Free Consent to Jurisdiction by US Magistrate Judge - District Court of Connecticut - Connecticut

_ Case 3:03-cv—OO232—DFM Document 52 Filed 05/O9/2006 Page1 0f2
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UNITED STATES DISTRICT COURT ;y§E -e.· Eyagw I
DISTRICT OF CONNECTICUT "H4'J$ I
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BRISTOUT BOURGUIGNON
PRISONER . ~ ~
V. _ CASE NO. 3:O3CV232 (RNC)(DFM)
JOHN ARMSTRONG, ET AL.
ORDER OF REFERENCE {
The parties to this action have consented to the exercise of
jurisdiction by a United States Magistrate Judge. The plaintiff
signed the attached consent form on October 31, 2003, and the
defendants signed the attached form on December 28, 2005.
It is hereby ordered that the case be referred to the
Honorable Donna F. Martinez, United States Magistrate Judge, for
all further proceedings and the entry of judgment in accordance
with. the provisions of Title 28, United States Code, Section
636(c), Federal Rule of Civil Procedure 73 and the consent of the
parties.
SO ORDERED this _jZ_ day of /m({ Z , 2006, at Hartford,
Connecticut.
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United States District Judge
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I `I I Case 3:03-cv—OO232—DFM Document 52 Filed 05/O9/2006 Page 2 of2
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· UNITED STATES DISTRICT COURT mw 1T'_U` 2[IB "
I . DISTRICT OF CONNECTICUT
BRISTOUT BOURGUIGNON : PRISONER
: CASE NO. 3:O3CV232(RNC)(DFM)
V. : .
COMMISSIONER JOHN ARMSTRONG,
ET AL : _ I
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I
_ CONSENT TO JURISDICTION BY A UNITED STATES MAGISTRATQJUDGE
In accordance with the provisions of Title 28, United States Code, Section 636(c),
-‘ the undersigned party or parties to the above-captioned civil matter hereby voluntarily
consent to have a United States Magistrate Judge conduct any and all further proceedings
in the case, including trial, and order the entry of a final judgment. _ I
Date Signature of PIaintiff(s
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_ - rinted/T ped Na - I
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Date waiure of Defendant(s) ,
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PrintedlTyped Name
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RETURN THIS FORM TO THE CLERK OF THE COURT IF YOU CONSENT TO I
JURISDICTION BY A MAGISTRATE JUDGE. DO NOT SEND A COPY OE THIS FORM I
TO ANY DISTRICT JUDGE OR MAGISTRATE JUDGE. * " . i I ` . I I
-_ {IEC ZII 2005 I III I
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