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Od- U e t UNSWORN DECLARATION BY INMATE 11- . if

i, RtWl Yh^mn^ sip'3r7^4/ -tqij6. i^i^r PfO 5e Being presently incarcerated in the Bexar County Adult Detention Center, San Antonio, Texas declare under Penalty of Perjury that the foregoing instrument is true and correct.

Signed on this the % day of (XllnWf ,oW •

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^___=, f jooiMhi £ (^ff BEXAR COUNTY ADULT DETENTION CENTER BC/\PC_ CQ_ INMATE'S GRIEVANCE FORM .

M J8l»*4 (YVrW S1D# 3Z7D7V D0B 13-/Z- /?/# '^ owlkkMo™™* ft-ft,^ "-^ft* ^SING /^S-27 ^g State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place form in the box marked Grievance, the unit mail box or give to Living Unit Officer.You will receive your response through the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to < grievance form. Q^ 2/}, £6(4 ^ U-&5. <SdW^{ \y. I-Avu U^b rO pfrWl \k\^^ ^q^ Ikhrotfy \UycX Pcr^r Va(( b» '<rIov^ -Q/Cffitios , ^flt)<? ^>A V> \&(C\ §^*V* hr£t«x h f&vA Ih^lXhx-J. !J'\aaxJp

propter sm .itiom4fYPRnm fm—Wflgfrfw^l'-'lAW^^^^*^ WM "^ fe^tf^ INMATE'S SIGNATURE

a***************** FOR OFFICIAL USE ONLY * DO NOT WRITE BELOW THIS LINE ft*****************

RECEIVED BY DATE CASE # _ _ _ _ ^ CODE INVESTIGATED BY d. >«« i_ REFERRED TO _ DATE REJECTED (Include rational for reject in response) . NO ACTION REQUIRED (Include reason in response) GRIEVANCE SUMMARY RESPONSE

PROCESSED BY REVIEWED BY • Grievance Officer Grievance Supervisor Date: \ - .,'. \ •

GREEN COPY TO FILE WHITE COPY TO REFERRED SECTION GOLD COPY RETURNED TO INMATE WITH RESPONSE PINK COPY RETAINED BY INMATE FORM 351-44 (8-11) i7 '•( / INMATE PERSONAL PROPERTY INVENTORY LIST DATE: INMATES NAME (LAST NAME. FIRST NAME. MI) SID# HOUSING ASSIGN* BAG/LOCATION #

M.prfiiw. 327<&y REASON FOR ,—, DISCIPLINARY .—. INTENSIVE r—, CONFISCATED ,—, LOSS OF ,—, EXCESSIVE ,—, OTHER: (SPECIFY) PROCESSING: I—I DETENTION I—I SUPERVISION LJ PROPERTY L_l PRIVILEGES I—I PROPERTY I—I PERSONAL ITEMS N U AMOUNT EXCESS PERSONAL ITEMS N U AMOUNT EXCESS PERSONAL ITEMS N U AMOUNT EXCESS Relig. Medallion Chips 'A 6/>? .,

Tennis Shoes Candy.

Bible Coffee LefP^ Legal Papers Cookies pflfet Books > Crackers 'U>6t& Magazines Hot Chocolate Chips Colored Pencils Phdlb Mlmi ; Envelopes (Plain) Radio LJ/1iX~ /> L> f Stamped Envelopes Earphones Stamps ZZtd/Sk'fc & Letters "Ufa/ -r" 1 TEMPORARY STORAGE OF T.V. Paper/Tablets BRAND: >/?•• £-T" ' Pictures SERIAL NO: Pens/Pencils / NOTE: ISSUED ITEMS. SUCH AS SOAP. SALT; -PEPPER TOILET PAPER Will MnT RF Hanker-chiefs (Art) • PLACED IN INMATES PROPERTY. "

CHAIN OF CUSTODY RECEIPT INITIAL RECEIPT TIME: l DATE:/^y^-^ IUKNLU IN BY IMVLNIOWLU/KLUMtU «V> STGfc SlGNATUR INVtN rORYol ICER'S NAME/BADGE* OFFICER'S SI TURN IN OF PROPERTY FOR STORAGE M TIME: DATE: lUKNEU IN B'f , KtCklVEU BY:

OFFICER'S SIGNATTjRE/BADGE# PROPERTY OFFICER'S NAME/EMPLY# PROPERTY OFFICER'S SIGNATURE PROPERTY TURNED OVER FOR ISSUE TIME: DATE: RLLLAbtU BY: KLCL1VLI) BY:

PROPERTY OFFICER'S SIGNATURE/EMPLY* RECEIVING OFFICER'S NAME/BADGE* RECEIVING OFFICER'S SIGNATURE PROPERTY RETURNED TO INMATE TIME: DATE: INVLNIOHlkU/HtLtASLU BY: HtCtlVU) BY:

OFFICER'S SIGNATURE/BADGE* INMATE'S NAME/SID* INMATE'S SIGNATURE

IDISTRBUTION: j DISTRBUTION. I0RIG - PROPERTY/FILE YELLOW - OFC. RECEIPT GREEN - OFC. RECEIPT PINK - INMATE BCSO Form 351-024 Rev 03/96 %(f (*f 2- BEXAR COUNTY ADULT DETENTION CENTER VW&: " \\ \ -> INMATE'S GRIEVANCE FORM S^ , NAME HoheA Warl/fta.SID# ——3*1707^ —L DOB —— 3'*Z~(>¥- ^ -K^ '^^/bay/gggS. acitowi ^wowX-tite) ,TTSING &&'^-7^ DATE.

State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place form in the box marked Grievance,-the unit mail box or give to Living Unit Officer.You will receive your response through - the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to grievance form. QN £fec. iS/Zb/tf JC was> •P&nSftsrfeJ-frtrm ~KO.<L.tf. Up^^ik 0*< { h -thzQcADC", My property WAS tfoj fAJl/BN76/2Bq by T7Q.C.Cf. Corfecfurn^l -p£<I'ty o-fficM^ 3 uu«y fidurjo wz dmj Iaavz Jim* .[Ytifre &fe fare, 4t>ryoOt'' /tfy m^r-fy Wte e\^mhJi/Jiy '(/Jc6rrectiV iAJ(/m-kr}^J by IjCApc ffrfcpo/t offices. .

AT -tW> Wfrt'lNCi JT hAV£ beer? U^¥c ti) s&core, l^&f cbcumpn-fs Whch AR.G Ugce>S4rfy4t>r /^W/ditic, „ f4t>T£ ftH(&/n<7 {&&( d&*n&*T /ttze -rrhte ^tr(9rfuJ f Tfwe'sn/zpeo, le^Ai* tecuMe^/^'M& ^M Amud Access S 6Afe £m» t/crfcB, r)M tz-ft-Mtf fruMk. tfrsml l,iua)oFp, kbk ,ecferjL>f( Uoie l nu 2>c<z?,~tew, JZ rezursfcc) cm • •fr\r«A ttt-ohfp+tifrA «3yr£ 8f) C/5e& /fee ^) ' INMATE'S SIGNATURE

****************** FOR OFFICIAL USE ONLY * DO NOT WRITE BELOW THIS LINE ******************

RECEIVED BY DATE . CASE # CODE INVESTIGATED BY REFERRED TO DATE REJECTED (Include rational for reject in response) NO ACTION REQUIRED (Include reason in response) GRIEVANCE SUMMARY RESPONSE

PROCESSED BY REVIEWED BY Grievance Officer Grievance Supervisor Date: GREEN COPY TO FILE WHITE COPY TO REFERRED SECTION GOLD COPY RETURNED TO INMATE WITH RESPONSE PINK COPY RETAINED BY INMATE FORM 351-44 (8-11) Hftje 2Of Z BEXAR COUNTY ADULT DETENTION CENTER ~*GCADc'' _.

INMATE'S GRIEVANCE FORM ^J Arl fVUW SID# 327fl7</ D0B 3-P--W ^ ^'^TEikJl^CT^E (k. w »?*A«.GDtt) isr0 Bg- 2,-7 ^ State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place form in the box marked Grievance, the unit mail box or give to Living Unit Officer. You will receive your response through the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to grievance form. QcC^^> -H> fry XQ£3, £er*v|ra«>Sarv b^, \kM?(<L /^ p^" m(* ^ r- ti f 1 r

te)f6g(y\ m-bZ'l Feu 6^ CkOif} trf CO^f Veceid- \hlC6rfect M^CJ fhurik Cwriof Appeals <?*A, <fae k. Cf/-W- DcHiZ c/t rr xcf. uto &fr<%rWf& PROPOSED SOMITIOMTO PRORI FM P^P^HCC Aj^J QCO?SS4& f*\f fe.^5S4 fy \f(j&( INMATE'S SIGNATURE

****************** FOR OFFICIAL USE ONLY * DO NOT WRITE BELOW THIS LINE * *****************

RECEIVED BY : DATE CASE # - CODE INVESTIGATED BY REFERRED TO DATE REJECTED (Include rational for reject in response) NO ACTION REQUIRED (Include reason in response) GRIEVANCE SUMMARY RESPONSE

PROCESSED BY REVIEWED BY Grievance Officer ^ Grievance Supervisor Date:

GREEN COPY TO FILE WHITE COPY TO REFERRED SECTION GOLD COPY RETURNED TO INMATE WITH RESPONSE PINK COPY RETAINED BY INMATE FORM 351-44 (8-11) BEXAR COUNTY ADULT DETENTION CENTER PROPERTY RELEASE FORM •if\tymnde2^ &ferf INMATES NAME SID NUMBER DATE/TIME

NAME OF PERSON TO RECEIVE PROPERTY RELATIONSHIP TDL#/ID# Uj I HEREBY AUTHORIZE THE RELEASE OF

FROM MY PERSONAL PROPERTY TO THE ABOVE NAMED INDIVIDUAL FOR THE PURPOSE OF LsZ-^^t uCbrK . AmJ- supplies (, 6&6b ;p>,-c{ur<?s INMATES SIGNATURE DATE/TIME APPROVED BY *********************************************************************************

DESCRIBE ALL PROPERTY GIVEN:

BANKING CLERK/OFFICER BADGE NO. DATE/TIME

INFORMATION DESK RELEASING OFFICER BADGE NO. DATE/TIME

SIGNATURE OF PERSON RECEIVING PROPERTY DATE/TIME

(caJR/e) FORM 351 -011 (Revised Sept. 89)