Free Return of Service Executed ( 2254 petition ) - District Court of Delaware - Delaware


File Size: 20.2 kB
Pages: 1
Date: January 29, 2007
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 249 Words, 1,596 Characters
Page Size: 622 x 792 pts
URL

https://www.findforms.com/pdf_files/ded/37525/10.pdf

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Case 1:06-cv—O0786-SLR Document 10 Filed O1/29/2007 Page 1 of 1
United States District Court
For the District of Delaware . ‘ ·
Acknoygledgement of Service Form
For Service By Return Receipt D
Civil Actiur1_No. gi §
n Attached below is a return receipt card reflecting proof of service
upon the named party on the date show.
SENDER; CQMPLETE ',l'H[S SECT]QN ’ COMPLETE THIS SECTION ON DELIVERY
· I Complete items 1, 2, and 3. Also complete A- SlSJ¤¤Tl-W6
item 4 if Restricted Delivery is desired. X [ U S [G , CJ Agent _
I Print your name and adqdresstpn the reverse · _ El Addresses
th t tu nt ca to ou. R ·
n iii; iggpdrio ine nick ertngmarrpreee, B‘ F°°°°|"°° b (P”"'°° Nm) °‘ Dm °* D°""°"
or on the front if space permits. ·
- _ D · livery address different from item1? D Yes
1‘ MIGIB Addressed 1°‘ ·\i·\ IWES; - er delivery address below; D N0
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LGREM l`ritEi'i£ii3 I P5 E4
· DEPUTY il`l"TGi%n;E\j G$NERIiL . _ at · ,~.
Dl£PI\Rii\’iEi\iT G. US SCE W V »;
820 N. l:tii‘;i\$Ci‘l STREET D gain Marg lj Express Marr
D Registered D Relum Receipt for Merchandise
El Insured Mail El G.0.D. .
p 4. Restricted Delivery? (Ex·ImFee) p |:| YES `
. 2. Ars r rv b " ·
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PS Form 381 1. February 2004 Domestic Return Receipt 1uzsss·o2-ur-1s4c
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