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$Xjc\&J~A~-\-f- ^ 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 SAVE TIME, GET YOUR REQUEST TO THE PROPER PERSON, AND GET AN ANSWER TO YOU MORE QUICKLY.

1. Q Unit Assignment, Transfer (Chairman of Classification, 5. • Visiting List (Asst. Director ofclassification, Administration Administration Building) Building) 2. • Restoration of Lost overtime (Unit Warden-if approved, it 6. • Parole requirements and related information (Unit Parole willbe forwarded to the State DisciplinaryCommittee) Counselor) 3. • Request for Promotion in Class or to Trusty Class 7. • Inmate Prison Record (Request for copy of record, infor (UnitWarden- ifapproved, will be forwarded to the Director mation on parole eligibility, discharge date, detainers-Unit of Classification) Administration) 4. • Clemency-Pardon, parole, earlyout-mandatorysupervision 8. • Personal Interview with a representative of an outside (Board of Pardons and Paroles, 8610 Shoal Creek Blvd. agency (Treatment Division, Administration Building) Austin, Texas 78711)

:f^c^4v 6t^ r (Name and title of official) DATE . r-/y-// ^Yrh ADDRESS: \

SUBJECT: State briefly the problem on which you desire assistance. -Tfru^ //U^^//)/L f^U^C fir. S 4,5 4^f~ AS itLU^ItXji CA^.djtlL^ <.g <-^

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^ #1-60(Rev. 11-90) 1 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF TEXAS DIVISION

*TWui*N ISRo c^de Plaintiff's name and ID Number

l^tAveU ^Cj Place of Confinement

CASE NO. Z9-- IS~- 00 / *7 ?~"<? j^ (Clerk will assign the number) V.

TU&^jBfAl APPLICATION TO PROCEED IN FORMA PAUPERIS

Defendant's name and address

I, Ub&io llTZCvsMt , declare, depose, and say I am the Plaintiff in the above entitled case. In support of my motion to proceed without being required to prepay fees, costs, or give security therefor, I state because of my poverty, I am unable to pay in advance the filing fee for said proceedings or to give security for the filing fee. I believe I am entitled to relief.

I, further declare the responses which I have made to the questions and instructions below are true.

1. Have you received, within the last 12 months, any money from any of the following sources?

a. Business, profession or from self-employment? Yes • No ET b. Rent payments, interest or dividends? Yes • No Q" c. Pensions, annuities or life insurance payments? Yes • No Hf* d. Gifts or inheritances? Yes Q No Q^ e. Family or friends? Yes W No • f. Any other sources? Yes • No 0" If you answered YES to any of the questions above, describe each source of money and state the amount received from each during the past 12 months.

-y>r^y "frri^J-S Jpor*\J,c /JUpo^s ~~C+JL<j<r r-iA-Hy j& S\J"J

Do you own cash, or do you have money in a checking or savings account, including any funds in prison accounts?

Yes • No If you answered YES to any of the questions above, state the total value of the items owned.

•&ATCIFP (REV. 9/02) i 3. Do you own real estate, stocks, bonds, note, automobiles, or other valuable property, excluding ordinary household furnishings and clothing?

Yes • No a-"""" If you answered YES, describe the property and state its approximate value.

I understand a false statement in answer to any question in this affidavit will subject me to penalties for perjury. I declare (certify, verify, or state) under penalty of perjury that the foregoing is true and correct (28 U.S.C. §1746).

Signed this the /YfL day of &^§Uj4 ,20 j£ Signature of Plaintiff ID Number

YOU MUST ATTACH A CURRENT SIX (6) MONTH HISTORY OF YOUR INMATE TRUST ACCOUNT. YOU CAN ACQUIRE THE APPROPRIATE INMATE ACCOUNT CERTIFICATE FROM THE LAW LIBRARY AT YOUR PRISON UNIT.

-&ATCIFP(REV. 9/02) SUBJECT: State briefly the problem on which you desire assistance.

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JANICE G. STAPLES District Clerk 500 North Church Street, Room 18 Telephone: (903)723-7412 Palestine. Texas 75801

"

PALESTINE, TEXAS 75801

May 26, 2015

David Eric Browne #1948899 Wayne Scott Unit 6999 Retrieve Rd. Angleton, Texas 77515-6618 Re: Tort Claim

Dear Mr. Browne:

In reply to your letter dated May 17, 2015,1 have searched our records and find no record of the case referenced in your letter.

Thank you.

Sincerely, Ls& Jariice G. Staples, District Clerk

_ A *»cfc5M- s o n C"«:» c» rt t y

JANICE STAPLES District Clerk N. CHURCH ST RM 18 Telephone: (903)723-7412 Palestine, Texas 75801

PALESTINE, TEXAS 75801

June 30, 2015

DAVID BROWNE #1948899 WAYNE SCOTT UNIT 6999 RETRIEVE ROAD ANGLETON, TX 77515

RE: CAUSE NO. 369 15-5380 DAVID BROWNE# 1948899 VS. R. GOINGS, CO. WARREINGTON, M.

THORN, CO. PARKER

Dear MR. BROWNE, Enclosed for your file is a copy of the ORDER OF DISMISSAL in the cause number referenced above

Cordially, ANDERSON COUNTY DISTRICT CLERK JANICE STAPLES

Deputy

Enclosures

- CAUSE NO. XXX-XX-XXXX

DAVID BROWNE § IN THE DISTRICT COURT #1948899 § 369TH JUDICIAL DISTRICT VS § ANDERSON COUNTY, TEXAS R. GOINGS, ETAL

ORDER OF DISMISSAL On February 25,2015, Plaintiff filed Original Petition. It isobvious totheCourt that this civil action is not brought under the Family Code and is a cause of action governed by Chapter 14 of the Texas Civil Practices and Remedies Code. The Court finds that the claim to be frivolous or malicious.

D. • vuct , . T£e Cou^nds tne claims frivolous under Chapter 14.003(a)(b). The Court also finds the Plaintiff failed to file an affidavit or unsworn declaration of inability to pay costs. Plaintiffs request is denied.

It is hereby, ORDERED, ADJUDGED AND DECREED that the action of Plaintiff against Defendant be dismissed without prejudice.

It is further ORDERED that the inmate pay an amount equal to the lesser of: 1) 20 percent of the preceding six month deposits to the inmate's trust account; or 2) thetotal amount of court fees and costs charged to the inmate in this cause.

In each month following the month in which payment is made above, the inmate shall pay an amount equal to the lesser of: r J 1) 10 percent of that month's deposits to the trust account; or 2) the total amount of court fees and costs that remain unpaid as charqed to the inmate in this cause.

. Such monthly payments shall continue until the total amount of court fees and costs are paid or until the inmate is released from confinement. K The District Clerk shall forward a current cost bill, a copy ofthe Plaintiffs oriainal comniaint and a copy of this order to the Texas Department of Criminal Justice* Lltigatten ^"^^TheTei!

Department of Crim.na Justice shall withdraw money from the trust account of the inmate in according with, this order and shall hold the money in aseparate account. The Texas Department offCnm1na°ScI shall forward the money to the District Clerk of Anderson County on the earlier of the following dates 1} ?e^Wfct0ta!amount.to $ ^l^- be forwarded equals the total amount of court fees and costs that remain unpaid; or 2) the date the inmate is released.

SIGNED AND ENTERED on this the _/2_ day of ^JIIaaJL .,2015

Presiding Judge rsj • t

sr CD ; Eeaa ^ r<v iljjj i g mn Texas Department of Criminal Justice OFFICE USEr<f>r^LrY^ Grievance # OFFENDER OCT 2 STEP 1 GRIEVANCE FOj^m] Date Received:

Date Due .lZJtt>\ltJ Grievance Code: *>I7.

Offender Name^ft^^ <?/£/C 1^7^lA^£ TDCJ # I'lHtYffl Investigator ID #: "CZJ(et Unit: B^cHl Housing Assignment: r\H~ j£g; Extension Date: Unit where incident occurred: CnO^<A±Jj l"\Kv Date Retd to Offender:.

You must try to resolve your problem with a staff member before you submit a formal complaint The only exception is when appealing thej-esu^ts^of a disciplinary hearing. , . / ^ Whodid you talk to (name, fiffle)?Xjgg£5fc O^^""6^ k>p^d'/y *4L&V*u- ^M^ec^-tee. pjfrt What was their response? aU'^^.'TJu^ A<ArU^ <jift{-tL/~ J-l~aAtS> La^^d^ rAr-~r\Ur-d OCT 2 7 20K t/-A& XU-^^-M^ Ca-CJ^ What action was taken? ^ki(Sr/ *, -£*"— /> ~<*v£" OCT 4 7 2014 State your grievance in the space provided. ivided. Please state who, what, when, where and the disciplinary' case number if appropria appropriate . / P^A~i &&*-( "S-eArioZ^i^J.

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1-127 Front (Revised 11-2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER)

Appen ^ "fc OCT 2 7 2014

Aclion.Reque^e.d.laJDESoly.ejymr_ConipJaijaLt. -f. ^^yAyJW^'^-t^fy's f/^sf?^Ar^-"/U^A^^"r~A -i ifv/ fy y-r

Offender Signafiu^eT^^Ajlr'^gi£/C gj Pate M^tf/¥ Grievance Response:

-Ae<&v<M;ng4o^AB-<33^2rSeetion-E—Qffenders-sha religious items with their unitChaplain in accordance with AD-7.30 ProceduresforjZeUgious_ Programming." The medallion in question is in storage at theGurney Unit. Offender has until —ttfiSftq-lxrprcnndeime-te^ampsd^ _Jsjvarrgnted^ .4.ilMmJJ^ise6t^lGxt^iextt!yi^-fia^2SaiuJU_

§&xmMsm If you are dissalisucdjrfih the Step 1 response, you maysubmit a Step 2 (1-128) to the Unit GrievanceInvestigatorwithin 15days from the date of the Step 1 response.

State the reason for appeal on the Step 2 Form.

Returned because: *Resubmit this form when the corrections are made. f~l 1. Grievable time period has expired. ["I 2. Submission in excess of 1 every 7 days. * •~ OFFICEUSE ONLY nJ3T^igmalsno7s^uSnutte^!"J'^' it&sm jfaagpafeatlit re^rajay CrawrSato Grievance #: .

I 14. Inappropriate/Excessive attachments. * Screerri ng-eriteria iJsedr™ n5.- NodcH^mentedttttempt-atinformal resolution:-* -Date-Recdirom_Qf£endex:- f~1.6. .Naxeniiestefl relief isstated, * Date>fteigrned to Offender: .QXi|^G«iu^ —~ IjBHS^WB^j is not grievable. '_ ~ ClTTBTOiwnr#r UGI r5itiaTs:_ Y3*f ^edffic^flr^§fenci'CTieValice?,f''°st'J--*"" '""-' s^**3"1a '':,eP2 ff-3U<> t;t the *.*•*'. <Srie»^ae« lm|@i$Btfartri&39i 15da**ftrtwa iiui d&fcMtf iSciiftj; i«stKrm-f-..

5SW. bttitisoHfff ^oj«a; wruc Step 2 Fares: £2J Screening Criteria Used: . ncrnte* -jicsufiiinit this forsa whenUjk; earrertiora are isssds. Date Reed from Offender: QTIVIhapprbpTiaTeT Date Returned to Offender: f j • Griev"Jb'e time period has i-xpltx-s-J.

ITGIPrmted Name/Signature: ~~ r_j ^ StitNms&Qn in excess oi Tvvsry i oays. • t:---.a.r~* >^lifii:Yancit,^L—>•• ^. — - •..:.;.u.—j,.- ..—,--—, applicatittft^f th^screenihg criteria for this grievance is not expectedto*adversely ^m>^imf^uai^^%^mw^^s^imi, _ „ _ Swpening Criteria Used:__ ~B&te:-Recd ^ftomHaffejnrier; ^B^^mEs^ami^^,p^Ki!e*a^ •*—~ Date Returned .tcLOffender:. i lj6v_fcia a\;assied ndietis stssed. -^.•K^itVaA.^ . !0pfc sm 3 )!i -'O" ki' ~L--rf.?jfeaBTOB!Thr 'St S»i«.- J rer.p<ML.-'.-. tV fi "ii r'ntrir "m final •irfrr £'riT"* iTPlr ; l«c«eafni; !.ri;<^ia !!>:-.v': f^^y'jww lJ^«I^Wu^)&!iS»^BWBIi>t#B",M'- 06/26/2815 11:54 4374876 PAGE 03/06

M i J5 2015 OFFICE USE ONLY Texas Department ofCriniinal Justice Grievance UGI Reed Date: { ? »14 STEP 2 OFFENDER HQ RccrJ Date: GRIEVANCE FORM Date Due: OfTenderName^fto^ T^P^/lfe iderlNamj TDCJ^SftSSSJ Grievance Code: Unit- UiaI _ HousingAssignment /V3>r l^T InvestigatorID#: Unit where incident occurred: 1-JnrtA*c-ii. *f "XA4-A^ | • Extension Date: rafetl Jfcs must attach the completed Step JGrievance that has bem signed by the Warden for your Step 2appeal to be accepted. You may not appeal to Step 2with aStep Jthat has be^n returned unprocessed.

Give reason for appeal (Qe Specific),. /am dissatisfied with the response at Step Jbecause $£/ Sfrp I f~* I' - Cl^tf

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^v 5^ J-] 28 Front (Revised 11-2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER) Appendix G r^Pd tg «v ltjii)t t 3 tttjg Texas Department of Criminal Justice OFFICE USEr(pi^LrY?

Grievance OFFENDER OCT 2 Date Received: STEP 1 GRIEVANCE FO^mJ Date Due AZJwIltl Grievance Code o/Z Offender Name^Ao^b eAc ~B,7*&lAJ£ TDCJ # \SHVJM Investigator ID » -~C7J(0( Unit: BUriol Housing Assignment: f\H~ ?-^- Extension Date: Unit where incident occurred: fi)UP«*Oy i<AjbVw' Date Retd to Offender: You must try to resolve your problem with a staff member before you submit a formal complaint. The only exception is when appealing thej-esu^tSjof a disciplinary hearing. . > / . K&fe b*-/o\c ^C Who did you talk to (name, tide)? J- <**4~ O^ZC60 fajytpnTry vhGus^yHa*^1 When? Afford >C, £*Ju>e<^ fta £%/£_ What was theirresponse? /io^-ylTT^K Ag*^. ^ l-c^11 t-/A-^S La^^d r/Jr-lrKUr-d OCT 272014 j^j?f- What action wastaken? J&kL&/#h /Uscrf/ ^A^ A-^ -<^A OCT 272014 vided. Please State your grievance in the space provided. PI state wno, wnat, wnen, wnere ana tne disciplinary case number it appropriate . b^.?7-/-7-/Y yAUuau<A.

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