Clark v. Unknown
Filing
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ORDER granting Plaintiff Extension of Time to File Complaint, In Forma Pauperis Application, and consent/declination form re 6 Letter filed by Roger Clark. Signed by Magistrate Judge Donna M. Ryu on 2/18/16. (ig, COURT STAFF) (Filed on 2/18/2016)
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UNITED STATES DISTRICT COURT
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NORTHERN DISTRICT OF CALIFORNIA
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In re ROGER CLARK,
Case No. 16-cv-00268-DMR (PR)
Plaintiff,
ORDER GRANTING PLAINTIFF
EXTENSION OF TIME TO FILE
COMPLAINT, IN FORMA PAUPERIS
APPLICATION, AND
CONSENT/DECLINATION FORM
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Plaintiff, who is currently in custody at the California Medical Center, filed with the Court
United States District Court
Northern District of California
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a letter addressed to the Honorable Thelton E. Henderson. The Clerk of the Court construed the
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letter from Plaintiff as a request to file a pro se prisoner complaint under 42 U.S.C. § 1983.
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On January 15, 2016, the Clerk sent Plaintiff a notice directing him to file a complaint
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along with an application to proceed in forma pauperis (“IFP”) within twenty-eight days. He was
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warned that the failure to do so within the twenty-eight-day deadline would result in the dismissal
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of this action without prejudice. To date, Plaintiff has neither filed his complaint nor his IFP
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application, and the deadline for doing so as passed.
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On January 21, 2016, this case was assigned to the undersigned Magistrate Judge. Plaintiff
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was directed to file a completed consent/declination form within fourteen days. The fourteen-day
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deadline has passed, and Plaintiff has not yet filed his completed consent/declination form.
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Before the Court is Plaintiff’s request for an extension of time to file his complaint, IFP
application, and his consent/declination form. Dkt. 6.
Good cause appearing, the request is GRANTED. No later than fourteen (14) days from
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the date of this Order, Plaintiff shall file a completed consent/declination form. No later than
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twenty-eight (28) days from the date of this Order, Plaintiff shall file his complaint and a
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completed IFP application along with his trust account statement and certificate of funds. The
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failure to do so on or by the twenty-eight-day deadline will result in the dismissal of this action
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without prejudice.
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The Cle shall sen Plaintiff a blank civil rights complaint form, a blank priso
erk
nd
oner IFP
app
plication form and a bla consent/d
m,
ank
declination f
form along w a copy o this Order
with
of
r.
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This Or
rder terminates Docket No. 6.
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IT IS SO ORDERE
ED.
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Da
ated: Februa 18, 2016
ary
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___
__________
___________
__________
________
DO
ONNA M. R
RYU
Un
nited States M
Magistrate Ju
udge
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United States District Court
Northern District of California
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UNITED STATES D
D
DISTRICT C
COURT
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NORTHER DISTRIC OF CALI
RN
CT
IFORNIA
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ROGER CLA
ARK,
Case No. 4
4:16-cv-0026
68-DMR
Plaintiff,
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v.
CERTIFIC
CATE OF S
SERVICE
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UNKNOWN,
U
,
.
Defendant.
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United States District Court
Northern District of California
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I, the un
ndersigned, hereby certify that I am an employe in the Offi of the Clerk, U.S.
ee
ice
Dis
strict Court, Northern Di
istrict of Cal
lifornia.
That on 2/18/2016, I SERVED a true and c
n
correct copy(
(ies) of the O
Order Granti Plaintiff
ing
Ext
tension of Time to File Complaint, In Forma Pau
T
C
I
auperis Appli
ication, and Consent/De
eclination
For together with Blank Civil Rights Complaint Form, Blank Prisoner IF Applicati Form,
rm
C
k
FP
ion
and a Blank Co
d
onsent/Decli
ination Form by placing said copy(ie in a posta paid env
m
es)
age
velope
add
dressed to th person(s) hereinafter listed, by dep
he
l
positing said envelope in the U.S. M
d
n
Mail, or by
pla
acing said co
opy(ies) into an inter-offi delivery receptacle lo
fice
ocated in the Clerk's off
e
fice.
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G
Roger Clark ID: G-48164
Californ Medical Facility
nia
P.O. Bo 2000
ox
Vacavil CA 9569
lle,
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Da
ated: 2/18/20
016
usan Y. Soon
ng
Su
Cl
lerk, United States Distr Court
d
rict
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By
y:_________
___________
_______
Iv Lerma Ga
vy
arcia, Deputy Clerk to th
y
he
H
Honorable DO
ONNA M. R
RYU
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