Free Trust Fund Account Statement - District Court of Delaware - Delaware

Case 1 :07-cv-00749-JJF Document 26 Filed 12/28/2007 Page 1 of 3
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REQUEST FORM
FOR
INMATE ACCOUNT ACTIVITY STATEMENT
Inmate Name: B ¤~J\iLY` I S .*0 J5 SBI Number: · ___§; E
(Last) (First) (M.I.) ‘ F H E · t a’a‘ ‘ ‘
Housing J E! ~... a s Q `_`r_ . . J l
•••••••|••••b••||••||••••••••••••••••II•I•l|!••I•I• CII ••QE|Cb?|@2UU7 l
In accordance with Bureau of Prisons Procedure 5.4 entitled “ln Forma Pau ris”’, -·AC I CVA.C an l A {
summary of my account transactions. = - - WAR ·vv- A
I. I QD Sc
1 ,
Inmate Signature otary A
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Inmate Account-Activity Statement will be processed only after staff verifies your legal documents are
complete. p
Date received by business office: E, . ‘
INMATE ACCOUNT STATEMENT
TO: Inmate Name: £> ¤¤Jxi·L.5 X JDJ ¢ QF Q
. (Last) (First) (M.I.)
SBI Number: OC; $ Sl ¤°i J all
Housing Unit: ig @ .. Qc.) gif
I FR: Inmate Account Technician
DA:
RE: Summary Of Account
Attached is your account statement for the six month period of Q`? i\jO\l , 3037
through Qi ,.;@°l .
_ Utilizing the c I ation formula described in BOP Procedure 5.4, your average daily balance for this
periodgis $ . .
Attachment U H
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Case 1 :07-cv-00749-JJF Document 26 Filed 12/28/2007 Page 2 of 3
IN MATE ACCOUNT STATEMENT
EDWIN BANKS 28-Nov-07 . ‘ 1
NAME SCCC ADMIT DATE Z
540938
DATE RELEASED
Type of DISBURSE Type of
DATE DEPOSITS DG OSH MENT Disburs- BALANCE
$0.00 ' $0.00 Q A _ P $0.00 ..
$0.00 $0.00 $0.00 ` $0.00
$0.00 ` $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 _
_ $0.00 $0.00 . $0.00 $0.00
- $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 ·
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 _ $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0,00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 ` $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
TOTAL $0.00 $0.00 $0.00
$0.00
OPENING BALANCE
$0.00 ‘
ACCOUNT BALANCE ·
TYPE OF DISBURSMENTS . T · · A ·- r ~ =
R/B room/board owed from previous visits to SWRU
MED = Visits to medical · -
TRANS = transportation owed from previous visits
P2 = Pay to's submitted thru business office . S-
DG = Dollar General/commissary
TRANSF Transfers to Other Institutions
SP. COURT Superior Court _
TYPE OF DEPOSITS
M/O = money orders received outside of institution
B/R = booking and receivng
CK = checks _
CASH A
I/W = inmate wages O
VIOLATION OF PROBAT ION/SCCC -..»- A

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Case 1:07-cv-00749-JJF

Document 26

Filed 12/28/2007

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Case 1:07-cv-00749-JJF

Document 26

Filed 12/28/2007

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Case 1:07-cv-00749-JJF

Document 26

Filed 12/28/2007

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