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                                            ©OURT OFCRIMINAL APPEALS
                                                    JAN 09 2015
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                    UNSWORN DECLARATION BY INMATE
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            i, RtWl Yh^mn^                         sip'3r7^4/ -tqij6. i^i^r
PfO 5e   Being presently incarcerated in the Bexar County Adult
         Detention Center, San Antonio, Texas declare under Penalty of
         Perjury that the foregoing instrument is true and correct.

            Signed on this the % day of (XllnWf                  ,oW •



                                         Defendant'
     ,j,                               2$ Decern 6zr0ot4

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 £ (^ff BEXAR COUNTY ADULT DETENTION CENTER BC/\PC_ CQ_
                                      INMATE'S GRIEVANCE FORM                                                                    .


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  J8l»*4 (YVrW S1D# 3Z7D7V                                                                 D0B 13-/Z- /?/# '^
  owlkkMo™™* ft-ft,^ "-^ft*                                                                      ^SING /^S-27 ^g
  State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place
  form in the box marked Grievance, the unit mail box or give to Living Unit Officer.You will receive your response through
  the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to              <
  grievance form.           Q^ 2/}, £6(4 ^ U-&5. <SdW^{ \y. I-Avu U^b rO pfrWl
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                                                                                 INMATE'S SIGNATURE



      a***************** FOR OFFICIAL USE ONLY *           DO NOT WRITE BELOW THIS LINE ft*****************



  RECEIVED BY                               DATE                    CASE #                 _ _ _ _ ^ CODE

              INVESTIGATED BY                             d.
>««     i_    REFERRED TO                                                    _    DATE
              REJECTED (Include rational for reject in response)
             . NO ACTION REQUIRED (Include reason in response)

                                          GRIEVANCE SUMMARY RESPONSE




  PROCESSED BY                                            REVIEWED BY                                       •
                            Grievance Officer                                            Grievance Supervisor
                                                                                 Date:                          \       - .,'.
                                                                                                                    \    •




  GREEN COPY TO FILE
  WHITE COPY TO REFERRED SECTION
  GOLD COPY RETURNED TO INMATE WITH RESPONSE
  PINK COPY RETAINED BY INMATE                                                                         FORM 351-44 (8-11)
                                                      i7 '•(
                                                                                                                                                /
                         INMATE PERSONAL PROPERTY INVENTORY LIST
      DATE:                   INMATES NAME (LAST NAME. FIRST NAME. MI)                        SID#             HOUSING ASSIGN*    BAG/LOCATION #


                      M.prfiiw.                                                            327<&y
  REASON FOR      ,—, DISCIPLINARY .—. INTENSIVE               r—, CONFISCATED ,—, LOSS OF           ,—, EXCESSIVE ,—, OTHER:     (SPECIFY)
  PROCESSING:     I—I DETENTION           I—I SUPERVISION LJ PROPERTY           L_l PRIVILEGES I—I PROPERTY I—I

   PERSONAL ITEMS         N   U   AMOUNT EXCESS     PERSONAL ITEMS          N   U    AMOUNT EXCESS     PERSONAL ITEMS        N   U    AMOUNT EXCESS

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  Letters
                                                  "Ufa/ -r"                            1                   TEMPORARY STORAGE OF T.V.

  Paper/Tablets                                                                                       BRAND:
                                                   >/?•• £-T"
                                                                 '
  Pictures                                                                                            SERIAL NO:

  Pens/Pencils
                                              /                                                       NOTE: ISSUED ITEMS. SUCH AS SOAP. SALT;
                                                                                                             -PEPPER   TOILET PAPER   Will   MnT RF
  Hanker-chiefs (Art)                                                                            •             PLACED IN INMATES PROPERTY.
           "




                                             CHAIN OF CUSTODY RECEIPT
                                       INITIAL RECEIPT                                                TIME:
                                                                                                                            l DATE:/^y^-^
  IUKNLU IN BY                                    IMVLNIOWLU/KLUMtU «V>

  STGfc
  SlGNATUR                                        INVtN    rORYol    ICER'S NAME/BADGE*               OFFICER'S SI

                        TURN IN OF PROPERTY FOR STORAGE
                                                                          M                           TIME:                   DATE:
  lUKNEU IN B'f   ,                               KtCklVEU BY:


  OFFICER'S SIGNATTjRE/BADGE#                     PROPERTY OFFICER'S NAME/EMPLY#                      PROPERTY OFFICER'S SIGNATURE
                        PROPERTY TURNED OVER FOR ISSUE                                                TIME:                   DATE:
  RLLLAbtU BY:                                    KLCL1VLI) BY:


  PROPERTY OFFICER'S SIGNATURE/EMPLY*             RECEIVING OFFICER'S NAME/BADGE*                     RECEIVING OFFICER'S SIGNATURE

                         PROPERTY RETURNED TO INMATE                                                  TIME:                   DATE:
  INVLNIOHlkU/HtLtASLU BY:                         HtCtlVU) BY:


 OFFICER'S SIGNATURE/BADGE*                       INMATE'S NAME/SID*                                  INMATE'S SIGNATURE


IDISTRBUTION: j
 DISTRBUTION. I0RIG     - PROPERTY/FILE    YELLOW - OFC.    RECEIPT    GREEN - OFC. RECEIPT    PINK - INMATE
                                                                                                                    BCSO Form 351-024 Rev 03/96
%(f (*f 2-           BEXAR COUNTY ADULT DETENTION CENTER VW&: "                                                                  \\
      \       ->                       INMATE'S GRIEVANCE FORM                                                                   S^
 , NAME     HoheA Warl/fta.SID# ——3*1707^
                                       —L                                                   DOB —— 3'*Z~(>¥-                     ^
                                                                                                                                 -K^

 '^^/bay/gggS. acitowi ^wowX-tite) ,TTSING &&'^-7^
   DATE.


   State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place
   form in the box marked Grievance,-the unit mail box or give to Living Unit Officer.You will receive your response through -
   the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to
   grievance form. QN £fec. iS/Zb/tf JC was> •P&nSftsrfeJ-frtrm ~KO.<L.tf. Up^^ik 0*< { h
-thzQcADC", My property WAS tfoj fAJl/BN76/2Bq by T7Q.C.Cf. Corfecfurn^l -p£<I'ty
o-fficM^ 3 uu«y fidurjo wz dmj Iaavz Jim* .[Ytifre &fe fare, 4t>ryoOt'' /tfy
m^r-fy Wte e\^mhJi/Jiy '(/Jc6rrectiV iAJ(/m-kr}^J by IjCApc ffrfcpo/t offices. .
AT -tW> Wfrt'lNCi JT hAV£ beer? U^¥c ti) s&core, l^&f cbcumpn-fs
 Whch AR.G Ugce>S4rfy4t>r /^W/ditic, „ f4t>T£ ftH(&/n<7 {&&( d&*n&*T
 /ttze -rrhte ^tr(9rfuJ f Tfwe'sn/zpeo, le^Ai* tecuMe^/^'M& ^M
Amud Access S 6Afe £m»                               t/crfcB, r)M tz-ft-Mtf fruMk. tfrsml

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   •fr\r«A ttt-ohfp+tifrA «3yr£ 8f)                                     C/5e& /fee ^)
                                                 '                               INMATE'S SIGNATURE


    ****************** FOR OFFICIAL USE ONLY *             DO NOT WRITE BELOW THIS LINE ******************



   RECEIVED BY                               DATE                   . CASE #                           CODE

               INVESTIGATED BY
               REFERRED TO                                                         DATE
               REJECTED (Include rational for reject in response)
               NO ACTION REQUIRED (Include reason in response)

                                          GRIEVANCE SUMMARY RESPONSE




    PROCESSED BY                                           REVIEWED BY
                             Grievance Officer                                           Grievance Supervisor
                                                                                 Date:

   GREEN COPY TO FILE
   WHITE COPY TO REFERRED SECTION
   GOLD COPY RETURNED TO INMATE WITH RESPONSE
   PINK COPY RETAINED BY INMATE                                                                        FORM 351-44 (8-11)
 Hftje 2Of Z BEXAR COUNTY ADULT DETENTION CENTER ~*GCADc'' _.
                                            INMATE'S GRIEVANCE FORM                                                               ^J
          Arl fVUW SID# 327fl7</                                                               D0B 3-P--W                         ^
^'^TEikJl^CT^E (k. w »?*A«.GDtt)                                                                        isr0 Bg- 2,-7 ^
     State incident or problem as clearly and briefly as possible, (use additional forms or plain paper if necessary.) Place
     form in the box marked Grievance, the unit mail box or give to Living Unit Officer. You will receive your response through
     the mail. You can obtain additional grievance forms from Living Unit Officer. Do not attach any items or materials to
     grievance form. QcC^^> -H> fry XQ£3, £er*v|ra«>Sarv b^, \kM?(<L /^ p^" m(* ^

                       r-              ti      f           1   r


  te)f6g(y\ m-bZ'l Feu 6^ CkOif} trf CO^f Veceid- \hlC6rfect
M^CJ fhurik Cwriof Appeals <?*A, <fae k. Cf/-W- DcHiZ c/t rr xcf. uto &fr<%rWf&
     PROPOSED SOMITIOMTO PRORI FM P^P^HCC Aj^J QCO?SS4& f*\f fe.^5S4 fy \f(j&(

                                                                                   INMATE'S SIGNATURE



      ****************** FOR OFFICIAL USE ONLY *               DO NOT WRITE BELOW THIS LINE * *****************



     RECEIVED BY                   :               DATE                 CASE #                      -     CODE

                 INVESTIGATED BY
                 REFERRED TO                                                          DATE
                 REJECTED (Include rational for reject in response)
                 NO ACTION REQUIRED (Include reason in response)

                                             GRIEVANCE SUMMARY RESPONSE




     PROCESSED BY                                              REVIEWED BY
                                Grievance Officer                            ^              Grievance Supervisor
                                                                                    Date:


     GREEN COPY TO FILE
     WHITE COPY TO REFERRED SECTION
     GOLD COPY RETURNED TO INMATE WITH RESPONSE
     PINK COPY RETAINED BY INMATE                                                                         FORM 351-44 (8-11)
                 BEXAR COUNTY ADULT DETENTION CENTER PROPERTY RELEASE FORM

  •if\tymnde2^      &ferf
                   INMATES NAME                     SID NUMBER                 DATE/TIME




        NAME OF PERSON TO RECEIVE PROPERTY         RELATIONSHIP                 TDL#/ID#
                                                                                           Uj
    I HEREBY AUTHORIZE THE RELEASE OF



    FROM MY PERSONAL PROPERTY TO THE ABOVE NAMED INDIVIDUAL FOR THE PURPOSE OF LsZ-^^t
   uCbrK . AmJ- supplies (, 6&6b ;p>,-c{ur<?s
            INMATES SIGNATURE                DATE/TIME                   APPROVED BY
    *********************************************************************************


    DESCRIBE ALL PROPERTY GIVEN:




               BANKING CLERK/OFFICER                BADGE NO.                  DATE/TIME



        INFORMATION DESK RELEASING OFFICER          BADGE NO.                  DATE/TIME



      SIGNATURE OF PERSON RECEIVING PROPERTY                                   DATE/TIME


(caJR/e)                                        FORM 351 -011    (Revised Sept. 89)
