UNITED STATESDISTRICT COURT

SO UTHER N DISTRICT OF FLO RIDA

CivilCaseNumber:lk$'lJ-o.q

FILEDBy PG D.c.

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COM PLAINT UNDER THE CIVIL RIGHTSACT,42U.S.C.j1983

1. PartyInform ation

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A.plaintif-:tt'yèzifb'blsï,'p//-6k.t,'3.'u6obt

Address:f.t).qoox :4ô7:37

fol-î.t-Atzwïty lè,frhtpv,',A 353:0

lnmate/prisonNo.:6 Ol9DOH lX

jkarofBirth:lV% 0 (Donotincludedayormonth,pursuanttoFed.R.Civ.P5.2)

(Writeyourname,addressandprison/inmatenumber,ifapplicable)

B. Defendant:(<tt-jpf-yVbél&y Defendant:

OfficialPosition:$0èft',ff OfficialPosition:

PlaceofEmployment:3pwl/ç:648.9,'$'VkèplaceofEmployment:

(w ritethefullnameofeachdefendantpofficialpositionandplaceofemployment.Atacha

separatepageifyouneedadditionalspaceforadditionaldefendants.)

Case 0:20-cv-61019-RS Document 1 Entered on FLSD Docket 05/22/2020 Page 1 of 4
1I.Statem entofC laim

Brieflydescribethefactsofyourcase.Describehow eachdefendantisinvolved,namesofother

persons involved,anddatesand places. Each claim should bestated in aseparatelynum bered

paragraph.Pleaseuseshorlandplain statenents,w ithseparately numbered paragraphsindicating

whythereliefrequested shouldbegranted.D onotidudelegalargumentsorcitecasesorstatutes.

Attachadditionalpages,ifnecessary.

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Case 0:20-cv-61019-RS Document 1 Entered on FLSD Docket 05/22/2020 Page 2 of 4
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1V.Jury Dem and

Areyoudemandingajurytrial? Yes No

Signedthis 1.$ day,f. 20C,.0

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SignatureofPlaintiff

1declareunderpenaltyofpeljurythattheforegoingistruceandcorrect.

- Executedon: /j-4:

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SignatureofPlaintiff

Case 0:20-cv-61019-RS Document 1 Entered on FLSD Docket 05/22/2020 Page 3 of 4
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Case 0:20-cv-61019-RS Document 1 Entered on FLSD Docket 05/22/2020 Page 4 of 4