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s 44 ( R cv 12/07)
- - CV - 118 .6
O9
JS 44 c i v il c ov er sheet and the i nfo rma tion conta i n ed herein ne ither repl ace n or suppl ement the fil ing and se rvice ofpleadin gs or other p apers as required by law, excep t as p rov ided
by l ocal rules o f co urt . T h is form , approved by the Judicial Conference of the United States in Sep tember 1974 , i s required for the u se oft he C l er k of Court for the purpose of initiating
the c ivil docket sheet. ( SEE INSTRUCTIONS O N THE RE VERSE OF THE FORM .)
1 . (a) PLAINTIFFS
DEFENDANTS
.~
County of Residence of First Li s ted Defendant
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pp.~N
G t~MA~ L ,
Elk t' rSwEq AO- gTCHf o r 44 Y
L B AS I S OF JURI S DICTION
( For D iversity
O l U . S . G overnment fU 3 Fede ral Que stion
plaintiff
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( U .S . Government Not a Party)
O 2 U . S , G overnment
0 4 Diver sity
Defenda nt (Indicate Citizen
en -r
O 110 Insurance
O 120 Marine
PERSONAL INJURY
0 310 Airplane
2 10 Land Condemnation
220 Foreclosure
230 R e nt Lease & Ejectment
240 To rts to Land
245 Tort Pr oduct Liability
2 90 All Other Real Property
~, 2
C i tizen or Subje ct of a
0 3
D 6 O 6
F o reign Nation
C7
PERSONAL INJURY
362 Personal Injury Med. Malpractice
O 441 Voting
5 1 0 Motions to Vacate
Sentence
Habeas Corpus:
536 General
535 Death Penalty
540 Mandamus & Other
550 Civil Rights
555 Prison Condition
0
0
0 6l0 Agriculture
0 620 Other Food & Drug
0 625 Drug Related Seizure
of Property 21 USC 881
0 630 Liquor Laws
0 640 R.R. & Truck
0 650 Airline Regs .
0 660 Occupational
Safety/Health
O 690 Other
Act
720 Labor/Mgmt. Re lations
730 Labor/Mgmt.Reporting
& Disclosure Act
740 Railway Labor Act
790 Other Labor litigation
791 Empl . Ret. In c,
Security Ac t
422 Appeal 28 U SC 1 58
423 Withdrawal
28 USC 157
830 Patent
840 Trademark
T c g, - r
: JUDGE
DOCKET NUMB E R
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org
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AMO UNT
APPLYING
~ 40/S
IFP
to Di stri ct
from
',
(See instructions)
SIGNATURE OF RNEY OF RE
4EV7
00
RECEIPT #
lo p
DATE
IF AN Y
:i s~
V . ORI G IN
I Ori gin a l
Proc ee d ing
for Plaintiff
Only) and One B ox for Defe nd ant)
DEF
PTF
DEF
Incorporated or Princ ipal Pl ace
0 4 O 4
Busine ss In This S tat e
Cases
PTF
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J U DGE
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MAG. JUD GE
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