Free Acknowledgment of Receipt - District Court of Delaware - Delaware

_ Case 1:O8—cv—OO554-JJF Document 4 Filed O9/O2/2008 Page 1 of 1
— ., l _ I I OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT
I , DISTRICT OF DELAWARE
Peter T, Dalleo LOCKBOX 18 V
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(302) 573-6170
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ACKNOWLEDGD/[ENT 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 C;{ Z [ 0] Signed:
by Plaintiff: Pro Se Plain iff
Date Received 5 [ Z [U}? Signed: QQ (/\~ O __
by Clerk’s office: Deputy Clerk
Note: If you received Federal Rule 4 by mail, please si gn this receipt and return it to:
Clerk
U.S. District Court
844 N. King Street lf applicable, Rule 4 mailed to plaintiff:
Lockbox 18-
Wilmington, DE 19801
Date mailed
By Deputy Clerk
cc: Docketing Clerk
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Case 1:08-cv-00554-JJF

Document 4

Filed 09/02/2008

Page 1 of 1