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

if ? J r~ Case 1:07-cv-00756-SLR Document 9 Filed 12/26/2007 Page 1 of 3
Case 1:07··cv—0O756-SLR Document 8 Fiied 12120/2007 Page 4 of 4 I
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
JOSEPH L. BOLDEN, )
Plaintiff, i
v. g Civ. No. 07-756-SLR
KECIA WINCHESTER, i -=·I =.-- A- .· . A . - , T I .. - A.
TAsc OFFICER HEATHER NLN, ) _q _ E § {
- STATE OF DELAWARE, ) 1 ‘‘‘‘‘ or " ·· · · ··I ·_
iiiiiiliiaaa. i Us www
‘ Defendants. . i
._.. __
l AUTHORIZATION PP BCQQN O]
l, Joseph L. Bolden, SBI #245653, request and authorize the agency holding me
in custody to disburse to the Clerk ofthe Court the initial partial filing fee of $3.00 and
the subsequent payments pursuant to 28 U.S.C. § 1915(b) and required by the Courl's
order dated []g;@§IjgQg; QQ , 2007.
This authorization is furnished tothe 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
ofthe outcome of my civil action. This authorization shall apply to any other agency
into whose custody i may be transferred.
Date: /· SZ ( Q / ,2001


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Case 1:07-cv-00756-SLR

Document 9

Filed 12/26/2007

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Case 1:07-cv-00756-SLR

Document 9

Filed 12/26/2007

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Case 1:07-cv-00756-SLR

Document 9

Filed 12/26/2007

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