On June 25, 2024 a
Proof of Service
was filed
involving a dispute between
Wallingford Endoscopy Center, Llc,
and
Iftikhar Ahmad,
for S10 - Small Claims - Small Claims - Collection - Medical Non-Hospital
in the District Court of New Haven County.
Preview
STATEMENT OF SERVICE (DELIVERY) — oi
SMALL CLAIMS STATE OF CONNECTICUT
JD-CV-123_ Rev. 4-19
P.B. § 24-10
SUPERIOR COURT
www jud.ct.gov Ia
Instructions
If filed on paper, fill out one (1) form for each defendant. Attach all 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 to) SMRSOS
the defendant, and check the box below that applies. Keep all receipts showing how much you paid
to have the Small Claims Writ and Notice of Suit and related documents served on the defendant.
If filed electronically, follow the instructions above and ensure that you select the appropriate name of
(MOEA
the document you are filing.
For service on (delivery to) the defendant:
Iftikhar Ahmad
(Write 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 to) the
defendant named above by:
(Check the box that applies)
1.) [x] priority mail with delivery confirmation; delivery confirmation is attached. | paid $ 7.99 for this, or
2.) Ci certified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic
delivery confirmation, is attached. | paid $ for this, or
3.) (a nationally recognized courier service providing delivery confirmation; tracking information showing delivery
is attached. | paid $ for this, or
4.) Ca 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 (Plaintiff or nL. ee Print name Date signed
Wendy L. Fontaine, Esq. 06/10/24
\
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/ADA
USPS Tracking’ FAQs >
Tracking Number: Remove X
420067 1631469405830109355099132222
Copy Add to Informed Delivery (https://informeddelivery.usps.com/)
Latest Update
Your item was delivered in or at the mailbox at 5:16 pm on May 28, 2024 in WOLCOTT, CT 06716.
Get More Out of USPS Tracking:
USPS Tracking Plus®
UNITED STATES
Delivered POSTAL SERVICE. Click-N-Ship®
Delivered, In/At Mailbox usps.com (9405 8301 0936 5099 1322 22 0079 9001 0000 6716
$7.99
WOLCOTT, CT 06716 US POSTAGE
May 28, 2024, 5:16 pm Insured
05/25/2024 Mailed from 06375 _228249322909500
PRIORITY MAIL®
FONTAINE LAW FIRM 05/28/2024
FONTAINE LAW FIRM RDC 03
PO BOX 44
32 OLD COLCHESTER RD
QUAKER HILL CT 06375-1020 C083
Be
IFTIKHAR AHMAD
38 BOLDUC CT
WOLCOTT CT 06716-3146
USPS TRACKING #
ITI 9405 8301 0935 5099 1322 22
Ee
Document Filed Date
June 25, 2024
Case Filing Date
June 25, 2024
Category
S10 - Small Claims - Small Claims - Collection - Medical Non-Hospital
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STATEMENT OF SERVICE (DELIVERY) — oi SMALL CLAIMS STATE OF CONNECTICUT JD-CV-123_ Rev. 4-19 P.B. § 24-10 SUPERIOR COURT www jud.ct.gov Ia Instructions If filed on paper, fill out one (1) form for each defendant. Attach all 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 to) SMRSOS the defendant, and check the box below that applies. Keep all receipts showing how much you paid to have the Small Claims Writ and Notice of Suit and related documents served on the defendant. If filed electronically, follow the instructions above and ensure that you select the appropriate name of (MOEA the document you are filing. For service on (delivery to) the defendant: Iftikhar Ahmad (Write 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 to) the defendant named above by: (Check the box that applies) 1.) [x] priority mail with delivery confirmation; delivery confirmation is attached. | paid $ 7.99 for this, or 2.) Ci certified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic delivery confirmation, is attached. | paid $ for this, or 3.) (a nationally recognized courier service providing delivery confirmation; tracking information showing delivery is attached. | paid $ for this, or 4.) Ca 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 (Plaintiff or nL. ee Print name Date signed Wendy L. Fontaine, Esq. 06/10/24 \ 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/ADA USPS Tracking’ FAQs > Tracking Number: Remove X 420067 1631469405830109355099132222 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was delivered in or at the mailbox at 5:16 pm on May 28, 2024 in WOLCOTT, CT 06716. Get More Out of USPS Tracking: USPS Tracking Plus® UNITED STATES Delivered POSTAL SERVICE. Click-N-Ship® Delivered, In/At Mailbox usps.com (9405 8301 0936 5099 1322 22 0079 9001 0000 6716 $7.99 WOLCOTT, CT 06716 US POSTAGE May 28, 2024, 5:16 pm Insured 05/25/2024 Mailed from 06375 _228249322909500 PRIORITY MAIL® FONTAINE LAW FIRM 05/28/2024 FONTAINE LAW FIRM RDC 03 PO BOX 44 32 OLD COLCHESTER RD QUAKER HILL CT 06375-1020 C083 Be IFTIKHAR AHMAD 38 BOLDUC CT WOLCOTT CT 06716-3146 USPS TRACKING # ITI 9405 8301 0935 5099 1322 22 Ee