Free Magistrate Consent Notice - District Court of Delaware - Delaware

Case 1:07-cv-00615-SLR Document 3 Filed 10/05/2007 Page 1 of 1
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United States District Court for the District of Delaware
Civil Action No. p pp __ U l
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STA TES MAGISTRA TE JUDGE
TO E)QE`RCISE J URISDI CT I ON
I HEREBY ACKNOWLEDGE RECEIPT OP COPIES OF AO FORM 85.
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(Date forms issued) (Signature of Party or their Representative)
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( j (Printed name of Party or their Representative)
Note: Completed receipt will be tiled in the Civil Action

Case 1:07-cv-00615-SLR

Document 3

Filed 10/05/2007

Page 1 of 1