Free Notice of Removal - District Court of Delaware - Delaware

Case 1:05-cv-00564-SLR Document 1-3 Filed 08/O4/2005 Page 1 of 1
AO FORM 85 RECEIPT {REV. 9/O4!
United States District Court for the District of Delaware
Civil Action NO. __
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STA TES MA GIS T RA TE JUDGE
`Q T O EXERCISE J URISDI C TI ON
i i"" ·Y?
I HEREBY ACIONIOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
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DA e forms issued) (S` nature of Party or their Repr sentative)
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·(Prir1ted name ef Party or their Representa 've)
Note: Comgleted receipt will be tiled in the Civil Action