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`9405 5301 0935 5197 1576 52
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`UNCASVILLE CT 06382-2301
`
`JEFFREY STONE
`63 MOXLEY RD
`
`L
`
`4485031
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`USPS.com® - USPS Tracking & Results hnps://lools.usps.comgo.f'TrackConfirmAction?qtc_tLachsJ=940...
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`USPS Tracking® Fads >
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`Tracking Number- Remove X
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`9405530109355197157652
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`Latest Update
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`Your item was delivered in or at the mailbox at 2:23 pm on August 18, 2025 in UNCASVILLE, CT
`06382,
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`———— B S —— _,._,_,_._——\%_“
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`UNCASVILLE, CT 06382
`August 18, 2025, 2:23 pm
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`3 8/26/2025, 9:40 AM
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`STATEMENT OF SERVICE (DELIVERY) — STATE OF CONNECTICUT O
`
`SWALL CLAINS SUPERIOR COURT [#7]7%
`o YW/ jud. of. gov ": = !
`
`jnstructions
`
`If filed ori paper, filf out one (1) form for each defendant. Attach all documents showing how the Smal)
`Claims Writ and Notice of Suit (form JD-CV-40) and rejated documents wers served on (deifvered fo)
`e defendant, and checic the boy below that applies. Keep all recaipts showing how much you paid
`fa have the Small Claims Writ and Nofice of Suit and relsted documents zarved on the defendant.
`
`if filed electronicatly, foa'!ow the incfructions above and 2nsure that you seiect the appropnate name of
`the document you are Hiag.
`
`For sefvice on (defivery to) the defendant
`Jeffrey Stone
`
`(Write name of defendant abova}
`
`COURT USE ONLY
`
`SMRS0S
`
`LT
`
`The Smafl Claims Writ and Notice of Suit (form JD-CV-40) and related documents, if any, were served on (Gelivered to) the
`
`defendant named above by:
`
`(Check the box that appiies) \/YO
`/
`for this, or
`
`1) [x] priority mail with fie'IWery_ confirmation; delivery confirmation is attached. | paid § |
`
`2y [ certified mail, retum receipt requested, or with electronic delivery confimation; signed refumn receipt, or electronic
`
`delivery confirmation, is attached. | paid $ for this, or
`
`3) [1] anationally recoghized courier sarvice providing delivery confimation; tracking information showing delivery
`
`is attached. 1 paid $ _ . forthis, or
`
`4.) {7 aproper officer in the manner in which a writ of summaons is served in a civil action; officer's retum of service
`
`filed with the court,
`
`0 a
`
`/\\ A
`
`Signea (Praint o plainelrs aoreadn v Frin: nams= David M. Fumudoh, Jr Dagsghed] |
`\ ¥ D Heather Q. Wallace Esq. Jeffrey A. Schreiber,
`y* S e L == \)\J Oj_
`
`ADA NOTICE
`The Judicial Branch of the State of Connecticut complies with the
`Ameficans with Disabilities Act {ADA). I you need a reasonahle
`accommodation in accordznce with the ADA, contact a court
`Clerk or an ADA contact person listed at wwiw jud cf. gov/ADA
`
`i [PHATFom |
`
`
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`



