Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1 :05-cv-00920-JJF Document 4 Filed 01/23/2006 Page 1 of 1
AO FORM 85 RECEIPT SREV. 9/04) R
United States District Court for the District of Delaware
Civil Action No. I q DO CSU;)
ACKNOWLED GMENT I
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI TY OF A C l`` ik
UNITED STA TES I MA GIS TRA TE J UD GE ji} .lR’
T O EXERCISE J URISDI CTI ON
. G-,
I HEREBY ACKNOWLEDGE RECEIPT OF g COPIES OF AO FORNI 85.
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_ I (Date forms issued) (Signature of Party or their Representative) ‘
I name of Party or their Representative) I
Note: Corngleted receigt will be filed in the Civil Action