Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:08-cv-00393-GMS

Document 5

Filed 07/03/2008

Page 1 of 1

AO FORM 85 RECEIPT (REV. 9/04)

United States District Court for the District of Delaware

Civil Action No. - - _ . - - - - - - -

U8--J_3

ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85

NOTICE OF A VAILABILITY OF A
UNITED STATES MAGISTRATE JUDGE
TO EXERCISE JURISDICTION


I HEREBY ACKNOWLEDGE RECEIPT OF

_~(_ _ COPIES OF AO FORM 85.

(Date forms issued)

X

(Signature of Party or their Representative)

!POAQ!L

(Printed name of Party or their Representative)

Note: Completed receipt will be filed in the Civil Action