Free Motion for Leave to Proceed in forma pauperis - District Court of Connecticut - Connecticut


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Pages: 4
Date: February 24, 2005
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 1,122 Words, 6,611 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/22700/81-1.pdf

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TRUST ACCOUNT STATEMENT 410 0 \
DOC: 0000279900 Name: FERNANDEZ, LUIS DOB: 07/22/1976
LOCATION: 13 7 -Q -
‘ Max Date: I
- ACCOUNT BALANCES Total : 129 . 13 CURRENT : 129 . 13 HOLD: 0 . 00
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SUB ACCOUNT START BALANCE END BALANCE

HOLIDAY PACKAGES 0.00 0.00 `
PLRA 101.95 116.35 l
SPENDABLE BALANCE 13.21 12.78 _ I
DEBTS AND OBLIGATIONS -
TYPE PAYABLE INFO NUMBER AMOUNT OWING AMOUNT PAID A

- OVOC VOC. ED. FEE 137 — 09/15/ 0.00 3.00
TRANSACTION DESCRIPTIONS -- HOLIDAY PACKAGES SU`B—ACCO`UNT
DATE TYPE TRANSACTION DESCRIPTION TRANSACTION AMT BALANCE

TRANSACTION DESCRIPTIONS —- PLRA SUB—·ACCOUNT
DATE TYPE TRANSACTION DESCRIPTION TRANSACTION AMT BALANCE
06/29/2004 DED DSP—PAY Deduction-PLRA—11132001 1.35 103.30
07/13/2004 DED DSP-PAY Deduction-PLRA»11132001 0.90 104.20 I
07/20/2004 DED DSP-PAY Deducti0n~PLRA-11132001 1.20 105.40 I
_ OB/06/2004 DED DSP-PAY Deduction-PLRA-11132001 1.50 ` 106.90 I
OB/19/2004 DED DSP—PAY Dcducti0n—PLRA-11132001 1.50 108.40
09/02/2004 DED DSP-PAY Deduction-PLRA-11132001 1.50 109.90
09/16/2004 DED DSP-PAY Deduction-PLRA-11132001 0.60 110.50
09/30/2004 DED DSP—PAY Deduction-PLRA—11132001 1.50 112.00
10/14/2004 DED DSP-PAY Deduction-PLRA-11132001 1.50 113.50
10/27/2004 DED DSP-PAY Deduction-PLRA-11132001 1.35 114.85
11/10/2004 DED DSP-PAY D@ducti0n—PLRA—11132001 1.50 116.35 I
TRANSACTION DESCRIPTIONS -- SPENDABLE BALANCE SUB-ACCOUNT
I DATE TYPE TRANSACTION DESCRIPTION TRANSACTION AMT BALANCE
06/25/2004 CRS CRS SAL ORD #2529514 D1 ( 12.82) 0.39 j
06/29/2004 DSP M01 /s·x·U DSP /FUL /Rg:1 5 6.75 7.14
@0.75 06/04/2004·06/10/2004 ‘ I
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06/29/2004 DED DSP-PAY Deduction-PLRA—11132001 ( 1.35) 5.79 I
07/13/2004 DSP M01 /STU DSP /FUL /Rg:1 5 4.50 . 10.29 E
@0.75 06/15/2004-06/24/2004
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07/13/2004 DED DSP-PAY D&ducti0n—PLRA-11132001 ( 0.90} 9.39 '
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# LOCATION: 137-Q 1
( Max Date: )
DATE TYPE TRANSACTION DESCRIPTION TRANSACTION AMT BALANCE \

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07/20/2004 DSP M16 /VOGM DSP /FUL /Rg:1 0 6.00 15.39 E
@0.75 07/02/2004-07/OB/2004 .
1 M01 /sTU .
l 07/20/2004 DED DSP-PAY Deduction-PLRA-11132001 ( 1.20) 14.19 \
` 07/23/2004 CRS CRS SAL ORD #2581670 D1 ( 8.40) 5.79 \
; OB/06/2004 DSP M16 /VOGM DSP /FUL /Rg:1 5 U 7.50 13.29
k @0.75 07/16/2004-07/22/2004 I
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08/06/2004 DED ¤sP—PAY Deduction-PLRA-11132001 ( 1.50) 11.79
l OB/06/2004 U CRS CRS SAL ORD #2606831 D1 ( 9.36) ` 2.43 ‘
i 08/19/2004 DSP M16 /VOGM DSP /FUL /Rg:1 5 7.50 9.93 \
@0.75 07/30/2004-08/05/2004 .
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i 08/19/2004 DED DSP-PAY Deduction-PLRA—11132001 ( 1.50) 8~43 .
( 08/26/2004 WPOS Postage 137 ( 3.95) 4.48
0B/27/2004 CRS CRS SAL ORD #2643363 D1 ( 4.37) 0.11 -
09/02/2004 DSP M16 /VOGM DSP /FUL /Rg:1 5 7.50 7.61 2
) @0.75 00/13/2004-00/19/2004 1
‘ M16 /VOG \
09/02/2004 DED DSP-PAY D&duc:t;10n—PLRA·11132001 ( 1.50) 6.11
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` 09/10/2004 CRS CRS SAL ORD #2667683 D1 ( 4.32) l·'79
| 09/16/2004 050 M16 /vcc-1M usp /501. /11g.1 4 5.00 4.79 i
5 @0.75 08/27/2004-09/02/2004 `
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( O9/16/2004 DED DSP—PAY Deduction-PLRA-11132001 ( 0.60) 4.19 I
09/24/2004 CRS CRS SAL ORD #2692042 D1 ( 2.23) 1.96
Y 09/30/2004 DSP M16 /VOGM DSP /FUL /Rg:1 5 7.50 9.46 (
@0.75 09/10/2004-09/16/2004 1
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09/30/2004 DED DSP—PAY Deducti0x1—PLRA-11132001 ( 1.50) 7.96 =
09/30/2004 DED DSP-PAY Deduction-OVOC—137 - ( 3.00) 4.96
09/15/04 - |
10/08/2004 CRS CRS SAL ORD #2718374 D1 ( 2.13) 2.83
10/14/2004 DSP M16 /VOGM DSP /FUL /Rg:1 5 7.50 10.33
@0.75 09/24/2004-09/20/2004 I
M16 /700
‘ 10/14/2004 DED DSP-PAY Deduction-PLRA—11132001 ( 1.50) 8.83
10/15/2004 CRS CRS SAL ORD #2729719 D1 ( 0.97) 7.86 j
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10/22/2004 CRS CRS SAL ORD #2743511 D1 ( 1.27) 6.59 3
10/27/2004 usp M16 /v0GM usp /5171.. /Rg;1 5 6.75 13.34 .
0.75 10/05/2004-10/14/2004 I
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10/27/2004 DED DSP—PAY D&duct.:lc>n—PLRA-11132001 ( 1.35) 11.99
10/29/2004 CRS CRS SAL ORD #2755329 D1 ( 2.96) 9.03
11/10/2004 usp M16 /v0c;M DSP /1*01. /Rg:1 5 7.50 16.53
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11/24/2004 CRS CRS SAL ORD #2804537 D1 ( 2.25) 12.78 I
11/24/2004 DSP M16 /VOGM Ds? /FUL. /Rg:1 0 0.00 12.70
@0.75 11/05/2004-11/11/2004 {
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12/02/2004 CRS CRS SAL ORD #2820018 D1 ( 12.66) 0.12
12/10/2004 CEC CEC SAL ORD #2820018 12.66 12.78 T
12/15/2004 DSP M16 /v0c;M DSP /6111. /Rg:1 0 0.00 12.78 1
@0.75 11/19/2004-11/25/2004
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