Free Acknowledgment of Receipt - District Court of Delaware - Delaware

' =* Case 1 :O7—cv—OO246-GI\/IS Document 4 Filed 05/10/2007 Page 1 of 2 ,
— ., i OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT _
_ . A DI‘S'l"RICT OF DELAWARE
Peter T. Dalles LOCKBOX 18
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. wtrmmsron, DELAWARE want
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RE: c.A.# 07 9·Lll¤ i
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CASE CAPTION: Fllflm . v.O•2lGMJCM·t’ Ik Pm jjjgmj pp
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ACKNOWLEDGMENT OF RECEIPT FOR F.R.Civ.P. 4
AI 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 @207 Signed: ( __
by Plaintiff: / ·‘ Se Plaintiff
Date Received 5/ lOl Or] Signed: g D Q Q ag;] -*-3 `
by Clerk’s office: ‘ Deputy Clerk E
A Note: If you received Federal Rule 4 by mail, please sign this receipt 3I1dJCé%1IQr;3lt
_ rx #0 27
Clerk D
y Us. nitttitt Catttt - Q -— R
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox l8~ ` ·
Wihnington, DE 19801 g ` .
Date mailed :
4 By Deputy Clerk
cc; Docketing Clerk
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Case 1:07-cv-00246—G|\/IS Document 4 Filed 05/10/2007 Page 2 of 2
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