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                                                                                                                                 RECEIV.ED .IN
                                                                                                                              COURT OF CRJMINAL APPEAL
                       \1.                                                                                                              SEP 23 2015
                                                                                                                                  Ab®IAOOS!a, Clerk
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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.~
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PLEASE usE A BUSINEss SIZE EI·JVELOI'E                                  9             .
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                                                                                                                  0            Signature
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     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.

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      (7)                       ll•llvi.~TE   LAST NAME                                    PDI         (20)                      FIRST NAME                         (30)       Ml


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      (36) [----···DOLLARS--···--)            [··CEHTS-·.J. (43)
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      (01) PAY TO THE ORDER OF:                                                                                                                                            TF PAGE   • ~igl1\ Thurnb Prin!_ ___ \



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      l')f\YEE'S ADDRESS:                       STREET                                APT 1'10.                CITY               ·STATE                      ZIP
      ,., 1-0025 (REV 1/12)
                                 ----·----·----------~·




                                                                                                                                                                               ..-.:....
         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




                                                                                                                                                                          ..
                                                                                                                                                            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)
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                                                                                                              ...
                                                                                                      ,......--.
                                                                                                                  ....-·-----
                                                                                                                  .                   '
                                                                                                                                          -
                                                                                                                                        · ·

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:
