Simon v. Unknown

Filing 4

ORDER directing Simon to submit the completed Prisoner Trust Fund Account Statement Form, a written explanation addressing his failure to disclose his litigation history and consolidation of these cases, and an Amended 1 Complaint by no later than November 27, 2023. (Compliance due by 11/27/2023; Amended Pleadings due by 11/27/2023.) Signed by Magistrate Judge Christopher L. Ray on 11/13/2023. (Attachments: # 1 PLRA Forms, # 2 1983 Complaint Form.) (jlh)

Download PDF
Augusta, Brunswick, or Savannah? UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA -RKQ(7ULSOHWW ClerkRI&RXUW (912) 650-4020 OFFICE OF THE CLERK P.O. Box 8286 Savannah, Georgia 31412 NICHO ANDROPOLIS SIMON and ADRIAN LEANDREW CARTER, Plaintiff, v. BRIAN DAVIS, CASE NUMBER: CV 423-302 Defendant. PRISONER TRUST FUND ACCOUNT STATEMENT Under the Prison Litigation Reform Act, a prisoner seeking to bring a civil action without prepayment of fees must obtain from the appropriate prison official a certified copy of the prisoner's trust account statement for the six-month period immediately preceding the submission of the complaint to the Court. The plaintiff in this case has been instructed by the Court to furnish this form to the trust officer of each institution where he has been confined for the last six months. Please complete this form, attach the supporting ledger sheets, and return these documents to the prisoner for mailing to this Court. DATE COMPLAINT RECEIVED: 10/11/2023 __________________________________ AVERAGE MONTHLY DEPOSITS during the six months prior to receipt of the complaint: __________________________________ AVERAGE MONTHLY BALANCE during the six months prior to receipt of the complaint: __________________________________ I certify that the above information accurately states the deposits and balances in the plaintiff's trust account for the period shown and that the attached ledger sheets are true copies of the account records maintained by this institution. __________________________________ Signature of Authorized Officer of Institution __________________________________ Print or type name __________________________________ Date Augusta, Brunswick, or Savannah? UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA -RKQ(7ULSOHWW ClerkRI&RXUW (912) 650-4020 OFFICE OF THE CLERK P.O. Box 8286 Savannah, Georgia 31412 NICHO ANDROPOLIS SIMON and ADRIAN LEANDREW CARTER, Plaintiff, v. BRIAN DAVIS, CASE NUMBER: CV 423-302 Defendant. PRISONER TRUST FUND ACCOUNT STATEMENT Under the Prison Litigation Reform Act, a prisoner seeking to bring a civil action without prepayment of fees must obtain from the appropriate prison official a certified copy of the prisoner's trust account statement for the six-month period immediately preceding the submission of the complaint to the Court. The plaintiff in this case has been instructed by the Court to furnish this form to the trust officer of each institution where he has been confined for the last six months. Please complete this form, attach the supporting ledger sheets, and return these documents to the prisoner for mailing to this Court. DATE COMPLAINT RECEIVED: 10/11/2023 __________________________________ AVERAGE MONTHLY DEPOSITS during the six months prior to receipt of the complaint: __________________________________ AVERAGE MONTHLY BALANCE during the six months prior to receipt of the complaint: __________________________________ I certify that the above information accurately states the deposits and balances in the plaintiff's trust account for the period shown and that the attached ledger sheets are true copies of the account records maintained by this institution. __________________________________ Signature of Authorized Officer of Institution __________________________________ Print or type name __________________________________ Date Augusta, Brunswick, or Savannah? UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA -RKQ(7ULSOHWW ClerkRI&RXUW (912) 650-4020 OFFICE OF THE CLERK P.O. Box 8286 Savannah, Georgia 31412 NICHO A. SIMON, Plaintiff, v. UNKNOWN, CASE NUMBER: CV 423-322 Defendant. PRISONER TRUST FUND ACCOUNT STATEMENT Under the Prison Litigation Reform Act, a prisoner seeking to bring a civil action without prepayment of fees must obtain from the appropriate prison official a certified copy of the prisoner's trust account statement for the six-month period immediately preceding the submission of the complaint to the Court. The plaintiff in this case has been instructed by the Court to furnish this form to the trust officer of each institution where he has been confined for the last six months. Please complete this form, attach the supporting ledger sheets, and return these documents to the prisoner for mailing to this Court. DATE COMPLAINT RECEIVED: 11/6/2023 __________________________________ AVERAGE MONTHLY DEPOSITS during the six months prior to receipt of the complaint: __________________________________ AVERAGE MONTHLY BALANCE during the six months prior to receipt of the complaint: __________________________________ I certify that the above information accurately states the deposits and balances in the plaintiff's trust account for the period shown and that the attached ledger sheets are true copies of the account records maintained by this institution. __________________________________ Signature of Authorized Officer of Institution __________________________________ Print or type name __________________________________ Date Augusta, Brunswick, or Savannah? UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA -RKQ(7ULSOHWW ClerkRI&RXUW (912) 650-4020 OFFICE OF THE CLERK P.O. Box 8286 Savannah, Georgia 31412 NICHO A. SIMON, Plaintiff, v. UNKNOWN, CASE NUMBER: CV 423-322 Defendant. PRISONER TRUST FUND ACCOUNT STATEMENT Under the Prison Litigation Reform Act, a prisoner seeking to bring a civil action without prepayment of fees must obtain from the appropriate prison official a certified copy of the prisoner's trust account statement for the six-month period immediately preceding the submission of the complaint to the Court. The plaintiff in this case has been instructed by the Court to furnish this form to the trust officer of each institution where he has been confined for the last six months. Please complete this form, attach the supporting ledger sheets, and return these documents to the prisoner for mailing to this Court. DATE COMPLAINT RECEIVED: 11/6/2023 __________________________________ AVERAGE MONTHLY DEPOSITS during the six months prior to receipt of the complaint: __________________________________ AVERAGE MONTHLY BALANCE during the six months prior to receipt of the complaint: __________________________________ I certify that the above information accurately states the deposits and balances in the plaintiff's trust account for the period shown and that the attached ledger sheets are true copies of the account records maintained by this institution. __________________________________ Signature of Authorized Officer of Institution __________________________________ Print or type name __________________________________ Date

Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.


Why Is My Information Online?