Free Complaint - District Court of Delaware - Delaware

Case 1:05-cv-00681-SLR Document 1-6 Filed 09/19/2005 Page 1 of 1
AD FORM 85 RECEIPT SREV. 9/04)
United States District Court for the District of Delaware
Civil ACM N0- , is _ _ i ai arar I
ACKN OWLED GM ENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STATES MAGISTRATE JUDGE
TO EXERCISE JURISDICTION
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
(Date forms issued) ‘ » natur il Parii/oibtlieR Representative)
Twiosegg i l Se team ,3.LL
{Printe name of Party or their Representative)
Note: Completed receipt will be tiled in the Civil Action