it UNITED STATES COURT OF APPEALS F I
FOR THE NINTH CIRCUIT L E D
OCT 06 2005
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BARRY NORTHCROSS PATTERSON, No. 05-16053 ' RT°"‘P'°E‘°‘LS
Plaintiff- Appellant, D.C. No. CV—03-02178-
PGR/VAM
v. District of Arizona,
Phoenix
BENNIE H. ROLLINS, sued in his
individual & official capacity aka: Bernie - ·
Rollins; et al., ORDER
Defendants — Appellees,
and
DORA SCHRIRO, sued in her individual
& official capacity; et al.,
Defendants.
Appellant Barry Northcross Patterson, prison identification number 117045,
has been granted leave to proceed in forma pauperis in this appeal and has
completed and filed the required authorization form directing theappropriate
prison officials to assess, collect, and forward to the district court the filing and
docketing fees for this appeal pursuant to 28 U.S.C. § 19l5(b)(1) and (2). This
court hereby assesses an initial filing fee of 20 percent ofthe greater of (A) the
average monthly deposits to the prisoner’s account; or (B) the average monthly
l · Case 2:03—cv—02178—PGFi—IVIHB Document 53 Filed 10/18/2005 Page 1 013
'. 05-16053
balance in the prisoner’s account for the six-month period immediately preceding
the filing ofthe May 31, 2005 notice of appeal.
The Clerk shall serve this order and appellant's completed authorization
form on the Attorney General for the State of Arizona, 1275 West Washington
Street, Phoenix, Arizona S5 007, Attention: Jan Dyer, who shall notify the
appropriate agency or prison authority responsible for calculating, collecting, and
forwarding the initial payment assessed in this order and for assessing, collecting,
and forwarding the remaining monthly payments of the fee to the district court for
this appeal. See 28d U.S.C. § 1915(b)(2). Each payment should be accompanied
by the district court and appellate docket numbers for this appeal and a record of
previous payments made for this appeal.
The Clerk shall also serve a copy of this order on the clerk and the financial
unit of the district court.
C For the Court:
CATHY A. CATTERSON
Clerk of the Court
Jo Co ey, Depu GQ
9th Cir. R. 27-7
General Orders/Appendix A A
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i Qmwgé PRISONER AUTHORIZATION FORM O R I G I N A L
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Q SEP1232 I eaaasmatuanrg
% p . 2 ria , am the appellant in Cyp? g/PK; , docket
p umber gg-/Jgs'3. I understand that I am required by statute to pay the full.
amount ofthe $255 docketing and filing fees for this appeal, regardless of my
forma pauperis status, and regardless the disposition of this appeal. I hereby
authorize the prison officials at this institution to assess, collect, and forward to
the district court the full amount of these fees,,in monthly incrementsnbasedon 20 p
percent of thenaverage of deposits to or balance in my prison trust account.
understand that I am not responsible for payment when there are no deposits or
funds in my trust account, but that payments will resume when such deposits. are
made or funds are otherwise available. I .- I I · I I U
_ _ I NAL/[E hl- Bgosm _
i s1eNAruRE
ji rf ;j‘p l †.PRISONER I.D. NO.- _ | [30¢e,$f
z ,‘ F ;'iEEi?=p - DOCKET NO. _ C5- /*605-3
I %*%%U sti I ADDRESS #sr>c~a;
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I I p DATE _ Z/Ygaf .
ro Pao Ss umr I .
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