Free Acknowledgment of Service - District Court of Delaware - Delaware

Case 1 :06-cv-00356-Gl\/IS Document 26 Filed 10/05/2006 Page 1 of 1
. _ United States District Court
For the District of Delaware _ . ‘ -
Acknowledgement of Service Form p \
For Service By Return Receipt t E l
Civil Actio11_N0. lp 3 G
" Attached below is a return receipt crd reflecting proof of service . ;
upon the named party on the date show. .
SENDER; CgMpLg·,rE TH;5 SECUON COMPLETE THIS SECTJON ON DELIVERY ° L
I Complete items 1. 2, and 3. Also complete A- S'9¤¤*¤F¤ ·
item 4 at neerneteu Delivery as ueeneu. X - 1 _ _ ` ¤ Agent _ l
I Pnnt your name and address on the reverse -’ 4.. .... r ,...45 El Acldreesee
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br on the front ifspace permits. . JE AAI- t * 6 ’ g . . 5 · ‘ E
_ _ _l1jx lsdellveryaddressdtfferentfrcm ltem1'I '* Yee { l
1‘ me Mdmsud tm » __ If YES, enter delivery address below: U N li, _ l
WARDEN TOM CARROLL E V
E DELAWARE OORREOTIONAL CENTER ‘ .
· 1181 PADDOGK RD. . T .
t WYHNA. DE 19977 ii gncgrinxmat El axpreeemen
. D Registered D Retum Receipt for Merchandise
Q El insured Meat El 0.0.0. _ _
| , _ 57% _ ‘4.nemaaa¤¤nweryv;em¤Feei _ uva.
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PS Form 3811, February 2004 Domestlc Return Receipt _—_#·—-_-»~—`——-`10E595-UEEM-1540 ”
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