Case 1:05-cv-00015-SLR Document 7 Filed 03/11/2005 Page 1 of 1
OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT
_ · DISTRICT OF DELAWARE
Peter 'I`. Dalleo LOCKBOX 18
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(302) 512-6170
RE: C.A.# L5- ‘ /0*- SL L2
CASE CAPTION: v.
ACKNOWLEDGMENT OF RECEIPT FOR F.R.Civ.P. 4
I hereby acknowledge receipt of a copy of Rule 4 (Summons) of the Federal
Rules of Civil Procedure, and understand that it is my responsibility to make service of
process on defendants in accordance with this rule.
Date Received__§ ‘ /O " g Q5. Signedsf ( xyzg
by Plaintiff: Pro Se Plaintiff
Date Received M _ gg Signed;
by Clerk’s oflice: 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 l98{}l
Date mailed
By Deputy Clerk rg:
cc: Docketing Clerk
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