Free Return of Service Executed ( 2254 petition ) - District Court of Delaware - Delaware


File Size: 22.2 kB
Pages: 1
Date: October 3, 2007
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 264 Words, 1,850 Characters
Page Size: 622 x 792 pts
URL

https://www.findforms.com/pdf_files/ded/38595/6.pdf

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Case 1 :07-cv-00430-JJF Document 6 Filed 10/O3/2007 Page 1 0f 1
1 1 · Nw 1 _ United States District Cenrt A U
For the District of Delaware _ i -
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Acknowledgement cf Service Form I
T i ‘·‘· ·· ·· ···l i - r ·»·— ·ii- For Service By; Return Receipt 1
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my Egigm Civil Action {
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U.S. Diet "‘l%§3“¥ (2 ·
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_ Attached beicw is a return receipt card reflecting proof of service
upon the named party cn the date show.
. A SEN DER: 0rvrPr.ETE1Tr—rr$ sscrro ‘ ccnretere rr-irs secrrorv o rv csrrvsnv · — 1 K
_ ` I Complete items 1, 2, and 3.E]¢\lso complete n ‘ t · K .
item 4 if Restricted Delivery is desired. · U Agent 1
I Print your name and address onthe revers R`, A _A _ _ *• I· · - · ·- - · _
SG that W? can mmm the card t° You; _ B. Recei d by nted Name) ` Date of Delivery .
. I Attach this card to the back of the marlpr e, it K .,1
or on the front if space permits. ‘ ’··s-$}··-•:-- Q \ A6? 1: _ ‘
· J : » ess d'tf rrtfrcm it 1? B5
· 1' Article Addressed tm ‘ delivery address belgxs U N0 `
Y WARDEN TOM CARROLL
` DELAWARE GDRRECTIDNAL CENTER
T 1181 PADDDCK RD. e 3_ Same Type ·V
A SMYRNA, DE 'l9977 gcerrrseu Marr El Express Marr ' `
- Registered El Return Receipt for Merchandise _
= __`__ El insured Mail E] C.O.D. `
. _ 4. Restricted Delivery? {Extra Fee) [j YES ~ 1
2— ~¤r¤·——=~¤r‘ M i" M W "érri§r{`ig§;1_¥rr `E { » A
i manager 07,9-30: M P ,1 i
PS Form 3811, August 2001 Domestic Return Receipt 1G2595—D2·M—1`54D Z .