CIVIL DISTRICT COURT FOR THE PARISH OF …

1 CIVIL DISTRICT COURT FOR THE PARISH OF ORLEANSSTATE OF LOUISIANANo.:Division: versus PARTY TO BE SERVED: THROUGH: ADDRESS: SUITE/ROOM: CITY: SPECIAL SERVICE INSTRUCTIONS.

2 DOCUMENT TYPE: FILED BY ATTORNEY: BAR NO. DATE OF FILING: ATTACHMENTS/EXHIBITS.

3 RETURN FOR PERSONAL SERVICEOn the day of 20 serveda copy of the within On inperson Return same day Deputy Sheriff of Orleans PARISH ENTERED PAPER RETURN / / SERIAL NO.

4 DEPUTY PARISHDOMICILIARY SERVICEOn this day of 20 serveda copy of the within on by leaving same at domicile or usualplace of abode in the hand of a person of suitable age and discretion, residingtherein as a member of domiciliaryestablishment, whose name and other factsconnected with this service I learned by interrogatingthe said the said beingabsent from domicile at time of said same day Deputy Sheriff of Orleans ParishSHERIFF S RETURNForm 95