ce 57,% THIS DOCUMENT is ig]_i‘!~t i'kLJ1*i;tt i·u1
qi T0 FEDERAL AND/OR LOCAL RULES AND 1‘RA(j`Il< is
ANDBSUBIECI 'IU REJFCUON BY THE (TOUR'? ..- .... .... i-. .-a... ..,1.,,.--
mgzrmmtce i. ..» .. . - JULED ,_____ __LOgG;D
(Ru1¤Ntmbu/Sectimi __* N RECEIVED _ , _ VCOPY
Joseph Nicholas Fuentes #44262008 M/KR I 2 ZQQS
Name and Prisoner/Booking Number _
USP Victorville CLERK 0 S i31STFtiCiâ€<)UUF~tT
¤»=.-E?;iTF?;ii;·j·s»gegU,i,
P.O. Box 5500 ·-
Mailing Address
City. State. Zip Code
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF ARIZONA
ICHOLAS FUEN I‘ES )
JOSEPH N ) ,. . - " 1,
Petitioner, ) CASE NO. "`{ Q5 H
)
vs, )
) APPLICATION TO PROCEED
UNI PED S`I'A'I‘ES OF AMERICA i ) IN FORMA PAUPERIS
Respondent(s). ) BY A PRISONER
1 (HABEAS)
I, JOSEPP- Nichol-as FUQPPGS , declare, in support of my request to proceed in the above
entitled case without prepayment of fees under 28 U.S.C. § 1915, that I am unable to pay the fees for these
proceedings or to give security therefor and that I believe I am entitled to relief. G
In support of this application, I answer the following questions under penalty of perjury:
1. Are you currently employed at the institution where you are confined? ms [lNo
If "Yes,_" state t amount of your pay and where you work. f, Q O gk ljggg
Lim ¤ [GI 9`L'\2>{¤
2. Do you receive any other payments from the institution where you are confined? `°%s %>
If "Yes." state the source and amount of the payments.
iLTi5i1;`Z»~.i I
Case 2:03-cr—00764—JAT Document 1258 Filed O3/12/2008 Page 1 of 2
`hl.
3. Do you have any other sources of income, savings, or assets either inside or outside ofthe institution whgpre
you are confined? I]Yes 0
If "Yes," state the sources and amounts of the income, savings, or assets. ____________.....
I declare under penalty of perjury that the above information is true and correct.
DATE S NATURE OF APPLICANT
CERTIFICATE OF CORRECTIONAL OFFICIAL
AS TO STATUS OF APPLICANTS TRUST ACCOUNT
I, certify that as of the date applicant signed this application:
(Printed name of official)
The applicants trust account balance at this institution is: S \ A Z5 .
’ 4./ { /’7 P
s%—°® me r x
DATE AUTHORIZED SIGNATURE TITLE/ID NUM ER INSTITUTION
SUBSCRIB AND SWORN BEF T tv: `
THIS .4EZ. mv CQ 6 fg;) EETSZ
FEDERAL CORRECTIONAL COMPLEX, VlCTLJ:%v`1t.LE. CA
CASE MANAGER _
AUTHOREZED BY ACT OF CONGRESS JULY 7, 19:55
TO ADTNNISTER OATHS
(TTTLE 18, U.S.C. SECTION 4004)
Case 2:03-cr—OO764—JAT Document 1258 Filed O3/12/2008 Page 2 of 2
Case 2:03-cr-00764-JAT
Document 1258
Filed 03/12/2008
Page 1 of 2
Case 2:03-cr-00764-JAT
Document 1258
Filed 03/12/2008
Page 2 of 2
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