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Name and Date: ____^_ Housing: Booking Number: Date of Incarceration: Can you read and write English? • Yes • No ?Puede hablar y leer inglies? • Si • No Are you: • Pre-trial? • Post-conviction?

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Name and Date. Housing: Booking Number. Date of Incarceration: Can you read and write English? • Yes D No ?Puede hablar yleer inglies? • Si • No Are you: d Pre-trial? • Post-conviction?

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