Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-5_15-cv-04740/USCOURTS-cand-5_15-cv-04740-2/pdf.json

Nature of Suit Code: 360
Nature of Suit: Other Personal Injury
Cause of Action: 28:1331 Fed. Question: Personal Injury

---

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

MELINA RAZAVI,

Plaintiff,

v.

WAL-MART STORES, INC.,

Defendant.

Case No. 15-cv-04740-NC 

ORDER RE APPLICATION TO 

PROCEED IN FORMA PAUPERIS

Re: Dkt. No. 10

( ) IT IS ORDERED that the application to proceed in forma pauperis is GRANTED. 

Issuance of summons and service will be determined separately.

( X) The complaint having been found to comply with Title 28 USC § 1915, IT IS 

FURTHER ORDERED that the Clerk issue summons, and IT IS FURTHER ORDERED that the 

U.S. Marshal for the Northern District of California serve, without prepayment of fees, a copy of 

the complaint, any amendments, scheduling orders, attachments, plaintiff's affidavit and this order 

upon the defendant. 

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED, and 

that the filing fee of $400.00 be paid no later than. Failure to pay the filing fee by that date will 

result in dismissal of the above-entitled action without prejudice. The plaintiff is hereby apprised 

of his/her responsibility to serve the complaint and any amendments, scheduling orders, 

attachments, pursuant to Rule 4, Federal Rules of Civil Procedure. Plaintiff has a continuing 

obligation to keep the Court informed of his or her current address. Failure to do so may result in 

dismissal of this action.

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED and 

the plaintiff is further ordered that:

Case 5:15-cv-04740-NC Document 15 Filed 04/25/16 Page 1 of 3
2

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

United States District Court

Northern District of California

( ) Filing fee waived in part: partial payment of $ due on, remaining balance to be 

waived.

( ) Partial payment of $ due on, remaining balance due and payable on.

( ) Partial payment of $ due on, remaining balance due in installments as follows: .

Failure to pay this amount will result in dismissal of the above-entitled action without 

prejudice. The plaintiff is hereby apprised of his/her responsibility to serve the complaint and any 

amendments, scheduling orders, attachments, pursuant to Rule 4, Federal Rules of Civil 

Procedure. Plaintiff has a continuing obligation to keep the Court informed of his or her current 

address. Failure to do so may result in dismissal of this action.

Dated: April 25, 2016

______________________________________

NATHANAEL M. COUSINS

United States Magistrate Judge

Case 5:15-cv-04740-NC Document 15 Filed 04/25/16 Page 2 of 3
3

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

MELINA RAZAVI,

Plaintiff,

v.

WAL-MART STORES, INC.,

Defendant.

Case No. 15-cv-04740-NC 

CERTIFICATE OF SERVICE

I, the undersigned, hereby certify that I am an employee in the Office of the Clerk, U.S. 

District Court, Northern District of California.

That on April 25, 2016, I SERVED a true and correct copy(ies) of the attached, by placing 

said copy(ies) in a postage paid envelope addressed to the person(s) hereinafter listed, by 

depositing said envelope in the U.S. Mail, or by placing said copy(ies) into an inter-office delivery 

receptacle located in the Clerk's office.

Melina Razavi

1200 Franklin Mall

Santa Clara, CA 95050 

Dated: April 25, 2016

Susan Y. Soong

Clerk, United States District Court

By:________________________

Lili Harrell, Deputy Clerk to the 

Honorable NATHANAEL M. COUSINS

Case 5:15-cv-04740-NC Document 15 Filed 04/25/16 Page 3 of 3