Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:07-cv-00239-JJF Document 5 Filed 05/21/2007 Paget of 2
I AO Foruwss RECEIPT @@/.9/042 .
United States District Court for the District of Delaware
I _ Civil Action No. __ Ci ,7
I ACKN O WLED GMENT
C A OF RECEIPT FOR AO FORM 85
F I L E D C
NOTICE OF A VAILABILI T Y OF A
I UNITED STATESMAGISTRATE JUDGE _.
; C in TO EXERCISE JURISDI CTI ON
I i ‘ u.s.Di`éi·iiii`;T¤;ouiiT
- __ DISTR CT F DE|.A AH` _
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I HEREBY ACICNOWLEDGE RECEIPT OF { ` COPIES OF AO FORM 8-5.
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I (Date forms issued) · (Signature of Party or their e esentative) I
` . _‘ £·c·/"*-·/é [ J; :.L[-ifs xi) `
_ ‘(Pri11ted name of Party or their Representative) "
PLEASE COMPLETE AND RETURN TO THE U.S. DISTRICT COURT `
Note: Comgleted receigt will be Bled in the Civil-Action .

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