- /2007 Pagelo
30 F||ed12/17
Case 3:03-cr-00106-AVC Document
Fc .
§ FREEDOM OF INFORMATION ACT REQUEST
Q-4
N t
QQ Ray Brook, NY 12977-9002 A 7 — ¥ # I .'> i4"
5 .
S .
’“ .
5 UNITED STATESWDISTRCIT COURT ·
°jj OFFICE OF THE F.0.I.A. _ ‘
Ma1n Street
Q Hartford, CT 06103
S
cm
.5 Dear freedom of Information Act Officer:
§ This request is made pursuant to the Freedom of Information
g Act, United States Code Tilte 5, 5552 2.2(a):€2), (a) (3), 4.14.26.
§j__ 3.2., 6.3.2.2., 6.5.3.4.. For full disclosure and release of ALL
gg _document(s), and/or data contained in the file(s) of your Department,
g— Sand/or Agency, under the name(s), and/or identifier of the name(s),
3 · vé UNITED STATES OF AMERICA v. RICKY ELLIS, CASE N0.: 3:03CR00106(AVC)
as ¤
§` Tg The record(s), and/or document(s) sought specifically herein
Q gbut not limited are the compiled file(s) containing: T
° (J
é) 1) DATE OF Imposition of Sentence: January 20, 2004
vg :},22) COPY OF SENTENCING TRANSCRIPT
w QJ
52 %>
-¤
Q 4)
.2 ¤
Eg I am aware that under fee and feewaivers § 4.3 it states:
En; "Agencies are REQUIRED to provide free of charge the first (2) hours
EQ of search time, and the first 100 pages of duplication to ALL
EO non-commercial requesters." I am not a commercial requester.
é` Q I
R 0 Please TAKE NOTICE: If the requested document(s) are no_t kept in your office,
g 20 Department, and/or Agency, please forward this request to the office where they
Q _f§ are located and inform me of your actions as required by: HOUSE REPORT 105-37
of the lO5th Congress.
·\ 5
o
5 Inclosing, I sincerely thank you for honoring my request, and for your
L7 3 efforts and time re this important matter.
E Bn -
cgi Dated (2/ day of é2;‘gc?1»441z , 2001 ~
Q 5 .4
S 3 cc: FILE
\O
O S ‘ /7
0 'fj S ______
E Page 1 of 1
U 8
3 R 63cv2.\<>LeacL A
ro b
` ` C Document 30 Filed 12/17/2007 PGQ
` Case 3:03-cr-00106-AV »
US- Deparuncnt ¤fJ¤s¤¢¤ A Certification of Identity
Privacy Act Statement. In accordance with 28 CFR Section l6.41(d) personal data sufficient to identify the individuals submitting requests
by mail under the Privacy Act of 1974, 5 U.S.C. Section 552a, is required. The purpose of this solicitation is to ensure that the records of
individuals who are the subject of U.S. Department of Justice systems of records are not wrongfully disclosed by the Department Failure to
furnish this information will result in no action being taken on the request False infomration on this fomi may subject the requester to crim—
` inalpenalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. Section 552a(i)(3).
Public reporting burden for this collection of information is estimated to average 0.50 hours per response, including the time for review-
ing instructions, searching existing data sources, gathering and maintaining the data needed, and compledng and reviewing the collection
of information. Suggestions for reducing this burden may be submitted to Director, Facilities and Administrative Services Staff, Justice
Management Division, U.S. Department of Justice, Washington, DC 20530 and the Office of Information and Regulatory Affairs, Office
of Management and Budget, Public Use Reports Project (1103-0016), Washington, DC 20503.
( [/t 3/
Full Name of Requester 1 \ 0 é\ 4 WNAVVL 1 5 A ‘
.. . - . rl . . · »1.,z,`- *4*
Citizenship Status 2 U.; rift! Sl *46% · » Social Secunty Number 3 Cl L1 (9 L f Q O 5 S
A er. r ' jre . (3;* .» L 7.·.( (-~
CurrentAddress kc; lo/iééé " 1.0. /00 7 ‘ kd! /246 ( {_ /77
oaeorsrnrr .§/ /G/7 5 r>raeeOrt·r¤rr ff IPD 6 /
- I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and that I am the
person named above, and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C. Section 1001
by a fine of not more than $10,000 or by imprisonment of not more than five years or both, and that requesting or obtaining any record(s)
under false pretenses is punishable under the provisions of 5 U.S.C. 552a(i)(3) by a fine of not more than $5,000.
/ / · ( "’ I, .
Signature 4 SZLQ é Date /24 // 4/ 7
OPTIONAL: Authorization to Release Information to Another Person
This form is also to be completed by a requester who is authorizing information relating to himself or herself to be released to another person.
V Further,. pursuant to 5 U.S.C. Section 552a(b), Iauthorize the U.S. Department of Justicx: to release any and all infomration relating to me to: A
_
I Name of individual who is the subject of the record sought.
2 Individual submitting a request under the Privacy Act of 1974 must be either “a citizen of the United States or an alien lawfully
admitted for permanent residence," pursuant to 5 U.S.C. Section 552a(a)(2). Requests will be processed as Freedom of lnfomiation Act
p requests pursuant to 5 U.S.C._ Section 552, rather than Privacy Act requests, for individuals who are not United States citizens or aliens
lawfully admitted for permanent residence.
J Providing your social security number is voluntary. You are asked to provide your social security number only to facilitate the
V identification of records relating to you. \Mthout your social security number, the Department may be unable to locate any or all records
pertaining to you.
‘ Signature of individual who is the subject of the record sought.
RDRMAPPROVHJ orvna No. rrasoors _ . _
United States Free Forms
Canada Free Forms
United Kingdom Free Forms
Australia Free Forms