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IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF CALIFORNIA
LONNIE WILLIAMS,
Plaintiff,
No. CIV S-06-1167 GEB KJM P
vs.
CALIFORNIA DEPARTMENT OF
CORRECTIONS AND
REHABILITATION, et al.,
Defendants.
ORDER
/
Plaintiff, a state prisoner proceeding pro se, has filed a civil rights action under 42
U.S.C. § 1983 together with a request for leave to proceed in forma pauperis under 28 U.S.C.
§ 1915. However, the certificate portion of the request that must be completed by plaintiff’s
institution of incarceration has not been filled out. Plaintiff will be provided the opportunity to
submit a completed in forma pauperis application.
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; and
2. Plaintiff shall submit, within thirty days from the date of this order, a
completed affidavit in support of his request to proceed in forma pauperis on the form provided
Case 2:06-cv-01167-GEB-KJM Document 8 Filed 06/20/2006 Page 1 of 2
(PC)Williams v. California Department of Corrections and Rehabilitation et al
Doc. 8
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by the Clerk of Court. Plaintiff’s failure to comply with this order will result in a
recommendation that this action be dismissed without prejudice.
DATED: June 19, 2006.
______________________________________
UNITED STATES MAGISTRATE JUDGE
1/mp
will1167.3c
Case 2:06-cv-01167-GEB-KJM Document 8 Filed 06/20/2006 Page 2 of 2