Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:07-cv-OO63Q—Ol\/IS Document 3 Filed 10/26I20t)7 Page 1 of 2
AO roam as Receipt gtsv. ami;
‘ =_i• States District Court for the District of Delaware
Ii Um 2g mu Civil Action No. (1 A 6 7" 9
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. W S C M] {`\»€ (3;
ACKNOVVLEDGMENT
OF RECEIPT FOR AO FORM 85
) NOTICE OF A VAILABILI T Y OF A
) I UNITED STA TESMAGISTRATE JUDGE )
” U TO EXERCISE J URISDICTION
-
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
(Date forms issued) (Signature of Party or their Representative)
‘ E;·?_Q_(P1·inted name of Party or their Representative) I
Note: Completed receigt will be tiled in the Civil Action

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Case 1:07-cv-00639-GMS

Document 3

Filed 10/26/2007

Page 1 of 2

Case 1:07-cv-00639-GMS

Document 3

Filed 10/26/2007

Page 2 of 2