Free Complaint (Pro Se) - District Court of Delaware - Delaware

O Case 1:08-cv-00002-JJF Document 2 Filed O1·/O2/2008 Page 1 of 3
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I l (Det R¤v.l2J9B) _ I , '
¤ · IN THE UNITED STATES DISTRICT COURT gi;
FOR THE DISTRICT OF DELAWARE _
F ~ — O A ii c `
- girgd; c,{`[(c/bi _A
(Name ¤fP1:ii¤ri1°rur vietnam) O B ' O 2
— » Us Tji-
. - ` v. @ _DCI-YI__L ACTION N O. -
(N arne of Defendant or Defendants)
n COIVIPLAINT
1. This action is brought pursuant to i ,3 3 D i 8 /
(Federal statute on which action is based)
for discrimination related to L ) Q - i Q, Q; g jurisdiction exists by virtue of
I (In what area did discrimination occur? e.g. race, sex, religion) O
(Federal statute on which jurisdiction is based)
2. Plaintiffresides at F'-? E O { GE/@2 jé é ( E ig; g
( ueet dress) A ( I
ig i,Q»•..J QQ;. La 2g" ti
O (City (County) (State) (Zip Code)
· C>'2/ 2% C? 3 .
(Area Code) (Phone Number) O
O 3. Defendant resides at, or its business is located at 6 .
` (Street Address) ~
E (City) (County) (State) (Zip Code) n I
4. The alleged discriminatory acts occurred on ( i , { , O E .
(Day) (Month) (Year)
E 5. The alleged discriminatory practice I] is not continuing.

_ . Case 1 :08-cv-OOOO2—JJF Document 2 Filed O1/O2/2OOQ Page 2 of 3
U 6. Piainarrrs) mea charges was me .41 L1 ( cj J i Ly ‘
‘ { fesenvrl * Q
Q L F S . , ‘ 5 1
l“—4.41 _A L! 4 l¤.‘é-¥_.._s...A.I.L4]4 ‘)Ll4F
` ' (Street Add j· ss) (City) (County) _ (State) (Zip) ,
regarding defe11dant(s) alleged discriminatory conduct on: eo
a ‘ (Date)
.7. Attach decision of the agency which investigated the char ferred in paragraph 6 above.
8. Was an appeal taken nom the agncyls decision? N
· If yes, to whom was the appeal taken? ( 2 Q Q 1 M [ff Q QQ Q
_ 9. The discriminatory acts alleged in this suit concem: (Describe facts on additional sheets if l
i necessary) i ) · I , _‘ Q i
I · · in A. ...` - OJ I h gu '
10. Defen nt’s onduct is discriminatory with respect to the following:
A. Plaintiff` s race
. B. Plaintiff` s color
C. Plaintiff s sex
D El Plaintiff" s religion .
E. Plaintiff s national origin .

· Case 1:0gci/l#llO0Cl.2—JJF D0cument2 Filed O1/O2/2008 Page30f3
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11. Plaintiff prays for the followiing relief: (Indicate the exact relief requested) i
'l A ;lI».lu
. 1 ' \
1 I declare under penalty of perjury that the foregoing is true and correct.
V Dated; 1 ; { Q ··_- L.-
i ` ll`‘ C l B
»-`i
y yppp t N; or
(Signa of Plaintiff)

Case 1 :08-cv—00002-JJF Document 2-2 Filed 01/02/2008 Page 1 of 1
ters 44 (any. 11/04) CIV |L CO V ER SHEET
The JS 44 civil cover sheet_and the infomation contained herein neither rqplacc nor supplement the tiling and service of pleadings or other apers as rcquired by law, except as provided
by local rules of court. This form, approved by the Judicial Conference o the United States in September 1974, is required for the use of the Clerk of Court for tl1e purpose of initiating
the civil doeket sheet. {SEE INSTRUCTIONS ON T1-[E REVERSE OF THE FORM.) W E ’
I. PLAINT _ DEFENDANTS r ·’ Ei?
‘ »· ` LO ein.
` i if ct
i • we
\ SW1 I ` "
(ll) County of Residence of First Liste Plaintiff County of Residence of First Listed Defends mi ?i·_
(except . .PLAl`NTIFF CASES) (IN U.S. PLATNTIFF CASES ONISQ "j_‘;€j. l .
t,.;i ·_.,¢i`
__,__r NOTE; IN LAND CONDEMNATION CASES, USE THE LOCAF.l”ID.@(`JF THE
Q I I > (..-* LAND INVOLVED. E
[C) At‘torney's (Fin-n Na e, Address, and Telephone Number) AHOWPYS (lfK¤°"*'“) 5;
G 2*1 gif
r·~2
AD ,.4.4 J
II. BASIS OF JURISDICTION r . L n · ·· io One Box Only) HI. CITIZENSHIP OF PRINCIPAL PARTIES(r¤1eee an in One Box forPlaintiff`
I _ (For Diversity Cases Only) and One Box for Defendant]
lj 1 U.S. Government I 3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Goven1mentNotaParty) Citizen of This State EI I CI I Incorporated orPrincipa1P1ace E] 4 CI 4
of Business In This State
U 2 U.S. Government lj 4 Diversity Citizen of Another State EI 2 [1 2 Incorporated and Principal Place D 5 CI 5
Defendant (Indicate Citizenship of Parties in Item III] Ofilluslncss In Annthsr State
Citizen or Subject ofa I] 3 EI 3 Foreign Nation E] 6 U 6
V Forei Count
IV. NATURE OF SUIT (Place ar1"X"i.r1 one one oni
‘ l- `’`` 2 7 JQ: Q. - 4 `· eZZ;§"E EQQ · f `E5 ··.l-ETOETSEA-4 * eiii - Y`? ii Q`€_ ··‘= `.`~ .. i
lj 110 Insurance PERSONAL INJURY ," RSONAL INJURY lj 610 Agriculture EI 422 Appeal 28 USC 158 l] 400 State Reapportionrnent
U 120 Marine I] 310 Airplane L3 362 Personal Injury- lj 620 Other Food &; Drug EI 423 Withdrawal ij 410 Antitrust
I] 130 Miller Act EI 315 Airplane Product Med. Malpractice lj 625 Drug Related Seizure 28 USC 157 - ,5- · ri = anks and Banking
I] 141} Negotiable Instrument Liability lj 365 Personal Injury · ofl’roperty 21 USC BSI U 450 Connnerce
I] 150 Recovery of Overpayrnent U 320 Assault, Libcl & Product Liability I] 630 Liquor Laws . = ·S:§1;;~eE=r-5 El 460 Deportation
& Enforcement of Indgrnent Slander 1] 368 Asbestos Personal lj 640 R.R. 5: Truck IE I 0 Copyrights I ‘ cketeer lnllucnced and
` lj 151 Medicare Act lj 330 Federal Emp1uyers‘ Injury Product lj 650 Airline Regs. 1] E30 Patent Corrupt Organizations
I] 152 Recovery of Defaulted Liability Liability _, E ' . I Occupational lj 840 Trademark 1] 4H0 Consumer Credit
Student Loans I] 340 Marine PERSONAL PROPER I 4 Sat`ety:'Healtl1 D 490 Cab1e'Sat”1'V
(Excl. Veterans) [I 345 Marine Product Cl 370 Other F =. = ;;___· 90 Other ij S10 Selective Service
tj 153 Recovery of Overpsyrnenr Liabi ity Cl S7! _i ..4 n Lending - ‘ .e.~ E1 S50 seeuriticsfcoromodtticst
of \·'eteran’s Benetits 1] 350 tor Vehicle ` H .·:·a” Personal · D 710 Fair Labor Standards I] 861 I-IIA (13951%) Exchange
lj 160 St0cl·rhoIders' Suits lj 35 otor Vehicle . A party Damage Act lj B62 Black Lung (923) I] 875 Customer Challenge
CI 190 Other Contract Product Liability 1] 385 Property Damage EI 720 Labor/Mgtnt Relations l] B63 DIWCFDIWW (405(g)) 12 USC 3410
CI I95 Conl:reetProduc·t Liability 360 Other Personal Product Liability I] 730 I..aborfMgmt.Reponing I'] B64 SSID Title XVI lj B90 Other Statutory Actions
D 196 Franchise In`u & Disclosure Act lj 865 RSI 405 ; I] 891 Agricultural Acts
H .. .. Q.: _ T';. . --.2; 1] 740 Railway Labor Act AE .,`,, EI 892 Economic Stabilization Act
G 210 Land Condemnation lj 441 Voting lj 510 Motions to Vacate lj 790 Other Labor Litigation I`] 870 Taxes (U.S. Plaintiff Z-: -•¤ 3 Environmental Matters
Cl 220 Foreclosure I] 442 Employment Sentence El 791 Empl. Ret. Inc. or Defendant) 1] 894 Energy Allocation Act
I] 230 Rent Lease & Ejcctment I] 44-3 Housing! Ha heas Corpus: Security Act Cl 871 IRS—Third Party _ F4- Freedom of Infomation
` CJ 240 Torts to Land Accommodations I] 530 General 26 USC 7609 ~ Act
1] 245 Tort Product Liability [I 4-44 Wclfare D 535 Death Penalty F, · TI · ppeal of Fee Determination
l] 290 All Other Real Property D 4-45 Amer. w/Disabilities - I`] 540 Mandamua Sc Other . Under Equal Access
Employment I] 550 C.lvi1 Rights to Justice
lj 4-46 A ` abilities - C1 555 Prison Condition ". I nstitutionality of
‘ ther ‘ State Statutes
440 Other Civil Rights
. O *4 GIN rt ··x··‘ o s Onl AD wi ‘¤¤ Di5¤‘i=*
. I. . __ ¤‘2“°°”“ '“ "° °" 1}, 3 G4 _ lj 5 reenereneasnm D6 __ _ lj 7 rnéesem
~ Original Removed from . Remauded from Remstated or another distract Mulndrsmct Malgistrate
Proceedm State ourt ellate Court Reo ened s ect Lt anon Ju ent
Cite the U.S. Civil Statute under which you are iiling (Do not cite jurisdictional statutes unless diversity): `
- VL CAUSE OF ACTION Brief description of cause:
VII. REQUESTED IN IZ! cases: rr rnrs rs A crass Action DEMAND $ CHECK YES ¤¤lr if ¤i¤r¤¤¤d·=d i¤ ¤¤=¤1>1=4¤t=
C{)]`»[PLA[N‘f[‘; UNDER F.R.C.P. 23 IURY DEMAND: Yes lj N0
VIII. RELATED CASE(S) (S _ tm Q
IF ANY °° “" ° °'“)‘ runes oocrter an
* O g it , 5 W
A fi _ ` . V
non on e e • · 5 "" ""{ "'
RECEIPT# _ AMOUNT APPLYTNG IFP JUDGE 1\·IAG. JUDGE

Case 1:08-cv-00002-JJF

Document 2

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Case 1:08-cv-00002-JJF

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Case 1:08-cv-00002-JJF

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Case 1:08-cv-00002-JJF

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