Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:08-cv-00369-GMS

Document 5

Filed 07/07/2008

Page 1 of 1

AO FORM 85 RECEIPT (REV. 9/04)

United States District Court for the District of Delaware

Civil Action No. - - - - - -368 - - --

ACKNOWLEDGMENT
OF RECEIPT FOR AO FORM 85
NOTICE OF AVAILABILITY OF A
UNITED STATES MAGISTRATE JUDGE
TO EXERCISE JURISDICTION


I HEREBY ACKNOWLEDGE RECEIPT OF _ _

3 COPIES OF AO FORM 85. __

(Date forms issued)

(Printed name of Party or their Representative)

Note: Completed receipt will be filed in the Civil Action