'

P j roSel'4(Rkv.12./16 Com laintforViolationofCivilRi ts risoner)

U NITED STA SD ISTRICT CO T FILEDBY D,C.

forthq Jtly-22222

' ' Distlid Of ANQELAE'NOBLE CLERKUB DISIC1:

s.D.OFiL/.-MIAMI

Division .

)

)

)

)

zr,ft(;u (ht vc .. o

.. Plaètigls) ,

.f'FrffethqfullnameLof'qachplaint kbofwrllfngtlûtcomplaint.

F.thenamesofallf/la.pldfnf!A çannotAtintyespaceayovo, ;

Pleasewpfe''aeeatiè.hed''/4thespaceandatlachàn'iddltlonal .)

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(-l ' k..lk' t-f''o )

Depndantls) )

Frltethefulnameofeachdefendantwhof.rbeînghvue:lfthe )

namesofallthedefendantscannotftInthespaceaboye,please ;

wrffe''seeatached''inthespaceandJfflc/lancx f/forltzlrlj'e

withthèfullIistofnames.Donotincludeaddressesàere.)

W OLATI9N OFCW WZRIGHTS

) (PrisonerComplnlnt)

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NOTICI

FederalRulesofCivilProcedure5.2addresse!theprivacyandsecurityconcernsresultingfrom publicaccessto

electroniccourttiles.Undertltis'nzle,papersdledwishthecourtshouldnotcontain:anindiWdual'sfu11social

securitynlmberorfulbirthdate;thefullnnmeofapersonlœowntobeaminor;oracompleteiinancialaccotmt

nllmber.A flingmayincludeonly:thelastfourdigitsofasocialsecuritynumber;theyearofanindividllsl's

birtk aminolr'sinitials;andthelast.fourdlgitsofaGnancialaccotmtnlmber.

Exceptasnotedinthisform,plaintif neednotsendexhibits,ao davits,grievanceorwio cssstatem ents,orany

othermaterialstotheClerk'sOfikewiththiscomplaint.

Inorderforyourcomplainttobenled,itmustbeaccompnmiedbythefilingfeeoranapplicationtoproceedin

formapauperis.

I l

coMpLxuu röh

CaseNo..

(tobeJlclinâ.'ptheClerklrOlce)

Page1ofl1

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 1 of 15
P - 1

roSe14..m..ev.12/16)Comp. laintforViolationofCivilRighl(Prkoner) . . Lu'i- .

!

1. ThePartiestoThisComplaint

ThePlaintiffts)

/1

Providetheinformationbelow foreachplaintiffnam edirlthecomplaint.Attachadditionalpagesif

peeded.

1 xame . ..-, - , '

Z- klcsc*y(k. ,, o$&

A11othernamesbywhiöh

youhavebeenlœown:

ID Number

CurrentInstitution

Address

1 î

X &' t'J-(:D'L-2.-t-

.c (J F.,.%4. tùn

lo%'s-o Jki '?-ltfm

/ (ctï/kqï 1J'/ ciR-t'.1av

Cfy State Zf#Code

B. TheDefendantts)

Providetheinform ationbelow foreachdefendantnam edinthecomplaint,whetherthedefendantisan

individual,agovernmentagency,an organization,oracorporation. M akesurethatthedefendants)

listedbelow areidenticaltothosecontainedintheabovecaption.Foranindividualdefendant,include

theperson'sjobortitle(çlmomn)andcheckwhetheryouarebringingtMscomplaintagainstthem intheir

individualcapacityorofficialcapacity,orb0th.Attachadditionalpagesifneeded.

DefendantNo.1

Name

JoborTitle(çlmown)

SlieldNumber

Bmployer

Address

D c,---C u.kolcioko'c

ez ctoc-+c)t'- O

F.3asc.co'va r$'&carv'ezt3.>Go N wlqtse

F4k'cxrvx'l r-L- tslï'-1.d

City State ZW Coda

R lndividualcapacity IS Oflkialcapacity

iD

efendantNo.2

Name

JoborTitle(êlmown)

SlzieldNumber

Bmployer

Address

t;è c,o G,s

ïrsfrBo k;W q15+

V (c.ovqt' FL- 33trg-d

Cf.p State ZtpCo#e

S Individualcapacity S Ofcialcapaoity

Page2of l1

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 2 of 15
I

I .

ProSç1q4(Rev. 1 17./16)ComqlaintforVielationofCivilRightq(Prisoner) - - - . .. - . - -.

Defend= tNo.3

Name

JoborTitle(Iflmown)

ShitldNumber

-1 Bmployer

;

' Address

i

Aosc-okvz -17caàoae,

13:1(3 V$sf 2tlS

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Cf.p State ZïyCode

VJIndividualcapacity 1R Ofoialcapacity

IqZAM'.'L -oïA'fhL- t-otl/-fky

Cf.p state ZfpCode

Individualcapacity Officialcapacity

DefepdantNo.4

Name

JoborTitlelçlmownl

ShieldNumber

Bmployer

Address

Qlekogqol'b

Ee. qAacsozg 1Xé#

H . BasisforJurisdiction

Under42U.S.C,j1983,youmaysuestateorlocalofficialsforthed'deprivationofanyrights,privileges,or

iFmmtmitiessecuredbytheCbnstimtionandEfederallawsq.''UnderBivensv.SixUhknownNamedAgentsof

ederalBureauqfNarcotics,403E1,Sl388(1971),youmaysuefederaloocialsfortheviolationofcertain

constitutionalrights. '

A. Areyoubringingsuitagninst(checkallthatJJpj?J:

I-1Federaloficials(hBivensclalm)

M stateorlocalomoials(aç1983clsuml

B. Section1983allowsqlaimsallegingthe'edeprivationofanyl'ights ' k ,privileges,orimmzznitkessqctvedby

theCbflsututionand,(federllawsl.''42U.S.C.51983.Ifyouaresuingtmdersectio'n1983,what

federalconstitutionalors'tatutoryr.ighttsldoyouclaim is/arebeiilgviolatedbystateorlocaloo oia.ls?

-I-I.-..E:3l/A''?ctzac''..h cwm,'.sïc-,a.ck-rc/pta-frt-cv,c-tî'ou,taeoytoo,.nPm) '

fwwktyocxc-.b'ce/?ecvzssdboc.t l'wn'x'ïcrvobt'=/ 'Jc-zu .

PlnlntiffssuingunderBivensm lyonlyrecoverfortheviolation ofcertain constitutionaldghls. Ifyou

aresuingtmderBîvenhwhatconstimtionalHghtts)doyouclnim is/arebeingviolatedbyfederal

oo cialsî

Page3of1l

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 3 of 15
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Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 4 of 15
ProSe14(Rev.12/16)CemplaintforViolationofCîvilItighta(Prisone

r)

- -

r- ZLU. ZL.. & - - .

'

- J

. -- - - -

Sgcion 1983allowsdefendantstobefoundliableorilywhentheyh

jtatute, ordinmwe,regulation aveacted''tmdercolorofahy ,ctlstom ,ortlsage,ofarly StateorTerritoryortheDistrictofCollmbim''

'42U.S.C,j1983.Ifyouaresuingundersection1983,explninhow eachdefendantactedundercolor

ofstateorlocallaw. IfyouareslllngunderBivens f , explainhow eachdefendantaotedundercolorof

ederallaw .Attachadditlonalpagesifneeded.

T)os :44s....$w y .o. .

m . PrisonerStatus

Indicatewhetheryouareaprisonerorotlwrconfmedpersonasfollow

IR Pr s(checkalthatgwI;?J:

etrialdetainee

I--1 civilycommiteddetaine

1-1 Immivationdetaine

Vl Convictedandsentencedstateprisoner

U1 convictedandsentencedfederalprisoner

F-1 Other(emlain)

W . Statem entofClaim

Stateasbrieflyaspossiblethéfactsofyourcase. Describehow each defendantw aspersonallyinvolvedinthe

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dwrongfulaction,alonkwitbtlie-datesandlocationsofa11relevanteveyts. Youmaywishtoinolude

rdetailssuchasthenamesofotherpersonshlvolvedintheevents#vingrisetoyourclaims

anycasesorstatutes . Donotoite

. lfmorethanoneclaim isasserted,nllmbereachclnl'm andwriteashol'tandplain

statementofeachclnl'm inaseparateparac aph. Attachadditionalpagesifneeded.

i

A. Iftheeventsgivingrisetoyolzrclnlm aroseoutsideaninstit

ution,describewhereandwhentheyarose.

B. Iftheeyentsgivingrisetoyourçlnlm çrosehzaninstimtio

n,describewhereandwhentheyarose.

fkkhtobfayl.Dœ-)-z,r%).-tbo tzoa-yv lfos' +ke. o cwx

''-m kfv'tec cz-xvnLc M e-ïfo wto-t-t-''b o-te.x-bt'een tlcs'fvt-e-c-.

Page4of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 5 of 15
' T.T'>'D.9)' O, FTJ

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Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 6 of 15
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P.r.oSe14mev.12/16)ComplaintforViolatinnofCivilRights(Prisoner) .

C. Whatdateandapproximatetimedidtheeventsgivingrisetoyourclnlmts)occur?

l

@ ' ao o . tzt.ï ocw

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D. W hatarethefactslmderlyingyourclaimts)?(Forexample:n cfhappenedtoyou? F/lodidwhat?

Wasvanyoneelseinvolved?Jr//;oelaeJtzwwhathappened?)

)

< t::) -Q5.

V. Injuries .

Ifyousussainedinjuriesrelatedtotheeventsallegedabove,describeyotlrinjmiesatldsutewhatmedical

treaa ent,ifany,yourequiredanddidordidnotreceive. '

T 'q-5bj''A--înscvï'hrfc.ja /'4#4V.iug )q'

t..ss-yjkq4w;r.,q.j- jvaovoeaucvvx.eajaaj1 olkvaot fnl-ottc.k e -4- va-e.c-ts

'arvct obtt 'boc-ï.oc% cl(coxno.s.v-ici

St,tebrieflywhatyouwmztthecourttodo. foryou.M akenolegalazguments.Donotciteanycasesorstatutes.

Ifrequestingmoneydamages,includetheamount.sofarlyactualdam agesand/orptmitivedam agescldmedfor

theactskleged.Explainthebmsisfortheseclaims.

' *-7, ' T ït;tt'/X-VV.('S'c-s,a clc-töstpvï0/ 'l?k-ô't.t %G Q bvl 3

; rz t; .Q ctam a r.q cehcot of- kg':

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Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 8 of 15
P..roSe14mev.12/16)Complaintf0rViolEtbnofCivilRights(Prisoner)

'

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t

VH. 1 ' ExbaustlonofAdm iniatrativeRem ediesAdministrativeProcedures

ThePl-isonLitigationReformAct($TLRA''),42U.S.C.û'1997e(a),reqtliresthatfjploactionshalbebrought

withrespecttoprisonconditionsundersection 1983 ofthistitle,orany otherFederallaw,byaprisonerconlned

irlarlyjail,prison,orothercorectionalfacilitytmtilsuchadminlstrativeremediesasareavailableare

exhausted.'' '

Admini-stjrativeremediesarealsolmownasgrievanceprocedmes, Yourcasemaybedismissedifyouhavenot

exhaukelyouradminiskativeremedies.

l

1

A. Didyourclaimts)arisewhileyouwerecov nedinajail,prison,orothercorrectionalfacility?

Yes

f-lNo

Ifyes,nnmethejail,prison,orothercorectionalfacilitywhereyouwereconlnedatthetimeofthe

eventsSvingrisetoyom claimts).

Lt

2e4:ô wfr-k''oeauioo c-<-,a+.c .

Doesthejail,prison,orothercorrectionalfacilitywhereyourclaimts)arosehaveagrlevance

procedure?

Yes

EZIxo

L oonotuow

Doesthegrievanceprocedureatthejail,prison,orothercorrectionalfacilitywhereyourclaimts)arose

coversomeora11ofyourclaim s?

X ves

!(JNo

U-IDonotknow

Ifyes,wllichclaimts)?

(N ïï'ok'hcz tpvkncs ovy$ 4vxci w cstkt'..t.

Page6of 11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 9 of 15
ProSe14(Rev.12/1à)Compla-intforViolatlonmf-CivilRights(Pri-soner) .

-- . ..- . - . -

D. Didyoufileagdevanceinthejail,prison,orothercorectionalfacilitywhereyourclaimts)arose

concerningthefactsrelatingtothiscomplaint?

Yes

IF-Ixo

l

Ifno,didyou;leavievanceabouttheevenf,sdescribedinthiscomplnintatanyotherjail,prison,or

otllercorrectionalfacillty?

I--Iyes

r-lxo

E. Ifyoudid5leapievqnce:

W heredidyou GletheJ ievance?

G tcok 4- ..tc:cs o.e.zx -ec .? .3D1 c-ocy 2:A

2. W hatdidyouclaim inyourpievnnce?

'

Lkac.)-'D c àlotckïoq cevccàïeo vxa bï'f.v s-to-i'as

kslkxls-e (W-ukcec + C-osVk- a.vo -kkloàkwez w as TCE-Se'W

3. W hatwastheresult,ifany? .

--'> & aw hetyorxcc- cltan!C.J S'nt'oq k-oht,kllsnnx

aooj4v h .fïoct.*.:)% ïteJ ïr.I-A ocïef:a'c'Oe To vh

! !kvttw teko ù czkcotvatk.c-a.fa3 qcctct kxe eïtcînz- c

% c.V o-yck.to ko -- ccbœr ïctw.z-kz-(actge.g kwcwr-ctlw l-,

4. W hats'tepg,ifany,didyoutaketoappealthatdecision? Islhege varkceprocess.completed? If

= not,explainwhynot.melcrfèeallefortstoappealto(hehighestIevelo/fàcgrievanceprocesï)

.r c; su l4./zn T xjnc',cqac:ce. x c.t oraopxefo 40 seve-czt ctkocsc- .

Page7of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 10 of 15
ProSe14(Rev.12/1@ ComplaintforViolationofCivilRkhts(Mslmer) . - . .- - - -- - - .. .

B. lfyoudidnotfileagievance:

IfthereareanyreasonswhyyoudidnotGleagrievance, statethem here:

Ifyoudidnotilleagrievancebutyoudidirlform oo cialsofyourclnim ,statewhoyouinformed,

whenandhow,andtheirresponse,ifany:

G. Pleasesetforthanyadditionalinformationthatisrelevanttotheexhaustionofyouradministrative

remedies.w sout;vz-w (4% oç-tl'c'e-r w tdy.er Gcxœ-ck A-'tov-s akauuyv

'VRïS s'lvocovocx,lï4e -ko% tvwe -%we g/$cvava.. H ce-qx 'ns.e roc-cît.e: '

yNe..cyokx 4t,w-ce-yhq.fkvc.kt(?A.k*0 eok- kqïfn tveluaokoïcl A ett '

(Note:Jrotfmayattachasexàfbffatothiscomplaintanydocumentsrelatedtotheexhautiono/yozfr

administrativeremedies)

Vm . PrevitmsLawsuitq

The'Xlreestrikesntle''barsaprisoner9om bringingacivilactionorarlappealinfederalcotu'twithoutpaying

theflingfeeifthatprisonerhas'sonthreeoxmoreprioroccasions,whileincarcerated ordetainedinany facility

broughtAn actionorappealin acourtoftheUrlitedStatesthatwasdismissedontheF oundsthatitisY volous ,

,

malicious,orfailstostateaolaim uponwhichreliefmàybegranted,llnlesstheprisonerisunderl'mm lnent

dangerofseriousphysicalinjury.''28U.S.C.51915(g).

Tothebestofyotlrknowledge,haveyouhadacasedismissedbcedonthisdtthreeskikesn1le''?

f-lyes

Rlxo

Ifyes,statewhichcourtdism issedyourcase,whentMsoccurred,andattachacopyoftheorderifpossible.

Page8of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 11 of 15
* î

ProSe14(Rev.12/16)ComplalntforViolationofCivilRightr(Prisnner)

A. Haveyoufiledotherlawsuitsinstateorfederalcourtdealingwiththesnmefact

sinvolvedhztbis

action?

IZqyes

!-RlNo

l

tIf ournnnwerto.A isyes,describeeachlawsuitbynngweringquestions1through7below B. y . (Iftheref.ç

morcthanoneIawsuit,describe'theadditionalI- JWIJonanotherpage, usingthesameformat)

Pnrtiestothepreviouslawsuit

Plainffftsl

Defendants) .

2. Coul't(f#deralcourt,namethe#flfrfcf;fstatecourt,ac/z;:thectwnfyandstate)

3. Docketorindexnllmber

NameofJudgeassir edtoyourcase

Approxim atedateofflinglawsuit

Isthecasestillpending?

EEIyes

EDNo

Ifno,givetheapproxim atedateofdisposition.

7. Wi hatwastheresultofthecase? (Forexample:F'a.sthecasedismissed? F'a',.jzftifgnenfentered

n.pnzlr/cporpWaa/Jl/caseappealed?)

C.

j

*

Haveyoufledotherlawsuitsinstateorfederalcourtotherwiserelatingtotheconditio

i nsofyom

mprisonm ent?

Page9of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 12 of 15
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yes,describeeaohlawsuitbya'nqweringquestlons1through7below. (Iftheref.ç , describetheadditionalllwlzlff.von anotherpage

I , T/afngthesameformat)

11 Partiestothepreviouslawsuit

Plaintiffts)

Defendantts)

CourtXfederalcourt,namethedistrict;lp fc/:court,namethecozfaf.yandstate)

Docketorindexnumber

4. NameofJudgeassignedtoyourcase

Approximatedateofslinglawsuit

Isthecasestillpending?

L yes

EqNo

Ifno,givetheapproxl'matedateofdisposiùo'n

Winhyaotuwrfaasvtohre?reWsualstothfethceasceasaep?pe(aFloerde?)xample..Wasthecasedismîssed? Wasjudgmententered

Page10of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 13 of 15
l

11

*' 2

m-pro8e-147e.v..1.2/16)ComplaintforViollonofCivilRights(Prkoner)

. .

. . .

-

-

.----. -.- . .

t . . ...

1X. CerM cationandClosing

UnderFederalRuleofCivilProcedure11, bysio ngbelow,IcertifytothebestofmyM owledge,information

andbeliefthattlziscomplaint:(1)isnotbeingpresentedforanlmproperpurpose,suchastoharmss,cause ,

urmecessarydelay,orneedlesslyhmreasethecostoflitigation;(2)issupportedbyexisting1aw orbya

nonfrivglousazgumentforextending,modifying, orreversingexistinglaw;(3)thefactualcontentionshave

evidentiarysupportor,ifspeciqcallvsoidentifed l - *'- *' - ,willlikelv- haveevidentim supportalerareconable *' A''*

opportuInityforfurtherinvestigationordiscovery;and(4)thecomplaintotherwisecomp,$lieswiththe

requirementsofRule11.

A. #orPartiesW ithoutlnAttorney

tIapeetoprovidetheClerk'sOocewithanychangestomyadd @ resswherecase-relatedpapersmaybe

served.Itmderstandthatmyfailtlretokeepacunvntaddressonfilewitbth

'i eClerk'sOfficemayresult

nthedismissalofmycase.

Dateofsiring: '.yé g

Sir atureofPlaintiff

PrintedNameofPlaintiff ',gé-/'c. g-// . gsi'o#'

PrisonIdentifcation# XJc)/'7..t:7-&Z--& .

prisonaddress f-qt-îso foz 4/s-/.

/)1/4,z',c., &z- 3:!slT J

'Cfz State ZèCo#e

ForAttorners

Dateofsi -g:

B.

SignatureofAttorney

tPrlntedNameofAttorney

BarNumber

'NameofLaw Firm

Address

) cf

j . .y state zf#code .

'TelephoneNtlmber .

E-mailAddress

Page11of11

Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 14 of 15
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Case 1:22-cv-21688-MGC Document 1 Entered on FLSD Docket 06/02/2022 Page 1