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

Case 1:08-cv—00271-JJF Document 6 Filed 05/23/2008 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
JOHN E. MILLER, )
)
Plaintiff, )
)
v. ) Civil Action No. 08-271-JJF
)
COMMISSIONER STANLEY TAYLOR, )
COMMISSIONER D.O.C. >
CARL DANBURG, )
DCC WARDEN THOMAS CARROLL, ) ~ - mn Q .w, _
ACTING WARDEN ELIZABETH BURRIS, ) I r gw Q
JOSEPH RICHARDSON, )
MAJOR HOLMAN, EIGHT JOHN DOES, ) _
> MAY 2.. 2008 y
Defendants. )
us. ii`‘ éi/i‘00ium
I ¤*Sm¤¢ * 0 22 , _
AUTHORIZATION tz; Scoxwnaq
I, John E. Miller, SBI #159105 request and authorize the
agency holding me in custody to disburse to the Clerk of the
Court all payments pursuant to 28 U.S.C. § 1915(b) and required
by the Court's order dated 5]/U/0% fM¤y/¢“g, 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 alsc
understand that the entire filing fee may be deducted from my
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: Y/2i , 2008.
Signature of Plaintiff

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Case 1:08-cv-00271-JJF

Document 6

Filed 05/23/2008

Page 1 of 2

Case 1:08-cv-00271-JJF

Document 6

Filed 05/23/2008

Page 2 of 2