Free Return of Service Executed - District Court of Delaware - Delaware

Case 1:05-cv-00198-JJF Document 12 Filed 08/O9/2005 Page 1 of 1
United States District Court
For the District of Delaware

1
I ii? .t T ; r* <` _.
Civil Action No. O ` .
Attached below is a return receipt card reflecting proof of service
upon the named party on the date show.
_ ' " ""r`r .,_ · . »- `J.-»S• . , "" - r· _ .. ez - ·· V
A _ i ‘ ..._ *'= i 2
V D- - :- iw . t t ’ ' - ' i_ _ 5, .. D i"
item 4 it Fiestricted Delivery is desired. `lli V nw p , _ r
I Print your name and address on the reverse I D i -=
so that we can return the card to you. C· Sign " ° { “ ‘ ·i
I Attach this card to the back of the maiipiece, X El Agent
OT Ori the front if space permits, W , _ E] Addresses
"`PFI - ·
1- A!`ilCiB AddfB%9d f0i @7 ` F : I addmss d`f ir " *-3- D Yes
. { . enter delivery MEBS , ». 2 ij No
· · ‘ — _ . 3;, .. V
. . ii I'? f' 1
..ii. .l.i..i.l...ii.I..I ,
pker. Warden n Y? , · ‘_-~i 4 i
inwood Low · , T 2 "T;·— --~—.” `
·c¤ne¤ti¤n institution _ 5** ns--¢»~ it
Jem, PA tree? i » Mamhandisé
t _p_ = _ _ QR ; i=testn¤t _ _ ~ _ VD YES
2_ t I--w fr ___ gw ·· U lI _r ` ,,r _ l" - V In M > ` =
E ` w r `·"_ - `,» - _ tr? éy in; I ` q l i ‘ 'r;_.;¥ r‘»% =_;@`€. ' {_ ~ ,~ · ·· _ _ _ g -
PS Form 3811, * `"` v “· .. , `U_ _ _ ·
¤· . . »·e --e~ ? A f i ; `A ` it il L`) li n I