RECEIVED IN Tha Court of Appeals Sixth District Cou{7 of 4/A£/?Js FILED IN APR 0 2 2015 -r^ , *. -</-• ^ v- Sixth Wst^ict Texarkana, Texas \ APR 0 2 2015 Debra Autrey, Clerk dL^-doo^-o^ Texarkana, Texas Debra K.-Autfev.'-GteHc

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^^tM0Z^^(J^J3ZUA-J. '5//f^/yiM..Mi-az^ SUBJECT: State briefly the problem on which you desire assistance.

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J"I <.pA3- 71 Utters 4e> <4Jip fyirt>pMdn*7fc yc/62. •W ~tfo*tMr*f* pM MtJ w" #(f <Ute Aa/f? l//)ZA VMr7< /n/ffgyp AtoA/w ,J<=>A? />/A. <Utfi?A d/toA/H* '~7I«a+r/A/)iJ Name: _ Living Quarters: rs: f-*~ ~ 5 Jj& Work Assignment: /u&K.x }Qtfl&r OS DISPOSITION: (Inmate will not write in this space)

,^AA c\A ^xi £M>0(Rev.11-90) \A^ ^ ^~N -^ TEXAS DEPARTMENT OF CRIMINAL JUSTICE — INSTITUTIONAL DIVISION INMATE REQUEST TO OFFICIAL REASON FOR REQUEST: (Please check one) PLEASE ABIDE BY THE FOLLOWING CHANNELS OF COMMUNICATION. THIS WILL SAVE TIME, GET YOUR REQUEST TO THE PROPER PERSON, AND GET AN ANSWERTO YOU MORE QUICKLY.

1. M Unit Assignment, Transfer (Chairman of Classification, 5. Sw Visiting List (Asst. Director ofclassification, Administration ^Administration Building) "BvMr 2. G Restoration of Lost overtime (Unj/Warden-if approved, it 6. G Parole requirements and related information (Unit Parole will betorwarded to the Statarffsciplinary Committee) Counselor) 3. G Request foSA^romotfon in Class or to Trusty Class 7. G Inmate Prison Reoo'rd (request for copy of record, infor (Unit Warden-itefproved, will be forwarded to the Director mation on parpie eligibility, discharge date, detainers-Unit of Classification) Administration) 4. G Clemency-Pardon, paroi&earlyout-mandatorysupervision 8. G Personal Interview with a representative of an outside lard of Pardons and Paries, 8610 Shoal Creek Blvd. fncy (Treatment Division, Administration Building) fAustin, Texas 78757) TO: Manroo^i DATE: ./S^y^'/s {Name ana mieoi owaaij *a . ^ ADDRESS: <J

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