Case: 3:13-cv-00651-bbc Document #: 3 Filed: 09/19/13 Page 1 of 2
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF WISCONSIN
ANDRE M. KELLY,
C/O A. PETERSON #1586,
C/O KE CASPERSES and
Plaintiff Andre M. Kelly, an inmate at the Dane County Jail in Madison, Wisconsin, has
submitted a proposed complaint. He requests leave to proceed in forma pauperis. A decision on
the request will be delayed until plaintiff submits a trust fund account statement for the six-
month period immediately preceding the filing of the complaint as required by 28 U.S.C. §
1915(a)(2) and the 1996 Prison Litigation Reform Act.
Plaintiff's complaint was filed on September 6, 2013. His trust fund account statement
should cover the six-month period beginning approximately March 6, 2013, and ending
approximately September 6, 2013. Once plaintiff has submitted the necessary statement, I will
calculate his initial partial payment and advise him of the amount he will have to pay before the
court can screen the merits of his complaint under 28 U.S.C. § 1915(e)(2). Plaintiff should
show a copy of this order to jail officials to insure that they are aware they should send a copy
of plaintiff’s six-month inmate account statement to this court.
Case: 3:13-cv-00651-bbc Document #: 3 Filed: 09/19/13 Page 2 of 2
IT IS ORDERED that plaintiff Andre M. Kelly may have until October 10, 2013, in
which to submit a certified copy of his inmate account statement for the period beginning
approximately March 6, 2013 and ending approximately September 6, 2013. If, by October 10,
2013, plaintiff fails to respond to this order, I will assume that he wishes to withdraw this action
voluntarily. In that event, the clerk of court is directed to close this case without prejudice to
plaintiff's filing his case at a later date.
Entered this 19 day of September, 2013.
BY THE COURT: