Free Acknowledgment of Receipt - District Court of Delaware - Delaware

* It Case 1:07-cv—00213-I\/IPT Document 7 Filed 06/08/2007 Page 1 oft
— ., A Q OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT _
_ : A DISTRICT OF DELAWARE
_ Peter T. Dalleo _ LOCKBOX 18 _
crmuc ‘ B44 KING $1*1211111*
I u.s. couimrouss
WILMINGTON, DELAWARE 19801
(sm) 573-6170
RE: C.A.# E C
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ACKNOVVLEDGMZENT 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 A Y? T Signed: Q .
by Plaintiff: ro Se Plaintiff
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Date Received 5;,-~‘Q;’ @1 Signed:(-f‘;¤-§>’Qi?i‘/»,;&/'ii
by Clerk’s office: ‘ Deputy Clerk
Note: If you received Federal Rule 4 by mail, please sign this receipt and return it to: C
Clerk
g 7 U.S. District Court
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox 18 A _, F · _
p Wilmington, DE 19801 { ‘
Date mailed i
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l 41 :H gy Ig- M/’ I Ep By Deputy Clerk
cc: Docketing Clerk Enf IULJZ
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