Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-4_16-cv-06301/USCOURTS-cand-4_16-cv-06301-0/pdf.json

Parties Involved:
Albert L. Adams
Plaintiff
Corizon Health Medical Providers
Defendant

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

ALBERT L. ADAMS,

Plaintiff,

v.

CORIZON HEALTH MEDICAL 

PROVIDERS,

Defendant.

Case No. 16-cv-06301-DMR (PR)

ORDER OF DISMISSAL WITHOUT 

PREJUDICE

Plaintiff filed the present pro se prisoner complaint under 42 U.S.C. § 1983. Dkt. 1. On 

November 1, 2016, Plaintiff filed a completed in forma pauperis (“IFP”) application form; 

however, his certificate of funds was not signed by an authorized officer at the institution of his 

confinement, and he failed to file a prisoner trust account statement showing transactions for the 

last six months. Dkt. 2. 

On the same date, November 1, 2016, the Clerk of the Court notified Plaintiff of the 

deficiencies in his IFP application and directed him to file the aforementioned necessary 

documents within twenty-eight days. Dkt. 4.

This matter has been assigned to the undersigned Magistrate Judge. Dkt. 3. On November 

9, 2016, Plaintiff consented to magistrate judge jurisdiction. Dkt. 5. However, he did not file the 

aforementioned necessary documents within the twenty-eight-day time frame. 

On December 12, 2016, the Clerk sent a second notice to Plaintiff, again informing him 

that his IFP application was deficient because of his failure to file the aforementioned necessary 

documents. Dkt. 6. The Clerk further informed him that his action could not forward until he 

Case 4:16-cv-06301-DMR Document 7 Filed 02/03/17 Page 1 of 3
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United States District Court

Northern District of California

filed the necessary documents within twenty-eight days, and that his failure to do so would result 

in dismissal of this action. More than twenty-eight days have passed, and Plaintiff has not filed 

his certificate of funds (signed by an authorized officer) or his prisoner trust account statement.

Accordingly, this action is DISMISSED WITHOUT PREJUDICE. Plaintiff’s IFP 

application is DENIED as incomplete. The Clerk shall terminate all pending motions and close 

the file. 

This Order terminates Docket No. 2.

IT IS SO ORDERED.

Dated: February 3, 2017

______________________________________

DONNA M. RYU

United States Magistrate Judge

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

ALBERT L. ADAMS,

Plaintiff,

v.

CORIZON HEALTH MEDICAL 

PROVIDERS,

Defendant.

Case No. 4:16-cv-06301-DMR 

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 February 3, 2017, 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.

Albert L. Adams ID: AVR 269

Santa Rita Jail

5325 Broder Blvd.

Dublin, CA 94568 

Dated: February 3, 2017

Susan Y. Soong

Clerk, United States District Court

By:________________________

Ivy Lerma Garcia, Deputy Clerk to the 

Honorable DONNA M. RYU

Case 4:16-cv-06301-DMR Document 7 Filed 02/03/17 Page 3 of 3