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RETURN OF SERVICE LA Date ; Place SERVED ON (PRINT NAME) Place SERVED BY-(PRINT NAME) STATEMENT OF SERVICE FEES SERVICES DECLARATION OF SERVER! I declare under penalty of perjury under the laws of the United States of America that the foregoing information contained in the Return of Service and Statement of Service Fees is true and correct. b3 Executed on 2 thou ate b6 Address of Server ADDITIONAL INFORMATION Faped + Lak copy ' “Fees and mileage need not be tendered to the witness upon service of a subpoena issued on behalf of the United States or ar officer or agency thereof (Rule 45(c}. Federal Ruies of Civil Procedures; Rule 17(d), Federal Rules of Criminal Procedure) or on behalf of certain indigent parties and criminal defendants who are unable to pay such costs (28 USC 1825, Rule 17(b} Federal Rules of Criminal Procedure)”.