Case 1:05-cv-OO651—Gl\/IS Document 1-5 Filed O9/06/2005 Page 1 of 1
AO FORM 85 RECEIPT 9/04)
United States District Court for the District of Delaware
Civil Action No.
ACKNOVV LED GMENT
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI TY OF A
UNITED STA TES MA GISTRA TE JUDGE
TO EXERCISE JURISDICTION
I HEREBY ACKNOWLEDGE RECEIPT OF i COPIES OF AO FORM 85.
O 6 M ifi
(Date forms issited) Signa ure of Party or their Representative)
‘ ·(Prir1ted name of Party or their Representative)
Note: Completed receipt will be filed in the Civil Action