Free Order (PLRA) for Pay Authorization - District Court of Delaware - Delaware

Case 1:05-cv—O0626-JJF Document 6-2 Filed 10/04/2005 Page 1 of 1
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
Ricky J. HAMBY, )
Plaintiff, g
v. g Civil Action No. 05-626 JJF
DOCTOR KASTRE, DOCTOR ALI, g
DOCTOR ARAMBURO, DOCTOR )
KIONKE, RAPHAEL WILLIAMS, }
STAN TAYLOR, DOCTOR FISHER )
AND DIANE HERNANDEZ, )
Defendants. g
AUTHORIZATION
I, Ricky J. Hamby, SBI #191377, request and authorize the
agency holding me in custody qc disburse to the Clerk of the
Court the initial partial filing fee of $29.14, and the
subsequent payments pursuant iv 28 U.S.C. § 1915(b) as required
by the Court’s order dated i , 2005.
This authorization is fugéished in connection with the
1
filing of a civil action, and%3 understand that the filing fee
for the complaint is $250.00.i I also understand that the entire
filing fee may be deducted fréi my trust account regardless of
the outcome of my civil actioh. This authorization shall apply
to any other agency into whos%rcustody I may be transferred.
Date: fx , 2005.
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