Free Order of 9th Circuit - District Court of Arizona - Arizona

r UNITED STATES COURT OF APPEALS F I L E D
FOR TI-IE NINTH CIRCUIT FEB
· U l 2006
CAT e
tl§Té¤5éF5?i%'$ri*§"“
ilERROD LEN BOOTH, No. 05-17083 .
T Plaintiff- Appellant, D.C. No. CV-02-02420—
l MHM/DKD
v. District of Arizona,
P Phoenix P -
TRAVIS SCOTT, sued in his official &
individual capacity; et al.,
ORDER
Defendants - Appellees. ‘
On December 21 , 2005, this court ordered appellant to complete and file
with this court the enclosed authorization f`orm. To date, appellant has not
complied with this order. Although appellant's forma pauperis status continues in
this court, pursuant to 28 U.S.C. § 191 5(b)(l) and (2), appellant eventually must U
pay the,full amount ofthe filing and docketing fees for this appeal when funds are
available in appellant's account.
Consequently, within 21 days after the filing date of this order, appellant
shall complete and file with this court the enclosed authorization form, which
directs the prison officials at appellant's institution to assess, collect, and forward
to the courtlthe $255 filing and docketing fees for this appeal on a monthly basis
whenever funds exist in appellant's trust fund account. These fees will continue to
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` 05-1 7083 I
be collected regardless of the date or manner of disposition of this appeal. 28
U.S.C. § 1915(b)(2) and (e)(2).
If appellant fails to comply with this order, the appeal will be dismissed
automatically by the Clerk under 9th Cir. R. 42-1.
All pending motions will be addressed by separate order.
· For the Court: l l
A CATHY A. CATTERSON
Clerk ofthe Court
9th Cir. R. 27-7
General Orders/Appendix A -
s¤xPr Case 2:02-cv-02420-I\/IHI\/I-DKD Document 92 Filed O2/O9/2006 Page 2 of 3

" l o PRISONER AUTHORIZATION FORM
I, J errod Len Booth , am the appellant in Booth v. Scott, et al , docket _
. number (I5-17083 . l
I understand that I am required by statute to pay the full amo-unt of the $255 _
docketing and filing fees for this appeal, regardless of my forma pauperis status,
_ and regardless ofthe 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 increments based on 20 percent of the `
average of deposits to or balance in my prison trust account. I understand that I
am not responsible for payment wherfthere are no deposits or funds in my trust
_ account, but that payments will resume when such deposits are made or funds are
A otherwise available. A . I
NAME l
SIGNATURE l
DOCKET NO. ` .
PRISONER I.D. NO.
PRISON FACILITY l
ADDRESS l
DATE _
PRO SE UNIT -
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