Free Motion for Leave to Proceed in forma pauperis - District Court of Delaware - Delaware


File Size: 230.4 kB
Pages: 8
Date: September 10, 2008
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 636 Words, 3,658 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://www.findforms.com/pdf_files/ded/36485/1.pdf

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Case 1:06-cv-00264-GMS

Document 1

Filed 04/24/2006

Page 1 of 2

Case 1:06-cv-00264-GMS

Document 1

Filed 04/24/2006

Page 2 of 2

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 1 of 6

Individual Statement - No Transactions This Month
Date Printed: 4/5/3006

Page I of I

For Month of October 2005
SBI Last Name First NRIIIC
h.11

Suffix

Beg Mtli Balance:

0023671 2

HALL
SU/1

BRICE

M

C11rre11t Location:

Deposit or Withdrawal Source Date Medical Hold Non-Medical Hold Deposit Hold
-

Balance

Total Amount Currently on Medical Hold: $0.00 Total Amount Currently on Non-Medical Hold: ($3.65)

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 2 of 6

Individual Statement - No Transactions This Month
Date Printed: 415i2006

Page 1 of 1

For Month of November 2005
SBI
Last Name First N a ~ n c

MI

Suffix

Bcg M t l ~ Balance:

0023671 2

HALL
SUll

BRICE

M

Current Location:

Deposit or Withdrawal Date Medical Hold Non-Medical Hold Deposit Hold Balance

Total Amount Currently on Medical llold: $0.00 Total Amount Currently on Non-Mcdical Hold: ($3.65)

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 3 of 6

Individual Statement - No Transactions This Month
Date Printed: 4/5/2006
Page I of 1

For Month of December 2005
SBI
Last Name First N ~ I I I C
RII

Sufis

Reg R'lth Ralance:

0023671 2

HALL
SUll

BRICE

M

C l ~ r r e ~Location: tt

Deposit or Withdrawal Source Date
Amount

Medical Hold Non-Medical Hold Deposit Hold

Balance

Total Amount Currently on Medical Hold: $0.00 Total Amount Currently on Non-Medical Hold: ($3.65)

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 4 of 6

Individual Statement - No Transactions This Month
Date Printed: 41512006
Page I of 1

For Month of January 2006
SBI 002367 12
Last Name First Narnc

HALL
SUll

BRICE

bll M

S~~flis

Bcg R l t h Balance:

C ~ ~ r r eLocntion: l~t

Deposit or Withdrawal Source Date Medical Hold Non-Medical Hold Deposit Hold
. -

Balance

-

Total Amount Currently on Medical Hold: $0.00 Total Amount Currently on Non-Medical IIold: ($3.65)

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 5 of 6

Individual Statement
Date Printed: 4/5/2006 Page 1 of 1

For Month of February 2006
SBI Last Name First Name MI Suffix Beg Mth Balance:

s0.00

002367 12

HALL
SUI1

BRlCE

M
Comments: QOLDET

Current Location:

Trans Type
Commitments Visit Canteen Canteen

Date
21112006 2/7/2006 2/8/2006 211412006

Deposit or Non-Medical Withdrawal Hold Amount Medical Hold
$0.00 $45.00 ($25.80) 618.831 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Balance
$0.00 $45.00 $19.20 $0.37

Trans #
216668 219600 220177 222851

MO # or Ck #
47818393623-20160

PayTo

SourceName
C.COOPER

Ending Mth Balance:

$0.37

Total Amount Currently on Medical Hold: $0.00 Total Amount Currently on Non-Medical Hold: ($3.65)

Case 1:06-cv-00264-GMS

Document 1-2

Filed 04/24/2006

Page 6 of 6

Individual Statement
Date Printed: 4/5/2006 Page 1 of 1

For Month of March 2006
SBI Last Name First Name MI

Suffix

Beg Mth Balance:

$0.37

002367 12

HALL
SU/l

BRICE

M
Comments: QOLDET

Current Location:

Deposit or Withdrawal Trans Type
Visit Supplies-MailP Canteen Visit

Date
311312006 311512006 3/2112006 3/23/2006 $10.00 $0.00 ($6.64) $30.00

Medical Hold
$0.00 $0.00 $0.00 $0.00

Non-Medical Hold
$0.00 ($3.65) $0.00 $0.00

Balance
$10.37 $10.37 $3.73 $33.73

Trans #
235749 237159 238863 240559

MO # or Ck #
9252002879-06285

PayTo
C. COOPER INDIGENT 3/7/06

9252003038-06617

0. REYNOLDS

Ending Mth Balance:

$33.73

Total Amount Currently on Medical Hold: $0.00 Total Amount Currently on Non-Medical Hold: ($3.65)