Free Notice (Other) - District Court of Delaware - Delaware

Case 1:05-cv-00473-JJF Document 6 Filed 08/O4/2005 Page 1 of 1
AO mm as nscsnw gm. wm;
United States District Court for the District of Delaware
Civil Action No. __ W 4;- UM Q_
ACKNOWLEDGMEN T
OF RECEIPT FOR AO FORM 85
NOTICE OF A VAILABILI T Y OF A
UNITED STA TES MAGISTRA TE JUDGE
TO EXERCISE JURISDICT ION
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I HEREBY ACKNOWLEDGE RECEIPT OF A COPIES OF AO FORM S5.
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rms issued) (Signatur “o" larty ortiieiri ese tive)
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(Printed name of Party or their Representative)
Note: Comgleted reccigt will be tiled in the Civil Action