FILED IIM Court of Appeals

Lisa Matz Clerk, 5th District

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& Q It SUBJECT: State briefly the problem on which you desire assistance.

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Name: No: /5722S*7^ i^/kp^l^^/^^ Livi ng Quarters: y^/—/~7/jO Work Assignment: DISPOSITION: (Inmate will not write in this space) At?

£1-60 (Rev. 11-90) TEXAS DEPARTMENT OF CRIMINAL JUSTICE - INSTITUTIONAL DIVISION INMATE REQUESTTO OFFICIAL ,.

REASON FOR REQUEST: (Please check one) PLEASE ABIDE BY THE FOLLOWING CHANNELS OF COMMUNICATION. THIS WILL S^ETIME GETYOUR REQUEST TO THE PROPER PERSON, AND GET AN ANSWERTOYOU MORE QUICKLY. ~^* W^YOUR REQUESTTO THE 1. • Unit Assignment, Transfer (Chairman of Classification. 5. siting List (AssttpifacW of classification. Administration Administration Building) Mdin9) j^ %Z 2. • Restoration of Lost overtime (Unit Warden-if approved, it ^^^-mParol^tSfirS^^; and related information (Unit Parole will be forwarded to the State Disciplinary Committee) 3. • Request for Promotion in Class or to Trusty 4k$r'- ^£.0$PPrison Record (Request for copy of record, infor- (Unit Warden- ifapproved, will be forwarded to the Dj *v \fia0i on parole eligibility, discharge date, detainers-Unit of Classification) Administration) 4. • Clemency-Pardon, parole, earlyout-mand, Personal Interview with a representative of an outside (Board of Pardons and Paroles. 861 agency (Treatment Division, Administration Building) Austin, Texas 78757)

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