b4a9be3f-d443-4b00-9fee-c58ee0d8abcf · Tauragės rajono apylinkės teismas

REQUEST FOR SERVICE OF DOCUMENTS CERTIFICATE OF SERVICE OR NON-SERVICE OF DOCUMENTS (S) (Article 10 of C. R. (EC) No 1348/2000) The service shall be effected as soon as possible. In any event, if it has not been possible to effect service within one month of receipt, the receiving agency shall inform the transmitting agency (according to Article 7(2) of the Regulation). File number V GNc 4141/11 12. COMPLETION OF SERVICE (a) 12.1. Date and address of service: 2012-05-22, Tauragė district regional court(b) 12.2. The document was     (A) 12.2.1. served in accordance with the law of the M.

S. addressed, namely             12.2.1.1. handed to      12.2.1.1.1. the addressee in person (J. Ž.)     12.2.1.1.2. another person      12.2.1.1.2.1. Name: 142172783       12.2.1.1.2.2. Address:          12.2.1.1.2.2.1. Street and Number/PO box:         12.2.1.1.2.2.2. Place and code:          12.2.1.1.2.2.3. Country:        12.2.1.1.2.3. Relation to the addressee:        Family                                    E. O.

     12.2.1.1.3. the addressee's address             12.2.1.2. served by post     12.2.1.2.1. without acknowledgement of receipt     12.2.1.2.2. with the enclosed acknowledgement of receipt       12.2.1.2.2.1. from the addressee       12.2.1.2.2.2. another person         12.2.1.2.2.2.1. Name:         12.2.1.2.2.2.2. Address:           12.2.1.2.2.2.2.1. Street and Number/PO box           12.2.1.2.2.2.2.2.

Place and code:           12.2.1.2.2.2.2.3. Country:         12.2.1.2.2.2.3. Relation to the addressee:          Family                                 E. O.              12.2.1.3. other method (please say how):     (B) 12.2.2. served by the following particular method (please say how): (c) 12.3. The addressee of the document was informed (orally) (in writing) that he or she      may refuse to accept it if it was not in an official language of the place of service or in      an official language of the state of transmission which he or she understands.

13. INFORMATION IN ACCORDANCE WITH ARTICLE 7(2) It was not possible to effect service within one month of receipt.

14. REFUSAL OF DOCUMENT The addressee refused to accept the document on account of the language used. The documents are annexed to this certificate.

15. REASON FOR NON-SERVICE OF DOCUMENT 15.1. Address unknown 15.2. Addressee cannot be located 15.3. Document could not be served before the date or time limit stated in point 6.2. 15.4. Others (please specify) The documents are annexed to this certificate. Done at: Tauragė Date: 2012-05-22 Signature and/or stamp: Tauragė district regional court, Stoties str. 25A, Tauragė, LT-72303, Lithuania,Judge E. M.