Cose, Roger v. Schrubbe, Belinda et al
Filing
70
Transmission of Notice of Appeal, Order, Judgment, Motion and Docket Sheet to Seventh Circuit Court of Appeals re 67 Notice of Appeal. (Attachments: # 1 Order, # 2 Judgment, # 3 Motion for Use of Release Account Funds to Pay Appeal Filing Fee, # 4 Docket Sheet) (nln),(ps)
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF \nSCWC~lO
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ROGER ALLEN COSE,
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MOTION. FOR, COURT ORDER
Plaintiff-Appellant,
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Case' NO • '14-CV-540-Jdp
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MARY GORSKE,
CHARLES LARSON, and
BELINDA SCRUBBE,
Defendants-Appellees.
MOTION FOR A MOTION FOR A COURT ORDER TO
DIRECT THE DEPARTMENT OF CORRECTIONS TO TAKE COSE'S
APPEAL FILING FEES FOR THE ABOVE MENTIONED CASE FROM
COSE'S RELEASE ACCOUNT ONLY
HEREBY Roger Allen Cose, requests the Court to notify and
direct the Inmate Accounts Office at Department of Corrections,
Stanley Correctional Institution, 100 Corrections Drive, Stanley,
WI 54768-6500, to wi thdraw the appeal fees and costs ($505.00)
for the above mentioned case, from Cose' s release account only,
per D.A.I. Policy 309.45.02.
Cose
is requestin
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FACILITY NAME (Abbreviate)
DOC NUMBER
OFFENDER NAME NOMBRE DE OFENSOR
NUMERO
NOMBRE-/NSTALACION
(Abrevie)
376435
Cose. Ro"er
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QU
D
OUCTUD
1 - Copies Capias
Shipping/Freight
02.
o
PARA:
EnviolCarga
3 - Postage Posta de Correa
FUNDING
SOURCE:
STREET ADDRESS
o
o
.
•
HOUSING
4C/13
CITY CIUDAD
STATE ESTADO
Madison
WI
4 - Photos Fotos
D
B - Savings Withdrawal
Desembolso
5 - State 10 Photo Foto /0 del Estado
D
9 - Property Purchase
(reason reqlJired)'
Savings Bond Purchase Compra Bonos de Ahorro
7 - Savings Deposit Deposito Ahorros
XU 10 0 11 -
UNIT/FLOOR/CELL
UNlOAD I PISO / CELDA
S.C.I.
DE CALLE
120 N Henr St. Rm 320
06.
o
DlRECC/ON
WISCONSIN
Administrative Code
Chapter DOC 309
02
Other
ZIP COD/GO POSTAL
53703
de Ahorros
(reason required).
Compra de Propiedad
Otro (requiers
(requiere
Route Check to: Envle cheque a:
_
FUENTE DE FONDOS
DREG.
Regular Account Cuenta Regular DWR.
Work Release Account Cuenta de Trabajo
"REASON FOR REQUEST (Must complete if you choose 9 or 10 above)
INDIVIDUAL
"RAZON POR LA SOLICITUD (Debe completarsi escoge casillas 9 010 am'ba)
fee
~El
- Release Account Cuenta de Liberaci6n
Dlegal
ITEMS REQUESTED
Art/culos Individuates Soficitados
loan Prestamo Legal
AMOUNT CANT/DAD
S
$
Fi1in~ fee for ap~a1
$
$
DATE SIGNED
FECHA DE FIRMA
REQUEST DENIED BY SIGNATURE
DISTRIBUTION:
raz61W
raz6n)"
Original (White) - Bu
OFFENDER 10 VERIFIED
10 DE OFENSOR
QUEADO
Staff Initials:
505.00
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