Proof of Service: Buckhout, Christine M vs. Keenan, Thomas M et al

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COMMONWEALTH OF MASSACHUSETTS Superior Court Department of the Y
HAMPSHIRE, SS Trial Court of the Commonwealth

Civil Action

13 445
No [OSUCV QUIhy
Cha Anat Bacthowk

. Plaintiff (s)
SUMMONS

V

Thaines Mm. Kec Na. \

Bn US Ketone

. Defendant (s)

 

To the above-named Defendant’, Tho nas Kee newiy 1S MYrtCT Ave, (veg pork CT

You are hereby summoned and required to serve upon Use Rrodcuw - ic Ges
plainuff’ ¢ attorney, whose address is Psu pein She Ge oz, Spangeie Gna one 3
an answer to the complaint which is herewith served upon you, within 20 days after service of
this summons upon you. exclusive of the day of service. If you fail to do so, judgment by
default will be taken against vou for the relief demanded in the complaint. You are also
required to file your answer to the complaint in the office of the Clerk of this court at

‘
Northampton. either before service upon plaintiff $ attorney or within a reasonable time
thereafter.

Unless otherwise provided by Rule 13(a), your answer must state as a counterclaim any

claim which you may have against the plaintiff which arises out of the transaction or occurrence

ect -
that is the subject matter of the plaintiffs claim or you will thereafter be barred from making such
claim in any other action.

Witness, Judith Fabricant, Esquire at Northampton, the 24th

davof Jw Wey . in the year of our Lord two thousand

 

acer

 

HAMPS Hat ope

8 COURT

COURT

ote frees Thamar: ip.

CLERK-MAGISTRATE

 

 

NOTES

j. This summons is issued pursuant to Rule 4 of the Massachusetts Rules of Civil Procedure
2. When more than one defendant is involved, the names of all defendants should appear in the capuon
If a separate summons is used for each defendant, each should be addres. ed to the particular defendant.

3. Circle type of action involved. Tort ~ Motor Vehicle Tort — Contrac

  

 

~ Equitable relief- —_

PROOF OF SERVICE OF PROCESS

J hereby certify end return that on 20
I served a y of the within summons, together with a copy of the complaint in this action
upon the within-named defendant. in the following manner \See Mass. R, Civ. P. 4 (d) (1-5):

 

Dated 220 —
N.B. TO PROCESS SERVER:-

PLEASE PLACE DATE YOU MAKE SERVICE ON DEFENDANT IN THIS BOX ON
THE ORIGINAL AND ON COPY SERVED ON DEFENDANTURC a

o (Domestic Mail Only;

|
|
|
i
1
|

Postage
Contifiod Fee

Retum Receipt Fee
(Endorsement Required)

Restricted Delivery Foe
{Endorsement Required)

 

Total Postage & Fos

heme

a

7011 2000 0000 3603 054

Poured

SENDER: COMPLETE THIS

™ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
® Print your name and address on the reverse

 

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eas ae er ea

CM as Rik addy

ECM ek es

 

Thomas Kexna,-

 
 
    

 

Postmark
Here

  
         

See Reverse for Instructions

COMPLETE THIS SECTION ON DELIVERY

 

so that we can return the card to you.
'§ Attach this card to the back of the mailpiece,
or on the front if space permits.

 

RI. Keene Sin
\pacslved

Bi by (Printed Name) shit Daler

 

 

1. Article Addressed to:

1
| Wo mes Koran Ww
YS Myrttee Awe

 

D. Is delivery address different from item 17 TI Yes:
If YES, enter delivery address below: C1] No

 

 

Westport C7 Ob &SU

3. ‘Type
Coit 1D Express Mail
Registered Return Racelpt for Merchandise

Ci insured Mail (1.0.0.

 

 

 

4, Restricted Delivery? (Extra Fee) UO Yes
2. Atticle Number
(Tarstor trom arco bbe) 7011 2000 0000 3603 0540
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540