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Case1:O5-cv-00054-JJF Document? Filed O3/21/2005 Page2of2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OE DELAWARE
LILY JACKSON, }
Plaintiff, Q
v. g Civ. No. O5—O54—JJE. __, .q_li.TL&pW . mwz
STAN TAYLOR, PAUL HEAD, g
PATRICK RYAN, COLLE ) y H mm j E
snoizsmzsss, and VALERIE I F °
SNEAD, ) s' 2 “ . {
) j ..· _ J y
Defendants. ) , Q
AUTHORIZATION
I, Lily Jackson, request and authorize the agency holding me I
in custody to disburse to the Clerk of the Court the initial
partial filing fee of $8.00 and the subsequent payments pursuant
to 28 U.S.C. § l9l5(b) and required by the Court’s order dated
, 2005.
This authorization is furnished in connection with the
filing of a civil action, and I understand that the filing fee
for the complaint is $150.00. 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.
Date: , 2005.