Free Magistrate Consent Notice - District Court of Delaware - Delaware

Case 1 :06-cv-00135-SLR Document 2 Filed O2/28/2006 Page 1 of 1

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United States District Court for the District of Delaware
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_ Civil Action No.
ACKNOWLED GMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STATESFMAGISTRATE JUDGE .
T O EXERCISE JURISDI C T I ON
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
an Paar ge l&[ M
_ (Date for issued) (Sign re of Party or their Representative)
‘ :;AJ_%_tPrintei name of Party or their Representative) `
Note: Conipleted recei t will be tiled in the Civil Action