Free Exhibit to a Document - District Court of Delaware - Delaware


File Size: 54.7 kB
Pages: 4
Date: April 10, 2008
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 327 Words, 2,034 Characters
Page Size: 610 x 792 pts
URL

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Case1:O8—cv-00173-JJF D0cument9 Filed O4/O9/2008 Page10f4
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Case 1 :08-cv-00173-JJF Document 9 Filed O4/O9/2008 Page 3 0f 4
DEPARTMENT OF HEALTH and SOCIAL SERVICES I
PATIENTS PERSONAL EFFECTS RECEIPT
Facility: Da{e:
Name ................_....... ........__ , . , .,,,, Activity:
Sent or Left
Rdaticnship ·
Address
Received
Item / sz
Quan. DESCRIPTION I
Received and Recorded at CENTRAL CLOTHING SUPPLY V
By Date ____.....________,.__ V
Received a¢...........___._Blda· ¤r Ward
Datc,.,____________,__._

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Case 1:08-cv-00173-JJF

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