Clerk Or Civil District Court Cover Sheet Template Page 3
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4CIVIL DISTRICT COURT FOR THE PARISH OF ORLEANS
STATE OF LOUISIANA
No.:
Division:
versus
PARTY TO BE SERVED:
THROUGH:
ADDRESS:
SUITE/ROOM:
CITY:
SPECIAL SERVICE INSTRUCTIONS:
DOCUMENT TYPE:
FILED BY ATTORNEY:
BAR NO.
DATE OF FILING:
ATTACHMENTS/EXHIBITS:
RETURN FOR PERSONAL SERVICE
DOMICILIARY SERVICE
On this
day of
19
served
On the
day of
19
served
a copy of the within
a copy of the within
On
on
in
by leaving same at
domicile or usual
person
place of abode
in the hand of
a person of suitable age and discretion, residing
Return same day
therein as a member of
domiciliary
establishment, whose name and other facts
Deputy Sheriff of Orleans Parish
connected with this service I learned by interrogating
the said
ENTERED
the said
being
absent from
domicile at time of said service.
PAPER
RETURN
Returned same day
/
/
Deputy Sheriff of Orleans Parish
SERIAL NO.
DEPUTY
PARISH
SHERIFF’S RETURN
Form 95
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