Case 1:14-cv-00420-ABJ Document 5 Filed 04/14/14 Page 2 of 3 1S" Depariosentiol Nasties PROCESS RECEIPT AND RETURN Tin testa aeahela erie See "Insiructions for Service of Process by US. Marshal" PLAINTIEF ‘COURT CASE NUMBER SAAD 8. NOAH 14-420 ABI DEFENDANT “TYPE OF PROCESS JOHN KERRY, SECRETARY, U.S, DEPARTMENT OF STATE, et al orsc NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC, TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE J U.s. auomey - civil Process Clerk "AT ) ADDRESS iret or BD. Azarmen No, Ci, Sate an ZIP Code) 555 ath Street, NW, Washington, D.C. 20530 ‘SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW ‘Number of partes tobe ai RECEIVED ape 14 200 foment = Ghetle Ue Satna pistalctand on Cot GECAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASIST EXPEDITING SRVICS (ashe Dns nf lates, ‘AU Teene ures, and Elmated Times nab Jor Serve): Number of recess tobe served wi is Form 285 Treknnieige eco fort Spano arzet USMS Dep or Cle Dee sanber of pts ndennd 5 a ‘Bw on for S285 mre ___—— Shan one USK 285 ube) Le again Tavice,] have executed a shown in "Remarks, he process described atte srs Sovn tone oni nb anda company, core, sho te aes steele arby con nd retumtat | Fave peso served) have ga evince nthe individ company, copoutio,e TD thereby catty and ream tat an unable oleate te individual, company, orpration, ee, named above See remarks below) _onae mahananel prea panna she atc tang dele al pe x Seretet stabi only diferent han shown above) ate TviceFee | Total Mileage Charges] Forwarding ae | Total Charges [Atvanee Depoats | Amr owed io US Warsal® o 7 including endeavors) (AmouncefRetund*) $0.00 REMARKS 1 CLERK OF THE COURT PRIOR EDITIONS MAY BE USED 2 USMS RECORD 5 NOTICE OF SERVICE 4 BILLING STATEMENTS To be tured tothe US. Marshal wit payment, ‘any amosnt ie me, Please emt promptly poyblet US, Masia oon USM-285 5. ACKNOWLEDGMENT OF RECEIPT Te, VU