Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:05-cv-00326-KAJ Document 2 Filed 06/O3/2005 Page 1 of 1
“ ’ I I
____ M O U gg
-. t i- Si ll: "
AO FORM 85 RECEIPT {REV. 9/O4!
United States District Ccurt for the District 0f Delaware
Civil Action N0. _,,_ _ __ _
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFA VAILABILITY OFA
UNITED STA TE __ ____ __.. E JUDGE
T O EXERCISE J URISDICTI ON
1 HEREBY ACKNOWLEDGE RECEIPT OF l COPFF OF AO FORM 85.
-\ aial ,1 / ‘ ·
LJ 20**.r- T ¤-- _ M, Q- f g\*`
(Date forms issued) ( ign ure if Party 01* their Representative)
A 5 ' .
‘(Prin*{*é éme f Party 0r their Representative)
Note: Comgleted receigt will be filed in the Civil Action