Free Acknowledgment of Service - District Court of Delaware - Delaware

Case 1 :07-cv-00239-JJF Document 20 Filed 10/23/2007 Page 1 of 1
A · ‘ - . United States District Court l
For the District of Delaware _ A .
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. l Attached below is a return receipt card reflecting proof of service
_ upon the named party on the date show.
· SEN DER: con/iiétere THIS secrrorv comarere rms secnoiv orv nerrvssv
l I Complete items 1, 2, and 3. Also complete A- Sl9¤¤*¤'B I ¤ _
item 4 if Restricted Delivery is desired. _ / ASW 1
Â¥ I Print your name and address on the reverse X I4! Q; I _ 1,* Qmtciressee l _ _ `
j So that W? can return the card to YOU; _ B. Receive y ( Printed Name) C. Date of Delivery L
i I Attach this card to the back of the mailpiece, gf _ 6__-2 (G
A or on the front if space permits. \·k·" A *"‘°’{" A C-Z-C 9* .
.%.m...... u. ls daivdrv address different fom tem li U YES A
ri 1` Amcig A_cii’rB$$?d_t?:_ _ _ _ _ _ _ __ H __ _ v_ _ ‘ f` lf YES, gntgr delivery gddrggs bglgw; ¤ No
l Correctional Medical Services . 1 Y
· 1201 College Park Drive, Suite 101 { L
DDVBF, DE
. Service Type
_ i A " D é # # '_ l ”'-_ V" W- E/Dertified Mail El Express Mail I '
El Registered El Return Receipt for Merchandise ]
‘ K] insured Mail C] C.O.D. ` -
' 4. Restricted Delivery? (Extra Fee) Ij YES I _
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PS Form 3811, August 2001 Domestic Return Receipt 1o2sssoz-M~1s4o . _