Free Acknowledgment of Receipt - District Court of Delaware - Delaware

- F, Case 1 :04-cv-01530-JJF Document 39 Filed 07/28/2006 Page 1 of 1
»- __ OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT g
_ ~ · DISTRICT OF DELAWARE
Peter T. Dalleo LOCKBOX 18
CLERK 0 844 KING STREET
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WILMINGTON, DELAWARE 19801
(2.02) srs-6170
RE: c.A.# I ()L|— [5m 1331: l I
CASE CAPTION: Sh`; - V. F I {j)v\l`\[3§
I ACKNOWLEDGD/[ENT OF RECEIPT FOR F.R.Civ.P. 4
I hereby acknowledge receipt of a copy of Rule 4 (Sumrnons) of the Federal
Rules of Civil Procedure, and understand that it is my responsibility to make service of
_ process on defendants in accordance with this rule. .
Date Received n 1* gi 2 I: Zigigg Signed: ’
by Plaintiff: Pro Se Plaintiff
’ F Z f u l V
Date Received JUL 2 8 MGB Signed: Q QQ Q Q E
by Clerk’s office: ‘ Deputy Clerk
Note: lf you received Federal Rule 4 by mail, please sign this receipt and return it to: I
Clerk
‘ U.S. District Court
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lookbox 18- " · _
Wilmington, DE 19801 _ .
Date mailed ‘
n E By Deputy Clerk
cc: Docketing Clerk
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