Free Notice of Removal - District Court of Delaware - Delaware

Case 1:05-cv-00288-KAJ Document 1-5 Filed 05/12/2005 Page 1 of 1
AO FORM 85 RECEIPT !RE\·'. 9/O4)
United States District Court for the District of Delaware
Civil Action NO.
ACKN OWLEDGM ENT
OF RECEIPT FOR AO FORM 85
NOTICE OFAVAILABILITY OFA
UNITED STA TES MA GISTRA TE J UD GE
T O EXERCISE J URISDICT I ON
I HEREBY ACKNOWLEDGE RECEIPT OF 5 COPIES OF AO FORM 85.
M H (Date forms issued) m gna ure of rty or their Representative)
I5 I ISR lt) Cltlt K
I (Printed name of Party or their Representative)
Note: Comgleted receigt will be tiled inthe Civil Action