Preview
STATEMENT OF SERVICE (DELIVERY) —
SMALL CLAIMS STATE OF CONNECTICUT Ge
SD-6V-123 Rev. 419 SUPERIOR COURT
PB.§24-10 ww jud.ct. gov A
17-16375
Instructions
If filed on paper, fill aut one (1) form for each defendant. Attach aif documents showing how the Small COURT USE ONLY
Claims Writ and Notice of Suit (form JD-CV-40) and related documents were served on (delivered ta) ;jSMRSOS. |
the defendant, and check the box below that applies. Keep alf receipts showing how much you paid "
to have the Small Claims Writ and Notice of Suit and related documents served on the defendant. EAE
i
If filed electronically, follow the instructions above and ensure that you select the appropriate name of
the document you are filing.
For service on (delivery to) the defendant:
Keith Lawson_A/K/A KEITH T LAWSON
[(Weite name of defendant above)
The Small Claims Writ and Notice of Suit (form JD-CV-40) and related documents, if any, were served on (delivered fo) the
defendant named above by:
(Check the box that applies)
1.) 1X priority mail with delivery confirmation; delivery confirmation is attached. ! paid $ 740 for this, or
2) CO certified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic
delivery confirmation, is attached, | paid $ for this, or
3.) (] anationally recognized courier service providing delivery confirmation; tracking information showing delivery
is attached. | paid $ for this, or
4.) (0) a proper officer in the manner in which a writ of summons is served in a civil action; officer's return of service
filed with the court.
‘Signed (Plaintif or plaintiff's representative) Pant name Date signed
Toby J Rhinesmith UN 24 2021
Tracking Number: 9405516901047000461851
Delivered to:
Keith Lawson
104 Irving Ave Torrington CT 06790
ADA NOTICE
The Judicial Branch of the State of Connecticut complies with the
Americans with Disabilities Act (ADA). If you need a reasonable
accommodation in accordance with the ADA, contact a court
clerk or an ADA contact person listed at www.jud.ct.gov/ADAEndicia Tracking Page | of 3
PACKAGE STATUS
PACKAGE ID: 9405516901047000461851
Delivered, In/At Mailbox June 11, 2021, 09:36 AM, TORRINGTON, CT 06790
Out for Delivery June 11, 2021, 08:01 AM, TORRINGTON, CT 06790
Arrived at Post Office June 11, 2021, 07:50 AM, TORRINGTON, CT 06790
Departed USPS Regional Facility June 11, 2021, 03:05 AM, SPRINGFIELD MA NETWORK
DISTRIBUTION CENTER
Arrived at USPS Regional Facility June 11, 2021, 12:45 AM, SPRINGFIELD MA NETWORK
DISTRIBUTION CENTER
USPS picked up item June 10, 2021, 10:51 AM, NEWINGTON, CT 06111
Shipping Label Created, USPS Awaiting Item June 09, 2021, 07:25 PM, NEWINGTON, CT
06111
Important Note:
This package tracking Web page was generated by Endicia Internet Postage at the sender's
request, If you have questions about the package delivery, please contact the sender or the
U.S. Postal Service directly. The U.S. Postal Service can be reached at 1-800-ASK-USPS, Endicia
will not be able to answer any delivery questions, as we do not have any information other
than what is shown on this page.
For questions on your package, call 1-800-ASK-USPS
TRACK ANOTHER PACKAGE
ENTER TRACKING NUMBER
https://www.endicia.com/Tracking 6/16/2021Instructions
1, Please use a laser of laser-quality printer.
2. Adhere shipping label to package with tape or glue-
DO NOT TAPE OVER BARCODE. Be sure all edges
are secure, Self-adhesive label is recommended.
9
Place label so it does not wrap around the edge of
the package.
-
Each shipping label number is unique and can be
used only once — DO NOT PHOTOCOPY,
a
Please use this shipping label on the 'ship date".
@
Ifa mailing receipt is required, present the article
and online label record at a post office for postmark.
Customer Online Label Record
USPS Tracking® Service Number:
4200 6790 |940 6516 9010 4700 0461 851
Priority Mail, Flat Rate Env with electronic USPS Tracking Service*
Electronic Option USPS Tracking Service Fee: $ 0.00
Total Cost & Fees: $7.40
Weight: 1 Ib
Printed: 06/09/2021
PO ZIP Code: 06111
Ship Date: 06/09/2021
FROM: Russell London
London and London
48 CHRISTIAN LN
NEWINGTON, CT 06111-5451 USPS
Postmark
To: Keith Lawson Here
104 Irving Ave
Torrington, CT 06790-5657
“Postmark required if fee refund requested. Delivery information is not
available by phone for the electronic option.
This item was printed using Endicia Internet Printing (www.endicia.com) for account 778446 (Device ID is 062510895517)
Description: 17-16375
Reference ID; 17-16375
Print ID: 0
U.S. Postal Service Status:
Unable to obtain the track/confirm status, The Postal Service Server retumed the error; A status update is not yet available an
your Priority Mail® package. It will be available when the shipper provides an update or the package is
delivered to USPS. Check back soon. Sign up for Informed Detivery® to receive notifications for packages
addressed to you.
Preview
STATEMENT OF SERVICE (DELIVERY) — SMALL CLAIMS STATE OF CONNECTICUT Ge SD-6V-123 Rev. 419 SUPERIOR COURT PB.§24-10 ww jud.ct. gov A 17-16375 Instructions If filed on paper, fill aut one (1) form for each defendant. Attach aif documents showing how the Small COURT USE ONLY Claims Writ and Notice of Suit (form JD-CV-40) and related documents were served on (delivered ta) ;jSMRSOS. | the defendant, and check the box below that applies. Keep alf receipts showing how much you paid " to have the Small Claims Writ and Notice of Suit and related documents served on the defendant. EAE i If filed electronically, follow the instructions above and ensure that you select the appropriate name of the document you are filing. For service on (delivery to) the defendant: Keith Lawson_A/K/A KEITH T LAWSON [(Weite name of defendant above) The Small Claims Writ and Notice of Suit (form JD-CV-40) and related documents, if any, were served on (delivered fo) the defendant named above by: (Check the box that applies) 1.) 1X priority mail with delivery confirmation; delivery confirmation is attached. ! paid $ 740 for this, or 2) CO certified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic delivery confirmation, is attached, | paid $ for this, or 3.) (] anationally recognized courier service providing delivery confirmation; tracking information showing delivery is attached. | paid $ for this, or 4.) (0) a proper officer in the manner in which a writ of summons is served in a civil action; officer's return of service filed with the court. ‘Signed (Plaintif or plaintiff's representative) Pant name Date signed Toby J Rhinesmith UN 24 2021 Tracking Number: 9405516901047000461851 Delivered to: Keith Lawson 104 Irving Ave Torrington CT 06790 ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADAEndicia Tracking Page | of 3 PACKAGE STATUS PACKAGE ID: 9405516901047000461851 Delivered, In/At Mailbox June 11, 2021, 09:36 AM, TORRINGTON, CT 06790 Out for Delivery June 11, 2021, 08:01 AM, TORRINGTON, CT 06790 Arrived at Post Office June 11, 2021, 07:50 AM, TORRINGTON, CT 06790 Departed USPS Regional Facility June 11, 2021, 03:05 AM, SPRINGFIELD MA NETWORK DISTRIBUTION CENTER Arrived at USPS Regional Facility June 11, 2021, 12:45 AM, SPRINGFIELD MA NETWORK DISTRIBUTION CENTER USPS picked up item June 10, 2021, 10:51 AM, NEWINGTON, CT 06111 Shipping Label Created, USPS Awaiting Item June 09, 2021, 07:25 PM, NEWINGTON, CT 06111 Important Note: This package tracking Web page was generated by Endicia Internet Postage at the sender's request, If you have questions about the package delivery, please contact the sender or the U.S. Postal Service directly. The U.S. Postal Service can be reached at 1-800-ASK-USPS, Endicia will not be able to answer any delivery questions, as we do not have any information other than what is shown on this page. For questions on your package, call 1-800-ASK-USPS TRACK ANOTHER PACKAGE ENTER TRACKING NUMBER https://www.endicia.com/Tracking 6/16/2021Instructions 1, Please use a laser of laser-quality printer. 2. Adhere shipping label to package with tape or glue- DO NOT TAPE OVER BARCODE. Be sure all edges are secure, Self-adhesive label is recommended. 9 Place label so it does not wrap around the edge of the package. - Each shipping label number is unique and can be used only once — DO NOT PHOTOCOPY, a Please use this shipping label on the 'ship date". @ Ifa mailing receipt is required, present the article and online label record at a post office for postmark. Customer Online Label Record USPS Tracking® Service Number: 4200 6790 |940 6516 9010 4700 0461 851 Priority Mail, Flat Rate Env with electronic USPS Tracking Service* Electronic Option USPS Tracking Service Fee: $ 0.00 Total Cost & Fees: $7.40 Weight: 1 Ib Printed: 06/09/2021 PO ZIP Code: 06111 Ship Date: 06/09/2021 FROM: Russell London London and London 48 CHRISTIAN LN NEWINGTON, CT 06111-5451 USPS Postmark To: Keith Lawson Here 104 Irving Ave Torrington, CT 06790-5657 “Postmark required if fee refund requested. Delivery information is not available by phone for the electronic option. This item was printed using Endicia Internet Printing (www.endicia.com) for account 778446 (Device ID is 062510895517) Description: 17-16375 Reference ID; 17-16375 Print ID: 0 U.S. Postal Service Status: Unable to obtain the track/confirm status, The Postal Service Server retumed the error; A status update is not yet available an your Priority Mail® package. It will be available when the shipper provides an update or the package is delivered to USPS. Check back soon. Sign up for Informed Detivery® to receive notifications for packages addressed to you.