Case 1:O5—cv—OO820-KAJ Document 1-4 Filed 12/O1/2005 Page 1 of 1
AO FORM B5 RECEIPT 9/O4)
United States District Court for the District of Delaware
I O 5 8 2 O U
_ Civil Action No.
ACKNOWLEDGMQENT _
OF RECEIPT FOR AO FORNI 85
l NOTICE OF A VAILABLYQI TY OF A
UNITED STATESiMAGISTR14TE JUDGE .
TO EXERCISE I URISDI C T I ON
I HEREBY ACKNOWLEDGE RECEIPT OF 6 COPIES OFFAO FORM 85.
I tyijggeg 0%£;[_£;f_,M;
n _ n (Date forms issued) ( ignature of Party or their Representative)
I ‘ name ofPa11y or their Representative) "
Note: Cmiipleted receigt will be filed iu the Civil Action