Ae sem as Rseemr {asv. 9/04) . I
United States District Court for the District ef Delaware
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_ L ` L, in Civil Action N0. _
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ISF e I
I OF RECEIPT FOR AO FORIVI 85
I- NOTICE OF A VAILABILI T Y OF A `
UNITED STATESIHAGISTRATE JUDGE _.
T O EXERCISE JURISDI CT I ON .
I HEREBY ACKNOINLEDGE RECEIPT OF -`-`i I COPIES OF AO FORM) 85.
I I E -‘ _ .--‘ I .
` _ (Date forms issued) I (Signature ef Party or their Representative)
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Note: Ocnigleted receigt will be tiled in the Civil-Action