EFTA00134858.pdf

PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. HANK YOU. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Magazine Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. A lf nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. EFTA00134858 in is s in is 21 skin ism - - SONY_ODOOG395 EFTA 00000060 EFTA00134859 E 7636I-05/ 1e43u0Si664e E 4 h l_4011 *it-F-110k s ,UP assfaes chi obse-smarkon,. k Fes tt/9 _1/9° ifi. ,4Itilingle-j--P"-rEix) i5 StEEff>3.C.> --7-7- Peicitivor,te -r 0.1 GliSf 4-th "ii LA0Mal•Q CrEt3/4),l 13 (\Aar 17 esatei Was.. • r-- !Fa \s )4,e+er- ERs-rci k 6 tam, fA tilak,E-PSTELY .5- cizbiciwzi - 1St imhakEpsic0 awah,,p,a, 1;c4a 1AA43-1telositi n )1/4) ispaeijAA_Lits 6(45 okaGON-, jatA/Amekt-Psi-EN is..p :czin EFTA00134860 Itielmak -1O37 itymigic 5Ttia 15 P 14 LS =mac, in, i509; his oril n, 11.a FreStei).\ Pac_i EPSTEN 96S0Nit 41i(sk Ark nt01:5 afAI- 1.37&15-1311 ,es7 1-41133-(-e:4W4ca---.E.o) ?s ezt frizzv,tms 6L p Dirdce-t:"1 PTRr--)45a-L?ci sze. \`.› ms no3 k\-e. k-A0frxrcx.i)-A rk:(1)1M* a475\ei•I 's Vtiii\63 ba,3,1 EFTA00134861 II _ imAE Ji EV-J.6W s (91) !o_SS_CeM_ tia7144- e t`) 6 ;TA n LAN ks C -Gr brokas rokc 73*, AFF,341 i4 2; \frqii.;(3 ttisi;)5C-1- 7 (Q 181 cos . • cos 00Mitsi 6.4 4<J is - (Ay o5 (rl EFTA00134862 N 1.6 - O-St :11(54 g<ty -14_4 et-we ?di :'04A 7t1 13H •Iteir epsie.21, ':/Cav* --ePth/;)- 96.at 7:.:1 eperie241 . .P44-2k 14687 A.g.laot e Stia. 0-4 : 617 ET,2 2 tat ,70-k9Vkl fra,_ (SYNegt\13'.1 :CleVY:\ -EQAC,Ci\) q ‘b tti5 .-__75VA\ CDA7., - _ tts).75_435C- _ •Ces.kg._..\8-ELCIC: ede\e-t-kt 1\5e = k6;n&N r; 6"..1.6aV\A\C- Efr 1/2'd‘i•_ia;Lie‘S- 45,AS ti\kA cs4.15j: cd4 ;vis \\, doc.,c-cyN \,(0.6,1\SI.IttoCActi, kLe SDN1100006359 EFTA_00000444 EFTA00134863 1 \CO\ ebrct; - ,pke.eiAits St.Set: 114k: gSklindi :11.a m:1/2m._i___cLiV_ /933011",--Ennoer.k..Edicaus okA e4ako tro \S 3V-LIA r rr F 800#4i fok Psyci/oiss VA-Taff • :too' L.' A 0.17kr4 -fPS Trieti ZSI 0_ • 3: Is IT NAKTE psrfitiv rs .00 - 3•3Qr: fAcrenti - TS - ear Ep_srEpv .ES __Oaf 4-.04T LirithvATE:- cal -- .11:14-`slANATE rani _Okr 1730 TkiwtrE- - - TEDY - - riViWATE Epirk,srs _our. „ .5.:001!s'it\tAk/A-TE: tp.srem- c V3 " . DAME. Ep ST EEN _our L;s9-cisia5 Veld A E -Tpumft: SONY C0006360 EFTA 00000445 EFTA00134864 -ON AT-E1/11 7631?-of .Eplrw VOT ?•156 rkimptiE _mu t Is star f3P, MA/1TE - MIK iS 001- )''IP!ThitAkTE STQI4 rs — rce- - --- -#701-651' 511,01.06361 EFTA 00000446 EFTA00134865 7164 FfrfrtgA-v.. rrog 404.A.4.iee-;$ T (6t ffrae-A_Zializ1/271 cat-iN a it .47-4A-.,. eietvar° prfry 514.frtG14- rfc,„ .-4iliati Tice( tule-‘4,1 Cruil—a7 004-itZ./ 0,6-0-e-71ceide---eco 5g-P-4-7-7*-0 swe Fil-orrerr- . 4SSAA16-Sr•r_Spda:Ei jpbsavva4-frorva€ lA,v Fe ceif 4:frq 0A 7 9 14A.434-e-Eccretaii6 11 livver6C.-Ostr.,1&:61 facaIn ll-)Tis .laktViimarteLEAsruz.T:iS limia-ip__EP6-rettO.k 1474-1/vvisitEPsTER\-- is itiN EFTA00134866 1714maf-0_,E s~ ISIS Gill 1144/6-12- eSTE1,/s) ;5' i 'atm Fa In Ef317E-1/CliS_ 4'M ,Inhaps-it.i.)3 .1s lAmaft:aciL57,,tw :1-5. csk ;11 Felle5TEIN is 5 ti /14 Ian P5(El4'k WSJ Eto pacit4 a )4.4. psi -Ern k5- jcinaele- E` 14‘135 'AiY‘E ck,tex wist. c(6icirti raA- sicciA- Qcssolmvss)op 0-0416 P51C • hIP -o . 71/6111 3°1 : (*go e(1slit- ,F 5 tAiffi4 ,SA.o7Z!ci4c,c3_2„,..j. _ hirtArb ' 693-061,1_ _/ 5 14-1,4, ) 31) 1,0-.44-1( Cps"..7V7,1 r s kimke-ct /1-40.4‘no:_ 3 2.6.1.MIC5 rr 115 ga, 14 L-4 -77, ut (40,01 orc 4 Lca trii cc' EFTA00134867 -4A400.3 -avyy ?CONcOW 5FCAI hAt V11, 1-1597011^A'k .ter.0 0J52.), sauA5-O -, 1w019..fj PA rify C6()4V+ 5 4 a 2kANA 7‘ pactNi ail+Aii5 un,945A1 wr 0-i\olAA .{49kA.N0,1_.)6 „ Dtt 1 (A.5.71 1,5 t s,9 kw/ 3..9.-74-f76 0, ms.2 201-41 ST (if(t)-9- cm- - 7- Atri) 3 53. -14-1- 09 LAE-1cl kfroW.Ctti - 1 /4. ) sr-VS fd- 1.14 ' • 2O.it, J;1 ??.• ---maRctr, -:•.,74-1iLPtt, r-Y9Iff:4frity4o.1 NI , )1,, Sv,2/'1 7011-t k_so- r-O)11 EFTA00134868 Vsliptivi-ss.ciAH,E5 1-3.6e 19e-4 tivistS=. P_An. (N. Lbc,sei— tot n)orn tt o, A6,-) it_Lt5 e is op-4g cke-s 1:00 ,r,YAry,64-e EPstem &\,1 of 4nic=4- c6r Vim9ef \I‘s0- v.los( SONY C0006365 EFTA_00000450 EFTA00134869 Name of Inmate On Suicide Watch or Psych Observation:AESErk Registration #1: 1631S — 65 1 4 EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQU 7 OFFERED SHOWER RECEIVED SHOWER 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. SDNY_00006366 EFIA_0000045 1 EFTA00134870