Zarate v. Lewis et al

Filing 3

ORDER OF DISMISSAL WITH LEAVE TO AMEND; DIRECTING CLERK TO PROVIDE PETITIONER WITH CIVIL RIGHTS COMPLAINT FORM AND IN FORMA PAUPERIS APPLICATION. Signed by Judge Claudia Wilken on 12/28/2012. (Attachments: # 1 Certificate/Proof of Service)(ndr, COURT STAFF) (Filed on 12/28/2012)

UNITED STATES DISTRICT COURT
FOR THE
NORTHERN DISTRICT OF CALIFORNIA

MANUEL ZARATE,

Case Number: CV12-06143 CW

Plaintiff,

CERTIFICATE OF SERVICE

v.
GREG LEWIS et al,
Defendant.

/

I, the undersigned, hereby certify that I am an employee in the Office of the Clerk, U.S. District
Court, Northern District of California.
That on December 28, 2012, I SERVED a true and correct copy(ies) of the attached, a blank
civil rights form, and the Court’s prisoner IFP application form, by placing said copy(ies) in
a postage paid envelope addressed to the person(s) hereinafter listed, by depositing said envelope
in the U.S. Mail, or by placing said copy(ies) into an inter-office delivery receptacle located in
the Clerk's office.
Manuel Zarate C75553
D9-222
Pelican Bay State Prison
P.O. Box 7500
Crescent City, CA 95532
Dated: December 28, 2012
Richard W. Wieking, Clerk
By: Nikki Riley, Deputy Clerk