Tice v. Johnson
Filing
1
PETITION for Writ of Habeas Corpus ( Filing fee $ 5.00 receipt number 300 003667.), filed by Derrick Elliott Tice. (Attachments: # 1 Civil Cover Sheet # 2 Receipt)(tdai, )
Tice v. Johnson
Doc. 1 Att. 1
[Rev I KM)
CIVIL COVER SHEET
(SEE INSTRUCTIONS ON THE HEVEKSE OF THE HI KM.)
RECEIVED
Uic civil docket (tircL
Dh JS 4A civil cover sheet and (lie infurmation contained herein neither replBBO nor supplement tlir filing ami service ofplcmlincs or other papers 3J required by law, except as provided by local rules ofcourt. This form, approved by the Judicial Conference oiiix United siaici in September 1973, is required for the use of the ClerV of Court forUie purpose of iniiiatinit
I. (a) PLAINTIFFS
I
Derek
Elliott
Tice
i,nyr,.B^t,iTof
Director Corrections
(b) County of Residenw ofFita Listed Piiiinufr
Sus sex
.S?PLAlNni-fCAS£SONLV)
NOTE: IN LAND CONDEMNATION CASES. USE THE LOCATION OF THE
LAND INVOLVED
(KXCFPT IN U S. PLAINTIFF CASEil
Attorney's (Fir^i Name,
SS. und re leptiurs;: Number)
Attorneys (Ifuj.um.)
See
Attachment
III. CITIZENSHIP OF PRINCIPAL
(Foi rnvcniry Cj«s Orslyj
(U S- Guvtnunenl Set a P
II. OASIS OF JURISDICTION
1 i US Gevonfwni Federal Qu«ii on
and One Bon foi LJcEm
CtoenafRibSl*Hi
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incorporainJof Principal PUcc
wfElU5ir-c« fnTJiit Stale
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4
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US Go
Divinity
ESe CiUiznihip ofPartics in jicm III)
Citizen of Anothe
O2
OS
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a
2
3
Incorporated lano1 Principal Place
uf Hyrincij In Another Stais Knreien Nation
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i
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V/ ORIGIN
Original
Proceed in a
(i-la^an "X" In One Bo«
Appeal It) District RenuuiJed from Ar>nella[e Conn
Rci routed or
Ki-movcd from Cite ihcU S. Civi
5 amto dimiSTM
et. seq.
Mulli district l.iliRatin
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Jlik
vi. CAUSE OF ACTION
Vll. REQUESTED IIS
COMPLAINT: V][[. RELATED CASE(S)
ZH
U.bC
Secaon
22 34,
ef J(.-itEipMcj ii ufaiu&c
Petition
Cor Writ of
DEMAND 5
Habeas Corpus
CHECK V1:S only if demanded in complain:
cin:rK if this ISA class action UNDEKFR.CI'. 23
JURY DEMAND:
Yes
DNu
JUDGE
DOCKET NUMiilLK
^777
WPI.Y1N0 1FP
SlpflATUBt ')r^p
/
MAG JUlXih
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