Diaz v. Siskiyou County Jail

Filing 5

ORDER signed by Magistrate Judge John F. Moulds on 2/22/2012 ORDERING that within 30 days; plaintiff shall complete and return the attached Notice of Submission with a complete application to proceed ifp and a certified trust account statement; and the clerk to send plaintiff a new ifp application. (Yin, K)

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IN THE UNITED STATES DISTRICT COURT

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FOR THE EASTERN DISTRICT OF CALIFORNIA

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CINDY DIAZ,

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Plaintiff,

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No. 2:12-cv-0328 JFM (PC)

vs.
SISKIYOU COUNTY JAIL,

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Defendant.

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ORDER
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Plaintiff, a county jail inmate proceeding pro se, has filed a civil rights action

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pursuant to 42 U.S.C. § 1983 together with a partial request for leave to proceed in forma

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pauperis pursuant to 28 U.S.C. § 1915. The in forma pauperis application is incomplete, as it

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consists only of one page and is not signed by plaintiff. In addition, the certificate portion of the

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request which must be completed by plaintiff’s institution of incarceration has not been filled

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out, and plaintiff has not filed a certified copy of her inmate trust account statement for the six

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month period immediately preceding the filing of the complaint and has not signed the

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application. See 28 U.S.C. § 1915(a)(2). Plaintiff will be provided the opportunity to submit a

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completed in forma pauperis application and a certified copy in support of her application.

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/////

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In accordance with the above, IT IS HEREBY ORDERED that:

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1. Within thirty days from the date of this order, plaintiff shall complete the

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attached Notice of Submission and submit the following documents to the court:

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a. A complete Application to Proceed In Forma Pauperis By a Prisoner;
and

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b. a certified copy of plaintiff’s inmate trust account statement for the six
month period immediately preceding the filing of the complaint.

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2. The Clerk of the Court is directed to send plaintiff a new Application to
Proceed In Forma Pauperis By a Prisoner; and

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3. Plaintiff’s failure to comply with this order may result in the dismissal of this

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action without prejudice.

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DATED: February 22, 2012.

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12/md
diaz0328.3c+.new

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

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CINDY DIAZ,
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Plaintiff,
No. 2:12-cv-0328 JFM (PC)
vs.
SISKIYOU COUNTY JAIL,
NOTICE OF SUBMISSION
Defendant.
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Plaintiff hereby submits the following document in compliance with the court’s
order filed
:
______________
Complete Application to Proceed In Forma Pauperis
By a Prisoner/Certified Copy of Prison Trust Account
Statement

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DATED:
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Plaintiff

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