Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-02249/USCOURTS-caed-2_15-cv-02249-0/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

SERGAYE LAFAYETTE-PRICE,

Plaintiff,

v.

SAC COUNTY SHERIFF’S 

DEP./R.C.C.C.,

Defendant.

No. 2:15-cv-2249 CKD (TEMP) (PC)

ORDER

Plaintiff, a county jail inmate 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. Plaintiff has not 

submitted her in forma pauperis request on a proper form.

Plaintiff’s request for leave to proceed in forma pauperis will be denied, and plaintiff will 

be granted thirty days to submit a new request on a proper form. Plaintiff is cautioned that the 

form includes a section that must be completed by a county jail official, and the application form 

must be accompanied by a certified copy of plaintiff’s trust account statement for the six-month 

period immediately preceding the filing of this action. 

Accordingly, IT IS HEREBY ORDERED that:

1. Plaintiff’s October 28, 2015 motion for leave to proceed in forma pauperis (Doc. No. 

2) is denied without prejudice;

Case 2:15-cv-02249-CKD Document 6 Filed 11/10/15 Page 1 of 2
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2. The Clerk of the Court is directed to send plaintiff an Application to Proceed In Forma 

Pauperis By a Prisoner for use in a civil rights action; and

3. Plaintiff shall submit, within thirty days from the date of this order, a properly 

completed application to proceed in forma pauperis on the form provided with this order; plaintiff 

is cautioned that failure to comply with this order or seek an extension of time to do so will result 

in a recommendation that this action be dismissed without prejudice. 

Dated: November 10, 2015

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lafa2249.3d

_____________________________________

CAROLYN K. DELANEY

UNITED STATES MAGISTRATE JUDGE

Case 2:15-cv-02249-CKD Document 6 Filed 11/10/15 Page 2 of 2