Free Acknowledgment of Receipt - District Court of Delaware - Delaware

Case 1:07-cv-00684—G|\/IS Document 3 Filed 11/06/2007 Page 1 of 1
AO FORM 85 RECEIPT (REV. 9/04). l l _. i l. .
- United States District Court for the District ot` Delaware
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{Z0 imma, of ACKNOWLEDGMEN T i
OF RECEIPT FOR AO FORNI 85 l
- NOTICE OF A VAILABILI T Y OF A i
UNITED STA TES MAGISTRATE JUDGE
T O EXERCISE J URISDI CTI ON
I HEREBY ACKNOWLEDGE RECEIPT OF COPIES OF AO FORM 85.
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n (Date forms issued) M. \(—Signature ai/fil’art or their Representative)
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Note: Comgleted receigt will be tiled in the Civil Action

Case 1:07-cv-00684-GMS

Document 3

Filed 11/06/2007

Page 1 of 1