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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS

(Enter abo e the full name-of the Plaintiff(s)

City

(Enter abo e the full name and address of the Defendant in this action - list the name and address of y additional defendants on the back side ofthis sheet).

I

CIVIL COMPLAINT

NOV 2 0 2015

(In tern A below, place your name in the first blank and place your present address in the sec nd blank. Do the same for additional plaintiffs, if any, on an attached sheet of paper).

A. Name ofplaintiff.___,_M--....l:.~aur_J~-I-A-\--I-o-U.Jol.-'5e;.;......,.,_:~~~o.~,L.d ... <...:::S)..Se:..--~'-----~---Address ___ -+\.~..:C:J..!--L~o~R:u::rH_n___.I_Y-..(_--t--n~..._g--2)f""RC..!.t ~t.e.:::~':::r~AL.!...fPT;:...J._.,_,. ---1-\ 4.....1..!,!0~9L

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Case 2:15-cv-09633-JAR-TJJ Document 1 Filed 11/20/15 of 14

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oJ item B below, write the full name of the defendant in the first blank. In the second · bl~, write the official pGsition .of the defendant. Use item C for the names and positions of ~ny additional defendants).

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Defendant .See...- 6a cJ{ 8 1 () r= lS

employedm ________________________________________________ _

c. Additional Defendants ~e &:teA\ .2; Je_

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II. Jurf.sdiction: i

(Cdmplete one or more of the following subparagraphs, A., B.l, B.2., or B.3., whichever is ajpplicable.) ·

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A. (If Applicable) Diversity of citizenship and amount:

1. Plaintiff is a citizen of the State of · K.a o__sq 5

2. The first-named defendant above is either

a. a citizen of the State of l(AtJs,9-S ; or

b.. a corporation incorporated under the laws of the State of KA-iliA-S and having its principal place of business in a State other

thin the State of which plaintiff is a citizen.

3. The second-named defendant above is either

a. a citizen of the State of f<AAI sA-s ; or

b. a corporation incorporated under the laws of the State of Kansa 5 and having its principal place of business in a State

other than the State of which plaintiff is a citizen.

(If there are more than two defendants, set forth the foregoing information for

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each additional defendant on a separate page and attach it to this complaint.)

Plaintiff states that the matter in controversy exceeds, exclusive of interest and eosts, the sum of seventy-five thousand dollars ($75,000.00).

B. (If applicable) Jurisdiction founded on grounds other than diversity (Check any of the following which apply to this case).

-J.--2.

3.

This case arises under the following section of the Constitution of the United States or statute ofthe United States (28 U.S.C. §1331): Constitution, Article , Section ; Statute, US Code, Title 4~.r Section .

This case arises because ofviolation of the civil or equal rights, privileges, or immunities accorded to citizens of, or persons within the jurisdiction of, the United States (28 U.S.C. §1343).

Other grounds (specify and state any statute which gives rise to such grounds):

(St e here a short and plain statement of the claim showing that plaintiff is entitled to reli . f. State what each defendant did that violated the right(s) ·of the plaintiff, including datds and places of such conduct by the defendant(s). Do not set forth legal arguments .. If yl' u intend to allege more than one claim, number and set forth each claim in a separate par graph. Attach an additional sheet, if necessary, to set forth a short and plain stat ment of the claim[s].)

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ap~et:?r;·~ a. ~cy +hat-T alt'v~ Dv± 0 l'tov) tbe.ro e_(\+-r-1 or a OS ule>-v-

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lh~- G"\Sl<ecQ \A )b,f I J t'o~l\ 1± \e±±be-w)\ ~ o 1 I a os,,}e· r-e ,M o.. o ~ pic ke.-l

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• Case 2:15-cv-09633-JAR-TJJ Document 1 Filed 11/20/15 of 14

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IV. Re ief:

(S te briefly exactly what judgement or relief you want from the Court. Do not make leg 1 arguments.)

Cc.vr (, ~ cl ~r/'IO.L.'t:\ o.s e . so~.ro'r..., ~- i'\. i-,•'5 (fl;.$-c:-:_..,. •

0 JJ<s'Tfrt.tnotJf8r'-Lo~ R:·1hts, 'ADA: Cv·l R4'~,c_~ Bv PRoF<is$ foA-'AL Do you claim the wrongs allegeH in your complaint are cbntinuing to occur at the present v. ti e? Yes~ No [ ]

VI. Do you claim actual damages for the acts alleged in your complaint? Yes ['jl No [ ]

VII. Do you claim punitive monetary damages? Yes 9(J No [ ]

If ou answered yes, state the amounts claimed and the reasons you claim you are enftled to recover money damages.

c -f ( )o i ~k.O St.<-h"S' I

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VIII. Ad~inistrative Procedures:

A. I Have the claims which you make in this civil action been presented through any 1 type of Administrative Procedure within any government agency? Yes~] No [ ]-

B.

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c.

IX. Re ated Litigation:

PI ase mark the statement that pertains to this case:

This cause, or a substantially equivalent complaint, was previously filed in this court as case number and assigned to the Honorable Judg~ -------------

Neither this cause, nor a substantially equivalent complaint, previously has been filed in this court, and therefore this case may be opened as an original proceeding.

Signt_Ure ? laintiff

IY\l+i \( A &hth;_ ~t:tJSe N arne (Print or Type)

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I~ t'ir )Cs.&.JRG:1 KA.dS1S {p~C6~ ~ Sta!e Zip Code

q1 :3- 9. 37- CJtjcJ~ Telephone Number

DESIGNATION OF PLACE OF TRIAL

Plaintiff d signatesQWichita, JJKansas City or OTopeka , Kansas as the location for the (6heCk one location)

trial in this matter.

REQUEST FOR TRIAL BY JURY

Plaintiff re uests trial by jury ~yes D no . (check one)

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