Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:05-cv-OO21 Document 2 Filed 04/20/% Page 1 of 1
AO FORM S5 RECEIPT 9/04)
United States District Court for the District of Delaware
. . . 0 5 · 2 1 6
Civil Action No. ‘
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORl\’I 85
NOTICE OFA VAILABILITY OFA
UNITED STATESMAGISTRATE JUDGE {
1 HEREBY ACKNOWLEDGE RECEIPT OF 1 COPIES OF AO FORM gig
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(Date forms issued) ( ignatureio wa y or their Representative) P n
(Printed name of Party or their Represen tive)
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Note: Comgleted receipt will be filed in the Civil Action