Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_16-cv-01131/USCOURTS-caed-2_16-cv-01131-0/pdf.json

Parties Involved:
J. Robustelli
Defendant
Denicio Velasquez
Plaintiff

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

DENICIO VELASQUEZ,

Plaintiff,

v.

J. ROBUSTELLI,

Defendant.

No. 2:16-cv-1131 CKD 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, plaintiff has not filed a 

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

preceding the filing of the complaint. See 28 U.S.C. § 1915(a)(2). 

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

1. The Clerk of the Court is directed to send plaintiff a new Application to Proceed In 

Forma Pauperis By a Prisoner.

2. Within thirty days, plaintiff shall submit a completed request to proceed in forma 

pauperis on the form provided by the Clerk of Court along with a certified copy of his prison trust 

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Case 2:16-cv-01131-JAM-CKD Document 4 Filed 05/31/16 Page 1 of 2
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account statement for the six month period immediately preceding the filing of his complaint. 

Plaintiff’s failure to comply with this order will result in dismissal.

Dated: May 31, 2016

1/mp

vela1131.3c+new

_____________________________________

CAROLYN K. DELANEY

UNITED STATES MAGISTRATE JUDGE

Case 2:16-cv-01131-JAM-CKD Document 4 Filed 05/31/16 Page 2 of 2