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

Case 1:08—cv—00173-JJF Document 17 Filed 05/02/2008 Page 1 of 1
Case 1:08-cv—00173-JJF Document 14 Fiied 04/23/2008 Page 4 of4
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
JOSHUA STEPHENSON, I
Plaintiff, ;
v. I Civil Action No. 08—I73—JJF
THOMAS EUBANKS, ENID EUBANKS, g
DEPARTMENT, ; _ g
) Y
D€f€Hd81'1I1S . I ___ S
€ J
AUTuoR1zA·1·1oN . I§?§Y?jE??;”0"G T I ppl
DISTRICT OF UEEQINARE (O`}
I, Joshua Stephenson, SBI #449406 request and authorize the
agency holding me in custody to disburse to the Clerk of the
Court all payments pursuant to 28 U.S.C. § I9I5(b) and required
by the Court’s order dated ‘q¥2E3’(§?g , 2008.
This authorization is furnished to the Clerk of Court in
connection with the filing of a civil action, and I understand
that the filing fee for the complaint is $350.00. 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.
oaua; LM 30/ , 2000.
O
u laintiff
/

Case 1:08-cv-00173-JJF

Document 17

Filed 05/02/2008

Page 1 of 1