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                                    THIRD COURTOFAPPEAL ,
                                  LEGAL RESEARCH REQUEST

                    PLEASE COMPLETE ALL PORTIONS OF THIS FORM.
      FAILURE TO COMPLETE MAY RESULT IN DENIAL OF YOUR REQUEST.

Name and Date:                                                                  Housing:
Booking Number:                                          Date of Incarceration:                        __
Can you read and write English? • Yes • No ?Puede hablar y leer inglies? • Si                          H No
Are you:        n    Pre-trial?        •       Post-conviction?
Date of Conviction:                                                (if known)


Please check (•) the boxes next to the topics for which you need assistance:
H Current Criminal Case                           •   Current Civil Case:
•     Habeas Corpus (general)?                    •   Civil rights 42 U.S.C.A. 1983 (Conditions of Confinement)
•     Post conviction Habeas Corpus?              •   Appeal
•     Federal Habeas Corpus?                      E Other (Briefly explain and indicate whether it is related
H Other (Briefly explain)                         to the conditions of your confinement)



Are you represented by counsel in the above case(s)?               H Yes         ^ No
Attorney name:

Self Representation approved by court?        n Yes            n No
Briefly desciibe the materials that you are requesting or the subject matter on which you are seeking
assistance:                                .                                                              —




                                                                                 Inmate Signature

Date Request Received:
Staff Response:                                                .




                /                                                  TCSO Staff Signature / Date of response

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                                                                          P.O.BOX 17490
                                                                    ST. LOUIS, MO 63178-7490
     NAME:        LAMOTTE, ARNOLD RAY                                                                          ORDER DATE:      03/05/2015

     NUMBER:               1507853                                                                            ORDER BATCH:                867

     LOCATION: 12C4-105B-                                                                                         RECEIPT:          135890


                                                                                                      BEGINNING FUNDS BALANCE:               $0.00

APPROVED                                                                       REJECTED                                                         TOTAL W/
                                                                              OTY-REASON                                                          TAX
     OTY         ITEM ITEM DESCRIPTION                                                           ITEM PRICE     SUBTOTAL      SALES TAX




       1         9803      STEPPPACK                                                                   0.00         0.00           0.00              0.00


                                                                                                                 SUB-TOTAL:        0.00

                                                                                                                 SALES TAX:        0.00
    Recipient:
                                                                                                              ORDER TOTAL:       S0.00      1

Delivery Agent:                                                                                            ENDING FUNDS BALANCE:                 $0.00




                                    Rejected Item Codes
6      Unauthorized Item        9      Exceeded SpendGroup           12 Unauthorized Indigent Item                              Page
7      Exceeded Max Quantity    10     Insufficient Funds            18   Order FormSpend Limit Exceeded
8      Exceeded Category Limit 11      Exceeded Timespan Quantity    19   Not Available
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