`
`No. 21-5493
`
`Supreme Court, U.S.
`FILED
`OCT 0 1 2021
`
`OFFICE OF THE CLERK
`
`Glen Plourde
`(Petitioner)
`
`v.
`
`Jane Doe
`(Respondent)
`
`I DO NOT INTEND TO FILE A RESPONSE to the petition for a writ of certiorari unless one is
`requested by the Court.
`
`Please heck the appropriate box:
`Please heck
`
`I_am_filing this waiver on behalf of-all respondents.
`
`0 I only represent some respondents. I am filing this waiver on behalf of the following
`respondent(s):
`
`Please check the appropriate box:
`
`o I am a member of the Bar of the Supreme Court of the United States. (Filing Instructions:
`File a signed Waiver in the Supreme Court Electronic Filing System. The system will
`prompt you to enter your appearance first.)
`
`ic/I am not presently a member of the Bar of this Court. Should a response be requested, the
`response will be filed by a Bar member. (Filing Instructions: Mail the original signed, form
`to: Supreme Court, Attn: Clerk's Office, I First Street, NE, Washington, D.C. 205'43).
`
`Sigiaature
`
`Date:
`
`
`
`-
`(Type or print) Name S \tyke
`
`0 Mrs.
`
`0 Miss
`
`ChepfC
`0 Mr.
`Ms.
`—Q
`•Cspl
`Firth --\ S k-•CD
`k?..)C- . CS-Ce 0 6k- • P, Cl . Px.)\(. a439
`Address
`City & State
`. . Phone aC:q
`
`Zip OLI3. tc"
`Email 'yr id/CV-HS p p fia.dr
`A COPY OF THIS FORM MUST BE SENT TO PETITIONER'S COUNSEL OR TO PETr LONER IF
`PRO SE. PLEASE INDICATE BELOW THE NAME(S) OF THE RECIPIENT(S) OF A COPY OF THIS
`FORM. NO ADDITIONAL CERTIFICATE OF SERVICE OR COVER LETTER IS REQUIRED.
`
`1
`
`
`
`RECEIVED
`
`OCT - 8 2021
`OFFICE OF THE CLERK
`SUPREME COURT, U.S.
`
`



