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

Case 1 :06-cv-00003-SLR Document 10 Filed 02/21 /2006 Page 1 of 1
· . 5- C'¤Pmve.·/ i
A F l L E D i
. A i . United States District Court A gcgg 2 i ggr]5 E
For the District of Delaware _ ______ ____; — -
. “ UAS. DiSiRlCT COURT
Uisiiirci OQELAWRRE K6
Acknowledgement of Service Form i
For Service By Return Receipt s . L
Civil Action N0- { 0 3 L5-Og \
L Attached below is a return receipt card reflecting proof of service
upon the named party on the date show.
_ . SE DER: COMPLETE THJS SE CTFON rrorrrrerers mis secriorr err oetrveev
! Complete items 1) 2, and 3. Also complete- A. i nature _ L
item 4 if Restricted Delivery is desired. “ I · - Cl Agent
I Print your name and address on-the reverse . QA' _ *Q_ ~ ij Addresses ’
L . 2?t§2t‘?A’§iZ?JiL“{i?."EZ§i?L‘i¥§!Z§‘..;i,i.e, ¤*# ¤¤r€Pr*~*¤¤~ ' C- ° *¤¤* **r¤·r r
or on the front if space permits. __ A if ’ 0 . O .
_ _ D. ls delivery address dittererrtf m item 17 CJ Yes ‘
. 1.. Article Addressed Y0- rr vas, ester delivery eddressbelow: . N°
WAHDEN TOM CARROLL l -
DELAWARE GORRECTIONAL CENTER -‘
WBT PADDOCK RD, s. sem Type ‘ ‘
SMYHNA, DE 19977 tzggrresr Meir El express rvrerri -
_ El Registered E1‘Fietum Receipt for Merchandise
n El-Insured Mail `EI C.0.D.
_ 4. Restricted Delivery? (Extra Fee) K lj Yes _ A
_2. Article Number n - 1 n
{Transfer from service labey _ L
R PS Form 381 'I, August 2001 Domestic Return Receipt zAcr=ar-u:r·r=-mer