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`9405 5301 0935 5197 1580 31
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`USPS.com® - USPS Tracking & Results https://'tooIs.usps.com,go/’TruckC‘onflrmAction?qtc_tLabelsJ =940.
`
`USPS Tracking® il
`
`Tracking Number: Remove X
`
`9405530109355197158031
`
`Copy Add to Informed Delivery (https://informeddelivery.usps.com/)
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`Latest Update
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`Your item was delivered in or at the mailbox at 11:26 am on August 18, 2025 in WATERBURY, CT
`06705,
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`xoeqpeej
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`Delivered
`Delivered, In/At Mailbox
`
`WATERBURY, CT 06705
`August 18, 2025, 11:26 am
`
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`8/26/2025, 9:40 AM
`
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`SVATEMENT OF SERVICE (DELIVERY) - STATE OF CONNECTICUT (TSR
`
`vt A SUPERIOR COURT fVT“H
`F',B.Jg 24:50 T ¥V jud. ot goy "\,&:. ._:,:.;,"'
`
`Instructions
`if filed on papar. fi outone (1) form for e3ach defendant. Attach all documenis showing how the Small COURT USE ONLY
`Claims Writ ang Natice of 2yjt (form JO-C V-40) and refated documeants were served on (defiverad to) SMR50s
`the defendant ang check the box below that applies. K, eep all receipls showing how much you paid
`
`o have the Smal} Claims Writ and Notice of Suit and related documents served on the defendant. ’ ’.I“II“,I
`
`If filed eiectronically, follow the inzfructions above and snsure that you select the approprizte.name of
`the document you zre filing.
`
`For service on (Gelivery to) tha defendant:
`Felix Salgado
`{(Write namea of defendant abovea) j
`
`The Small Claims Writ and Notice of Suit {form JD-CV-40) and related documents, if any, were served on (defiverad o) the
`
`defendant named above by
`{Check the box thar applies} WD
`1) ix; priority mail with delivery confimiztion; delivery confirmation is attached. | paid § | . for this, or
`
`2) | cedtified mait, retum receipt requested, or with €electronic delivery confirmation; signed return recaipt, or electronic
`dedivery canfimation, is attached. | paid § for this, or
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`3) {_Ianationaily Tecognized courier service providing defivery confimation; tracking information showing delivery
`is attached. | paid 5 ____ forthis, or
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`4.) [} aproper officer in the manner in which a writ 6f summons is served in 3 civil action; officer's retumn of service
`filed with the court.
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`[ \l L npn
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`Frint name &N David M Fumudoh, I Datejdgne [ ‘
`D Heather Q. Wallace Esq. D Jeftrey A. Schieiber, o).
`
`Zaned (Fiaint® or pia %
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`accommodation in accordance with the ADA, contact 3 court
`Clerk or an ADA contact person listed at wWww jud.cf gov/AD A
`
`85053 [Pt Form ]
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