Tristan Allan v. Akanno

Filing 11

ORDER Finding Service Of Complaint Appropriate, And Forwarding Service Documents To Plaintiff For Completion And Return Within Thirty Days (ECF No. 1 ), signed by Magistrate Judge Barbara A. McAuliffe on 10/8/2013. (Filing Deadline: 11/13/2013.) (Attachments: # 1 Complaint filed July 9, 2012, # 2 USM Prisoner Instructions, #(3)USM-285 Form)(Fahrney, E)

Case 1:12-cv-01103-BAM Document 1 Filed 07/09/12 Page 1 of 6

FILED

RECEIVED

IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF CALIFORNIA

11 2
:

D.Arim 4 a48206

T&n

(Name of Plaintiff)
G1;Fbrnia .S&T+iwn - Scmmoto
(Addrcss of Plainlift)

PC

CV 0 1 1 9 3 GBT:I

(Case Number)

C.b.213

?,o.m 240066
Repress, CA q5671
VS.

COMPLAINT

(Namcs of Defendants)
1. Prcvious Lawsuits:
A. Havc you brought any othcr lawsuits whilc a prisoner:

Yes

No

1

Describc the lawsuit in thc space
B. If your answer to A is ycs, how many?:
bclow. (If thcre is more than one lawsuit, dcscribc thc additional lawsuits on anothcr piecc of paper
using thc sameoutline.)
1. Partics to this prcvious lawsuit:

F O R M TO B E USED B Y A P R I S O N E R I N F I L I N G A COMPLAINT
U N D E R T H E C I V I L R I G H T S ACT. 42 U.S.C. 6 1983

Rev'd 5/99

Case 1:12-cv-01103-BAM Document 1 Filed 07/09/12 Page 2 of 6

2. Court (if Fcderal Court, give name of District; if Statc Court, give name of County)

u,5D I S ~ Cf f+ , ~ r J , C 6 l DPstricC
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t
3. Docket Numbcr

~.
k~~Km\.tn 4,15 +I me
&

(IS+

bcurnfnt~
-1

4. Name ofjudgc to whom casc was assigned rormaC 3 . Cc,mey
I

5 . Disposition (For example:

W a s the case dismissed? W a s

%~ulltur;ly O ; y n i

it

appealed? Is it still pending?)'

S S C ~

6 . Approxirnatc datc of filing lawsuit

Se&mber

7. Approxirnatc datc of disposition

2011

1

11. Exhaustion of Administrative Rcmcdics
A. Is there a grievance proccdurc available at your institution?

F ~ e s

No

B. Have you filcd a gricvancc concerning the facts rclating to this complaint?

'Yes
yes

If your answcr is no, cxplain why not

C. Is the gricvancc proccss completcd?

No

No

111. Dcfcndants

(In Item A below, placc thc full name of the defendant in thc first blank, hislher official
position in the sccond blank, and hislher placc of employment in thc third blank. Usc item B
for the names, positions and places of employment ofany additional defendants.)
A. Defendant

R u - 5ciao

Atanno

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.

,

at

is cmploycd as &;cal
bzbr/
Kern \hI k v Sic& Pris n .In\n ~-4~54o

~ e 6 hue nve Debw , Ck 93216.
1
B. Additional defendants

Case 1:12-cv-01103-BAM Document 1 Filed 07/09/12 Page 3 of 6

IV.

Statement of Claini
(State hcrc as briefly as possible thc facts of your case. Dcscribc how each dcfcndant is
involved, including dates and placcs. Do not give any lcgal argumcnts or cite any cascs or
statutcs. Attach extra shects if ncccssary.)

V. Relief.
(Statc br~cfly
cxactly what you want thc court to do for you. Makc no legal arguments. Citc
no cascs or slalutcs.)

1

Signed this

day of

J url e

,20&.

1 declare undcr pcnalty of pcrjury that thc forcgoing is true and corrcct

(Signature of Pla

.

StPkemflto - Clar4q
f
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Case 1:12-cv-01103-BAM Document 1 Filed 07/09/12 Page 4 of 6

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