FILED BY D.C.

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ît'E':n'::utllîltl

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IN -A I,L M ATTERS IN THE COUN TY COURT W HERE '1-111ïFU LESOF SUM M ARY

PROCEDURES AIE APPLICABI,E, IT IS EX PECTED T1-lA'l' THE DEFENDANT OR

DEFENDANTS W ILL FILE ANSW ERS TO THE STATEM ENT OF CLAIM . Tl.IE IN ITIAL

APPEA RAN CE SHALL BE FOR A PRETRIAL CON FEREN CE. AT THE PRETRIAL

CON FEREN CE ALL M ATTERS SPECIFIED TN RULE 1.200OF TlflqFLORIDA RULES OF

CIV IL PRO CEDURE SHALL BE CON SIDERED

THE FILIN G OF A DEFEN SIVE PLEADIN G OR OTFIER PAPERS SHALL NOT

EXCUSE THE PERSONAL A PPEA RAN CE OF A PA RTY OR HIS/I-IER ATTORNEY ON

THE IN ITIAI,APPEARAN CE DATE.

IF YOU IN TEND TO HAV E AN A TTORNEY DEFEND Y OU,PLEASE DELIVER

THISNOTICE TO HIM/HER AT ONCE. IF YOU LIAVE ANY QUESTIONS,CALL THE

CiVIL,DIVISION OF TI-IE COUNTY CLERK 'S OFFICE AT Tl.1E ADDRESS SHOW N ON

THEATTACHED SUMMONS(NOTICEOFPRETIUALHEARING).

l1-1.EREBY (-ER'I'Il7Y 7'1-lAT ll7II-ED -l-HIS NO'l'ICE IN TLIE OFFICF,012THE CLERK OF

'1'tIE CO UN TY COUR-I'AND SENT A CO PY OF 'rlIE SAM E 7'0 T1-I'E PLAINTIFF OR

PlwA lN 7'lFF'S ATTOIIN EY A'l17fl-Ft.A.l,1-171.-I'c)A131*N(JS: t L 7 LX;-S -.

-

DEf'L'NDAN'IOR A 1IORNF'Y

(t-(t)(JN7-Y CO Ult.'f'-CIV IL.DIVISION

2()1S.1è).6R'16STRL'ltilrf'7lt(-)O)zJ l20

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V ,, ,. -.L F ' ' U

CllY,SlA l1c,Z,IP CODE,PHON E NO.

20-CV-60882

Case 0:20-cv-60882-WPD Document 7 Entered on FLSD Docket 05/14/2020 Page 1 of 8
Your com plaintmustbe legibly handwritten or typewritten. Plaintiffor

Plaintiffsmustsignand sweartothecomplaint.lfyotlneedadditionalspaceto answera

question,youm ayusethereversesideofthisform oranadditionalblankpage.

Yourcom plaintcan bebroughtin thiseottrtenl.y i-f.one (tArm oze.ofthe named

Defendantsislocatedwithinthisdistrict.Further,itisnecessaryforyotltofileaseparate

com plaintforeach claim thatyou haveunlesstheyareallrelatedtothesam eincidentor

issue.

ln orderforthiscomplaintto betsled,itm ustbeaccompaniedbythefqlingfeeof

$l20.00. ln addition,the United States M arshalwillrequire you to pay the costof

servingthecomplainton eachofthedefendants.

lfyou areunabletopay thefilingfeeand servicecostsforthisactionnyou may

petition thecourttoproceed inForm aPauparis.Twoblankpetitionsforthispurposeare

included inthispacket. Onecopy should bef'iledwith yourcomplaint',theothercopyis

for yourrecords. Afterfilling in thepetition,you musthave itnotarized by a notary

publicorotherofficialauthorizedtoadm inisteranoath.

W hentheseformsarecompleted,m ailtheoriginaland two-copiestotheClerkof

the United StatesDistrictCoul'tforthe Southern DistrictofFlorida,30l North M iam i

Avenue,M iam i,Florida 33128-7788.

PreviousLawsuits

A .Haveyou begun otherlawsuitsin StateorFederalcourtdealing withthe

sam e facts involved in this action or otherwise relating to your

im prisonm ent?

YES ( )

B. lfyouranswertoA isyes,describeeachlawsuitinthespacebelow.(lf

thereism orethanonelawsuit,describetheadclitionallawsuitson another

pieceofpaper,usingthesam eoutline.

Partiestothispreviouslavsuit:

Case 0:20-cv-60882-WPD Document 7 Entered on FLSD Docket 05/14/2020 Page 2 of 8
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(7. Additional

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State hereasbrietly aspossible the factyofyourcase. Describehow each

defendant is involved. lnclude also the nam es of olherpersons involved,

dates,and places. Do notgive any legalal'guments or cite any cases or

statutes. lfyouintend to allegea num berofrelated claim s,numberand set

fortheach claim in aseparateparagraph.(Useasmanyspacesasyouneed.

Attachextrasheetifnecessary.)

plx',v4 J-gm'yêr.e o.y#/,re;ioC-/OJ/w./ylpspjczàsewm#byftijwcwa'ky.'-/'ofskpvurêzvanky.tj

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Case 0:20-cv-60882-WPD Document 7 Entered on FLSD Docket 05/14/2020 Page 3 of 8
Court(ifFederalcoul't,nameanddistrict',ifStatecourt,namethe

county): srwstl&e- 1soe4pzA-%.,n4n<tcokp,?-.(poz.l'r-,

Docketnumber: # o1:-c.'/-b2o;'?.-J#/ç

Nameofjudgetowhom casewasassigned: ? t'V f i.fevt.

Disposition (forexample: Wasthecase dismisscd? Wasit

appealed? ls it still

pending?l: eafa-jlln-glawsuit: - Approximatedateoft'i - J-- .ptot? s/J)

Approximatedateofdisposition:- - qh11- em tl..v.

Place of present

COnfqnement: fbrosvoco.l &a+ 4,.1nk'fi'/

ul

-

A. lsthereaprisonergrievanceproced -einthisinstitutr/o-n?ves(./)xo(

B.Didyoupresentthefactsrelatingtoyourcomplainti1zthestatepris er

grievanceprocedure? Yes( No(

lfyouranswerisYES:

W hata steps did you

take?;iIllqhv'vlçu#ivp/e'f9)4ezmrek/).'y:13::9;tL>ô5,t.<lytpi'lc:/iv?.kc/3.15

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2. W hat Bras the

result?& /e:1r':'4a.+..4. lz(..

43:3:/.'/,/pz4/Jll.fz:/1,.Jf'àzr/'el41*Sibsêo

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z

If your answer is NO, explain why

not:*- > .

...hifp-n-kasoea './

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111. Parties

(ln ltem A below,placeyournameinthefirstblankandplaceyourpresent

addressinthesecondblank.Dothesameforadditionalplaintiffs,ifany.)

A. xameof-plaintif-f .,1-apzr,eQ'le'n r'r/eç''/Jt--l-l-tooook6 - - - - - - -

ln ltem B below,placethe fkllname ofthe defendantinthe tirstblank,his

officialposition in thesecondblank,and hisplaceofernploymentinthethird

blank. Useltem C forthenam es,positions,andplacesofemploym entofany

additionalt'lefendants.

Case 0:20-cv-60882-WPD Document 7 Entered on FLSD Docket 05/14/2020 Page 4 of 8
Relief

Statebriefly exactly whatyou wantthe coul'tto do fbryou. M ake no legal

argum ents.CitenoCaGesorStatutes.

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- #tfpfç S*f6 P'M fH*b-

(SignatureOfplaintiffor

Plaintiflk) *

VERIFJCATION

Dulysworn,underoath,says: thatheistheplaintiffinthisaction and knowsthecontent

ofthe above com plaint',thatitistrue ofhisown krlowledge,exceptasto those matters

thatarestatedin itonhisinfbrmationand belief,andastothosemattershebelievestobe

true.

(Signatureofaftiant-plaintifg

Case 0:20-cv-60882-WPD Document 7 Entered on FLSD Docket 05/14/2020 Page 5 of 8
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