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


File Size: 24.7 kB
Pages: 1
Date: January 27, 2006
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 216 Words, 1,385 Characters
Page Size: 622 x 792 pts
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. V Case 1 :05-cv-00883-SLR Document 12 Filed O1/27/2006 Page 1 of 1
y D- , United States District Court I U
D For the District of Delaware _ · I
I
L I s
Civil A¤e·»¤.N··. Q I6
n Attached below is a retum receipt card reflecting proof of service
upon the named party on the date show.
QEMDER; r;·OMp;_ET5 THr5 SEQTIQN COMPLETE TI-IIS SECTION ON DELIVERY ` I
' r::z'rat::·.:;;rt.;ttS; Q ‘ I ¤ I
I Prlnlt ypur name rind agdresszpp the reverse- ` - ` El Addreseee
TSM a WP °¤¤ *6 um 9 ca ° Y°u- _ e. aeejrgge rm urveme) c. care eruerrvery
A rr rr e er rr 1 . ..». _ -
' ,}*3,2 ,,§,'§‘?,0°§$§’,,§,_; p1$',§,,rtsf ° '“a' ""°°° ef I of I. ry .46
· D. is delivery address different from item 1’? El Yes
, ‘· A"'°'° A“"'°°S°"' *°‘ rr Yee, enter uerrvery euur-eee below: E1 No
l*rIrTtDEN Rltllt KEARNEY
SUSSEX CGRRECTTDNAL INSTITUTE
. R0. BOX 500
- I GEORGETOWN, DE 13947
3. Service Type
pi cerrrnee Mar cr erpreee Mau
El Registered D Hetum Receipt forrlylerchendise
’ EI Insured Mail D G.0.D.
_ 4. Restricted Delivery? (Extra Fee) n YGS T
p .·'*·Qj;§.S'j‘;,Q",§,°;&_,,cB,&bB, 1 turist teen uuuu area suse ‘
PS Form 3811, February 2004 Domestic Return Receipt ` tnzses-ez-M-15441- p