Free Acknowledgment of Service - District Court of Delaware - Delaware

Case 1 :07-cv-00078-JJF Document 3 Filed O2/26/2007 Page 1 of 1
AO FORM 85 RECEIPT {REV. 9/O4! -
United States District Court for the District ef Delaware
I _ Civil Action NO.
ACKNOWLED GMENT .
I ‘ OF RECEIPT FOR AO ‘FORM 85
NOTICE OFAVAILABILITY OFA — ·
UNITED STATES.`MAGISTRATE JUDGE _.
I T O EXERCISE JURISDI C T I ON
I HEREBY ACKNOWLEDGE RECEIPT OF ` COPIES OF AO FORM 85. U
· · gr/we/o“l I5 Z. I I
I _ (Date forms issued) (Signature 0f Party cr their Representative) E
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A ` ‘ :; [Printed name of Party or their Representative) `
Note: Coxngleted receigt will be tiled in the Civi1~Action Rrii I l I I I I