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Record

Draft: efta02821041

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 2)

Civil Action No.

PROOF OF SERVICE

(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (1))

This summons for (name of individual and title, if any) JEFFREY EPSTEIN
was received by me on (date) SEPT. 20, 2010

I personally served the summons on the individual at (place) _____
on (date) _____; or

I left the summons at the individual's residence or usual place of abode with (name) MARK
, a person of suitable age and discretion who resides there,
on (date) OCT. 8, 2010, and mailed a copy to the individual's last known address; or

I served the summons on (name of individual) _____, who is
designated by law to accept service of process on behalf of (name of organization) _____
on (date) _____; or

I returned the summons unexecuted because _____; or

Other (specify):

My fees are $ _____ for travel and $ _____ for services, for a total of $ 0.00

I declare under penalty of perjury that this information is true.

Date: 10-29-10

[Handwritten signature]
Server's signature
THOMAS MARSIGLIANO, INVESTIGATOR
Printed name and title

RO BOX 1485, PORT WASHINGTON N.Y.
Server's address 11050

Additional information regarding attempted service, etc:

Draft: efta02821041

Other records

Prepared source

AO 440 (Rev. 12/09) Summons in a Civil Action (Page 2) Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (1)) This summons for (name of individual and title, if any) JEFFREY EPSTEIN\ was received by me on (date) SEPT. 20, 2010 I personally served the summons on the individual at (place) \ \ \ \ \ \ on (date) \ \ \ \ \ ; or I left the summons at the individual's residence or usual place of abode with (name) MARK\ , a person of suitable age and discretion who resides there,\ on (date) OCT. 8, 2010, and mailed a copy to the ind…