• ti
• I -Ali • ir e. •
4 1
"4 • •Or .44 1 •
•" 2 ..der, 4.0 41,
%%° 4161.... 4 1. 4r e l e4 lik
PEGISTNATIONP:17‘z3 sq
OBSERVATION STARTED:1-2 q - 2017
OBSERVATION ENDED: 7
PLEASE. RETURN LOG TO PSYCHOLOGY AFTER THE
OBSERVATION HAS ENDED.
THANK YOU.
strwis ALLOWED: ti 5
__LL.. __Regular Clothes r
(%
Safety Toothbrush ) I
Newspaper/Magazine et)
'/140' Books (softcover only)", it.1/4.
` V Safety Pen and paper
241 Toilet Paper ,
` e s'. Legal Mail ,:
• _Other
SW Blanket & SW Mattress must he used even on Psych
Observations.
If nothing is checked with a silver marker, only a Suicide
Smock and Suicide Blanket Are allowed.
EFTA00059564
-7- 23/- 2oief
_ ,
Sqnliq 13-e Lir elcip are e.st a_ Rcsk. k.:ri-- -Op
-70-0-6-44--;;;:)--44- ;vtAr t€0464-tt Attkrtm... 7_77tr0Str
elooph I lk et1:4-1 /4 _kg-times- frAerpoiliet,bly Vet PNych Cii
-7' 7 5b-St c ude,_140 el eye fin e lm 48; n ---1-L-311:.-ea 7;
ViSpi4 l'ifil EpS4-c-; 'I FS eigterrU,`-
Itx1?—:1 5 4,c2, 0n ;t- 2
-rifer ja___Epcltin. c 4,a; % -1;t7 oich: 6Lfic
I
g;grob -21/1 EpS4- e;ri _Is- ctsw-:n5 rb-e &boot -ScASI 1:1 6. .-
(Csdefii - -WM 8 PSki .1 arxinr-LThaik ok_fP-7,1%-it -t —
tiring 'TA tlps(to ask rye, V/14 o A1,frt ec
7 , -evm WA C-Tici-e.:n cks3/4 met c.thnoCiRteln lk.e. IACX-Ir 41-
1Vpit .-1/ 7/1 ep St-e; A. (S to-r:n. cit..4.tc.ke On 14;a• bed G .
1010 /0 -art F4)Z-ce;i• 04 pare tieetitA&-r—Cir
Ste to
lo:tcpit, ThA cp,s-i-6e-, sof peotrs 4.43 a e Sle_geinJC .
reGoporrific -E-9,31:aTiN OppariS Vo 4b e eep.../6c-
'0%96iin .Vivi €Si-d'n is ci,‘4.ae it0 bvostu'V lita i-ea
1-1:00-- - M- - — -t--
(i!Ace°
Cil't AlCht--
"ilTAL:114
e _,
rears ink
*7 Cr r it4-4a&aixt-
a-HID'PA
I Lpj 14 roc -- .5 aefir----
EFTA00059565
Iliht ..
r.:
tit
----t kiii-a -C 4 t 5 -ker,DiA
l'.4 IA r;. . . r u\S s z..-- • al 1
- , --e_FictiV-1). 21t-s sso- • fr
sr
'41 i t
% c l+ A I t tr r IQIF - P -5 r r I* 1S 42 I
O. AM IAMek-FP57-g-th &c p 1 •
"31k--1-A-FrATP CP:PST-ale -iS- 7cfer TO 1 4,
1 I5/4/4 AAA 0 wr Eesrri. 1
a,
i . 0 . t 1St
Ann ang-ce.,-RPST-CT c R-ta I
4, i
t
5AA
30 Ea --it D3 -;s Rize .
)3.17, )— t
A Ain frie:r r.
15' 4,
All 1 It
___
EFTA00059566
ys"-CEAPJ A_ 76318-05H
5m IA,mak.E99-TnO ;s 4 '
5 -1/4,ArpiP3--rEt.M ;5
a-----_____
id\' rillnialtrPSDE 1 1\) ;5
&
-1,
r34_,PsTe-LM
0 AM 11111/13_,-
&IL
43D
4_,-95
iza
-7cV Ic., n
, _.
•5-T
r---1 --Su -TFlo,- - , —
73'24 [mote Fe ,•
7 j5,4_, Lu; s ftwvvIvckt,4-7614 8if-059 - c-SS0 tneS Yes fok, Si to;
tr., treck --F p ot 1tot .10- -76-3-m-testt. i_ ts--
7/6itfr I U-' c (A 41)
r
1/43 4.. . LC-
1 -5° fir -Ins: ;4-
- - if r5 rt sue-' Th colLict, -to--
9 0 -. p-e- 04- skit-I-- ic____
iftfo-- -fic-N05-6-tretke-roy-0,-3--cizziAak, tt-94(
Tfe4F (t 70( -09-y
riTer- f.--- tAA-stitettthAvedIk4" al-it) it
a
EFTA00059567
ore, - 05(1
'a";06 TbzfqeiS:;;; 0,.,i 7aytk, -0,00--
ALtailosA1/474froapad
€:(5- -rk iferytn-,i.-traiiicznio;waytAco 64-09?-
6Latiaint
-PO rim- e ' -etai-CiAtancew-citzte-crt tr : •.
At..s..sh.1-64 7.:Atio .444.44.4.4
-8: - -rizzre-/ir,3lLiqxxd- -t...eny.,,„,zen., krir
CetestelLfr -thvo oti).44.444-044.-1
R:66-7- natalezeir-S44 - "at-kifitte-xdrep-a wiear-
44-
rif 7-144 etiatjutt4 1 7,14-4---, Fee? 9 Ami.,74- -Wit -
-cp-31-- -
te IL,ea t _4 „,...ebzw woo
risr 5--- - Tfcerfijazzikrezutuidattat (Por
600 Kueetsiini 19,c4o-144:9-.4-04 . °ra ce/
AC - - - 04 }70 -4. 114
-4
to: ixf 77ce. ...c,s , An 6...=1"
,,,,,,
,,A4,-., de,owl:4,
p-Cis 0 0- It/l° 1 ...:
{
lothall;PrO-
EFTA00059568
4k, g -GSLi
• A aSAnnio 5r ikh%
a Ci 0 "aelC3 -kon Or` i r _(
• -7 1-7;--cA Rue' 0Hef-Aorc 7 icr
-00- 4-FlaffEeps-zrk2iK-latt - r-ak. it
11 pm Mr.a10.-FP57 21,k) ,k5.1O.P_:e • Sa, hk __._
1 i-r ar i VG iS ri
IIIN kitet TEw 165 9 1iii
AIM
ig -Al
ice' AM
rcrA ie
A-4,-A;p:ps-rp333/4-1--,‹ - -i ,
.
_ tall
Ilk
i
) 0 .i AA Ja If ;6 I P i
el
00
.1 Ai
Ai al
Isupnowassr
all
ll -it
t
a 1
/ 0 II
•
Si
Y
-P , ••• reran • 4 - - --
i I, 1, 49-- - -.;„ ---- •% •
PI I Am& Psi' : At
rarecketrar_riairsi- di
.2Z", lam gra 1I A
:d II iar:4 _ea
1 3(3 Wilf" all
a ye_Isies ilar-M.AraMMIrta
DeGiA 44 na
EFTA00059569
• - pi:57-eirt Itt-76 I2 -O-sc;
- 3 1C:
Z.A
?; /C -(a -aa ov...Theisnac,
Rocereobmi.s.
re( (64AN eirkt4fi-t . 1.1I ec)5\e, 2-n\con:)---3€e
'- s%8.:, Ttnrx\e_
tplt. ,y,
a mr,,Qc. a9,\,, ,,
\.5 seeptryi 396L-
nmar, L1 \\A \20,\\"\- - .3%
-1
--3I-
' 1`11':At 4)5 r, \'\c-: :Th5r , ''
Iiitic--\ rysivra\zr e 1:1. )•5\t\ N-\ N3 _5_\.eAVIrnS
'77y:c7 3 PG,
A' c215"?'N Nnr-10\e Oc:6 \"\ \ .. 5\ Ve-c)ci. 3EG,
tA t 12 virn4 e .6 95k4un s rs
-r- ..c.6.
11:,,n ecf,v‘iN \5__\_ges?&-s-
irvena\c -sca
4-t•-te, t4;;frAetcsize.ss;-.6- \i"7_cvni3::--- .. --5c€:
5::et\ nmet\c0 \icA'r• wit c); 10 Li.2-Yr->ef• 6,f‘S \370An &ezt---Wil
5.. TL.A v-1/4I- /14sea.?Ae‘•r‘ ‘ 5 ci ‘ n3 . 5%.
S•PcAin li,dnr 1/4e. aos t-s, ' ,4" 71:; .?"'i3 -. IR5G.:
Set(•• -3a
IL:
W\srei\-t0-‘54a\t \ .‘
5-\QA5A.r‘
i6I:a tilveNSA.\-e- L.1
0i5\ -evrs. k5 ieerFsw-S ' 3C6
"‘ -‘ -5
,„.., . h,-..e.Ne- ic3 \e-vr\ h sers)“Nei .$.
(in \tNY•r (/1403\PAY\ ‘5 S rvta c -.ME
Cite •‘' . l'ArThrai\ tt e -firAPU'N
3:SA:
• ..15
myna\ t. 0ii)5\-e \y, 3\ er, •ilm-• __,.3C
... 0 \at • pi: -SI
-7- ,-?-2: •i.i1Q--r s;ets,tc _ gi,
EFTA00059570
.9(131 °Cy,
4: " re4e 4ps\ern Q_e_cw -bactCr_ok -3-C€.
7-R1-4
7-:?r; -h\rna;icse. Lt,e,n‘ N-0 ProciyA a2;1\ -5-%- - -
n k \ \ v\t"a\st 4A\ \y\ oer\4 Y6-
-4 'ea OC \'1P S
t7:51 1 .414 4'i }£3a) ...S %iv art swocdre IAA
Ft -st - -. .,L-7e-qc. ‘ 1/4)1Jc-cti.3 AcCTC TOSIT A ssui-tt S
12,ge xAS,Ncl,N.-kts fob Pps-tnaj 7 6 3I 1- 094 -7...,v
Cen:4-at 0 4-.4 -7 -904 sybaumel-kANI4's (>3 7-7-S-0 1A0
1‘.(3-1 !A-4 el's-et-J.4Q "is still Stant .v.4....) -n-tz_
Sci-toisx0-1: ilibr -
%I. 14-,1/4 #44 Pp.'s-veil-I t•-% Thici%Th eNVf fro-t NO N SM.Ota.
S3 4 is-" 'A A
.....we
q' '44 CI SI- 4 5 S, •-1k. cam. •n*.1 S'I'M u-%ea?* k can
•csc.. \it% -i• '
c: Icrim_ f il-tf, n ' as Zi-t/314. n5 14,s Tr C-141 k reO
-SLSfit;t:i t-t rix5Itar4 "X.S- e---ni"s_ Or/ -3101- 0 .-- --
g: TM nt 2:ERSitiv4 74 LEA vvis_ ±-04 us n 4 1./ i 5( it ifi D
C_Atir -7 .1ti
666‘ NI $.1.4 ta- 1";I c.- ---,A ft saes fces,pc.t-c.R, c
n 1 l*
cw or-)
- tr-64 -.?‘444-t -ekPd---- -cas-,c1M--nab* ---1?-47)-Ft- 0 Ssi
1'Up It, (etc -it Li,
EFTA00059571
re .5% ,fr # 3/g - Sy
21W -g-rsereir.3- Wrnue-s-- occ-
_ c) A ite, -5( iv\ 1--c-rTJO Rec, e. at s in .n T- on, G/0
-t :.71O- -- .5i141- -e-P5-7-0-4--:pivoc, ntot -inkrArr- -Ar -0--P-i 4+et,-
! [fro ( p thin t.5 AWer /dry /"SITS 1011
liar
r fi t - -( S --- 61 1-5 r7 VC41 •
- - :1L 17715 1/- - 07 - /14 71- - L el f ti
-10 .•lc YO• fr1/ .44 Cia --- 1 .- 1 re be -
-1-im emci- kc Thasta -p,sow -aust,u,sc __---vcr
?c5
tacgs ec,,,,, 6ps- ic-.,t4 Is l.- •-(...,‘, Down)
laktS-rers-s- -I= I isry
-- 41: 1A) .:ftv•
/ 6 PS TC,P 1 5 -Mat t lvt- M 3v lir- -
%%15 TA inn. C.4, sit-,p4 es ri,scu, v‘o..c eus,pa ss t L %Gt Le SS ON S.
- 2-kt Lk S s- t en Cs's c..- N S c a m tt S e.)
ga-'.ov -3...- tom. TE.,,) ei I;c iSMS lb Ci . SLCI&A(5
Ii_ eWita :Cory\ Egs-ce.,Ns cn1-- qvce —,ME ,1/4.a.es im, ithko-i- I-
_..._ sa-vs‘a_<, V-ccS- - tC7 t -1.-
-22:.`43 V .Rev• €1/4" S el e • f•J fa-etvnrs L LA-ni\A, Da.,A,
—','Nf's"---01 Vt- -69-5-k-rerc--6-
---r`""T3 S---7tres-t--sitti, --frck
A5 P -)(1. € 916.,.., 07A-€4•5 kJ 65E, Stc Pti"-C.)
_....: ea-33-c57 -'517111---SPir& gm oCticesits---itrt 6---itarts-- --c-19
03: "r5 ci an Mit", /Oneai ....<a) i v Tone 4,--
- wra 0- -- - to arce-05367.1--rifineccs--nr 7,-6y -5132T-Dia-
EFTA00059572
b ys-re fiche i-G sus.-(_)<ii
•
O-, ,t4-, z-71Y-N---C-Ps-1G:fa-ce%
--rivtc-- -.c.wpapc---7.-----is-1
,
0:3a • c.. ( 0Q -c-) qe 1 1 s .. ,a..:.
@fro- -SCazthrt.$.7.. .
It' kerS-.77i -tivv --et)S -7 --Itetft . 7-41Y - .
ot t we , ( rn 6-cslet..., ecAsMS.. PS e 6, SCDSRt4..,. .t . , „ •
et :A577 - -Tiffin - - •tecitr 4,4- - 424‘;50-40x2L%- -15‘1- 7 -0 e- - -CLRFPACs- - .rI:t.-?•*..
' 1'.30. Sim E.PSTC,-. tr./ N )..4t-c*Sh. IV • 41 •: (Q.C*06----r vtt! . i
i ii::CeS7 -- S, rMA: -GtagART - Vi911-$.12 5 -115,1..; p,'cc-
A ,
Dc;, -;-- \37 7-,,--p•" '69s-cr.0, .. Pk-Jon -ris. - —Stizzti/A%!, -. -p_
3 ',t5., , .cum 60 stesc* cli rr, /14.4) to Cr ee 5 4' Ce,c.A_ - We
-'---7-- 1 C4C ,* - RAVSO'Colr- - 1•4 al - tAwfindt-yerb - -to - - 6 7,,.. - -egb - s ifts _ 7 ror,3_ _ _
... •. • . . • • '.
.....„ ., • Lieu li:./C. c,o....) c.,.. ru P ‘...Aq X • •-tc., CQS-1" n" PACIIST --t(%
- - -1,- ..-.- - - 7 ethCa 't i't r.4%•-s- -3-: - - - V P-Pc t otcrs - -(=.-.W. Fit ai , •
`Jd 1 13c) r /et% .S-C:!,M-cr , t---rdicucal..-e-M s •K‘c.).:57 . srm.ts pre.mositfrf te:.- ' T--;•-.'..
--- - - - - - - -c5* - - estPrinorri 1:56;Ana`- -17°- - c`4NICC-- ,
6 epp.--is-.F7cf, eaeps_..A-0,e≥;„ci /34:Ec-!b .4:)\----7,r-:\:':
"'‘• 4 5 ... .(IX, • .-47'.(eit
. k:e--v,F":7:5:97.-se:37.---L.15:1E'&FFWRep .57st -S4PPosn--
.
St mita; t‘t AgliariS) :at.',i ••atfoll'ill15 hies; 'SC.
•
nsei ., . 4.40 4
SI 1 S'a k 'I ,MI' t r*IsAeVn 1-c ‘@ j 'q\'n of t•T77. 7 46.4e
c -ialaVrjcrF.A ev-544:i'? •IN `. i % ' tio e cl.Ntlos % --.1.•=;;;-.^ir , 44 di: 7
EFTA00059573
L.?%le,(\ # 76" kb -0 b`l
7 127/!?
t. ..• • - c• • ... , /bits% Ai te
4.
•
r . .. M al - Ca.- V. VIC. 49 / -
\..* trs, r L-_ • t A Ari
. —
•L at 0 4 II - - 4,.. .•. 2 4 A -
oaf' si Ade 1 i
_
Irdi • I - Ira vb. • 4 4 I
4 ° •- - z .• 1 4 414 4
rib • i i
a aka • S. 1 Ai/ i
.._ ..------ 4
. GI VI C rS re CAP.111 126._. .or
•
• 1
40 t
/ t a .-A
41 0,
Y ••, •••
.• M I •4
IIIIMPORIMMINIIMMT
alk
l is a. Qii a - * IA. 4 .0 all
4
I ‘ ;fin r ei--1 •— I . / , 71, 1 re,:,..44-,..-
A?-f ; N... _.......s.• -•-
•"-''-"Faaa.••••••••--••-•••••••••-• fler...2.
•
-. . i b.. It IN jag • 7 ' • s ai
•1 2- t - lyr _. - . .<W 77 "Nj
a
/ 4 , I AS
...
' -
:')• •' d q M. •
://,a, /M .adri:2 10 1—...... fil i 44 aj
. . Leh ra AS- ifourip re jr
- in •-_.,e- e7t-psYr:„J. 5t-ris ...0,./-- irtoT,p44,-w,ki .
arsj, 6reen ( 01
. 5-17 '. 'Ke •-:-
de try 195 #4•62...-.1 .753 -*N.:C\ Kt MO • •
EFTA00059574
_epste( %3
- 27 - 2o(
?:-.5mlifri -Tn.,- -155` aAr 73en 'WO-
'5 tact
F: 4.:-,12114-i 4. sois or./ SW
7:3-3;c 4/0-t ees-rn,./ Srs dr..,
VV../ fist C.,'erczni c"...95 -7:75-r- 5refAAV 3 itanetwr
Eike Or S-itn __ 4
8-, ooPI 3-(0-t 004.4_0 sa1/40-12(cleiounta getr#f Net trnag t
er eAr3T erStem Ili crie 13424.- ext,n larestar
Pk .
gas -fri Eps-fem is v.14:wer .err_ ite/cy
-*1.012a-tfr-e--ecd,-05--dia-e0--ffie--- -e:;) -7-Lat ,• 4 e•
A sorb( ECS -Feir) -A:4 Re/
3(.4.4 ra-e-f '
Millt inficr, ..4.O Eli-
?at etf F_a epekee rd' -r aials-A .Ag4,- et
tz.:„:., 75 n ista-- RH:
'iliac/ garLQ-- -zo ‘la.t..d -tr - / i
rsi-Li:i7,;%3e
%:..36+/2Ar- 7fri--
y cporm:,,, tts,....ttt vatic ?xi
fA I ; weetA-O t • br--s fid"-r-e -
&to -- trs-P-att,-.
pi ...-----fem
0;(5- eic-fai, ro et 6e
1 ..1(59$1 /4 L apsi-e/ 07 tises-,,- --tp ke ‘4eferaLO
e-
ri r ca p "L ei edit;;;C 4ir
F4-4/A % 2:77 s-easo
Dwariff-1-,&arvivn,OPLIASIGS"De nasta
EFTA00059575
),
2.. ,.
..,:,i': 1 VO WitA • '
• k Wrote' . .4 1 • _ • Mk • • ' Ar. W l i .
,'fit4 MT IZOMMIMP
-_ i ''' — AX — Ah,
Wir. —tt; VR
--Ir
animossa41
Zs, AIR ; I
a
( e A Id alin ‘ A
i
PI' j ail,
la
I Mgt. OM el LT W, pfrij! liI
lit
HAM: i A a MI k
inW i liMil
NAIMP eaII MMal
1Q
A a villa
-"I tierrr=
Cs Lk..
4 11
4A
r
1 it J
'is la 11 .. It Mr
gil
tati ts u 0 Ile a it 4 Sel
i IA
a
Cle ir ' • &AI al
Akar M. il
c .
If IA ; ( s' * A 114 1I
NiAn-Ir FP SrE
re 1/45 0 • •, 104
La-- --ir
. Pig; A AI, at . i 1 ie.
•r
i
l l MRIH. S IN Ia A• I
: - Mri
Al.
.' a la
;.a . 7 _ is ,•••• 0
•
H151,
kl a i ,.._ •
.
-3 —4,- . „ is , 1 ki
_ __
11 " ' 0 Ail
Ai in - C
EFTA00059576
E-?s-\e\c\ 4- yosiv-o)9
7128) 19
3:15LCT 73,sry3;Z:Ni:1txTncuk-Ir.,y-ovitau 1,44:0, iosioe
. A 76s(8-esti et>41'179‘ :a^Is\Thrii- ..
.3tv 11/4/14. % TM -4,34esys, szi_clea_ksa_3_,-- ,are
3111544/1/4Lim - _(:xjp(y) s sLe r ?Sn'S c.------ ailicep
LiTess-AtA -urlik 1:1;4Ft:se, :•nt cIe ev\cs ,Air laie' -
14‘ b- -t
v ”4:47"-e." -
tei145 A I.. ti 1‘)\ E Qs,%okinc i4
l_s_ _ste
5€9.56,74,1A -it A e cs4-on, -t.s -4teeeRw); — eir
S: 'im. P- 3-Simpir I S._ Skent y, 4/909e
tea, alik • TM !C 9c-Ven" '‘-z steDevsvm •
t %
, 'LNG
, . i-, si O
/
G4 A),P IA1-p rioti
4:743no, rri" e cni-etn -',; „Sets ow .1-Fv. tel :-- 41
442
irsitS 4 ,4 kIM P.9siebr, 1s s:4414 G --- c_____
-. ---40/47c
4 A re• -0°11' P4-- 7 4 01.4 ?L.-
CP.41-c.—
7-- C- 71-744"71- ....,..
• • • “
' '' & •••
A F{
k S SjIreki____CieLISJP—
gc
51;0) V Crlb- 1 ..___—a0
EFTA00059577
C raixr_4,.3 $0C4cfsm gc,
-4,ks.-.-094 00 7 2sirs4 .
ff. aiV
-- it-
.
. iN ^ ,e_ "I
34 o
_ -tar - --rcs --cos.ci.:,--- -?-1A.k •Il
‘
op A.A.Ave-12_
Pr n_ i •
L-3K 44 161
ASK -bt /
il- 19 -142-2:1 - LI.-.wk—b
< .
_ . __ _ _pr-
. i --- tits '
6 3c'A 51,-1 i .5-it i t oo-1/4- Or..I L 4 r )
_ - 4 6 - -
0 4: /3
* tic
vp rf. t e •
r. •
,.....
EFTA00059578
Itrodais, Corigance,(. ;?;714r7
P717
NIra tenenee. e3-c-c7C:92-2
"?%•
aiAor
trae.
".-c
0S--`
Cr7
EFTA00059579
cecta golf- CST
.4_
i._
.- — —
CND OF SHIFT C ------
- - — sZiitc-rfrt linfrre-Congla <HMI -ASS0Ples -ftes Ws letttry- lot -1.-NAMT f - -F-PS'-rep
70c 3 9 6311r- eisct Dm PSYCH WATCH TN calmq 07/zr il ti
s-P-15•{141 4KATe-mfetitd- -14-c:bi--co- ta -u/SIT-
INMAN PPSTelw 15 0O:r op LEGAL VisiT
__ . 00 f
-
- -3 4 5-fit IdfriATe-vps-tepi-ls- tot --NJ_ tec,At . _ yissIT_
3 t. 30 PM • 114MATG GPSTETP Is our 0g 1.964c VIM' .
:T--34-45ftt *me C fStrei0- is. --m .-ol- teGAt visrf
: 00 ?ft 10mins enTsv is ooT 0 LuAL VBIT -
-I,4Hc-em i /14 4117C-us-revst -Is--our on- tit -1 I
3004 &MATE CIPSTE.to 'Ls 007 OD LPL VT cI.
: -r 4.,4 o -K mot-erste'id —15--O0 T -OKr -CSC- 0-ATT
5: 00 PM OM EPSTEIN is OOT O0 LEGAL insI7
- oter7€-eps-TE/-.2%.-0ut-040 - %tem-intier
EFTA00059580
ET s7E-Teu 26,3 1 e- cAs-q 0 9720,
:-3-of--}mtm--re- CIPS76bd-T-S--00T-0,41,-66A17-1Prg it -----771 Vi e..
TO
rtiff -Ixignir -enre7N--ts--0-07- tra-I,G--Gx.- v-ssr MC- - -
atm Ifibilne trsreai Is OJT OA) LECGA4- ns17 M c.
I-CPM--INivbtfb-agTaPi- g-g--00-7-:(M- tECAt- V-ISIT. 74C--
30PM TA/mATetzrS7evd IS CNIT OA) GEGAL VISIT MC
•15PM- DOMATe - F -ITEZI0- Ts" - OUT -0 At -666*-- Vi-S-IT - Pte- -
00 pm nvirre E1 &J&) IS Wr CA) (-6G4 limn MG
MC -
00 7( dr.!) - Ea c9
dU Ti 4 °co'
. _.4;;IgteEp*Fre W• 6‘.
901 Tic MA591+ r: 87673--09.-)0444.....94-- iva .
An r(44 fi d,o4,--nitgaccier
:-°° W "day;ki-64frem•7 Jet-4; Ai ,t o_PArc-4tY ewer
:71-c----Tiorepty; -Auew-,9,--t.-fiXtto. a.ar
441ctroa en, ii,evrytLei •
;3
/4 - 7 fc-f fiazz -- 7, 64-otytowvezituzir--tvel----.
1tc C r4.44 - clew/ rapic Qi-v-Lti eixonei i
17T-46.4-dLiAgacIA4 kr .k.cteiszl I
t'p ton
e ctruevt
EFTA00059581
et,44frtrag 1=176303-O5`f 74244?
f- q;i1F----Morffiar-ot:ctialtet- a et,
js c?;30
41;4-5- -trai- .a9d / devortd3. tideda-P -
XJ-.40 )Al t
- ler: -narad147friSi•ev0-4 --LI. -841 4 4044.
(0: ( 5 t(4+etatti-fruwite-i-Sts dvd 44141,0 veva,
10-7- ?o- --- 46--- - atdria p./a
friut ai ce
__. ii°7clit I RraDA beCAPiffidc rcps,ao-o —
11
obseiva-c-;m4 iivitelfe , gPiterali_z)5Pir •
N
a - -- -
in CO 155i
-
( I
T---
A Waft Sraq .6 -51.01 .
Ha ilitil-lnma CPS k Is 4gio ---
/a5:2
EFTA00059582
.,,tver e I fv-SP.3(g.-d- _
_ • , --40
q
x? 4 I, I
i 151)
3m IAmeakfisr A. b I •
, ,
cosocz,
s•
Am niS 5114
elt-siwteweaccinahartiptiftfrfire-? I-175t0:53
14 Epste?e) a re ,.a tx, bre S-OsittaLv PH
trAWfrrepS, cerr ea.., -evcze -"stizer:41, ftrif
_AN Ai q-s.-heine witd* 47 Latitteen---. ce-vof 2a k a4e«.—m-
a im.: w-42,4a., Netos i.,:k Ai...2 ''
* M "iffig , . ? i \'
nig p ii; ietize=:. giatexmi :4.4c/ ...stft: .-.,v:--': : !7--' .:.-- ?°'t--
iokiLti ict f risfr..Q.A ter p:ccr,:, - 0,--ke Seeitietcy: --7-tc - Ribt
_Tie r. ;7-;°'` R..
5-Air .19a.siret",_ Cpp-a-4O ze.., .,
biAti ii4- ---- 1-4/44 "pato .A) _.- Pt?
ve:gitr , .,.. .-r-zt;-'1?-tr
EFTA00059583
• ...ier::ati_ai .4a7a-,J'Ar --- A
' . 61eirof gai---49,26.,--, •Tos4- pi Op ..k.e. • II
.,er ..
%,...,
rt..,
:. (0:v4N -Fe tein A by 45,..ge.p.."..
" .-475CA-Ar tnagite)-4-
't; 1141 r wetteln? vA.b_t_4,,, e2 d- ,-
ada , 9star.,-_, c my
am.r.r
.r. ketatitroct A
<. . 2:00Ate ei-c-ce-.. iv
s.,_
-ra.÷,A-cr, i -,ti ct, ,,,s -frn : •
( .. 7: % % m k owc,A;,, 9tocctost4 Acs,c5 IZESponi‘ii.t.s Sit
. .. -E.?s-rti.-44 'X 143ts -oil old rycii cdp-rca i.v etre.,
q 0/ 7-N- ri
..(;.---7-.-7..;-÷A comea.,4 \---sck&, soirr rro,, si-teiwt& la C
; -:).s-i- V:
- 7 -7 :i );;; r,r /t--4 r • - • a -
.„...., NJ Wit -pica-o
t • ;1' ‘ ,,t
l'
.: - 1: .- is i-A 1--% EQ51C-_7-.^1 '35 - 54 . k L CAJn-ern.Q sr
EFTA00059584
Ft-4%4-u 70, 8-0`,44 7/oz ce((
CCIt-N Xi/
te_A 'St ets
1 • 2' 7/1 Lp577r4st 1-- Sin I I cairi- ti et3 PS')
S1: .7
:n -lin Cr -raze,' --: -C.:5" raStits 'Scif-4-14.-o-An -SiSINY
1 ,4 11 .)
7. 1., i-ltcr /Afi 's ay_ 84) se ___
16 - t - I
0 i CA
..r/ 1i / 6// fr el / atj Aalk I
V °.e
;
' -th C-Th Ci b 71--,,t‘ VITT-
4AN 5- An
ittA npt 19ssferi-g4 -35b s#,N. c\s\tie.? vcO- -
tot -41m Epyteit/4 . S LA5,A5 0,...1 ?to 2.9-StIncs
ni-t -Sten-itlag- ZS -Si'M Cf..541n0S ----Vb - --
' \ ViO
r at : - -1- 0rah 1M3 —-
it:k_44A ge-reat4 a.% ajrNiks n% CM -NNe? QM. csc-- -1/4W
Cbtc3 covlitstx NA\s \-V-A. .a-*•S 'tea. PE AVes-Cst 11,S \tient VGID-
I. • U .
a ll
' -'5
On— te' • — toi r a VI a
Al.Z44:m r OF- -S1-1—
Ni e ffs4
00 ilal ffiWitw-JA04-.Ast €4A44Aefie"enJi, zi --et.447 we
as
? C nm p '7 • ,LL..,.. is
EFTA00059585
iff,„,a,„_,70(ca-ocif 71a-th
, .• _ - _ ,
N .. ..
"
• % \ .
:
': •
O:00 . . %I 444 4 4 .144 -• ;4 1449 ,10 -' r3 \\ - ''. % 1
fi t b:Ig Ticni- - a e l,„..,
-,40 ,,, ,. . . , , , , .
.."..§-, vcami,;1- treq;:lrer:, n • „ W I(
It_ ..._
10; tic 71" e .i ' "Saitf
te_ys 43- --- {
$ , lc:P.?. tapraJO
D .19/Mtak/000r4)5S---r
resfroe.)
.... - ,
I.
U , • •
II
ir
,i r Or s_Qcipi
EFTA00059586
I% t FlPSffett :s 'l
4eptai
--t ik vit-
las'Am ii J
1 Pi AA/Ta 12:,-FP1:0 s -sf 0 ---------&
rAnt imi4e)-aps-rFos.6 4
ar5m, inmie—E-Psickx\ Cs si
- 1 ___ ___ ___ _
. ,
1
1 .
— 2,
• i
. 0
r '. eA ir -\:eTriaca 7 5 Mef-0-9 -1
/4 a5-, -)ent5
'
re5oon5e6 M4-\ co Ono-4c\N Afi 16511t-crp., , aw —.-3f
3.e \h 1 3 -
3::.....c., n GA Ociev4 \..5 avia\se 6i4vn43 LT.& c"1/44\6%-
km 5\ee? . acNicy- -Nrs:Nrs.
--A 3f6_
3; mincAe -sap5\e\r . ts 5\P-eel-la if6
_57(Att.,- TA-ficsakt.;:,..
ecn.ke.An \...3 .5‘eepwe 3
RI (lc . In \C. \23 5 e
(A: \S .' , 4
• • e _‘,_ .
47 Lg le_
EFTA00059587
S cn -46311- O5M
3 i
Ste
7-•-4-- 6 'als'N k n v% •S‘ ezi:WIS
'Wt .
--k,: 5: Gm MrneA Il ' h I
(Ff.. ---,:: 5 A)--
,,
y-)8 .• - 34
• ::;•,' .vnynch\e_ics)5 \-evv) 1b 5
1
-1-.. . ?en t
cm_,
__4 , vnynke- -Qpskc\Y\ NE) -4e-P n A .
t,i 4 6 ,. ‘nyra t o_ps\reAr., t5 9w\s .5\ge -Sct
...- -4 -4 5 ,4 s ICI
• Co9n) itrnare PA ‘_evn ik- CitOOk '3Col
4 ",. r f\-QAY vs 4a\kg\n't N° ck ea'
____ Yot‘N \\ke
- c.
7:gr.; .ie. tc4eyn As. co;ZyrsvoiectMcLA.
tn.c/nok
-,• 00 4 -4 Oc 4a \c\ -
lit
"7— '. ttAr2 nexA) cetie- tacf42reigas4}Nez. 2.--
t 7fiosc)
::1-1---n ro sfoti
- Ai fps -km Jo 4la crave- -aitexii
.7. /
r
ani. /..2-a_. ALA •
1:2,11:W Lit( f Ili #4 .1 - Ca"
EFTA00059588
Name of Inmate On Suicide Watch or Psych Observation:
Registration It: 1743/ff —or-i e
EATING/SHOWER CHART
DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED RECEIVED
SHOWER SHOWER
//
/ V
L irt
#16 (/
ri.vhq i/
7/a
V) i/. 71 t/i t/ V 1./
il ii
.
04
Please check the appropriate box if the person on
Suicide Watch/Psych Observation actually eats his
meal. Do not check the box if he just received it,
but did not eat it.
Place a check in the "Liquids" box each time the
person drinks.
Thank you.
EFTA00059589