Preview
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“STATEMENT OF SERVICE (DELIVERY) - STATE OF CONNECTICUT
es eee SUPERIOR COURT
PB.§ 24-10 www,jud.ct.gov
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. IATA
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:
Tewere ManACeMent Croup LP
(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.) (1 priority mail with delivery confirmation; delivery confirmation is attached. | paid $ for this, or
2.) Acertified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic
delivery confirmation, is attached. | paid $_*7, 80. for this, or
3.) (J anationally recognized courier service providing delivery confirmation; tracking information showing delivery
is attached. I 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.
‘Signed (Plaintiff or plaintiff's representative) Print name, , Date signed;
Chatrinne Cdtebe vy Antone Atterb eer skyRo
0d
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/ADAi _ ; r" ome A
| @ Print your name and address on the reverse xX a ra
oe Addressee
so that we can return the card to you. - ~
1 Attach this card to the back of the mailpiece, B, Received by (Printed Name) =) C. 1) Sho gi Dalvery
or on the front if space permits. : CGnbfat
1. Article Addressed to: D. Is delivery address different from item 1? C1 2
Jenepre Management Group, LP if YES, enter delivery address below: [] No
WX Hoyt Steet, Suite 100”
Stamberd, CT 06905
3, Service Type Priority Mail Express®
COTTA CNY AAMT) feiss one
o at Signatur Restricted Delivery o Boasts Mail Restricted
9590 9402 4602 8278 9521 59 cena Mal Restited Delivery a eur n Receipt for
oT Collect on Delver,Flestictod Datvery 5 Shr Senta
7024 34590 OOO1 8518 7215 J feted Mall Restroted Detvery Reeticted belvory
_—....————————aOOOOaaX_ lower $500)
1 PS Form 3811 July. 2015 ) PSN 7530-02-000-9053
Domestic Return Receipt
Tecan
CERTIFIED MAIL® RECEIPT
Pere eka
7014 3490 0001 8514 7215
$2 a5
Certified Fée 3, ne postmark
fe Return Ress Fog BR Gn Here
Restricted Delivery Fee
(Endorsement Reauge)
Total Postage & Foes.|| $ 15/28/2020.
$7.86
Tenene. Manpeenent
[ Sireat & Apt
|erPo Bara. sony H.
=
PS Form 300, July cay ines oe(ANU
9590 Toe 4e os
United States
Postal Service.
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
* Sender: Please print your name, address, and ZIP+4° in this box®
| Antoiwne Atterbekdy
100 Summer St, -
Stamford CT, 06905 - 100%
Api 3d
Weds DAML pede ty Laneaeteadyalepegbef fig
Certified Mail service provides the following benefits:
™ A Certified Mall receipt this portion of the
Certified Mail label). .
™ Aunique Identifier for your maitplece.
Electronic-verification of delivery or attempted
delivery.
™ Arecord of delivery (including the recipient's
signature) that Is retalned by the Postal
Service® for a specified period.
Important Reminders:
«= You may purchase Certified Malt service with
First-Class Mall First-Class Package
Service®, or Prioly Mail? service. * «
= Certilied Mail service ts natavallable for >
International mal.
‘ Insurance coverage Is notavallable for
purchase with Certified Mall service, However,
the purchase of Ceriied Mail service does nat
cchange the insurance coverage automatically
included with certain Priority Mal items,
1 For an addtional fee, you may request the
‘ollawing services:
= Return receipt service, which provides you
«with a record of delivery (iting the
‘ecipient’s signature) You can request a
hardcopy return receipt or an electronic
version. For a hardcopy retum receipt,
‘complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your
PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047
mallpiece; include epplicable postage to
cover the return receipt service fee; and
endorse the mailaiece "Return Receipt
Requested,” or see a retail associate
assistance. For an electronic return receipt,
see a retail associate for assistance. To
recelve a duplicate return receipt, present
this USPS®-postmarked Certified Mail
Teceipt to the retall associate, who will
provide a duplicate return receipt for no
additional fee.
~ Restricted delivery service, which provides
dolivery to the addressee specified by name,
or to the addressee's authorized agent.
Include appeable postage to cover the
restricted delivery fee and endorse the
mailpiece “Restricted Delivery,” or see a
setail associate for assistance.
= To ensure that your Certified Mall receipt is
accepted as ledal proof of mailing, it should
bear a USPS postmark. if you would like a
postmark on this Certified Mall receipt, please
resent your Certified Mail item at a Post
Office™ for postmarking. if you don'tneed a
‘postmark on this Certified Mail receipt, detach
‘the barcoded portion of this label, affix itto the
mailpiece, apply appropriate postage, and
deposit the mailpiece.
IMPORTANT: Save this receipt for your recorts.‘SUMMER ATLANTIC
550 SUMMER ST-
STAMFORD, CT 06901-1412
87713-0901
(800)275-877
7
9 AM
First-Class Mail® 1 $1.40 $1.40
-arge Envelope
(Domestic)
(STAMFORD, CT 06905)
(Weight:0 Lb 2.40 02)
(Estimated Delivery Date)
(Monday 06/01/2020)
Jertified $3.55
(USPS Certified Mail #)
(70143490000185187215)
Xeturn Receipt $2.85
~ (USPS Return Receipt #)
1940246028278952159)
LORRI IOI III IR TIO HRI TRIE
Due to limited transportation
availability as a result of
nationwide COVID-19 impacts
package delivery times may be
extended. Priority Mail Express®
service will not change.
IE OO OOOO OOOO IRI IOI TI TIT I II
Text your tracking number to 28777
(2USPS) to get the latest status.
3tandard Message and Data rates may
apply. You tay also visit www.usps.com
JSPS Tracking or cal] 1-800-222-1811,
Preview your Mai!
Track your Packages
Sign up for FREE @
www. informeddel i very.com
411 sales final on stamps and postage.
Refunds for guaranteed services only.
Thank you for your business.
HELP US SERVE YOU BETTER
TELL US ABOUT YOUR RECENT
POSTAL EXPERTENCE
Go to:
https: //postal experience. com/Pos
840-5060-0305-01
Preview
Pe “STATEMENT OF SERVICE (DELIVERY) - STATE OF CONNECTICUT es eee SUPERIOR COURT PB.§ 24-10 www,jud.ct.gov 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. IATA 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: Tewere ManACeMent Croup LP (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.) (1 priority mail with delivery confirmation; delivery confirmation is attached. | paid $ for this, or 2.) Acertified mail, return receipt requested, or with electronic delivery confirmation; signed return receipt, or electronic delivery confirmation, is attached. | paid $_*7, 80. for this, or 3.) (J anationally recognized courier service providing delivery confirmation; tracking information showing delivery is attached. I 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. ‘Signed (Plaintiff or plaintiff's representative) Print name, , Date signed; Chatrinne Cdtebe vy Antone Atterb eer skyRo 0d 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/ADAi _ ; r" ome A | @ Print your name and address on the reverse xX a ra oe Addressee so that we can return the card to you. - ~ 1 Attach this card to the back of the mailpiece, B, Received by (Printed Name) =) C. 1) Sho gi Dalvery or on the front if space permits. : CGnbfat 1. Article Addressed to: D. Is delivery address different from item 1? C1 2 Jenepre Management Group, LP if YES, enter delivery address below: [] No WX Hoyt Steet, Suite 100” Stamberd, CT 06905 3, Service Type Priority Mail Express® COTTA CNY AAMT) feiss one o at Signatur Restricted Delivery o Boasts Mail Restricted 9590 9402 4602 8278 9521 59 cena Mal Restited Delivery a eur n Receipt for oT Collect on Delver,Flestictod Datvery 5 Shr Senta 7024 34590 OOO1 8518 7215 J feted Mall Restroted Detvery Reeticted belvory _—....————————aOOOOaaX_ lower $500) 1 PS Form 3811 July. 2015 ) PSN 7530-02-000-9053 Domestic Return Receipt Tecan CERTIFIED MAIL® RECEIPT Pere eka 7014 3490 0001 8514 7215 $2 a5 Certified Fée 3, ne postmark fe Return Ress Fog BR Gn Here Restricted Delivery Fee (Endorsement Reauge) Total Postage & Foes.|| $ 15/28/2020. $7.86 Tenene. Manpeenent [ Sireat & Apt |erPo Bara. sony H. = PS Form 300, July cay ines oe(ANU 9590 Toe 4e os United States Postal Service. First-Class Mail Postage & Fees Paid USPS Permit No. G-10 * Sender: Please print your name, address, and ZIP+4° in this box® | Antoiwne Atterbekdy 100 Summer St, - Stamford CT, 06905 - 100% Api 3d Weds DAML pede ty Laneaeteadyalepegbef fig Certified Mail service provides the following benefits: ™ A Certified Mall receipt this portion of the Certified Mail label). . ™ Aunique Identifier for your maitplece. Electronic-verification of delivery or attempted delivery. ™ Arecord of delivery (including the recipient's signature) that Is retalned by the Postal Service® for a specified period. Important Reminders: «= You may purchase Certified Malt service with First-Class Mall First-Class Package Service®, or Prioly Mail? service. * « = Certilied Mail service ts natavallable for > International mal. ‘ Insurance coverage Is notavallable for purchase with Certified Mall service, However, the purchase of Ceriied Mail service does nat cchange the insurance coverage automatically included with certain Priority Mal items, 1 For an addtional fee, you may request the ‘ollawing services: = Return receipt service, which provides you «with a record of delivery (iting the ‘ecipient’s signature) You can request a hardcopy return receipt or an electronic version. For a hardcopy retum receipt, ‘complete PS Form 3811, Domestic Return Receipt; attach PS Form 3811 to your PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 mallpiece; include epplicable postage to cover the return receipt service fee; and endorse the mailaiece "Return Receipt Requested,” or see a retail associate assistance. For an electronic return receipt, see a retail associate for assistance. To recelve a duplicate return receipt, present this USPS®-postmarked Certified Mail Teceipt to the retall associate, who will provide a duplicate return receipt for no additional fee. ~ Restricted delivery service, which provides dolivery to the addressee specified by name, or to the addressee's authorized agent. Include appeable postage to cover the restricted delivery fee and endorse the mailpiece “Restricted Delivery,” or see a setail associate for assistance. = To ensure that your Certified Mall receipt is accepted as ledal proof of mailing, it should bear a USPS postmark. if you would like a postmark on this Certified Mall receipt, please resent your Certified Mail item at a Post Office™ for postmarking. if you don'tneed a ‘postmark on this Certified Mail receipt, detach ‘the barcoded portion of this label, affix itto the mailpiece, apply appropriate postage, and deposit the mailpiece. IMPORTANT: Save this receipt for your recorts.‘SUMMER ATLANTIC 550 SUMMER ST- STAMFORD, CT 06901-1412 87713-0901 (800)275-877 7 9 AM First-Class Mail® 1 $1.40 $1.40 -arge Envelope (Domestic) (STAMFORD, CT 06905) (Weight:0 Lb 2.40 02) (Estimated Delivery Date) (Monday 06/01/2020) Jertified $3.55 (USPS Certified Mail #) (70143490000185187215) Xeturn Receipt $2.85 ~ (USPS Return Receipt #) 1940246028278952159) LORRI IOI III IR TIO HRI TRIE Due to limited transportation availability as a result of nationwide COVID-19 impacts package delivery times may be extended. Priority Mail Express® service will not change. IE OO OOOO OOOO IRI IOI TI TIT I II Text your tracking number to 28777 (2USPS) to get the latest status. 3tandard Message and Data rates may apply. You tay also visit www.usps.com JSPS Tracking or cal] 1-800-222-1811, Preview your Mai! Track your Packages Sign up for FREE @ www. informeddel i very.com 411 sales final on stamps and postage. Refunds for guaranteed services only. Thank you for your business. HELP US SERVE YOU BETTER TELL US ABOUT YOUR RECENT POSTAL EXPERTENCE Go to: https: //postal experience. com/Pos 840-5060-0305-01