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TEXASD~PARTMENTOFCRirvliNAL.JUSTICE . . 1.~-M.· AT_~ REQUE~:ST EOB ,YVITI-ID.~AWL ll'll'v~ATE l_nusr FUND D Transfer w 1thln TF .U1"1t · • · · Inmate ~!,. , / . f J.~ OA rE [Q][5JC0CJJ[.0[3] PLEASE usE A BUSINEss SIZE EI·JVELOI'E 9 .

Outside Purchase I~,~,·- 0 Signature Unit '-j'l/., ~v i_1.JIU, . - ,~--- DO NOT. FOLD, STAPLE OR TAPE 5lJ Other Review _ _ _ _ _ _ _ _.:..__ _ _ _ __ Use Black or Dark Blue Ink.· Print CAPITAL letters and numbers block (1) TOGJ NUiviOER (6) style inside square without touching sides.

·,:(o···l\,~ '5. J 3:. -r;~~':J~1~:[~]J~Th7f;l t"",'-'"l.IJt\:!'•l>i"""'~'m';·~··ll!\··rg"''lt'·J~~'iili,""U Approvin[~ Oificer Signature (7) ll•llvi.~TE LAST NAME PDI (20) FIRST NAME (30) Ml

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-- -·7- .;i, ,:\ ~D'::.. :D7b T. WFIITTEN AMOUNT 'Je.._\- \)o\~ Li. ~ S 1~:/ A \ .G ( "C.N:t "-' (01) PAY TO THE ORDER OF: TF PAGE • ~igl1\ Thurnb Prin!_ ___ \

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

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Name: IJ\~J·,ru \ \N\\,J~ ~r No: (oltJ ~ )·~ Living Quarters: --::J · (_ · -~I() J Dct,.. ~ . ·Work Assignment: l'":'" " ~ \ <2 , • v oj- - . ~ _..-~ I

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SEP 08 2015 ·~ ti-1-60 (Rev: 11 :goi · ... · ~c__,~_:, ~ TEXAS DEPARTMENT OF CRIMINAL JUSTICE- INSTITUTIONAL DIVISION ' INMATE REQOESTTO 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. 0 Unit Assignment, Transfer (Chairman of Class1fTcation, 5. 0 Visiting List (Asst. Director of'classificatio!J_,__Administr_i,~;on Administration Building) . . / /' Building) _,..., ... ,......--. ....-·----- . ' - · · 2. 0 Restoration of Lost overtimfJ;fOnit Warden-if approved, it 6. 0 Parole requirep:~~nts and related information (Unit Parole will be forwarded to the Smte Disciplinary Committee) . co/r·· . . ·.. · ·.· 3. 0 Request iEo/ P~ fnotion in Class or to Trusty Class 7. ; ; I mate Prison Record (Request tor copy of record, infor- -.. (l)nit Wa1~e · . 1f f.pproved, will be forwarded to the Director . mation on parole eligibili~'· discharge date, ~etainers-Unit of Class it, atJonf .. .' Administration) . .. _,"- '.-' .... · .. / 4. 0 Cle ency-Pardori,•parole, early out-mandatory supervision 8.'o Personal Interview with a representative of an outside . ------1 ard of Pardons and Paroles, 8610 Shoal Creek Blvd. agency (Treatment Division, Administration Building)

. f.~ ~ < TO: j\J \.t:\.~\ !";om . -)<.c{,:cz DATE: 2J -1_ (n · id:t~ . · " (Name and title ot official) ADDRESS:--D-.~~:1..-.l.---- --- .

·- -~---- --··----- -- --·- --·- ----- -~----·-~.. -·

ITS711 - 09/08/15 INMATE BANKING - TRANSACTION HISTORY PAGE NO. TDCNO. N TYPE --------------------------------------------------------~-------------------------------------------------------------------------·

B4 051315094942939171L B4 052215111042939171L A0003541010051 000048 021708 . Bl K W~ALEY 001000 OOOOOOCOURTFEE 021708 B4. 309CV0656K CSINIB02/CINIB02 TEXAS DEPARTMENT OF CRIMINAL JUSTICE 09/17/15 T014/EWE8996 IN-FORMA-PAUPERIS DATA 09:28:02 TDCJ#: 00645333 SID#: 04576939 LOCATION: TELFORD INDIGENT DTE: NAME: WHALEY~MICHAEL DEWAYNE BEGINNING PERIOD: 03/01/15 PREVIOUS TDCJ NUMBERS: CURRENT BAL: 118.65 TOT HOLD AMT: 0.00 3MTH TOT DEP: 90.0 6MTH DEP: 240.00 6MTH AVG BAL: 121.25 6MTH AVG DEP: 40.0 MONTH HIGHEST BALANCE TOTAL DEPOSITS MONTH HIGHEST BALANCE TOTAL D~POSITS 08/15 149.30 50.00 05/15 i~35. 80 50.00 07/15 99.30 0.00 04/15 195.80 5(1J. 00 06/15 107.30 40. 1210 03/15 155.80 50. 01[) PROCESS DATE HOLD ~\l'r10UNT HOLD DESCRIPTION

STATE OF TEXAS COUNTY OF ~().:1/"~ ON THIS THE f2 DAY OF ~~~;js; I CERTIFY THAT THIS DOCUfYIENT IS A TRUE, COMPLETE,AND UNALTERED COPY MADE BY ME OF INFORMATION CONTAINED IN THE COMPUTER DATABASE REGARDING THE OFFENDER,S ACCOUNT. NP SIG: PF1-HELP PF3-END ENTER NEXT TDCJ I'-!Ul~1BER: 6-_f£6"33..3.. OR SID NUIYJBER: