Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:07-cv-00125-JJF Document 6 Filed O3/22/2007 Paget of 2
AO Form as RECEIPT {REV. 9/04)
United States District Court for the District 0f Delaware
- CMI A°“"“ Ns
ACKNOVVLED GMENT
OF RECEIPT FOR AO ‘FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STATES.MAGISTRATE JUDGE .
TO EXERCISE J URISDI CT I ON
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I HEREBY ACKNOWLEDGE RECEIPT OF ' COPIES OF AO FORM 85.
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(Date forms issued) - ature of Party or their Representative) I
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I ‘(Pri11ted name of Party or their Representative) '
PLEASE COMPLETE ANU RETURN TO THE U. s. DISTRICT COURT ‘
Note: Com leted recei t will be Bled in the Civil Action _
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Case 1 :07-cv-00125-JJF Document 6 Filed O3/22/2007 Page 2 of 2
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