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

_ » Case 1:08-cv—OOO18-JJF Document? Filed O2/O1/2008 Page 1 of2
’ Case 1:08-cv—OOO18-***—MPT Document 6 Filed O‘E.·'17/2008 Page 3 of3
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
ANDRE wniosr, )
Plaintiff, i ¤
v. i Civil Action No. O8—Ol8—***—MPT
WARDEN RAPHEAL WILLIAMS, i I
JILL WALTERS, i " " ~ ’1».;u_¤ -.,,..... A I
EDUCATION/SCHOOL DEPARTMANT, ; ._ I .;,;_ i" .
Defendants. } J Q FEB Ew zggg E 5 I
q AUTHORIZATION
*= ···--e --·- 7- . WAR
ED gC&J1n&’.r ....... ,it ,,,. may
I, Andre Wright, SBI #592757 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. § IQl5ib) and required
by the Court’s order dated Ijég jj] , 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 Q
{ _ understand that the entire filing fee may be deducted from my l
_ Y trust account regardless of the outcome of my civil action. This _
authorization shall apply to any other agency into whose custody i
I may be transferred.
Date: ggn gg , zoos.

Signature of Plaintiff

Case 1 :08-cv—OOO18-JJF Document 7 Filed O2/O1/2008 Page 2 of 2
..‘`- 2 2 22 *
1 aaaaa L E
‘ 2 2 ‘-‘‘ 2 · I
2 2 a2a2i é a 2 2
2;?`·:i-5 Q; 5. §§ ~·¥ *5
’*,. < : 2 ·· .2
.=22 2 ;22;ii22i§.2%&2i2 E3 Q Q? *=;
. _ _ . . ¢ ”£
2 E K **2
. · ”5i$ § 2
2 2 “ 2 @2 +2 22;;; :22.
Y F 5 =“g §· 3;;:2 2
2 {W N u,____; ·— i 5 *7* :
L3; _ _ 2: i -·~; a
. E ’°' 2 2-:; 2
2 E; xi ai ~—* *5 2 e 2 2
Â¥""Â¥ . dh *7- ?
2 2 @2 ,.,2 E;-F NE *1% $$2 .2 2
#*2 as L5 "““ ` 2 2 2
n A nr" . EJ Q L-L5 U
_ 2 (kg i _ F 1
· . *2* —2·»- @7 22 · 2 ..
1..;. ‘$` —» sf ‘ 2
A is Q `X ng 3
. QJ = - TQ 2
2 . 2 ‘ , 2 ig Q 5 ..;
N g g 5
2 · 2.:3
. Q OQ __g _ FE
Qi}
. 2 _ 2*1}
1321
. l 5 Z·,..;
‘ {FQZT.
. _ `“V‘ E'?
, -2:22
2 Q ea
' l . 2 2<—2J·‘22¥"é¥$?` 2
~ %&@2
f_.. · X · 2%;; ji Q; 2*

Case 1:08-cv-00018-JJF

Document 7

Filed 02/01/2008

Page 1 of 2

Case 1:08-cv-00018-JJF

Document 7

Filed 02/01/2008

Page 2 of 2