Case 9:10-cv-81111-WPD

Document 5 Entered on FLSD Docket 10/29/2010

Page 1 of 1

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AO 440 (Rev. 12/09) Summons in a Civil Action (Page 2)

Civil Action No.

# PROOF OF SERVICE

(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (I))

This summons for (name of individual and title, if any): JEFFREY EPSTEIN
was received by me on (date): SEPT. 20, 2010

[ ] I personally served the summons on the individual at (place):<empty>
on (date):<empty> ; or

[x] I left the summons at the individual's residence or usual place of abode with (name): MARK
, a person of suitable age and discretion who resides there,
on (date): OCT. 8, 2010, and mailed a copy to the individual's last known address; or

[ ] I served the summons on (name of individual):<empty> , who is designated by law to accept service of process on behalf of (name of organization):<empty>
on (date):<empty> ; or

[ ] I returned the summons unexecuted because:<empty> ; or

[ ] Other (specify):

My fees are $:<empty> for travel and $:<empty> for services, for a total of $:0.00.

I declare under penalty of perjury that this information is true.
Date: 10-29-10
Server's signature: <signature>
Printed name and title: THOMAS MARSIGLIANO, INVESTIGATOR
Server's address: PO Box 1485, PART WASHINGTON NY. 11050

Additional information regarding attempted service, etc:
documents/doj-164a968a79179971.pdf
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