                                                     F'LED In UOURT OF APPEALS"
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       ^
                              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.

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                                                     H

Name:      ]VC^ [\ee^li&                                                 No: \<M*Wi                 _Unit:   S^SSS^
Living Quarters                                                          Work Assignment:   jM si

DISPOSITION: (Inmate will not write in this space) J^^ "HvAj                      ^o=>K. if <^f       \/\T*X?   >T cC< cX nCTU



                                                                                                       ^

#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.

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                  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.

Da

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                                                                                                                ^^15"

Living Quarters: (j (~~$]]£                                          Work Assignment:J^S,J/ Jf /^--/f^O
DISPOSITION: (Inmate will not write in this space) -^a^jlc^ , «£•// <?// ^

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                                     j3k.HLCl.c5.«-«««i-m C o v n t y




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
                                                                             500 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^
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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.^ .

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     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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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         .
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AcJ y^t/y ieh v^5 ocfr 27 m                                                                            ^_
1-127 Front (Revised 11-2010)      YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM                                             (OVER)
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