Free Acknowledgment of Receipt - District Court of Delaware - Delaware

. Case 1:07-cv-OO846—Gl\/IS Document 5 Filed O1/O4/2008 Page 1 of 2 _
_' I OFFICE OF THE CLERK .
UNITED STATES DISTRICT COURT _
I U - DISTRICT OF DELAWARE
_ Peter T. Dalleo . LOCKBOX 18 _
crank ‘ an me smear
· us. comzrsousa
wrmmeron, DELAWARE 19801
(302) 573-6170
RE: c.A.# - 0fZ··3$’(a I
CASE CAPTION: ‘ V v.
I . ACKNOWLEDGMQENT OF RECEIPT FOR F.R.CiV.P. 4
_I hereby acknowledge receipt of a copy of Rule 4 (Summons) ofthe Federal
Rules of Civil Procedure, and understand that it is my responsibility to make service of
y process on defendants in accordance with this rule. .
Date Received IQ-e.;,_ 2,3 .2,6 07 Signedc , . , 9 ·. A4 _ - C. {_
by Plaintiff: ` Pro Se ' 'r ti “ J ‘
Date Received if Ll O'? Signed: I
by Clerk’s ofiice: I Deputy Clerk
Note: If you received Federal Rule 4 by mail, please sign this receipt and return it to: I
Clerk - I
‘ U.S. District Court r
844 N. King Street lf applicable, Rule 4 mailed to plaintiff:
Lockbox 18 ` · _
_ Wilmington, DE 19801 _ I . ‘
. r.,. -» - ·· Date mailed ·-
I i · JAN G 4 2(][]§ L_ By Deputy Clerk
ce: Docketing Clerk __ _ ‘ _ _
- . ..... . ...... . . ,.....,,,.,i._3 . - _ E
` wp\Eo1:ms\ru1e4:acgiph 2-O4 rh w il; I .
I p ¥@ Sfcvn FVLOI

Case1:O7-cv;é()O8{}_6—t§_|\E€\i D0cument5 Filed O1/O4/2008 Page20f2
$3 "Q ·t E Q
` ? /\
Si fw
N
5 C, 4 <<> é
‘ é 2 QQ .5%
A, “ ‘
-j_; ru
__ xr- ’ "'gg
i` _*“““‘ S . §\ GQ
I IZ1 ._ ____ .1 ·\.
.» :::.··—-... ·== . BQ -
i-Q-' E Q _.,,
; ·· _ .;Z»
{ =——:·-: -· E *3 Z §?;
1 EI ax!
” “` ’ JO? =i==
(7) 0 `, 1*5
" I ‘ 3* f·> $5
. V §___l
Q iv ‘¢<>\< :22
x {
§
! `
J ' Q 1:: ' _
"···.3 v.'!"._r E- _ ` V *2:
g % S;
\
j -4 ¤\> (J\
S . -»
.. F xv
W N X

Case 1:07-cv-00846-GMS

Document 5

Filed 01/04/2008

Page 1 of 2

Case 1:07-cv-00846-GMS

Document 5

Filed 01/04/2008

Page 2 of 2