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_ « STATEMENT OF SERVICE — (DELIVE>*9
SMALL CLAIMS
ID-CV-123 Now 1-11
Instructions
Fill out 1 form for each defendant. Attach all documents that show how the Small Claims Writ and
Notice of Suit and related documents were served on (delivered to) the defendant, and check the box
below that applies. Keep all receipts that show how much you paid to have the Small Claims Writ and
Notice of Suit and related documents served on (delivered to) the defendant.
“Pama p.Cnadurvedt
(Write name of. Defendant)!
For service on (delivery to) the Defendat
“The attached Small Claims Writ and Notice of Suit with related documents, if any, were served on
(delivered to) the defendant named above by:
(Check the box. that applies)
4.) BZ] priority mail with delivery confirmation; delivery confitmation is attached. | paid $ BS. ERD forthis, or -
2.) [1 certified mail, return receipt requested: signed return receipt is attached. I paid $ : for this, or
3.) [a nationally 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 sumrrions Is served in a civil action; officers return of service
filed with the court.
~Y — .
~ Signature of Plaintiff or Plaintiff's Representative
(Check one)
1 Plaintiff [x] Plaintiffs representative 4 .
‘Type or print name of signer Date to
Holly Nelen, Esq. . S JS iy
The Judicial Branch of the State of Connecticut complies w 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.gowADA/.~N
(800) 576-3279 | SIGN OUT (0) |
Home Products Store Partners Developers Support My Account
Account Summary, Update Profle ¥ Software¥ Tools¥ Reports . Help.
Track your
Package Status
Details Notifications
hip To [From Welght: 3 Oz,
Mail Class: Priority. Mail Critical’Mail Letter
PARANTAP CHATURVEDI Donna Porter Delivery Confirmation
115 FLAX HILL RD APT 5 | 510 Tolland St Postage: $3.50
NORWALK, CT 08854-2875, East Hartford, CT 06108-2523 Déclared.Value $0.00" te
(860) 528-9991 Package ID: 947601: '5960008804385065
a Printed on: 04/17/14 - 7:51:32 AM
. Postmarked: 04/17/14 Reference ID: X32247
Group Code: 0 Description: X32247
Bafana Request Status:
Estimated Date: N/A
Form ID: N/A to
Summary Status
Your item was delivered at 1:50 pm on April 21, 2014 in NORWALK, CT 06854,
Detailed Results
Your item was delivered at 1:50 pm on Apfil 21, 2074 in NORWAL!
Depart USPS Sort Facility, April 20, 2014, 6:00 am, STAMFORD, CT 06910 °
Processed at USPS Origin Sort Facility, Apri! 20, 2014, 3:22 am, STAMFORD, CT 08910
Depart USPS Sort Facility, April 20, 2014, 1:04 am, WHITE PLAINS, NY 10610
Processed through USPS Sort Facility, April 19, 2014, 8:20 pm, WHITE PLAINS, NY 10610
Processed at USPS Origin Sort Facility, April 18, 2014, 8:22 pm, HARTFORD, CT 06101 mo : i
Accepted at USPS Origin Sort Facility, April 18, 2014, 7:07 pm, EAST HARTFORD, CT 06108
Electronic Shipping Info Received, April 17, 2014
View USPS Details
Refer a Friend Become an Affillate
Get a coupon for $25 off atthe} Eam cash for referrals
Endicia Online Supplies Store
ABOUTUS | coNTACTUS | JoBs | SITEMAP 1-800-876-3279 | PRIVACY POLICY | USPS GUIDELINES
https://www.endicia.com/Account/Reports/T! ransactions/Detail/default.cfm?TrackingNumbe... 5/2/2014
Preview
peewee YS _ « STATEMENT OF SERVICE — (DELIVE>*9 SMALL CLAIMS ID-CV-123 Now 1-11 Instructions Fill out 1 form for each defendant. Attach all documents that show how the Small Claims Writ and Notice of Suit and related documents were served on (delivered to) the defendant, and check the box below that applies. Keep all receipts that show how much you paid to have the Small Claims Writ and Notice of Suit and related documents served on (delivered to) the defendant. “Pama p.Cnadurvedt (Write name of. Defendant)! For service on (delivery to) the Defendat “The attached Small Claims Writ and Notice of Suit with related documents, if any, were served on (delivered to) the defendant named above by: (Check the box. that applies) 4.) BZ] priority mail with delivery confirmation; delivery confitmation is attached. | paid $ BS. ERD forthis, or - 2.) [1 certified mail, return receipt requested: signed return receipt is attached. I paid $ : for this, or 3.) [a nationally 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 sumrrions Is served in a civil action; officers return of service filed with the court. ~Y — . ~ Signature of Plaintiff or Plaintiff's Representative (Check one) 1 Plaintiff [x] Plaintiffs representative 4 . ‘Type or print name of signer Date to Holly Nelen, Esq. . S JS iy The Judicial Branch of the State of Connecticut complies w 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.gowADA/.~N (800) 576-3279 | SIGN OUT (0) | Home Products Store Partners Developers Support My Account Account Summary, Update Profle ¥ Software¥ Tools¥ Reports . Help. Track your Package Status Details Notifications hip To [From Welght: 3 Oz, Mail Class: Priority. Mail Critical’Mail Letter PARANTAP CHATURVEDI Donna Porter Delivery Confirmation 115 FLAX HILL RD APT 5 | 510 Tolland St Postage: $3.50 NORWALK, CT 08854-2875, East Hartford, CT 06108-2523 Déclared.Value $0.00" te (860) 528-9991 Package ID: 947601: '5960008804385065 a Printed on: 04/17/14 - 7:51:32 AM . Postmarked: 04/17/14 Reference ID: X32247 Group Code: 0 Description: X32247 Bafana Request Status: Estimated Date: N/A Form ID: N/A to Summary Status Your item was delivered at 1:50 pm on April 21, 2014 in NORWALK, CT 06854, Detailed Results Your item was delivered at 1:50 pm on Apfil 21, 2074 in NORWAL! Depart USPS Sort Facility, April 20, 2014, 6:00 am, STAMFORD, CT 06910 ° Processed at USPS Origin Sort Facility, Apri! 20, 2014, 3:22 am, STAMFORD, CT 08910 Depart USPS Sort Facility, April 20, 2014, 1:04 am, WHITE PLAINS, NY 10610 Processed through USPS Sort Facility, April 19, 2014, 8:20 pm, WHITE PLAINS, NY 10610 Processed at USPS Origin Sort Facility, April 18, 2014, 8:22 pm, HARTFORD, CT 06101 mo : i Accepted at USPS Origin Sort Facility, April 18, 2014, 7:07 pm, EAST HARTFORD, CT 06108 Electronic Shipping Info Received, April 17, 2014 View USPS Details Refer a Friend Become an Affillate Get a coupon for $25 off atthe} Eam cash for referrals Endicia Online Supplies Store ABOUTUS | coNTACTUS | JoBs | SITEMAP 1-800-876-3279 | PRIVACY POLICY | USPS GUIDELINES https://www.endicia.com/Account/Reports/T! ransactions/Detail/default.cfm?TrackingNumbe... 5/2/2014