Case 1:06-cv—00010-SLR Document 1-3 Filed 01/05/2006 Page 1 of 1
AO FORM 85 RECEIPT tREV. 9/O4!
United States District Court for the District of Delaware
_ Civil Action No. (3 _,_ I {
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STA TESMA GISTRA TE JUDGE
TO EXERCISE J URISDI CTI ON
I HEREBY ACKNOWLEDGE RECEIPT OF i COPIES OF AO FORM 85.
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_ ( ate forms issued) (Signat e of Party or their R resent ve)
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Note: Comgleted receigt will be tiled in the Civil Action