Free Complaint - District Court of Delaware - Delaware

Case 1:05—cv—00789-KAJ Document 1-7 Filed 11/15/2005 Page 1 of 1
. _ OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT _
_ » DISTRICT OF DELAWARE
Peter T. Dallco LOCKZBOX 18
crmzx 844 Kms smear
s us. counmousa
wruvnncrow, DELAWARE 19801
(302) 573-6170
RE: C.A.# ·
CASE CAPTION: Haywggg L V. I N G Divecir ( I NG *?>¤~n¤
I ACKNOWLEDGB/[ENT OF RECEIPT FOR F.R.Civ.P. 4
I hereby acknowledge receipt of a copy of Rule 4 (Summons) of the Federal
Rules of Civil Procedure, and understand that it is my responsibility to make service of
process on defendants in accordance with this rule.
Date Received I Naw I 5 NUS Signed: | 4
by Plaintiff: Pro Se P amtiff
li"? 1 5 2Ell5
Date Received J Signed: €o§l lg ] g lg/f_g
by Clerk’s office: Deputy Clerk
Note: If you received Federal Rule 4 by mail, please sign this receipt and retum it to:
Clerk
U.S. District Court
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox 18 1 g
Wilmington, DE 19801 .
Date mailed ·
l By Deputy Clerk
cc: Docketing Clerk
wp\foLTns\tu1e4receipt 2-D4