CIVIL 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 20 served On the day of 20 served a copy of the within a copy of the within Onon inby 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 PAPER RETURN absent from domicile at time of said service. Returned same day / / Deputy Sheriff of Orleans Parish SERIAL NO. DEPUTY PARISH SHERIFFS RETURN Form 95