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

‘ Case 1:08-cv-00020-SLR Document 7 Filed O2/11/2008 Paget of2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
DEIVIETRIUS BAILEY, )
Plaintiff, g
v. g Civ. No. 08-020-S = __ ,_ _ A. L-__ ;, -
- ) U M _ F - &_. ¤i,l*`
STREET KNOWLEDGE PUBLISHING, )
Defendant. g . gig J! 1 @08
`i‘‘' . . i ‘r ii.ir" o
AUTHORIZATION D!§Hlf.£<.LE`.»?§.i2.Ei»£lti'5E5......m. r
l, Demetrius Bailey, SBI #CP7819, request and authorize the agency holding me Q7
in custody to disburse to the Clerk ofthe Court the initial partial tiling fee of $27.70 and
the subsequent payments pursuant to 28 U.S.C. § 19"I5(b) and required by the Court’s
order dated [email protected],_i[;Lt§ , 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 authorization shall apply to any other agency __
into whose custody I may be transferred.
Date; [CJAJUJ/-?g 2 , 2008.
gamma ggéi errrréi
Signature of Plaintiff

Case 1:08-cv-00020-SLR Document 7 Filed O2/11/2008 Page 2 of 2
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Case 1:08-cv-00020-SLR

Document 7

Filed 02/11/2008

Page 1 of 2

Case 1:08-cv-00020-SLR

Document 7

Filed 02/11/2008

Page 2 of 2