Free Return of Service Executed - District Court of Delaware - Delaware


File Size: 21.4 kB
Pages: 1
Date: August 3, 2007
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 257 Words, 1,674 Characters
Page Size: 622 x 792 pts
URL

https://www.findforms.com/pdf_files/ded/38511/10.pdf

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Case 1 :07-cv-00408-JJF Document 10 Filed 08/O3/2007 Page 1 of 1
‘ . United States District Court `
_ For the District of Delaware _
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D i``“ J Civil Action-N°' P
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ached belsw IS 3 FBWH1 receipt card reflecting proof of sewioe
upon the named party on the date show.
SENDE-R; comptsre mrs sscrrorv comprers rr-rrs ssorrorv orv nsrrveav y = .
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' ?€§rL“2"‘?E§§{£2rla%§Rr“L.?, £'ZZ§€?£f"°‘° X `gm ”' e ¤ Agent z
- I Print your name and address on the reverse "` EI Addreeeee l
- . 2%§'lif$i‘*"2§?d'iL“{lTJ'E,i.§E`E§1=iE.¥“F.ig¤lplscs ‘*· “t°°'“t" by ' ’°""'“ "‘*"*°’ °· Dai °* l
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L or on the front if space pemnits. U ' L/¢°A¢d/J *.1 7 Z? 0 l
_ D. ls delivery address diiterent from item 1’? U YES I
1’ Amclg Addressed tu: lf YES, enter delivery address below: EI No I
- WARDEN TOM CARROLL ‘
DELAWARE CDRRECTICNAL CENTER A {
A 1181 PADDDCK RD.
3. ServiceType X ‘
¤Certlfied Mail EI Express Mail `
El Registered El Return Receipt for Merchandise `
` El Insured Mail El C.O.D.
I _ J V ____ ` E _-.V:_!_;;_ 4. Restricted Delivery? (Extra Fee) |:| YES -
. 2. M- il. 1 uiitéi
5 - erregs lr;._~ -:-Zfiffgt ____:7_ . R A A--— R- l-a- · - A ~ — A- 3 -- -- 61 cr! ‘1'0$JJ?
. PS Form 1 , August I in A o sti Ftetu_rn Receipt . 102595-D2·M-1540