Free Complaint (Pro Se) - District Court of Delaware - Delaware

_ Case 1 :08-cv—00465-LDD Document 2 Filed 07/28/2008 Page 1 of 3
(Del Rev.l2/98)
IN THE UNITED STATES DISTRICT COURT
it FOR THE DISTRICT OF DELAWARE
(Name of Plaintiff or Plaintiffs)
_ O 8 — 4 6 5
v, CIVIL ACTION NO.
. Carta »
hu; ~*A 44 -
¤lI!l@@ et » CLL
s LJ l Y id ’
(Name ; fendant or Defe
COMPLAINT 3
1. This action is brought pursuant to K S` 6 / 3
(Federal statute on which action is based)
for discrimination related to _ jurisdiction exists by virtue of
(In what area did discrimination occur? e.g. race, sex, religion)
(Federal statute on which jurisdiction is based) `
rg; E
L.- TIJ ,--
C P22?
2. Plaintiff resides at Y" MY ’ 1~
(saw Ad E gg
LLP:
[ ggzotil
(City) County) (State) (Zip Cod ) TK };Y;`;L
Ba; $3 A30 l L . e
(Area Code) (Phone Number) G ""
3. Defendant resides t, or its business is located at 2 > L I Q 5
t_fy\CJ (Street Address
(City) ( ounty) (State) (Zip Code) U
4. The alleged discriminatory acts occurred on , , .
(Day) (Month) (Year)
5 . The alleged discriminatory practice El is not continuing.

_ . ·‘ Case 1 :08-cv—OO465-LDD Document 2 Filed 07/28/200,8 Page 2 of 3
5 . I { r I I I f [ '
6. Plaintiff(s) 1led charges with the Anéctllf. . ’ ' ii I I I ’
UV l Q l ( ( ge ·; y) J1
‘ · $44DA* ' ALL. . [if ' "
(S cetA dress) (City) (County) (S te) (Zip)
regarding defendant(s) alleged discriminatory conduct on: ‘
(Date)
7. Attach decision of the agency which investigated the charges referred in paragraph 6 above.
8. Was an appeal taken from the agency's decision? Yes El No El
- If yes, to whom was the appeal taken?
9. The discriminatory acts alleged in this suit concern: (Describe facts on additional sheets if
n ssary) I A O
;IAni.¤ri1§€Z1l;UI_'II
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_ I
’ ' I ' . I ` · I
ml *" l ’ v » "
`·iUJ-A#JL4,,.• n · 4 O’U}(»U6fU
10. Defendanfs conduct is discriminatory with respect to the following:
A. D Plaintiff s race
B. I] Plaintiff s color
C. El Plaintiff s sex
D. I] Plaintiff s religion
E. E1 Plaintiff s national origin

. ' v Case 1:08-cv—00465-LDD D0cument2 Filed 07/28/2008 Page 3 0f3
* .
11. ' laintiff • ., s for the following relic . (Indicate the exact relief requested)
LAL A-, e Ln!. .;.u;¤ inn. ’ L 4..
‘ l l I M * I

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I declare under penalty of perjury that the foregoing is true and correct.
'lbg gu
Dated: O
J (Signature of Plaintiff)

Case 1 :08—cv—00465-LD D Docu ment 2-2 Filed 07/28/2008 Page 1 of 1
ORIGINAL »°8‘465
MSM <¤=v— I2/07) CIVIL COVER SHEET
The JS 44 civil cover sheetand the infomation contained herein neither rqplace nor sugplement the filing and service of pleadings or other papers as reguired by law, except as provided
by local rules of court. This fonn, approved by the Judicial Conference o the United tates In September 1974, is required fort e use oft e Clerk of ourt for the purpose of rnrtratrng
the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.) _
I
I, n PL IN FFS D NDAN I M * `—
I) . J , U,. A C· - I/{
D ’ / / /
‘ Gftle
(b) County of Resid ncc of First Listed Plaintiff County of Residence of First Listed Defendant
I (EXCEPT IN US, PLA IFF CA (IN U.S. PLAINTIFF CASES ONLY
NOTE- IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE
q 7 O i LAND INVOLVED.
(C) At omey’s (Fimr Name, Address. and Telephone Number) AUG )/S (lf Known)
8c Z. 85 2 50 I 2. geese?
Il. (Place an "X" In One Box Only) PARTIES(Place an “X“ in One Box for Plaintiff
(For Diversity Cases Only) and One Box for Defendant)
D 1 U.S. Govemment X3 Federal Question DEF PTF DEF
Plaintiff (U.S. Govemment Not a Party) Citizen of This State 1 M‘ Incorporated or Principal Place CI 4 lj 4
of Business In This State
Cl 2 U.S. Govemment G 4 Diversity Citizen of Another State CI 2 EI 2 Incorporated and Principal Place I] 5 Cl 5
Bement n..ne.e Citizenship (.n»..n.. ... n.... III) ·>tB¤S¤¤¤SS 1** Amr SFF
Citizen or Subject ofa CI 3 Cl 3 Foreign Nation D 6 D 6
Forei Coun
IV. NATURE OF SUIT Place an ··x*· in One Box ont
CONTRACT · w · *TORTS FORFEITURE/PENAL‘I`Y BANKRUPTCY I ` OTHER STATUTES
D 1 10 Insurance PERSONAL INJURY PERSONAL INJURY D 610 Agriculture CI 422 Appeal 28 USC 158 D 400 State Reapportionment
D 120 Marine D 310 Airplane EI 362 Personal Injury — U 620 Other Food & Drug CI 423 Withdrawal I] 410 Antitrust
D 130 Miller Act I] 315 Airplane Product Med. Malpractice CI 625 Drug Related Seizure 28 USC 157 CI 430 Banks and Banking
D 140 Negotiable Instrument Liability Cl 365 Personal Injury — of Property 21 USC 881 El 450 Commerce
D 150 Recovery of Overpayment D 320 Assault, Libel & Product Liability D 630 Liquor Laws PROPERTY RIGHTS CI 460 Deportation
&EnforcementofJudgment Slander D 368 Asbestos Personal Cl 640 RR. & Truck lj 820 Copyrights D 470 Racketeer Influenced and
U 151 Medicare Act C1 330 Federal Ernployers` Injury Product Cl 650 Airline Regs [1 830 Patent Corrupt Organizations
D 152 Recovery of Defaulted Liability Liability D 660 Occupational C1 840 Trademark C1 480 Consumer Credit
Student Loans I] 340 Marine PERSONAL PROPERTY Safety/Health Cl 490 Cable/Sat TV
(Excl. Veterans) lj 345 Marine Product lj 370 Other Fraud D 690 Other CI 810 Selective Service
ci rss Recovery nroyerpeyrnenr Liability cn avr Truth in Lending EI xso seennnes/cennnenrtree
of Veteran’s Benefits Cl 350 Motor Vehicle Cl 380 Other Personal CI 710 Fair Labor Standards I] 861 HTA (1395ff) Exchange
U 160 Stockho1ders’ Suits E1 355 Motor Vehicle Property Damage Act CI 862 Black Lung (923) Cl 875 Customer Challenge
C1 190 Other Contract Product Liability El 385 Property Damage EI 720 Labor/Mgmt. Relations C1 863 DIWC/DIWW (405(g)) 12 USC 3410
C1 195 Contract Product Liability III 360 Other Personal Product Liability D 730 Labor/Mgmt.Repor1ing lj 864 SSID Title XVI D 890 Other Statutory Actions
CI 196 Franchise In'u &Disclosure Act E1 865 RSI 405 ; EI 891 Agricultural Acts
REAL PROPERTY ` CIVIL RIGHTS PRISONER PETITIONS U 740 Railway Labor Act FEDERAL SUITS CI 892 Economic Stabilization Act
CI • :f"‘TT`·—r . ` I E1 441 Voting C1 510 Motions to Vacate I3 790 Other Labor Litigation lj 870 Taxes (U,S, Plaintiff CI 893 Environmental Matters
1 l Foreclosure CI 442 Employment Sentence C1 791 Empl. Ret. Inc. or Defendant) ID 894 Energy Allocation Act
lj 230 Ren ·· · J· jectment I·` 443 Housing/ Hubeas Corpus: Security Act lj 871 IRS——Third Party I] 895 Freedom of Infomration
Z · I orts to Land Accommodations D 530 General 26 USC 7609 Act
D 245 Tort Product Liability D 444 Welfare CI 535 Death Penalty IMMIGRATION , Cl 900Appea1 of Fee Detemiination
CI 290 All Other Real Property C1 445 Amer, w/Disabilities — I] 540 Mandamus & Other Cl 462 Naturalization Application Under Equal Access
Employment C1 550 Civil Rights D 463 Habeas Corpus - to Justice
CI 446 Amer. w/Disabilities — El 555 Prison Condition Alien Detainee EJ 950 Constitutionality of
Other D 465 Other Immigration State Statutes
D 440 Other Civil Rights Actions
V. ORIGIN Place an ··x·· in One sex Only) Aizpool to District
EI 1 Original_ 2 Removed from lj 3 Remanded from |j 4 Reinstated or lj 5 Tregfcgrgfrgm [1 6 Multidistrict [I 7 g gl: 30m
Proceeding State Court Appellate Court Reopened mm F1 ls lc Litigation agls atc
s ecr Jud ment
Cite the U.S. Civil Statute e 6* icwagz Eng il) tgj7·isdictional statutes unless diversity):
•
W` F" %|F l wr
ar. »._ .111 J · Lr•·»
VII. REQUESTED IN El CIIEC » rn : IS A CLASS ACTION DEMAND S CHE S only ifdomondod in oomploimc
COMPLAINT; UNDE‘ R. •/I 23 JURY DEMAND; CI Yes El No
VIII. RELATED CASE(S) (S l ml t_ ) A ..-.g-... ,2 _
C10l'lSZ , \•;€- ——vi;":
IF ANY °° ‘"S JUDGE DOCKET NUMBER _;g§_,, ;;= -:1%;.,
A » .. .. . 5,*-*;*
DA I SIGN •‘ · EYO ·. C D ,
`; ;- I I
/ I O O A I A MJ 4 *
FOR OFFICE USE ONLY
RECEIPT # AMOUNT AFPLYING IFP JUDGE MAG. JUDGE

Case 1:08-cv-00465-LDD

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