Free Authorization Form (PLRA) - District Court of Delaware - Delaware


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Pages: 2
Date: March 20, 2008
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 329 Words, 2,233 Characters
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F Case 1:08-cv—O0O83-SLR Document 5 Filed O3/20/2008 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
DORIAN D. WAINER, )
I
Plaintiff, )
I
v. ) Civ. No. 08-83-SLR M F;
I s as
KATHY AMALFITANO and ) @ 3 Q?
KENT COUNTY PUBLIC DEFENDER ) gi é;
0. • G"
. OFFICE, g iq lg
Defendants. ) Ex
;. 1‘s··-Q
AUTHORIZATION gg
I, Dorian D. Wainer, SBI #474316 request and authorize the agency holding me
in custody to disburse to the Clerk of the Court all payments pursuant to 28 U.S.C. §
1915(b) and required by the Court's order dated Fe? fun.! , 2008.
This authorization is furnished to the Clerk of Court in connection with the filing
of a civil action, and I understand that the filing fee for the complaint is $350.00. I also
understand that the entire filing fee may be deducted from my trust account regardless
of the outcome of my civil action. This authorization shall apply to any other agency
into whose custody I may be transferred.
xi A ‘ y
Date: · (62 X , 2008.
U2@g so
Signature of Plaintiff

Case1:O8-cv—OOO83-SLR D0cument5 Filed‘O3/20/2008 Page20f2
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Case 1:08-cv-00083-SLR

Document 5

Filed 03/20/2008

Page 1 of 2

Case 1:08-cv-00083-SLR

Document 5

Filed 03/20/2008

Page 2 of 2