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99-02734
. ",' >' . ) / '::;)... "" t-... ~ - . . C)-. .0'- , :('-- ;w~ I c:7' , /1 -1// () j j . , ,_ J;; lA ,~ 1- ~l//lkn?;d~ /' , CJ.t7?~nd~~,,~ ( 99-. P 7> <j c;J r;:;;;'C4?1 .J ,.. ., 'UPrth-G~ .wd.~~; . ./~, 6')~Z?2bc'/ ~~~;, !~L ~/(, vL/ :~~ ~//u:~/r/$ Poc" ! ,71~~~2i / ! (.}--': (\..- /) /l! ,/ /; /' ') tJ: lZ JI<?~ fiA~t0r /J. &-Uf<~;, ' ~ ~~ ,.-'J' . .I v '" . '!:.L. "j /' ~ ~~. //CJ/3-33yt '-" , L // ~I /i!.L: Yf- J73'/ ~/ >>;, .u~ ~<4s // / ;? 'if '. ,v, {Yi} /~ c{z;; r' ;Y~ 13;,{ m~ ,j! ~af . Ill.x(cW ~?lJ41t..f+- ~~ ~,a ;:;:Un_d ~ .A4-1/-m/<. ~f ":2;;' (, // J-;:l IV:J ' " -L',/ / -/J' ~ // / ' '/y:O;~5~ t..<<J~ ~..~ .j/ ,2,,?! "d" ~~~ -<A1-;!/t.L W~ .i ' ~~' &~L. .h~; ~/,/-~~'t.7 ~(;?/';~J ';3~0l/1 /1-tf-~ vuc/u<<- -~/deaJ/ . / ) '/ ")../ I 'J' j./.', , / J , ) j. /. ..-u,}:.<l,'~/!U( /'t:'u~.~, ",. A,VUL '/'11..-<'/ _c'-L&t~"\.l'(' ~ -;?{"f rt~j- ,J/ 12//( , ,.. t-; / /r!: "./1 /~ _ /- / / '/ ) . . Ii :' 7''' c '. 0/,,,..a-t.!.L ..A.AJ'p~) o/'-/~ ,--,<--<.v.;. pl/~,,1...<.a ?(~(}:'<I~:, 0''[ _<,~ ,~t4~ j' / ..tL':.C,<..v;:...4 ,.'1/~u..4.: 'tA: .:.'(/to,. :/~'{ ( ...:J _(;'u~"'<- ",I ~<,,// [)~:zd<J/ ~ ",,' . _/ t.. . /' / 'J ' II';: /' / / .././ / ,,' , /L-!--Ct.-U;".:)" ~, _:J-..~)r:;...'7-{ c.t ' ..!/~"'- ~<c<.:.r:~'),' u OUCLc::O:.c. .(/"--<..c:f.~<.c..v.;~-:) -/,', ':1 /L..../~;'?6/'-0:v.-. ':::'<:-~l ':.~t.l.~ ," -' , '~\"; '\.' < ':':"<::': ,::..~..,.' ':\\'::'<~"":::: ::~t,i':I:;,,";i')';:"::"':;.~I;::k':';r;~\ >'::\: ': .::.~,;>"-...,:\;,(:,.:;.>..:.,,,,;...<<.\,;',,>.'):: ::" :.'::" .'.'.: .'.', MARTIN F. HORN COMMISSIONER ANTHONY L PETRUCCIO DEPUTY SUPERINTENDENT rACILlT'V MANAGEMI:NT KENNETH D. KYLER SUPERINTENDENT JOHN A. PALAKOVICH DEPUTY SUPER1NTENOF-NT cun llAlIZEO SERVICES ADDRESS AlL REPlIES TO SUPEF~INTENDENT PENNSYLVANIA DEPARTMENT OF CORRECTIONS STATE CORRECTIONAL INSTITUTION AT CAMP HILL P.O. BOX 8837, CAMP HILL, PA 17001-8837 (717) 737-4531 ROBERT G. GIMBLE OUSlNES5 MANAGER JANET S. SMITH PERSONNEL DIRECTOR I certify that this report is an accurate reflection of the subject's inmate account activity and balance for the period indicated on the In Forma Pauperis Form. Institution Date:"..?c' /:;7//// ','. ." , . ':-\.' '" , ,", , '.- ': ' ", " .?'"~' }, "', :.". ,:~:~:~\':.. ;I~: \"l~:~ ~:"~;:;"{"'~'~:~~;"~;:~it ;;~. \,:,ll~"~~'." ~,~" :::.' ~~), . ,.;': I:", . ," ..::: <::i >- " '< /.. ,: ,1_ ",~ I.':'<~;""\" .' '. ::. , " ~ ffJ1,? {~ ti!!) IN TIlE UNITED STA"ffiS DISTRICT COURT FOR TItE1h;n.mAl'li)ISTRICT OF PENNSYLVANIA i- 'oJ]L~_ Iip~a.;u/ MOTION AND DECLARATION IN SUPPORT OF MOTION TO PROCEED IN FORMA PAUPERIS - 'L ' . 'J ~....---, .,'" G'; ,10. ~/'I-,'-'/ _, cl c."tcd.. ' 'II;} YS. /{Jh?/YJ~dTJ. ~fA{(', c.z-:-l1i (DeCendant) , L.' " , / ('-.- ./' T / I. /...yf' /,J,Jl " /-'U'.!>ui",,'a/ . am thc plaintiff In thc abovc cntitled case. In suppon oC my motion Cor Jcavc to pfO(Ced In Conna pauperis t statc that bec:lusc oC my povcny I am unablc to pay thc costs of said procccdlng or to glvc security thcrcforc and that I believc I 3m entitled to redress. In suppon oC this motton I declarc the following responses arc true. I. If you are receiving prison wages. slatc the amount ./'?J /I:A70V 2. .../ 3. /~tatc tlle 3mo~~ oC moncy you h3ve in a checking. savings or prison account 7~':Jl <-' 01. Idcntify and statc thc valuc of ~ny real eSlate. .Iocks. bonds. nOlcs. automobile:;. or olher valuablc property (ex~ng ordinary houschoh! Curni>hings and clothing) which you uwn -JU-- s. List the pe~ons who arc depcndent UpOll ~uu lor support: s~-7our r.CI.3tionship 10 those persons; 3nd indicatc how mueh you contribute toward Ibclr support. ~-:? Ie I declare under penalty of perjury Ih~t Ihe lorcSlllng I' Irue and WHeel. Signed Ih" / t./ i'l,. ):i;!A,bL .19 r9' ./ ( /) /;/'-- ./ v/l :: ~l~~ i~ /U/ f.1,W (PJ3inllfr, Sign~lUre) d3yor \. l/ / (/ / TO BE COMPLETED BY RECORDS OFFICER OF PRISON 1. J -i:./ .....;..-.- Thc:cpla]nllf( pr~~nlly h?S lhe s~'!' of ,"I . \.) / . 1,/ (./'~7.,"/" ~'<. ./1/ 4 \ " ",._,'" --.,. ..--'</' , I Nam~ III Prison I / on account at v- / . AnachccJ j~ J ropy 01 the pl;llnllrr" institutional Jr(OUOl IOdiC3ting deposits ;Anu withdrawals dunng the pre-eel.lIng tllle h:Jr r~r1l1d tlr (IndlCalC palUd UII'L'rL'J 11\ '\,LIlUlll, I cannol furnls~ Ihc L"urt \\ i1h J c"PY 01 the plJlRlIlrS Imttlullonal 3"oounl IRdi<:3ung incomc 3nd W1lhdr3walS Dcc:lU'C PA DEPT. OF CORRECTIONS BUREAU OF COMPUTER SERVICES REMOTE PRINT TIME 13:46 INMATE ACCOUNTS SYSTEM PARTIAL ACCOUNT LISTING FROM PURGE FI LE INMATE NUMBER NAME I,AST BETHIUJD ^~H3;!9 FIRST 1'YROi~E MI BATCH DATE * MO DY YEAR TRANSACTION DESCRIPTION 5147 01-22-1998 32 COMMISSARY JANUARY 21, 1998 0 02-02-1998 B2 TRANSFER OUT GREENE 0 02-02-1998 Bl TRANSFER IN CAMP HILL 8000 02-12-1998 32 COMMISSARY 11 FEBRUARY 199B 8137 02-26-1998 32 COMMISSARY 26 FEBRUARY 1998 8286 03-13-1998 32 COMMISSARY 12 MARCH 1998 0 03-30-1998 82 TRANSFER OUT CAMP HILL 0 03-31-J 998 81 TRANSFER IN GREENE RUN DATE PAGE IAS365 5/28/1999 1 STARTING BALANCE 10.73 TRANSACTION BALANCE AFTER AMOUNT TRANSACTION -2.46 -4.40 -.39 -.39 BALANCE AFTER THESE TRANSACTIONS------> 8.27 3.B7 3.4B 3.09 3.09 PA DEPT. OF CORRECTIONS BUREAU OF COMPUTER SERVICES REMOTE PRINT TIME 13: 4 6 INMATE ACCOUNTS SYSTEM PARTIAL ACCOUNT LISTING FROM PURGE FILE INMATE NUl1BER AM4329 NAME LAST BETRAND FI RST TYRONE MI BATCH DATE ! MO DY YEAR TRANSACTION DESCRIPTION 0 04-08-1998 82 TRANSFER OUT GREENE 0 04-08-1998 81 TRANSFER IN CAMP HILL 8537 04-08-1998 37 POSTAGE 0 04-08-1998 92 TRANSFER OUT CAMP HILL 0 04-08-1998 91 TRANSFER IN GREENE 6322 04-09-1998 32 COMMISSARY APRIL 8. 1998 6491 05-04-1998 37 POSTAGE 6835 06-19-1998 13 PERSONAL GIFT FROM GRETCHEN BETRAND D664523 6912 06-30-1998 41 MEDICAL MEDICAL FEES RUN DATE PAGE IAS365 5/28/1999 1 STARTING BALANCE 3.09 TRANSACTION BALANCE AFTER AMOUNT TRANSACTION -6.46 -1.52 -.32 25.00 BALANCE AFTER THESE TRANSACTIONS------> -4.00 -3.37 -4.89 -5.21 19.'19 15.79 15.79 PA DEPT. OF CORRECTIONS BUREAU OF COMPUTER SERVICES REMOTE PRINT TIME 13:46 INMATE ACCOUNTS SYSTEM PARTIAL ACCOUNT LISTING FROM PURGE FILE INMATE NAME NUl4BER LAST FIRST' MI AH4329 BETRr.tlD TYRONE BATCH DATE H MO DY YEAR TRANSACTION DESCRIPTION 1164 10-02-1998 32 COMMISSARY 1 OCTOBER 1998 1278 10-15-1998 32 COMMISSARY 14 OCTOBER 1998 1449 11-04-1998 32 COMMISSARY NOVEMBER 3,1998 1541 11-13-1998 32 COMMISSARY NOVEMBER 12,1998 1642 12-02--1998 32 COMMISSARY 1 DECEMBER 1998 1886 12-28-1998 41 MEDICAL MEDICAL SI::RVICE 1886 12-28-1998 41 MEDICAL MEDICAL SERVICE 1886 12-28-1998 86 ADJUST PAYMENT 41 POSTAGE TO MANY TIMES RUN DATE PAGE IAS365 5/28/1999 1 STARTING BALANCE 2.27 TRANSACTION BALANCE AFTER AMOUNT TRANSACTION -.58 1. 69 -.29 1. 40 -.29 1.11 -.61 .50 -.32 .18 -2.00 -1. 82 -2.00 -3.82 2.00 -1.82 BALANCE AFTER THESE TRANSACTIONS------> -1.82 PA DEPT. OF CORRECTIONS BUREAU OF COMPUTER SERVICES REMOTE PRINT TIME 13:46 INMATE ACCOUNTS SYSTEM PARTIAL ACCOUNT LISTING FROM PURGE FILE INMATE NUMBER AM4329 NMlf: LAST EETHAND FIRST TYHONE MI BATCH DATE * MO DY YEAR TRANSACTION DESCHIPTION 2012 01-11-1999 37 POSTAGE 12-29-98 2104 01-21-1999 37 POSTAGE 2270 02-09-1999 37 POSTAGE 020399 2373 02-22-1999 13 PERSONAL GIFT FROM VIVIAN *033960 2404 02-24-1999 37 POSTAGE 2-23-99 2459 03-04-1999 32 COMMISSAHY 3 MARCH 1999 2578 03-19-1999 32 COMMISSARY 18 MARCH 1999 RUN DATE PAGE IAS365 5/28/1999 1 STAHTING BALANCE -1.82 THANSACTION BALANCE AFTER AMOUNT TRANSACTION -.78 -1. 21 -.99 40.00 -.77 -] .07 BALANCE AFTEH THESE TRANSACTIONS------> - .78 -2.60 -3.81 -4.80 35.20 34.43 33.36 32.58 32.58 '/. '::\::' ", <', :" ./'~" {l"~' ",; ~:".~" ,...1 - \-:: : :,,\::~~ '/,<:.' \-\;" <;'^;,:,"~,':;, ..<.: ~~~:i\"~'~. ;', ~~ ,~,::~ '~~..: ,:~. (: "::;'~"':> ~!':\ :~,~:' ,:~, ~:' '~I"; ":~;>\.;-., ,.;' ,I:' ',.'.:' .~' ',: .;; . t .~'. ;.:~' ''':., .:,:, , '. PA DEPT. OF CORRECTIONS BUREAU OF COMPUTER SERVICES REMOTE PRINT TIME 13:46 INMATE ACCOUNTS SYSTEM PARTIAL ACCOUNT LIST1NG FROM ACTIVE FILE RUN DATE PAGE IAS365 5/28/1999 1 INM/ITE NUMBER ,'U.14329 NAME LAST BETRAND FIRST TYHOrll:: MI STARTING BALANCE 32.58 BATCH DATE H MO OY YE~.R 2739 2822 2870 2934 3019 3090 3140 3158 TRANSACTION DESCRIPTION TRANSACTION BALANCE AFTER AMOUNT TRANSACTION 04-06-1999 32 COMMISSARY 5 APRIL 1999 04-15-1999 32 COMMISSARY 04/14/99 04-22-1999 32 COMMISSARY 04/22/99 05-03-1999 32 COMMISSARY 30 APRIL 1999 05-10-1999 32 COMMISSARY 7 MAY 1999 05-17-1999 32 COMMISSARY 05/17/99 05-24-1999 32 COMMISSARY OS/24/99 05-27-1999 37 POSTAGE POSTAGE 05/18/99 -1.85 30.73 -1.06 29.67 -1.27 28.40 -. a 3 27.57 -.98 26.59 - . 98 25. 61 -.78 24.83 -.22 24.61 BALANCE AFTER THESE TRANSACTIONS------> 24. 61 :.: "" ;.... :.':.;'. . 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