Free Notice of Removal - District Court of Delaware - Delaware

Case 1:05-cv-00296-SLR Document 1-11 Filed 05/16/2005 Page 1 of 1
AO FORM 85 R.ECEI.P'1` (REV. 9/04)
United States District Court for the District of Delaware
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Civil Action No. a 3 _, _ 1 p p =N_
ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OFAVAILABILITY OFA
UNITED STA TES MAGISTRATE JUDGE
TO EXERCISE JURISDICTION
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
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(Date forms issued) ‘ rgn ture of Pa y or their Representative)
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(Printed name of Party or their Representative)
Note: Completed receipt will be tiled in the Civil Action