Free Magistrate Consent Notice - District Court of Delaware - Delaware

Case 1:06-cv—00417-Gl\/IS Document 4 Filed 06/30/2006 Page 1 of 1
AO Foam as iuscaiipr giuzv. 9/04)
United States District Court for the District of Delaware
Civil Action No, _ _ ___ __
ACKN O VVLED GI\/[ENT
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STA TES.MA GISTRA TE JUDGE
TO EXERCISE J URISDI CT I ON if. j I $6 J
I HEREBY ACKNOWLEDGE RECEIPT OF J COPIES OF AO FORM‘·8”5. _; _;- p
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_ (Date forms issued) (Signa e ofPa1’ty or their Representative)
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Note: Cornpleted receipt will be tiled in the Civil Action