Free Acknowledgment of Service - District Court of Delaware - Delaware

" ` =* Case 1:O7—cv—OOO78-JJF Document 4 Filed O2/26/2007 Page 1 of 1
~ __ I OFFICE OF THE CLERK
. UNITED STATES DISTRICT COURT A
. . - DISTRICT OF DELAWARE
‘ PetcrT,Da11eo 4 _ LOCKBOX 18 4
CLERK 844 me STREET
‘ us. couizmousn
. wruumcrow, DELAWARE 19801
(302) 573-6170
RE: c.A.# 01/11 I
CASE CAPTION: AL»4égL&Jl4.`. V, DE/¢W*’°··~<’. Fm/c
I . ACKNOWLEDGD/[ENT OF RECEIPT FOR .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 I Q lz ‘ / Url Signed:
by Plaintiff: Pro Se Plaintiff
Date Received 2 /2; A 7 Signed: I/U l
by Clerk’s office: ’ Deputy Clerk
Note: If you received Federal Rule 4 by mail, please sign this receipt and return it to: I
Clerk I
_ ’ U.S. District Court ‘
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox 18- _ I · _
A Wilmington, DE 19801 I ` .
_ Date mailed ‘ ·
I I By Deputy Clerk
cc: Docketing Clerk _
` wp\f0¤ns\m1e4receipt 2-04 I I I 1