Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:07-cv—O0570-SLR Document 3 Filed O9/27/2007 Page 1 of 1
AO FORM 85 RECEIPT (REV. 9/O4)
United States District Court for the District of Delaware i A
Civil Action No. ` _
ACKNOWLED GMENT I
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI T Y OF A 5-,;
UNITED STATES MAGISTRA TE JUDGE E
TO EXERCISE JURISDI CT I ON ‘·—’
a` `“
1 HEREBY Ac1o~ioWLEDoE RECEIPT or copies or AO FORM ss.
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(Date forms issued) (Sig ature of Party or their Representative)
K I Ndiéé- -6 F/Z ZZSH GT
‘ (Printed name of Party or their Representative)
Note; Completed receipt will be tiled in the Civil Action

Case 1:07-cv-00570-SLR

Document 3

Filed 09/27/2007

Page 1 of 1