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Get DOJ USM-94 2011-2024

Form USM-94 Est. 11/77 Formerly OBD-116 which was formerly LAA-116 both of which may still be used CERTIFICATE ATTESTATION L autorit soussign e a l honneur d attester conform ment l article 6 de ladite Convention 1 that the document has been served 1 que la demande a t ex cut e -- the date -- le date -- at place street number - localit rue num ro -- in one of the following methods authorized by article 5 -- dans une des formes suivantes pr vues l article 5 c par remise simple. U*S* Department of Justice United States Marshals Service REQUEST FOR SERVICE ABROAD OF JUDICIAL OR EXTRAJUDICIAL DOCUMENTS DEMANDE AUX FINS DE SIGNIFICATION OU DE NOTIFICATION L ETRANGER D UN ACTE JUDICIAIRE OU EXTRAJUDICIAIRE Convention on the service abroad of judicial and extrajudicial documents in civil or commercial matters signed at The Hague November 15 1965. Convention relative la signification et la notification l tranger des actes judiciaires ou extrajudiciaires en mati re civile ou commerciale sign e La Haye le 15 novembre 1965. Address of receiving authority Adresse de l autorit destinataire Identity and address of the applicant Identit et adresse du requ rant The undersigned applicant has the honour to transmit -- in duplicate-- the documents listed below and in conformity with article 5 of the above-mentioned Convention requests prompt service of one copy thereof on the addressee i*e* Le requ rant soussign e a l honneur de faire parvenir--en double exemplaire-- l autorit destinataire les documents ci-dessous num r s en la priant conform ment l article 5 de la Convention pr cit e d en faire remettre sans retard un exemplaire au destinataire savoir a in accordance with the provisions of sub-paragraph a of the first paragraph of article 5 of the Convention* a selon les formes l gales article 5 alin a premier lettre a. b selon la forme particuli re suivante article 5 alin a premier lettre b c by delivery to the addressee if he accepts it voluntarily second paragraph of article 5 c le cas ch ant par remise simple article 5 alin a 2. The authority is requested to return or to have returned to the applicant a copy of the documents and of the annexes with a certificate as provided on the reverse side. Cette autorit est pri e de renvoyer ou de faire renvoyer au requ rant un exemplaire de l acte - et de ses annexes - avec l attestation figurant au verso. List of documents Enum ration des pi ces Done at Fait the le Signature and/or stamp Signature et/ou cachet Delete if inappropriate Rayer les mentions inutiles. The documents referred to in the request have been delivered to Les documents mentionn s dans la demande ont t remis - identity and description of person - Identit et qualit de la personne - relationship to the addressee family business or other - liens de parent de subordination ou autres avec le destinataire de l acte In conformity with the second paragraph of article 12 of the Convention the applicant is requested to pay or reimburse the expenses detailed in the attached statement Conform ment l article 12 alin a 2 de ladite Convention le requ rant est pri de payer ou de rembourser les frais dont le d tail figure au m moire ci-joint* ANNEXES Annexes Documents returned Pieces renvoy es In appropriate cases documents establishing the service Le cas ch ant les documents justificatifs de l ex cution SUMMARY OF THE DOCUMENT TO BE SERVED L MENTS ESSENTIELS DE L ACTE matters signed at The Hague November 15 1965.

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