Free Complaint - District Court of Delaware - Delaware

Case 1:05—cv—00789-KAJ Document 1-6 Filed 11/15/2005 Page 1 of 1
AO FORM 85 RECEIPT 9/04)
United States District Court for the District of Delaware
Civil Action No. A l l i I
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85 p
NOTICE OF A VAILABILIT Y OF A
UNITED STATES MA GISTRA TE JUDGE
T O EXERCISE J URISDI CT I ON
I HEREBY ACKNOWLEDGE RECEIPT OF i COPIES OF AO FORM 85.
I FIG`? I- 5 ZEG5 2 (
n (Date forms issued) (Signature of Party or their Representative)
I ~ irc»s Cir]/(Lf/·’6_m %Zg?n>v0c%;r
rg ?_;__(Printed name of Party o their Representative) "
Note: Cornpleted receipt will be filed in the Civil Action