Cosgrove v. Bureau of Prisons et al, No. 7:2009cv00064 - Document 6 (E.D. Ky. 2009)

Court Description: MEMORANDUM OPINION & ORDER: 1. The following are DISMISSED, sua sponte: BOP; all constitutional claims from remaining dfts in their official capacities; all negligence claims against remaining individual dfts. 2. USA is ADDED as Dft to the FTCA claim. 3. Clerk prepare necessary documents for service upon following Dfts: a. USA; b. S. Sloan, Individual Capacity; c. P. Runyon, Individual Capacity; d. Myron Batts, Individual Capacity; e. Dr. Pablo Cruz, Individual Capacity; f. Dr. N. Rosario, Individual Capacity. 4. Clerk prepare "Service Packet" consisting of following: a. summonses issued; b. complaint 2 ; c. Payment Order 4 ; d. this Order. e. USM Form 285. If Clerk unable to complete documents above, Cle rk set forth reason in docket entry. 5. Clerk forward, by cert. mail, to USM in Lex, KY. Clerk enter cert. mail receipt in record. 6. Service upon USA made by sending Service Packet by certified or registered mail to: USA - EDKY; US Atty Gen; and Di rector of Federal BOP. 7. Service upon individual Dfts shall be made by: a. certified or registered mail; and b. personal service. USM ensure each dft served. If unsuccessful, USM make further attempts necessary to ensure successful service. 8. w/in 40 days, USM make return report whether summons executed or unexecuted. a. Dft served by certified mail, Report shall include: i. copy of green cared; or ii. statement green card was not returned, along with "Track-and-Confirm" showing proo f of delivery does not exist. b. Dft served personally, Report shall indicated: i. Dft was successfully served, or ii. statement explaining efforts being taken to locate Dft and accomplish service. 9. Plas Motion for an Extension of Time 5 is DE NIED without prejudice, to bring another Motion when necessary to respond to a pleading. 10. Pla keep Clerk informed of current mailing address. Failure may result in dismissal of case. 11. Pla communicate with Court solely through notices or motions filed with Clerk's Office. Court will disregard correspondence sent directly to judge's chambers. 12. Every notice or motion filed, Pla must: a. mail copy to Dft (or attorney); and b. at end of pleading, cer tify he mailed copy to each Dft (or attorney) and date done. Court will disregard any notice or motion which does not include certification. Signed by Judge Karen K. Caldwell. (Attachments: # 1 USM 285 Forms, # 2 Mailing Labels, # 3 Summons Issued, # 4 Certified Mail Receipt)(TDA)cc: Charles Cosgrove & US Marshal - (USM packet mailed cert. mail, retn rcpt req, and assembled as ordered.

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USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF COURT CASE NUMBER Charles Cosgrove 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 and this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE AT { U.S. Attorney - EDKY ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) 260 W. Vine Street, Suite 300, Lexington, KY 40507 SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW L 6 Check for service on U.S.A. 11208 E. 24th Street Independence, MO 64052 4 Number of parties to be served in this case ~arles Cosgrove Number of process to be served with this Form 285 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE f./nclude Business and Alternate Addresses, All Telephone Numbers, and Estimated Times Available for Service); Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: I&l PLAINTIFF D DEFENDANT TELEPHONE NUMBER DATE 606-437-6160 7/20/2009 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign only for USM 285 ifmore than one USM 285 is submitted) Total Process District of Origin District to Serve No. Signature of Authorized USMS Deputy or Clerk No. Date I hereby certi/Y and return that I D have personally served, D have legal evidence of service, D have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. D I hereby certi/Y and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) D Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam D pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges Forwarding Fee including endeavors) Total Charges Advance Deposits Amount owed to U S. Marsl",I' (Amount of Refund*) ()t REMARKS: I'lU"Ii r 5 eOI'll'S; I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev. 12/15/80 Automated 0 I/00 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. u.s. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF COURT CASE NUMBER Charles Cosgrove 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 and this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION ETC TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE U.S. Attorney General AT { ADDRESS (Street or RFD, Apartment No, Clly, State and ZIP Code) 5137 Robert F. Kennedy Bldg., 10th Street & Constitution Ave, NW, Washington, DC 20530 SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW L 6 Check for service on U.S.A. 11208 E. 24th Street Independence, MO 64052 4 Number of parties to be served in this case ~arles Cosgrove Number of process to be served with this Form 285 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business andAltemale Addresses. All Telephone Numbers, and Estimated Times Availablefor Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: IRI PLAINTIFF D DEFENDANT TELEPHONE NUMBER DATE 7/2012009 606-437-6160 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign onlyfor USM 285 ifmore than one USM 285 is submitted) District of Origin District to Serve No. Total Process Signature of Authorized USMS Deputy or Clerk No. Date I hereby certify and return that I D have personally served, D have legal evidence of service, D have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. D I hereby certify and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) D Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam D pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges including endeavors) Forwarding Fee Total Charges Advance Deposits :\nhHmt owed to U,S. l\:far<.;}HlJ* (·\m'lllnl of Rd'unc\') (J! REMARKS: PHI'l :; ( OPIJ:S: I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAY BE USED Form USM-285 Rev. 12/15/80 Automated 0 1/00 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. u.s. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF Charles Cosgrove COURT CASE NUMBER 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 and this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE Harley Lappin, Director of BOP AT { ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) 654 Home Owners Loan Corp. Bldg, 320 First Street, NW, Washington, DC 20001 SEND NOTICE OF SERVICE COpy TO REQUESTER AT NAME AND ADDRESS BELOW Number of process to be served with this Form 285 Number of parties to be served in this case 11208 E. 24th Street Independence, MO 64052 L 6 Check for service on U.S.A. ~arles Cosgrove 4 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (!nclude Business and Alternate Addresses, All Telephone Numbers, and Estimated Times Availablefor Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: 1:&1 PLAINTIFF o DEFENDANT TELEPHONE NUMBER DATE 606-437-6160 7/20/2009 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign only for USM 285 ifmore than one USM 285 is submitted) District of Origin District to Serve No. Total Process Date Signature of Authorized USMS Deputy or Clerk No. 0 0 0 have personally served, have legal evidence of service, have executed as shown in "Remarks", the process described I hereby certify and return that I on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. o I hereby certify and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) 0 Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam o pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges including endeavors) Forwarding Fee Total Charges Advance Deposits Amount owcd 10 U.S Marshal· u\rnounl of Refund') (\I REMARKS: 1'1~1!l.1 :; ('OI'ILS: 1. CLERK OF THE COURT 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev. 12/15/80 Automated 01100 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF COURT CASE NUMBER Charles Cosgrove 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 & this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE AT { S. Slone, Individual Capacity ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) U.S.P. Big Sandy, P.O. Box 2067, Inez, KY 41224 SEND NOTICE OF SERVICE COpy TO REQUESTER AT NAME AND ADDRESS BELOW L 6 Check for service on U.S.A. 11208 E. 24th Street Independence, MO 64052 4 Number of parties to be served in this case ~arles Cosgrove Nwnber of process to be served with this Form 285 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and AlternaJe Addresses. All Telephone Numbers, and Estimated Times Availablefor Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: 1&1 PLAINTIFF D DEFENDANT TELEPHONE NUMBER DATE 606-437-6160 7/20/2000 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign onlyfor USM 285 ifmore than one USM 285 is submilled) Total Process District of Origin District to Serve No. Signature of Authorized USMS Deputy or Clerk Date No. I hereby certify and return that I D have personally served, D have legal evidence of service, D have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. D I hereby certify and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) D Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam D pm Signature of US. Marshal or Deputy Service Fee Total Mileage Charges Forwarding Fee including endeavors) Total Charges Advance Deposits Amount owcd 1.0 l' S Mar,l", I, lAmmmt of Rc'fund') 01 REMARKS: PI{I,\ I S ( OI'ILS: I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev. 12/15/80 Automated 01/00 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice PROCESS RECEIPT AND RETURN United States Marshals Service PLAINTIFF Charles Cosgrove COURT CASE NUMBER 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 & this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE AT { P. Runyon, Individual Capacity ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) U.S.P. Big Sandy, P.O. Box 2067, Inez, KY 41224 SEND NOTICE OF SERVICE COpy TO REQUESTER AT NAME AND ADDRESS BELOW Number of process to be served with this Form 285 Number of parties to be served in this case 11208 E. 24th Street Independence,MO 64052 L 6 Check for service on U.S.A. ~arles Cosgrove 4 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses. All Telephone Numbers, and Estimnted Times Availablefor Service); Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behal f of: IRI PLAINTIFF [J DEFENDANT TELEPHONE NUMBER DATE 606-437-6160 7/20/2000 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign onlyfor USM 285 ifmore than one USM 285 is submitted) Total Process District of Origin District to Serve No. Date No. 0 0 Signature of Authorized USMS Deputy or Clerk 0 have personally served, have legal evidence of service, have executed as shown in "Remarks", the process described I hereby certifY and return that I on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. o I hereby certifY and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) 0 Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam o pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges including endeavors) Forwarding Fee Total Charges Advance Deposits Amount owed to U.S 1\1arsha J'~ (Am(Hmt l)1 or Refund"') REMARKS: PI{P, I 5 ( OI'ILS: I. CLERK OF THE COURT 2. USMS RECORD 3. NOTICE OF SERVICE 4. BILLING STATEMENT": To be returned to the U.S. Marshal with payment. if any amount is owed. Please remit promptly payable to U.S. Marshal. 5. ACKNOWLEDGMENT OF RECEIPT PRIOR EDITIONS MAY BE USED Form USM-285 Rev. 12/15/80 Automated 01/00 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF Charles Cosgrove COURT CASE NUMBER 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 & this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE AT { Myron Batts, Individual Capacity ADDRESS (Street or RFD, Apartment No., City, State and ZIP Code) U.S.P. Big Sandy, P.O. Box 2067, Inez, KY 41224 SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW Number of process to be served with this Form 285 Number of parties to be served in this case 11208 E. 24th Street Independence, MO 64052 L 6 Check for service on U.S.A. ~arles Cosgrove 4 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (Include Business and Alternate Addresses. All Telephone Numbers, and Estimated Times Availablefor Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: 1&1 PLAINTIFF o DEFENDANT DATE TELEPHONE NUMBER 7/20/2000 606-437-6160 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign only for USM 285 ifmore than one USM 285 is submitted) Total Process District of Origin District to Serve No. Date Signature of Authorized USMS Deputy or Clerk No. 0 0 0 I hereby certifY and return that I have personally served, have legal evidence of service, have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. o I hereby certifY and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) 0 Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam o pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges Forwarding Fee including endeavors) Total Charges Advance Deposits AnwlInl owcd [0 U S Marshal" <.11 (Amollnt of Refund') REMARKS: I'lll'\ J S ( OI'IFS: I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev 12/15/80 Automated 01100 USM·285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF Charles Cosgrove COURT CASE NUMBER 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 & this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE Dr. Pablo Cruz, Individual Capacity AT { ADDRESS (Street or RFD. Apartment No., City. State and ZIP Code) U.S.P. Big Sandy, P.O. Box 2067, Inez, KY 41224 SEND NOTICE OF SERVICE COpy TO REQUESTER AT NAME AND ADDRESS BELOW Number of process to be served with this Form 285 Num ber of parties to be served in this case 11208 E. 24th Street Independence, MO 64052 L 6 Check for service on U.S.A. ~arles Cosgrove 4 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE [Include Business and Alternate Addresses. All Telephone Numbers, and Estimated Times Availablefor Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: IKJ PLAINTIFF o DEFENDANT DATE TELEPHONE NUMBER 7/20/2000 606-437-6160 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign onlyfor USM 285 ifmore than one USM 285 is submitted) Total Process District of Origin District to Serve No. Date No. 0 0 Signature of Authorized USMS Deputy or Clerk 0 I hereby certifY and return that I have personally served, have legal evidence of service, have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. o I hereby certifY and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) 0 Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time Dam o pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges Forwarding Fee including endeavors) Total Charges Advance Deposits Amount owed to US J\jarshal* or (Amount of Rdlllld') REMARKS: PHI" I 5 COPII:S: I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev. 12/15/80 Automated aI/00 USM-285 is a 5-part form. Fill out the form and print 5 copies. Sign as needed and route as specified below. U.S. Department of Justice United States Marshals Service PROCESS RECEIPT AND RETURN PLAINTIFF COURT CASE NUMBER Charles Cosgrove 7:09-cv-64-KKC DEFENDANT TYPE OF PROCESS Bureau of Prisons, et al Sum, Cmplt, Order #4 & this Order NAME OF INDIVIDUAL, COMPANY, CORPORATION. ETC. TO SERVE OR DESCRIPTION OF PROPERTY TO SEIZE OR CONDEMN SERVE AT { Dr. N. Rosario, Individual Capacity ADDRESS (Street or RFD. Apartment No., City. State and ZIP Code) U.S.P. Big Sandy, P.O. Box 2067, Inez, KY 41224 SEND NOTICE OF SERVICE COPY TO REQUESTER AT NAME AND ADDRESS BELOW L 6 Check for service on U.S.A. 11208 E. 24th Street Independence, MO 64052 4 Number of parties to be served in this case ~arles Cosgrove Number of process to be served with this Form 285 x SPECIAL INSTRUCTIONS OR OTHER INFORMATION THAT WILL ASSIST IN EXPEDITING SERVICE (.Include Business and Alternate Addresses, All Telephone Numbers, and Estimated Times Available/or Service): Fold Fold SERVICE TO BE MADE PURSUANT TO ATTACHED ORDER Signature of Attorney other Originator requesting service on behalf of: IRI PLAINTIFF o DEFENDANT DATE TELEPHONE NUMBER 7/20/2000 606-437-6160 SPACE BELOW FOR USE OF U.S. MARSHAL ONLY-- DO NOT WRITE BELOW THIS LINE I acknowledge receipt for the total number of process indicated. (Sign only for USM 285 ifmore than one USM 285 is submitted) Total Process District of Origin District to Serve No. Date Signature of Authorized USMS Deputy or Clerk No. I hereby certify and return that I 0 have personally served,O have legal evidence of service, 0 have executed as shown in "Remarks", the process described on the individual, company, corporation, etc., at the address shown above on the on the individual, company, corporation, etc. shown at the address inserted below. o I hereby certify and return that I am unable to locate the individual, company, corporation, etc. named above (See remarks below) Name and title of individual served (ifnot shown above) 0 Address (complete only different than shown above) Date A person of suitable age and discretion then residing in defendant's usual place of abode Time o am o pm Signature of U.S. Marshal or Deputy Service Fee Total Mileage Charges FOlWarding Fee including endeavors) Total Charges Advance Deposits Amount o\ved to U.S (Am(llmt of Refund-) !\.·1ar~l1lJl':' ~II REMARKS: PHI" I:; «)I'I~S: I. 2. 3. 4. CLERK OF THE COURT USMS RECORD NOTICE OF SERVICE 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 PRIOR EDITIONS MAYBE USED Form USM-285 Rev. 12/15/80 Automated 01/00

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