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

Case 1:08—cv—00129-GI\/IS Document 6 Filed 03/19/2008 Page1 of2
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IN THE UNITED STATES DISTRICT COURT g·——~·-·······~·········**·*···*·····“**‘··"’”'“`°'E ‘
FOR THE DISTRICT OF DELAWARE E MAH jg Zmm g g
{..,.,..I...c....._-l .
MARQUIS M¤~S¤N· g ¤%%%?é%E§'%TEE§’§§_Q;g__g
Plaintiff, )
v. g Civil Action No. 0S—I29—GMS
- EDUCATION DEPARTMENT, g
JILL NALTERS, AND MEDICAL )
COIVIMITTE, )
Defendants. g
AUTHORIZATION
I, Marquis Mason, SBI #506l46, request and authorize the
agency holding me in custody to disburse to the Clerk of the
Court the initial partial filing fee of $38.47 and the subsequent
payments pursuant to 28 U.S.C. § l915(b) and required by the I
Court's order dated @QC& , 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.
Date: %&&M£fcR»» Fini? , 2008.
._ tz @*%;,..1 Tai mg\ `
Signature of Plaintiff

Case 1:08-cv-OO129—G|\/IS Document 6 Filed O3/19/2OQ8 Rage 2 of 2
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Case 1:08-cv-00129-GMS

Document 6

Filed 03/19/2008

Page 1 of 2

Case 1:08-cv-00129-GMS

Document 6

Filed 03/19/2008

Page 2 of 2