Pro Se Appearance

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Case: 1:20-cv-02495 Document #: 3 Filed: 04/13/20 Page 1 of 1 PageID #:27

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u.s. District Gourt for the Northern District of lllinois


Appearance Form for Pro Se Litigants

lnformation entered on this form is required for any person filing a case in this court as a pro se
party (that is, without an attorney). Please PRINT legibly. FILED LA
4/13/2020
Williams v Pritzker, el . BRUTO N
THOMA.SDGIS T R ICT COURT
Case Title: Case Number: CLERK, U .S

1:20-CV-02495
An appearance is hereby filed by the undersigned as a pro se litigant:

Andy Hope Williams Jr.


Name:

P'o' Box 681 JUDGE KENNELLY


street Address: MAGISTRATE JUDGE COX
Westmont, lL 60559
City/State/Zip:

6304797330
Phone Number:

4t13t2020
Signature Executed on (date)

REQUEST TO RECEIVE NOTICE THROUGH E.MAIL


lf you check the box below and provide an e-mail address in the space provided, you will receive notice
via e-mail. By checking the box and providing an e-mail address, under Federal Rule of Civil procedure
5(b)2(E) you are waiving your right to receive a paper copy of documents filed electronically in this case.
You should not provide an e-mail address if you do not check it frequenfly.

I request to be sent notices from the court via e-mail. I understand that by making this request, I

am waiving the right to receive a paper copy of any electronically filed document in this case. I
understand that if my e-mail address changes I must promptly notify the Court in writing.

[email protected]
E-Mail Address (Please PRINT tegibty.)

Rev.0612312016

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