Co vents a ai at Tam aren rete the ndivil enmpany emevtion named above See remarks below) ‘Name wd tle of eval saved (far shown above) 7 Cr A person of sable wpe and disertion ‘ "han esding in defend’ uss place ofabode “acres Rompe ny aferon han own above) Dae “Tine y-9- | pias ln = of US Mahl Tite Y a Savion Foo] Toa Mieage Charges] ForvardingFee | Tul Charge [Advanve Depots | Anouk owed wi cad Warsal ichuingendeer9 (Amount of Rtand®) $0.00 REMARKS [ORUMINMER | cue oF ree courr PRIOR EDITIONS MAY BEUSED 2. USMS RECORD. S.NOTICE OF SERVICE {SRILLING STATEMENT To be eturod tthe US, Marsha with payment ‘fany amount ie oned Please rit pomp pyabl to US, Marsha. Form usn288 5. ACRNOWLEDGMENT OF RECEIPT ev. 1/13,