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SUMMONS - CIVIL ‘ STATE OF CONNECTICUT
JD-CV-1 Rev. 10-15
C.G:S. §§ 51-346, 51-347, 61-349, 51-360, 52-45a, SUPERIOR COURT
52-48, 82-258, P.B, §§ 3-1 through 3-21, 8-1, 10-13 ,
www.jud.ct.gov
Penh
See other side for instructions
"X" if amount, legal interest or property in demand, not including interest and
costs is less than $2,
"X" if amount, legal jiterest or property in demand, not including interest and
costs is $2,500 or more.
"X" if claiming other relief in addition to or in lieu of money or damages.
TO: Any proper officer; BY AUTHORITY OF THE STATE OF CONNECTICUT, you are hereby commanded to make due and legal service of
this Summons and attached Complaint.
Address of court clerk where writ and other papers shall be filed (Number, street, town and zip code) | Telephone number of clerk Return Date (Must be a Tuesday)
(C.G.S. §§ 51-346, 51-350) (with area code)
300 Grand Street, Waterbury CT 06702 (203 )591-3300 wune eA 2B
x | Judicial District GA. ‘At (Town in which writ is returnable) (C.G.S. §§ 51-346, 51-349) Case type code (See list on page 2)
[J Housing Session Number: Waterbury Major: V Minor: 01
For the Plaintiff(s) please enter the appearance of:
Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) Juris number (to be entered by attomey only)
VenturaLaw, 235 Main Street, Danbury CT 06810 414924
Telephone number (with area code) Signature of Plaintiff (If self-represented)
(203 ) 800-8000
‘The attorney or law firm appearing for the plaintiff, or the plaintiff if Email address for delivery of papers under Section 10-13 (if agreed fo)
self-represented, agrees to accept papers (service) electronically in [x] Yes No |;
this case under Section 10-13 of the Connecticut Practice Book. james@venturalaw.com
Number of Plaintiffs: 1 Number of Defendants: 2 Form JD-CV-2 attached for additional parties
Parties Name (Last, First, Middle Initial) and Address of Each party (Number; Street; P.O. Box; Town; State; Zip; Country, if not USA)
First Name: MANTILLA, Katherinee C. P-04
Plaintiff Address: 501 Route 312, Brewster, NY 10509
Additional | Name: P-02
Plaintiff | Address:
First Name: MENCIO, Drew R. D-01
Defendant _| Address: 48 Saddle Road, Wolcott CT 06716
Additional |Name: TRI-STAR SERVICE, INC., 8 School Street, Woodbury CT 06798 D-02
Defendant | Address: c/o President, Adam Barbieri and/or Corporate Officer, 39 Kenosia Drive, Danbury CT 06810
Name: D-03
Defendant | Address:
Additional | Name: D-04
Defendant | Address:
Notice to Each Defendant
41. YOU ARE BEING SUED. This paper is a Summons in a lawsuit. The complaint attached to these papers states the claims that each plaintiff is making
against you in this lawsuit.
2. To be notified of further proceedings, you or your attorney must file a form called an "Appearance" with the clerk of the above-named Court at the above
Court address on or before the second day after the above Return Date. The Return Date is not a hearing date. You do not have to come to court on the
Return Date unless you receive a separate notice telling you to come to court.
3. If you or your attorney do not file a written "Appearance" form on time, a judgment may be entered against you by default. The "Appearance" form may be
obtained at the Court address above or at www.,jud.ct.gov under "Court Forms."
4. If you believe that you have insurance that may cover the claim that is being made against you in this lawsuit, you should immediately contact your
insurance representative. Other action you may have to take is described in the Connecticut Practice Book which may be found in a superior court law
library or on-line at www.juc under "Court Rules."
5. If you have questions about the’Sumpor ind Complaint, you should talk to an attorney quickly. The Clerk of Court is not allowed to give advice on
legal questions. AN
Signed (Sign and "X" proper box) x] Commissioner of the | Name of Person Signing al Left Dale signed
Superior Court -
Assistant Clerk James K. Smith 5/17/2018
If this Summons is signed Py a For Court Use Only
a. The signing has been done sp/that/the Pfaintiff(s) will not be denied access to the courts. File Date
b. It is the responsibility of the Plaintiff(s) 8 see that service is made in the manner provided by law.
c. The Clerk is not permitted t
d. The Clerk signing this Sui
in the Summons, any alle,
iny égal advice in connection with any lawsuit.
fat the request of the Plaintiff(s) is not responsible in any way for any errors or omissions
contained in the Complaint, or the service of the Summons or Complaint.
certify |have read and | Sianed (Self Represented Plaintiff Date Docket Number
understand the above:
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