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

Case 1:07-cv—OO849-JJF Document 5 Filed O1/17/2008 Page 1 of 3
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IN THE UNITED STATES DISTRICT COURT I
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FOR THE DISTRICT OE DELAWARE. I
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ROBERT EDWARD EATON, I I
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Plaintiff, I I
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v. I Civil Action No. 07-849-JJF I
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COMMISSIONER CARL DANEERG, I I
DEPUTY COMMISSIONER THOMAS, I . S I
BUREAU CHIEF RICK KEARNEY, I I
ACTING WARDEN BETTY BURRIS. I
DEPUTY WARDEN DAVID PIERCE, I ,,. ,,i _.t, __ _,__ I _,,__ w.H_-.Irnr,. _,., ,,,. I
RONALD HOSTERMAN, KEVIN I ]""I_IE.f I
HAZZARD, EVELYN STEVENSON, I ;- -·f*N¥I' I
LT PORTER, CLAUDETTE PETTYJOHN,I ; I · I
DENNIS sI2ENcE, E. THOMSON, I ` e JAN 'IYZUIIB . J
KENNETH MELBOURNE, SECURITY I . { Q _ I
CHIEF DAVID K. HOLMAN, SARAH I I I _,... ..m". .._. . ,....} _.._ z I
s<:ERA1;>ER, AND ATTORNEY GENERAL I .; DIé.§é%.i$`gIé%%vIII‘§l`FI 5 I
BEIAU BIDENI ) " .,.._ . .. ..,_. _ r .. ,;... . I
Defendants. I S (awww U I l
- AUTHORIZATION
I, Robert Edward Eaton, SBI #202059, request and authorize
the agency holding me in custody to disburse to the Clerk of the
Court the initial partial filing fee of $20.50 and the subsequent
payments pursuant to 28 U.S.C. S I915(bI and required by the
Court’s order dated ‘g,H,g3j¥ gg; , 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

Case 1:07-cv—OO849-JJF D0cument5 Filed O1/17/2008 Page20f3
authorization shall apply to any other agency into whose custody <
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Case 1:07-cv-00849-JJF

Document 5

Filed 01/17/2008

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Case 1:07-cv-00849-JJF

Document 5

Filed 01/17/2008

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Case 1:07-cv-00849-JJF

Document 5

Filed 01/17/2008

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