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


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Pages: 2
Date: September 2, 2008
File Format: PDF
State: Delaware
Category: District Court of Delaware
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Case 1 :08-cv-00486-SLR Document 6 Filed 08/29/2008 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
MICHAEL HENRY, )
)
Plaintiff, )
)
v. ) Civ. N0. 08-486-SLR
I
GOVERNOR RUTH ANN MINNER, )
ATTORNEY GENERAL CARL )
DANBURG, DEPUTY ATTORNEY )
DONALD R. ROBERTS, )
CHIEF DEPUTY ANGELO FALASCA, )
LLOYD A. SCHMID, JR., )
)
Defendants. )
AU'I'HORIZATION
I, Michael Henry, SBI #582000, request and authorize the agency holding me in
custody to disburse to the Clerk of the Court the initial partial filing fee of $1 1 .07 and the
subsequent paym nts urswt to 28 U.S.C. § 1915(b) and required by the Court’s
. @0
order dated .. Q0. , 200 .
This authorization is furnished tothe Clerk of Court in connection with the filing
of a civil action, and I understand that the Gling fee for the complaint is $350.00. I also
understand that the entire tiling 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.
oats; Q 46, , 2008.
Signature of Plaintiff L;

Case 1 :08-cv-00486-SLR Document 6 Filed 08/29/2008 Page 2 of 2
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Case 1:08-cv-00486-SLR

Document 6

Filed 08/29/2008

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Case 1:08-cv-00486-SLR

Document 6

Filed 08/29/2008

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