Free Return of Service Executed - District Court of Delaware - Delaware

Case 1 :O7—cv—OO198-GIVIS Document 15 Filed O4/1.6/2007 Page 1 of 1
- _ United States Dist1·ictCou1·t I
. For the District of Delaware , ‘ »
Acknowledgement of Service Form _
For Service By Retum Keceipt _ .
Civil ActionyNo. H C/V l6l% [
' Attached below is a retum recei t card reflectin roof of service
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upon the named party on the date show.
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SENDER; (;gMp,r_E·rE ·rH,r5 5EC·r;ON COMPLETE THIS SECTION ON DEUVEHY `
I Complete items 1, 2, and 3. Also complete A- Si ¤¥¤f¤_ H
item 4 if Restricted Delivery is desired. X xg) I _ ” P E A E U Agent
. I Print your name and address on the reverse · ~A»t’¤lA-r _, -—-- El Asiciressee
SO that W? can return the Card tc YOU; _ B. Received by ( Printed Name) C. Date of Delivery _
. I Attach this card to the back of the mailpiece, E : V — lf, Q_
or on the front if space permits. <-·"< \· " Q-MVK f·’ L'
_ D. ls delivery address different from item t'? U YES
1‘ Am°| d lf YES, enter delivery address below: U No - ‘
E éiify /
_ E é 5; ,;.4 % J 3. ServiceType
OZ J / » lil Certified rviaii EJ Express Mari
Q4R$stered }XReturn Receipt for Merchandise
El insured Mail E] C.O.D. `
{LZ J GZ & 4. Restricted Delivery? (Extra Fee) _ EI Yes
l 2. Article Number F ·· . A .
(Hansferfrom service iebei} H 5 d' 69 2 fg; {
` PS Form 3811, August 2001 Domestic Return Receipt . » masse-02-M-1s4¤ l
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