Free Acknowledgment of Receipt - District Court of Delaware - Delaware

p _ 4 Case 1:07-cv—00390-SLR Document 6 Filed 07/23/2007 Page 1 of 2
_ R l OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT _
_ ~ DISTRICT OF DELAWARE
, Peter T. Dalleo p LOCKBOX 18
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. ACKNOWLEDGMOENT OF RECEIPT FOR F.R.Civ.P. 4
I hereby acknowledge receipt of a copy of Rule 4 (Summons) of the Federal
Rules of Civil Procedure, and understand that it is my responsibility to make service of
_ process on defendants in accordance with this rule. .
Date Received n Sig11ed:l,Q@¤§»r.sr.. I ml, i ,
by Plaintiff: Pro lgntiff
Date Received Signed: - __
by Clerk’s office: Deputy Clerk
_ _ Note: if you received Federal Rule 4 byrnail, please sign this receipt and return it to:
Clerk
g I U.S. District Court ‘
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox 18 A · _
Wilmington, DE 19801 p _ dl": lO`O”_7 A . I
B Date mailed ‘
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‘ By Deputy Clerk
cc: Docketing Clerk :::`·: __,_ _ _____ _____
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Case 1:07-cv—O03§O-SLR Document 6 File I 2 . I Page 2 of 2
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