Preview
STATEMENT OF SERVICE — (DELIVERY)
SMALL CLAIMS STATE OF CONNECTICUT
JD-CV-123 “Rev. 1-18 SUPERIOR COURT
www jud.ct.gov
Instructions CN-APO408
Fill out one (1) form for each defendant. Attach all documents that show how the Small Claims Writ
and Notice of Suit (form JD-CV-40) and related documents were served on (delivered fo) the
defendant, and check the box below that applies. Keep all receipts that show how much you paid to.
have the Smail Claims Writ and Notice of Suit and related documents served on the defendant.
For service on (delivery to) the Defendant:
MARITELA MAYNARD
(Write name of Defendant)
The attached Smali Claims Writ and Notice of Suit (form JD-CV-40) and related documents, if any, were served on
(delivered to) the defendant named above by:
(Check the box that applies)
1.) {4 priority mail with detivery confirmation; delivery confirmation is attached, | paid $ 6.95 for this, or
2.) (CJ certified mail, return receipt requested; signed return receipt 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.) ((]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.
Print name 8 Signed
Leandra S.J. Smith APR 19 2019
ADA NOTICE
The Jusiciat Branch of the State of
Connecticut complies with the Americans with
Disabilities Act (ADA). If you need a
reascnable accommodation in accordance
with the ADA, contact a court clerk or an ADA
contact person listed at www.jud.ct. gow/ADAEndicia Account - Tools - Lookup Package - Detail https://wwoy.endicia.cony Account Tools/LookupPackage/Detail/defau....
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Ship To From Weight: 1 Lbs. :
! Mail Class: Priority Mail Flat Rate Envelope
|| Mariela Maynard Law Offices Delivery Confirmation :
|| 371 Wayne St 111 Founders Plz Postage: $6.95 '
Bridgeport, CT 06606-4851 East Hartford, CT 06108-3242 Declared Vatue $0.00 :
(_________I_| (86a) 528.9991 Package ID: 940551596900580485493 1
Printed on: 04/11/19 - 11:18:57 AM
: Postmarked: 04/71/19 Reference ID: AFO408
Group Code: 0 Description: AF0408
Refund Request Status: Unknown
Estimated Date: NA
Form ID: NA i
Summary Status
Your item was delivered in or at the mailbox at 10.36 am on April 13, 2019 in BRIDGEPORT, CT 06806.
» Detailed Results
2019 in BRIDGEPORT, CT 06606
Your tem was delivered in or at the mailbox at 10:36 amon April 1
Cut for Delivery, April 13, 2079, 8:49 am, BRIDGEPORT, CT 08608
Sorting Complete, April 13, 2019, 8:39 am, BRIDGEPORT, CT 06606
| Retived at Post Office, April 13, 2019, 5:35 am, BRIDGEPORT, CT 06610 |
j
2: Arrived at USPS Facility, April 13, 2019. 3.62 am, BRIDGEPORT, CT 08610
: | Departed USPS Regional Facility, 04/13/2019, 2:22 am, STAMFORD CT DISTRIBUTION CENTER
Astived al USPS Regional Facility, April 13, 2019, 12°59 am, STAMFORD CT DISTRIBUTION CENTER
In Transit 1o Next Facility, 04/12/2019
| Artived al USPS Regional Facility, Apri 11, 2019. 9:36 pm, SPRINGFIELD MA NETWORK DISTRIBUTION CENTER
Accepted at USPS Origin Facility, April 15, 2019, 6:21 pm, EAST HARTFORD, CT 06108
April 11,2019, 10:18 EAST HARTFORD, CT 08108
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bof? AL18/2019 11:37 AM