Free Complaint - District Court of Delaware - Delaware

._ - _ Case 1 :07-cv-00121-GIVIS Document 2 Filed 02/27/2007 Page 1 of 4 _
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(Rev. 5/05) -
FORM TO BE USED BY A PRISONER IN FILING A COMPLAINT
_ UNDER THE CIVIL RIGHTS ACT, 42 U.S.C. §1983
l IN UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
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(Name of Plaintiff) (Inmate Number) 1
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(Name of Plaintiff) (Inmate Number) : (Case Number)
1 ( to be assigned by U.S. District Court)
(Complete Address with zip code)
(Each named pany must be listed, and all names
-must be printed or typed. Use additional sheets if needed) ;
Q E E vs. ; CIVIL COMPLAINT
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: ' ° Iury Trial Re uested `
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(Names of Defendants) : F E E. E B
(Each named party must be listed, and all names
must be printed or typed. Use additional sheets if needed) : N 2 7 Q
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I. PREVIOUS LAWSUITS DISTRICT-OF DE‘—;·L";&RE
D been rue!
A. If you have filed any other lawsuits in federal court while a prisoner, please list the caption and case number jp?
including year, as ell as the name of the judicial officer to wh_om it was assigned;
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_ Case 1:07-cv-00121-G|\/IS Documetwt 2 Filled 02/27/2007 Page 2 0f 4 ·
T . rv. STATEMENT OF CLAIM ‘ l
(Slate as brteny as pessrete the reels ofyour case. Describe new eachndefendant is trrvetvee, metueltug dates and
places. Da not give any legal arguments or elle gray eases or statutes. Attach no mere thanthree extra sheets of paper
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V (State briefly exactly what you want the Court t0 do for y0u. Make no legal argumepts. Cite no cases or
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n I`declare under penalty of perjury that the foregoing is true and correct. "
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Signed this day of C { ’A " ( , 2 .
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(Signature of Plaintiff 1)
(Signature of Plaintiff 2) -
S (Signature ofPlaintiff 3) _
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Case 1 :07-cv-00121-GIVIS Document 2 Filed 02/27/2007 Page 4 014
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