Free Complaint - District Court of Delaware - Delaware

Case 1:05-cv-00345-SLR Document 1-11 Filed 05/27/2005 Page 1 of 1
U W OFFICE OF THE CLERK
1 UNITED STATES DISTRICT COURT _
- _ T DISTRICT OF DELAWARE
_ Peter T. Dalleo LOCKBOX 18
CLERK 844 mic STREET
., u.s. COURT'!-IOUSE
, wnuumerou, DELAWARE mam
i (302) 573-6170
l

RE: c.A.# O5`345
CASE CAPTION: P TVN ur v. Hlbevl 0 G. g]‘\_2q\f5 A6. u .g.De§)
ACKNOWLEDGMENT OF RECEIPT FOR F.R.Civ.P. 4
I I hereby acknowledge receipt of a copy of Rule 4 (Summons) ofthe Federal
` Rules of Civil Procedure, and understand that it is my responsibility to make service of
process on defendants in accordance with this rule.
i - [ I ..
i Date Received D ‘?>¤ 0 f> Signed: a P . .
l by Plaintiff: Pro Se Pla ntiff I
Date Received 5 ,3,1 I O; Signed: El lg § Q
by Clerk’s office: Deputy Clerk
Note: If you received Federal Rule 4 by mail, please sign this receipt and return it to:
Clerk
U.S. District Court
844 N. King Street If applicable, Rule 4 mailed to plaintiff:
Lockbox 18
Wilmington, DE 1980l
Date mailed I,
I
By Deputy Clerk
cc; Docketing Clerk .
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