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

Case 1:07-cv—00244-JJF Document 5 Filed 05/18/2007 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
HENRY R. TAYLOR, JR., )
Plaintiff, g
v. l Civil Action No. 07-244 JJF
KATHLEEN D. FELDMAN, JEANNE K. l H. , ..._ . ,i _,,
CAHILL, AND PATRICK J, O']:-[ARE, ) y. F in E al.- l E
) I .n,_-q,_, , -
Defendants. ) § r Y
I1/IYIEZUUY 9
AUTHORIZATION ; g wav lwvlmm .`- I I
I, Henry R. Taylor, Jr., SBI #159464, j
the agency holding me in custody to disburse to the Clerk of the
Court the initial partial filing fee of $13.33 and the subsequent
payments pursuant to 28 U.S.C. § l9l5(b) and required by the
C0urt's order dated {jk]? M*Y1 , 2007.
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 i
understand that the entire filing fee may be deducted from my l
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.
Date: Ng? l€>j¤l»~ , 2007.

Case 1 :07-cv—00244-JJF Document 5 Filed 05/18/20`O7 Page 2 of 2
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