Free Complaint - District Court of Delaware - Delaware

Case 1:05-cv—OO562-JJF Document 1-4 Filed 08/O3/2005 Page 1 of 1 i
AO FORM B5 RECEIPT REV. 9/04)
United States District Court for the District of Delaware
Civil Action No. @i @
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STA TES MA GIS TRA TE JUDGE
t TO EXERCISE J URISDI CT I ON
1 HEREBY ACKNOWLEDGE RECEIPT or ) COPIES OF AO FORM ss.
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(Date forms issued) (Signature of Party or their Representative)
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1 (Printed name of Party or their Representative)
i Note: Completed receipt will be filed in the Civil Action
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