Free Complaint - District Court of Delaware - Delaware

Case 1:05-cv-0084gMS Document 1-3 Filed 12/%OO5 Page 1 of 1
AO FORM 85 RECEIPT !REV. 9/04)
United States District Court for the District of Delaware
Civil Action N0.
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI TY OF A
UNITED STA TES MA GIS TRA TE J UD GE
TO EXERCISE J URISDI CTI ON
1 HEREBY ACKNOWLEDGE RECEIPT OF -_ E - OOFIFS OF AO FORM F5-
M
0 5 ‘i·A ( . _/( F `··
(Date forms issued) L ( ignature of Party or their Representative)
L Vx (Printed name of Party or their Representative)
Note: Completed receipt will be filed in the Civil Action