Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-01264/USCOURTS-caed-2_15-cv-01264-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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UNITED STATES DISTRICT COURT 

FOR THE EASTERN DISTRICT OF CALIFORNIA 

ZACHARIAH DANIELS, 

Plaintiff, 

v. 

R. FOX, Warden, et al., 

Defendants. 

No. 2:15-cv-1264 AC P 

ORDER 

 Plaintiff, a state prisoner proceeding pro se, has filed a civil rights action pursuant to 42 

U.S.C. § 1983, together with a request for leave to proceed in forma pauperis pursuant to 28 

U.S.C. § 1915. However, the certificate portion of the request (which must be completed by 

plaintiff’s institution of incarceration) has not been filled out. Also, the attached copy of 

plaintiff’s prison trust account statement is not certified. See 28 U.S.C. § 1915(a)(2). Plaintiff 

will be provided the opportunity to submit a completed in forma pauperis application and a 

certified copy of his prison trust account statement for the six-month period preceding the filing 

of his complaint. 

 In accordance with the above, IT IS HEREBY ORDERED that: 

 1. Plaintiff shall, within thirty days from the filing date of this order, submit a completed 

affidavit, including certificate, in support of his request to proceed in forma pauperis, together 

with a certified copy of his prison trust account statement for the six-month period immediately 

Case 2:15-cv-01264-GEB-AC Document 4 Filed 06/22/15 Page 1 of 2
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preceding the filing of the complaint; 

 2. The Clerk of Court is directed to send plaintiff a new Application to Proceed In Forma 

Pauperis By a Prisoner; and 

 3. Plaintiff’s failure to comply with this order will result in a recommendation that this 

action be dismissed without prejudice. 

DATED: June 19, 2015 

Case 2:15-cv-01264-GEB-AC Document 4 Filed 06/22/15 Page 2 of 2