Case 1:05-cv—00699-SLR-IVIPT Document 1-7 Filed 09/26/2005 Page 1 of 1
AO FORM is rreciarpr gow. won
United States District Court for the District of Delaware
Civil Action No. O 5 -— 8 9 Q
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORIVI 85
NOTICE OF A VAILABILITY OFA
UNITED STATES MAGISTRATE JUDGE
TO EXERCISE JURISDICTION
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
I E ` Hg S- _;
A (Date forms issued) (Signature of Party or their Representative)
Weber} Tétg __
" To [Printed name of Party or their Representative) C
Note: Comgleted receipt will be tiled in the Civil Action