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

- . u Case 1:07-cv-00084-SLR Document 19 Filed 11/06/2007 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
JAMES ST. LOUIS, )
Plaintiff, g
v. I Civil Action No. 07-84-SLR
EVA MARSHALL, CHRIS FOWLER, I 4 . ... ---_.._. . __.. . , .....-.. .... _ .._. , .
IVIELANIE WITHERS, and KARL ) _ _ jff
Defendants. g I Nm; W5 mm
A¤rH¤R¤ZAr·¤~ .... .... ... .
I, James St. Louis, SBI #446518 request and authorize the agency h%n-gcrgrndewinéd
custody to disburse to the clerk of the court all payments pursuant to 28 U.S.C. § U
1915(b) and required bythe court's order dated October 25, 2007.
This authorization is furnished to the Clerk of Court in connection with the tiling
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.
y Date: "/ ’/0 ?’ ,2007. E I
lgnature jot Plaintiff

Case 1:07-cv-00084-SLR Document 191 Filed 11/06/2007 ` Page 2 of 2
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