Free Magistrate Consent Notice - District Court of Delaware - Delaware

Case 1 :08-cv-00186-GIVIS Document 2 Filed O4/O3/2008 Page 1 of 1
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AO FORM B5 RECEIPT 9/O4!
United States District Court; for the District of Delaware
Civil Action No. é E LU B l iii 6
ACKNOWLEDGMENT
OF RECEIPT FOR A0 FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STATESMAGISTRATE JUDGE
TO EXERCISE JURISDICTION
I I. . [HEREBY ACKNOWLEDGE RECEIPT OF I COPIESOF AO FORM 85.
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at forms issued) (Signature o arty or t eir Representative)
C 1 Rm/l A i ci SEM E E
I D ‘p(Printed name of Party or their Representative)
Note: Completed receipt will be tiled in the Civil Action

Case 1:08-cv-00186-GMS

Document 2

Filed 04/03/2008

Page 1 of 1