NOTICE AND ACKNOWLEDGMENT OF RECEPT OF SUMMONS AND COMPLAINT BY MAIL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP87M00539R001902890015-4
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 22, 2016
• Document Release Date: February 23, 2010
• Sequence Number: 15
• Publication Date: December 4, 1984
• Content Type: MISC

Approved For Release 2010/02/23 :CIA-RDP87M00539R001902890015-4
. usow,rso.,o~erawr
- - U.S. pepartnent of Justke
UNITED STi1 TPS~KAR~HALS SERVICE
NOTICE AND ACKNOWLEDGMENT OF RECFIP't
OF S(1M2140NS AND COII~LAINT BY MAIL
United Stues District Court
for the COLUMBIA
District of
,~: ~ Civil Action, File Numbs .
CASEY/DIRECTOR C.I.A
J
.
WILLIAM
1500 WEST BRANCH DRIVE
ARLINGTON VA..
RONA ?D CONNER
V.
CENTRAL INTELLIGENCE AGENCY
The enclosed summons and complaint are served pursuant to Rule 4(cx2xCxii) of the Fodcral Rules of Civil Procedure.
You MUST COMP__LET~ the acknowledgment part of this form below, AND RETURN COPIES 1 AND 2 to the sender
within 20 days. An envelope has been enclosed for this purpose. Keep coPY 3 for your records.
YOU MUST SIGN AND DATE THE ACKNOWLEDGMENT ON ALL COPIES. If you are served on behalf of a
corporation, unincorporated association (including a partnership), or other entity, you must indicate under your signature your
relationship to that entity. if you are served on behalf of another person and you are authorized to receive process, you must indicate
under your signature your authority.
~
days. You (or the party on whose behalf
If ou do not tom lete and return copies 1 and 2 of.this form to the sender within
Y P
you arc being served) may be required to pay any expenses incurred in serving a summons and complaint in any other manner permitted
by law.
if you do complete and return copies 1 and 2 of this form, you (or the party on whose behalf you are being served) must answer
the complaint within ZO days. If you fail to do so, judgment by default will be taken against you for the relief demanded in the
complaint.
I declare, under penalty of perjury, that this Notice and Acknowledgment of Receipt of Summons and Complaint By Mail was
Date of Signature + r Signature (USMS OJficial~
ACKNOWLEDGMENT OF RECEIPT OF SUMMONS AND COMPLAINT
I declare, under penalty of perjury, that I received a copy of the summons and of the complaint in the above captioned manner
Street Number and Street Name or P.O. Box No.
City, State and Zip Code
Signature
Relationship to Entity/Authority to Receive
Service of Process
Approved For Release 2010/02/23 :CIA-RDP87M00539R001902890015-4