Gomer v. Walker

Filing 19

ORDER DIRECTING PETITIONER TO FILE COMPLETE IN FORMA PAUPERIS APPLICATION. Petitioner is directed to file the necessary documents to complete his in forma pauperis application no later than thirty (30) days from the date this order is filed. The clerk shall enclose two copies of the Certificate of Funds in Prisoner's Account with a copy of this order to petitioner. Signed by Judge James Ware on 7/15/2010. (Attachments: # 1 Exhibit)(ecg, COURT STAFF) (Filed on 7/19/2010)

G o m e r v. Walker

D o c . 19 Att. 1

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[ n a m e of institution]

Case Number:

CERTIFICATE OF FUNDS IN PRISONER'S ACCOUNT

I certify that attached hereto is a true and correct copy of the prisoner's trust account statement showing transactions of
[prisoner name]

for the last six months where (s)he is confined.

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I further certify that the average deposits each month to this prisoner's account for the most recent 6-month period were $ and the average balance in the prisoner's .

account each month for the most recent 6-month period was $

Dated:_____________

___________________________________
[Authorized officer of the institution]

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