Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-azd-2_06-cv-00766/USCOURTS-azd-2_06-cv-00766-0/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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JDDL

LMH

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IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

Michael Davis, 

Plaintiff, 

vs.

Joseph M. Arpaio, et. al,

Defendants. 

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No. CV 06-0766-PHX-DGC (MEA)

ORDER

Plaintiff, currently confined in the Fourth Avenue Jail in Phoenix, Arizona, has filed

a pro se Complaint pursuant to § 1983. Plaintiff has not paid the $250.00 filing fee, nor has

he properly applied to proceed in forma pauperis.

A. Payment of Filing Fee

Pursuant to 28 U.S.C. § 1915(b)(1), Plaintiff must pay the $250.00 filing fee when he

files a civil action. If granted the privilege of proceeding in forma pauperis, he will be

permitted to pay the fee incrementally instead of in a lump sum. To apply to proceed in

forma pauperis, a prisoner must submit an affidavit of indigence, a consent to collection of

fees from the prisoner’s trust account, and a certified copy of his trust account statement for

the six months preceding the filing of the Complaint. If Plaintiff was held at more than one

institution for the six months preceding the filing of the Complaint, he must include a

certified account statement from an appropriate official at each of the institutions where he

was confined. 

Case 2:06-cv-00766-PGR-MEA Document 3 Filed 04/14/06 Page 1 of 5
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JDDL - 2 -

The Court then shall assess and, when funds exist, collect an initial partial filing fee

of 20% of the greater amount of either the average monthly deposits or the average monthly

balance in Plaintiff’s account for the six months immediately preceding the filing. 28 U.S.C.

§ 1915(b)(1). After payment of the initial partial filing fee, Plaintiff shall be required to

make monthly payments equaling 20% of the preceding month’s income credited to his

account. 28 U.S.C. § 1915(b)(2). The agency having custody of Plaintiff will forward

payments from his account to the Clerk of Court each time the amount in the account exceeds

$10.00 until the filing fee is paid. Id.

B. Application Fails to Comply With Statute

Plaintiff has submitted an affidavit of indigence and a consent to collection of fees

from his trust account. He has not, however, submitted a certified copy of his trust account

statement. He must have the appropriate official fill out the Certificate of Correctional

Official as to Status of Applicant’s Trust Account and attach an Inmate Account Statement.

In light of this deficiency, Plaintiff will be permitted 30 days to file a properly certified sixmonth trust account statement. 

C. Warning of Possible Dismissal Pursuant to Rule 41

Plaintiff should take notice that if he fails to timely comply with every provision of

this Order, or any order entered in this matter, this action will be dismissed pursuant to Rule

41(b) of the Federal Rules of Civil Procedure. See Ferdik v. Bonzelet, 963 F.2d 1258, 1260-

61 (9th Cir.) (district court may dismiss action for failure to comply with any order of the

Court), cert. denied, 506 U.S. 915 (1992).

IT IS THEREFORE ORDERED THAT: 

(1) Plaintiff shall have 30 days from the date this Order is filed in which to either pay

the $250.00 filing fee or properly apply to proceed in forma pauperis as described in this

Order.

(2) The Clerk of Court is directed to enter dismissal of this action without prejudice

and without further notice if Plaintiff fails to comply within 30 days.

Case 2:06-cv-00766-PGR-MEA Document 3 Filed 04/14/06 Page 2 of 5
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(3) The Clerk of Court shall send Plaintiff an Application to Proceed In Forma

Pauperis by a Prisoner Civil (Non-Habeas).

DATED this 13th day of April, 2006.

Case 2:06-cv-00766-PGR-MEA Document 3 Filed 04/14/06 Page 3 of 5
98-ifphab

Revised 6/98 1

Name and Prisoner/Booking Number

Place of Confinement

Mailing Address

City, State, Zip Code

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

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Petitioner, ) CASE NO. 

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 vs. )

) APPLICATION TO PROCEED

 , ) IN FORMA PAUPERIS

Respondent(s). ) BY A PRISONER

) (HABEAS)

I, , declare, in support of my request to proceed in the above

entitled case without prepayment of fees under 28 U.S.C. § 1915, that I am unable to pay the fees for these

proceedings or to give security therefor and that I believe I am entitled to relief.

In support of this application, I answer the following questions under penalty of perjury:

1. Are you currently employed at the institution where you are confined? GYes GNo

If "Yes," state the amount of your pay and where you work. 

2. Do you receive any other payments from the institution where you are confined? GYes GNo

If "Yes," state the source and amount of the payments. 

Case 2:06-cv-00766-PGR-MEA Document 3 Filed 04/14/06 Page 4 of 5
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3. Do you have any other sources of income, savings, or assets either inside or outside of the institution where

you are confined? GYes GNo

If "Yes," state the sources and amounts of the income, savings, or assets. 

I declare under penalty of perjury that the above information is true and correct.

DATE SIGNATURE OF APPLICANT

CERTIFICATE OF CORRECTIONAL OFFICIAL

AS TO STATUS OF APPLICANT’S TRUST ACCOUNT

I, , certify that as of the date applicant signed this application:

(Printed name of official)

The applicant’s trust account balance at this institution is: $ .

DATE AUTHORIZED SIGNATURE TITLE/ID NUMBER INSTITUTION 

Case 2:06-cv-00766-PGR-MEA Document 3 Filed 04/14/06 Page 5 of 5