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Ac pcm as macemr gxusv. 9/04; .
United States District Ccurt for the District cf Delaware
C _ ` Civil Action Ne l O f) CL U I O
O R ACKNOWLED GMENT
l · OF RECEIPT FOR . 85
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_ UNITED STA TESMA GISTRA TE JUDGE _`
) TO EXERCISE JURISDI CTI ON —- R O
I HEREBY ACKNOWLEDGE RECEIPT OF. ` COPIES OF AO FORM 85. V
` _ I (Date forms issued) - n (Signature 0fP31'[“Y cr their Representative) ··
A n l " 'é fiiltcd Ham? Qf QQ Rep1=esentat;ive)R ‘
Note: Coxrrgleted A
Case 1:07-cv-OO108—G|\/IS Document 5 Filed O3/O9/2007 Page.3 of 3 ‘
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