Free Complaint - District Court of Delaware - Delaware

Case 1:05-cv-00800-Gl\/IS Document 1-5 Filed 11/17/2005 Page 1 of 1
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United States District Court for the District of Delaware
Civil Action No. ___p G 5 S O O
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STA TES MAGISTRA TE JUDGE
T O EXERCISE J URISDI CT I ON
I HEREBY ACKNOWLEDGE RECEIPT OF (0 COPIES OF AO FORM 85.
(Date forms issued) (Signature of Party or their Representative)
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Note: Completed receipt will be tiled in the Civil Action