Case 1:05-cv-00454—Gl\/IS Document 1-3 Filed 06/30/2005 Page 1 of 1
AO FORM 85 RECEIPT £@V. 9/(M!
United States District Court for the District of Delaware
Civil Action NO. A O__5 _At _ »___
ACKN OWLEDGMEN T
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STA TES MAGISTRATE JUDGE
LO EXERCISE J URISDICT ION
1 HEREBY ACRNOWLEDOE RECEIPT OF 9* COPIES OF AO FORM 85.
(Bu .= ‘ r . §E» » I I ..O i __
(Date forms 1ssi.{cci) O (Signatt re of Penny or their R resentaiivej
I E ~ Ugggg-
_ · (Printed name of Party or their Representative)
Vla../lll W; l/l/my
Note: Comgleted reeeigt will be filed in the Civil Action