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S.uJ^d 333,
FOR THE PMST^MJJ DISTRICT OF TEXAS
N f ~ DIVISION
Plaintiff's name and ID Number C/ 'tf o.
Place of Confinement ^ n
case no. iq-oon ce
(Clerk will assign the number)
V.
A. 6asu^ sqr, Ex. Al. APPLICATION TO PROCEED
IN FORMA PAUPERIS
Defendant's name and address
I, p\\'\A9f\ IllL. ^TOnJldeclare, depose, and say 1am 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 thefiling 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 Q No \Zy
b. Rent payments, interest or dividends? Yes • No 0T/
c. Pensions, annuities or life insurance payments? Yes Q No \?±s
d. Gifts or inheritances? Yes Q No Q^
e. Family or friends? Yes • No \Zy
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.
2. Do you own cash, or do you have money in a checking or savings account, including any funds
in prison accounts? y^
Yes • No 0
If you answered YES to any of the questions above, state the total value of the items owned.
AATCIFP (REV. 9/02)
V.
Do you own real estate, stocks, bonds, note, automobiles, or other valuable property, excluding
ordinary household furnishings and clothing?
Yes D No H
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 day of AA\AA 1 ,20 _H\
AJ.aajIJuJ AlMJU 5^ US
SigMture 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.
AATCIFP (REV. 9/02)
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Texas Department of Criminal Justice Grievance #:C^t At^JA 1 i *-) <-) I
UGI Reed Date:
STEP 2 J? OFFENDER HQ Reed Date: AUG 2 8 2013
' GRIEVANCE FORM Date Due: C_JU O^tJJ .
.OffenderName:/U'fW/J' VfC flT^ftX, TDCJ# S^lff Grievance Code: /Yv^yi
Unit: fMSX MrAu Housing Assignment: ftJ-l-4> Investigator ID#: 115/
Unit where incident occurred: f&W UrtAnA Extension Date:
You must attach the completed Step 1 Grievance that has been signedby the Warden for yourStep 2 appealwuae 0 & ZUij
accepted. You may not appeal to Step 2 with a Step 1 that has been returned unprocessed.
;on for appeal
Give reason a (Be Specific). _ I am dissatisfied with the response at.Step 1 because..
'<^—•". 'i.-i'.IJMJ«^a^*^ minium »i rr *..„•• ••
TH£h.^ ufM 4, fatfl- '
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Offender Signature: Cl^J/Atf. Date: flf-Z6-M
f
\ • . : : ,
Grievance Response:
• •. v 1' i- .Major Disciplinary Case #2013033723 1i has been reviewed.-.vThe disciplinary charge was'appropriate * "jlijf:
for the offense of assaulting an offender without a weapofi, based on the officer s report and testimony at,
I ~the4 hearing, and'the'giiilfy verdict was supported by a preponderance ofthe evidence^ All clue'process ±, ik£)\.\\^j
*,» s *(requirements,were satisfied andTrie punishment assessed bythe Disciplinary Hearing Officerrwas-within^ ^ ym«ji
"'"" ' *agen'c^ guidelines. No further action is warr&rited'inthiFmatte?.*, ••**.• »•' *•+* l -••- *»y-*-«»-
Sign^tiir^tUi^_A^PARKERv W^ V>A A,^L^ -VV^
Returned because: *Resubmit this form when corrections are made. OFFICE USE ONLY
Initial Submission CGO Initials:
LJ 1. Grievable time period has expired. Date UGI Recd:_
L_1 2. Illegible/Incomprehensible.* Date CGO Reed:
(check one) Screened _Improperly Submitted
uJ 3. Originals not submitted. *
Comments:
-Q-4.-Inappropriate/Excessiveattachments.* - — Date Returned to Offender
LJ 5. Malicious use of vulgar, indecent, or physically threatening language. 2** Submission CGO Initials:
Dafe UGI Reed: ' -'"* ?=»*<-•*»-=&••• f
LJ 6. Inappropriate.*
Date CGO Reed:
(checkone) Screened Improperly Submitted
Comments:
CGO Staff Signature:. Date Returned to Offender:
3°* Submission CGO Initials:
Dale UGI Reed:
Date CGO Reed:
(checkone) ^""Screened-~—• — Improperly Submitted-
Comments:
Date Returned to Offender:
1-128 Back (Revised 11-2010) Appendix G
OFFICE USE ONLY
Texas Department of Criminal Justice
Grievance #:
<1TFP 1 OFFENDER Date Received: -DEC-ft-9 701*.
& 1 hiI 1 GRIEVANCE FORM
Date Du
~ ^ : s -artj--^i- ;*-, ^Grieyance^CoOTTl
Offender Name: ^1^1/ori 1& — ' -~
AJ
•Pnu-flw ^^JWng.jnU^.amrf: ±]uTqj4X.*mmA mini Mi) imtUAfo ri^'±m
1-127 Front (Revised 11 -2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER)
Appendix F
*^~ '
• ...'*•
.?.' ••
• , -,
•*•- «•
^ < -^
'*.,
Action Requested to resolve; your Complain
V^AT TlitL ST^rE. CilukiTu £du«J6 Al8oI Me. THifi )ss
Lie.. .,._ • ^ ^ • i ,' \ •' " ; • ,,' , t
-H A.sid ftJ&T[W
- —
Offender Signature P(
- i^J ^/ Z/QtUJ Date: J/~/?-M A, ...iT.: *-C"' Grievance Response: Your Step 2 grievance has been investigated;by this office. You were i i ••«. *•* v- appropriately advised at the Step 1 level. Your complaint is noted. No further investigation warranted by this office. - ' - t^t Returned because: *Resubmit this form when corrections are made. OFFICE USE ONLY Initial Submission * - CGO Initials:- LJ 1. Grievable time period has expired. * . Date UGI Recd:_- I LJ 2. Illegible/Incomprehensible.* - Date CGO Reed:. (checkone) Screened .Improperly Submitted D 3. Originals not submitted. * - Comments: ' LJ 4. Inappropriate/Excessive attachments.* ^Date-Relumed to Offender—^= <=-•-*- " '^v'r' r^%x' ^ CGO initials:. 5. Malicious use of vulgar, indecent, or physically threatening language. 2"^ Submission 'Date UGI Reed: _ LJ 6. Inappropriate!* .Date CGO Recd:^ (check one) Screened .Improperly Submitted Comments: CGO Staff Signature: Date Returned to Offender: _ 3°* Submission CGO Initials: Date UGI Reed: Date CGO Reed: (checkone) Screened .Improperly Submitted Comments: Date Returned to Offender: I-J 28 Back (Revised 11-2010) Appendix G fteJfik£K.S3.l£LIJ41 / Q5 /.*o ( .HIl Texas Department of Criminal Justice OFFICE USE ONLY Grievance #: OFFENDER 2014 Date Received TEP1 eivcu, * GRIEVANCE FORM Date Due: GrievanceCode: _ Offender Name: AtETu 0f V\ JUL. i*STUld<- " IPGJ-#-^SJ^3^^ Investigator lb"&: 1 *- tr*^ Unit: PAST UzAM Housing Assignmeikli .fa /) - vO-3 17 I Extension Date: Unit where incident occurred: V^A(SX W&kA ^ Date Retd to Offender: Vou must try to resolve your problem with a staff member before you submit a formal complaint. The only exception is when appealing the results ofa disciplinary hearing. ". * '•*•'* MWS \\\ lAAS ,_ Who did you talk to (name, title)? ^)\lT. .nftftltixJ • KAfiADa. iUJM pSOhJ When? , 01" V6"V3 What was their response? UhJ)U MOf>tJ li.l ^_: ' What action was'taken? (Th1\L KJflkJhJ ~ State your grievance in the space provided. Please state who, what, when, where and the disciplinary case number if appropriate iHm1 Vll-fly-ia Vt7-0y-ia I MM mVfll^rl in /Ui A»I it \Colour TUAT fiA,j.sgzJ IU4^ IU4 III tOfl,Tflk^l TH ffliM. A filfrRXJ«|,lVl Ml) flfrc.fr'UlM -finA fiQMTt { lUM jO/!tflip/-J 1 'joiVtflj/'-) fil rS>i|H( TtAT, p Apan a •mrfl r UxdrJ A mUm^. T]1 ^ j?, ftn ri4f yO^l^i ^p.i'E /AM ilE iT li to TUoiii.. fiil.Tlii-: WUU.M ilCfrc^ iA^i<^l nl £ ywfg, \kJo.\kA,\ flMrtfiijAh\ AirYmcUL iT Ail Til X^r fi^^^t\ Ai^^A 4^f >hi Ml ynmi/ygnTf i falas l/^AniUr Til k>k lm( npfrp^ |/k^| r»n tii ill i i\U;mA Hi. OAAop\nr\ X\Xia\X \\A\A tii.".-ifWV?j_j^i i._ift-jd. &3i4*.rt-Tlfo7 • J&4l fffliit A/mCTR 4 &t nkr TiKXcT -4 q*u/<- M.| ± lA^Jiil Mi/J U&^rJ A)Ani\LX H^. mfoVmni 4*/I TliM t iKAg) Fim \Aui Til rj^gj>J^ Til s5^ in tUm ^ All Sa nA 1 f>w./1^j^i P^ulkJ MAK-a-5-™ -127 Front (Revised 11-2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER) Appendix F •""a •w i •n A,d.nRequeS,gd,o,MQlvey.urC,mpl,tn,T|J- ^j, ,„, , ftp ^ ( ^ft fl,,) UqH-^MAOC ore: Offender Signature: (\AtAJ*l L/jaL/. JtiJ AtiHAU) Date: 0% ' <3L - l>3 )nse: Grievance Response /J Signature Authority: Date: if you are dissatisfied with the Step 1 response, you may submit a Step 2 (1-128) to the Unit Grievance Investigator within 15 days from the date of the Step I response. State the reason for appeal on the Step 2 Form. * Returned because: *Resubmit this form when.the corrections are made. 1. Grievable time period has expiredMAR *> 5 tUH 1,2. Submission in excess of 1 every 7 days. * OFFICE USE ONL Initial Submisssijx) . I JjQI Initials: l~l 3. Originals notsubmitted. * Grievance #: 1 1"4" Inappropriate/Excessive attachments. *..BjS. . ^_ ^.^ _„_ . ^.Screening CriteriaJJsed:. l~l 5. No documented attempt at informal resolution. * Date Reed from Offender: MAft ^ 5 £""' n 6. Norequested reliefis stated. * Date Returned to Offender: MAR & 5 2014 ' j-! 7. Malicious useof vulgar, indecent, or physically threatening language. a^Snbmission UGI Initials: n 8. The issue presented is not grievable. "* " ~™ Grievance #: ~~" "^ l~l 9. Redundant, Refer to grievance # Screening Criteria Used: f~l 10. Illegible/Incomprehensible. Date Rccd from Offender: _ n 11. Inappropriate. * Date Returned to Offender: UGI Printed Name/Signature: B^Snbmlssion UGI Initials:. Grievance #: Application of the screening criteria for this grievance is not expected to adversely Screening Criteria Used: Affect the offender's health. Date Rccd from Offender: _ Medical Signature Authority: Date Returned to Offender: 1-127 Back (Revised 11-2010) Appendix F OFFICE USE ONLY Grievance #: C^T17T> 1 OFFENDER Date Received: -MAR^ ? ^" ^ 1 ILJr 1 GRIEVANCE FORM Date Due: Grievance Code: _ \. T Offender-Name: AX&h&d~ lu—SXbjiMh- ^TB&J#-S^^^ -- "IiTvestigator'IlJffr V™t:&0$MlM Housing Assignment: K<&:'fo T&-A\2 Extension Date: Unit where incident occurred: k/$?ffifeffyffi.^ 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 appealingthe resultsof a disciplinary hearing. •*-• Who did you talk to (name, title)? Afajbflgffi&|ffiEffi. JUti&ljl. i'fiWArtdjtJL)- When? _mjU^3j-Mjj3 What was their response? Ll&0 UKJDUJK} - -What action was taken? t>HJi/»JDUJm State vour grievance in the space provided. Please state who, what, when, where and the disciplinary case number if appropriate kimaA ntCiOtu \Aaa\ TWqmjl X*uaIa-Xi. l-|gj/)^ 11 li nf m.i. Shy] - rtt&OA* j L3f /Vli\/g^ i tur /IP TUf )0n/1fUnTi[ ftf M»j flrUlx Tl-fF TnjM^rG 1-1*4)0'd h Mf MP l if) /W)~ TlllrJ 1\Aq'X)AWi lAAitfnythpajt.Tii iiiUS Ulj/r . TUi iftiil ftlw TUr ^u.»i^^npT. ^H^fprJ mifWrg Til fiFF. li 114at mi- utrtft TUfrffn ru<^ft,( ,r nidr*f7, rMar Uti Ci*U\(>iy.. \AAoiiu\HiAA-ii\*MfrtijA -i^i^Tiilitdlfijj iiilAS j/ivt/^i^ MtLlKHl tdVrU Mu HiIU-tjimrtii. A" kOMn^ifi - tftdhVi a nihil Mi) f/wliii l-lftflcl fior h.l/ft nJiraiuhl /Wl Mflri M)i.1f toflPaj in*- fi\npjc\ hi ri/h7 FflvrHrtM iimir lrtfl,ftW I u)Ma TKAjn^ffHfri Til T14f £?>TQMP.-\lHnT-t i¥~ fMMiC,|4 r I4fld A C\4At\\to Hi th,t hit/ U kAli ll1lY-Tl4l1lA^fSllMi /Wl-r|4^- y<^ \aAu< ^ _i r-- . ,^» ^rtfl PihV"l \ Y)/m Tl1 Mr) yOiuy/niTi| -l^iJT M>". PrfiJorl n l ^ r I I .a * * , . . -rW i. A . . x\ . .« ^ . ..-r- . a- .^~ 4 i-1 t-. • i il^f flhrtnT fUiT £se 11^-311^ n ILiiK i TH rlil ftp. f?n T. FlUrl /( Stpy7 ilmt il^t-vtof g. l1hi Min>c iIhj ilwl TU." I-Af>\-IliUJ w ImiT IAjT foftj>Ayi*r\ uiH i/^^,^|^)iwm)^>i? fc^v^c^^ i^u^ i^fi^v^ v//d mtrjpvr ~^k *U& \T 1-127 Front (Revised 11 -2010) YOUR SIGNATURE IS~REQUIRED ON BACK OF THIS FORM- "(OVER) Appendix F ^k. Wt •^ ..<.,^. ° ...» i . *vj\ '4 ^.-.wil j.iiU >.„»-•»••:-, it-Ai Action Requested to resolve your Complaint, j ^ ^ T|^ l/^J^) flf /lit M^l f R^teSi*^ -- >w. Offender Signature: /l/<^/ /LjA cJi t ) A/h^m {f>k&Jjo$] n//^f j^.. vvi i /.... ••?.•Jt.t^fe*'^-^- Grievance.Response:-^ ^ ~=£.-.f^j- >-—m—.:• *^-<— bvA >*•'.'* ~ i ^ i t '• Signature Authority: Date: Ifyou aredissatisfied with theStep i'response, you may submit a Step 2 (1-128) totlic'Unit Grievance Investigator within )5 days from thedate oftheStep J response. State the reason for appeal on the Step 2 Form. . Returned because: *Resubmit this form when the corrections are made. 'I jf| I. Grievable time period has expired. >Ji£$ \1 t-Urr M 2. Submission in excess of 1 every 7 days. * OFFICE USE ONLYy£) Initial Submission ( UGI Initials: ^¥^J r~l 3. Originals notsubmitted. * Grievance U: & ff> N'/ / /I?^(# Q.4. Inappropriate/Excessive attachments. * . Screening Criteria Used". _ I f~i 5. No documented attempt at informal resolution. * Date Reed from Offender: U^" r»* .'nift •0-6. -No:requested=relief-is-stated:-^-r. -jp--»m»t* —-. ^^g=y^-"-T----- ^t-.^- "fratc Returned to Q?feii(Ier:p ftift '*> • •" t~1 7. Malicious use of vulgar, indecent, or physically threatening language. 2°J-Submission *. UGI Initials: < 1~1 8. The issuepresented is not grievable. Grievance #: : 1~1 9. Redundant; Refer to grievance # . ] Screening Criteria Used: . l~l 10. Illegible/Incomprehensible. Dale Reed from Offender: - |3 11 •Inappropriate. * Date Returned to Offender: UGI Printed JVame/Signature:, MAR 1 7 2014 l^SjjJuniSiiSJl UGI Initials:.. Grievance #:. , Application of the screening criteria for this grievance is not expected to adversely Screening Criteria Used: Affect the offender's health. Date Rccd from Offender: _ Medical Signature Authority: Date Returned to Offender: 1-127 Back (Revised 11-2010) Appendix F X flgT6S Investigator ID #:. f^S-o Unit: feffifcjU*. Housing Assignment: Miflttfl. ifl-^U Extension Date: Unit where incident occurred: &5T'gJ,jfcJ Date Retd to Offender: NOV 0 5 2013 35^w.r>qqNyy^g^^^^ You must try to resolve your problem with a staff member before you submit a formal complaint. The only exception is when appealing the results of a disciplinary hearing. ' ' Who did you talk to (name, title)? J)h,\xAn Hut W. k4okm,imj<1 LiFr^l;\/^^ rip tW\ Jinn ^ £ iftjq R5k. fe *'-" r—^ •*-'-H f- -1 ^ """" ^"- ••"*' xw Upmi ftJQf 1C f1 JU i-sfWi '/Up mil \ijjn4 t^tii i^jh^i . And ^U\jfS|ff?°/U/l n4rtT 2 + 53 fg^pCl Tjl -p^. £ar^U.^a»«)ir.| J i>< &i,AuA-eA T>f7~, (Ud Win TT4 il^/xfVilkt fl^yl T7^. ^n^^T.i [dUnAf\SUAAi{ dnt\*A ilttiCeu tUuS !4iCi.: . n 9. Redundant, Refer to grievance # "' Screening Criteria Used: II 10. Illegible/Incomprehensible. * Date Reed from Offender: _ Q 11. Inappropriate. * s Date Returned to Offender: UGI Printed Name/Signature: • ^SpbrolSjiyn ^_^_ ..^.UCIJnitials:. Grievance #: Application of the screening criteria for this grievance is not expected to adversely Screening Criteria Used:. Affect the offender's health. Date Reed from Offender: _ Medical Signature Authority: Date Returned'to Offender: 1-127 Back (Revised 11-2010)" Appendix F "~*Tefxas Department of Criminal Justice OFFICE USE ONLY Grievance #.: C&/3 / 9 7 $ f./ _ ~ OFFENDER^"" AUG 0 9 2013 Date Received: STEP1 GRIEVANCE FORM Date Due: Grievance Code: Offender Name:4) fltLC) \tJL £)TO Kit TDCJ # S^S^S" Investigator ID teJ^b^b ^ Unit: Lj4:ST14/IK4 Housing Assignment; U-^ I —*f Extension Date: h)*\KJ Unitwhere incident occurred: l^AS I It A M Date Retd to OfTender&UG 2 3 2013 You must try to resolve your problem with a staff member before you submit a formal complaint. The only exception is when appealing the results ofadisciplinaryhea^ing-_ ^* ^V"'. **"••• •*•' ~* ""* ""*"/?" *4 Who did you talk to (name, title)? fJ«J tT( 1> D ,G i ) .; HJArtQ(LlL) VJdil When? lTtf - D? - 13 -Wh&t^s-thgjfreiiptnissT-l'-JidliHL^fY^ i I" —^What-action^as-taken?^^lbtlL=i44^y^fabM^-- ?f. State your grievance in the space provided. Please state who, what, when, where and the disciplinary case number if appropriate Firulr TlUr Ha^^i tin tu~ VW> yAyr>'rui ai/a*/i3 A^n,^) Tte, AT Hll-VifU Up UArJi A PAls*.-iftiy)i'1ivr /'mif juMtSf nl V^ \t\6ir\OArt. _ llE flraTEf] AT TU," UtfUw.^fl ,l1 TUilT UP fteii migT UiT iu MaT£ UiU^S ThliC^ iriiTfel M/) fi^T /Uirl TUiT iaIKJ/ffl. Min/^ state ujo^t imatS nriri}iij. /Uvl.'iiMcU iuoa^h ri-kr to*. iWJj/i N/'A.i^ ifi.l^ \aa~?m>A ilte > Ph-hAa. FAL^Wr- ttJ.fti'luTfi , 1-127 Front (Revised 11-2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER) Appendix F A * -^ - .-> . J \J.\ • "K -Lr) \ ' Action Requested to resolve your Complaint. BUT TUP ^p.Ttiu.i .IF tU^ ssTAn/Tuft j/1 A~4 Offender Signature: &1jLaJ doc) ATj&uI^ - _1_. * . _ Ii±_ Date: -life^ O^ ~ 13 Grievance-Response: *•- »«•. I, i Date: AUG 2 3 2013 imay sS^ta Step 2(1-128) to the UnitGrjeyance Investigator within 15 days from the date ofthe Step 1response.' Returned because: - 'Resubmit this lie corrections are made.; ^ • 1. Grievable time period has expired. • 2. Submission in excess of1every 7days. * OFFICE USE ONLY • 3. Originals not submitted. * Initial Submission UGI Initials: • 4: Inappropriate/Excessive" attachments." *^ T- '" - --=•*-• •=---*=•-- .Grievance #: _J Q 5. No documented attempt at informal resolution. * Screening Criteria Used: Qtf. No"requested relief isolated. •*=- ^=~-s^2^ --- -—- -^- _-. .. Date Reed from Offender: Q 7. Malicious use of vulgar, indecent, or physically threatening language. * Date Returned to OffenderT" "~ " "" "~ • 8. The issue presented isnot grievable. l*^SnliiniSSifla UGI Initials:. Grievance #: n 9. Redundant, Refer to grievance # -_ • ScreeningCriteria Used: O 10. Illegible/Incomprehensible. * Date Rccd from Offender: n 11 •Inappropriate. * Date Returned to Offender: UGI Printed Name/Signature: a^SHhmissiim UGI Initials:. Grievance #: Application of the screening criteria for this grievance is not expected toadversely Affect the offender's health. Scr~e"ening~Criteria"Use"d:J""~ Date"Reed "from Offender:"_ Medical Signature Authority: , Date Returned to Offender: . 1-127 Back (Revised 11-2010) f -- • - Appendix F [££i\(Lc\ Mim.i± ~6A Texas Department nfcof Criminal Justice OFFICE USE ONLY 1 V Grievance #: - OFFENDER • Date ReceiJeP-4^fc-H*-4Q^ STEP 1 GRIEVANCE FORM Date Due: eCofc? ^*4fei- Grievance Offender Name:*Mfrlta¥*H** rvVftlKi)^TDCJ#^^dgg6 T^-:f4^- TlnvestigatorTiy Unit: P5TPJ.U. l_ Housing AssignmenfTTXrV. tfl. lQ- o? I Extension Date: Unitwhere incident occurred: P~/*i^T 1-1 Ah .4 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 appealingthe results of a disciplinaryhearing. . f\ Who did you tali to (name, title)? UlQlT CLLlvUf.) LUflfrtcklU 1QU4 When? ? fl3-dY-l3 What was their response? {|KJ 1/ RJfl M) Kj s : What-action-was taken?.—1-1 HM-l/^H-JfJtdtJ-H-1- State your grievance in the space provided. Please state who, what, when, where and the disciplinary case number if appropriate n»in* AW\mx nte iK/ok/ irt /I -KyUJn* iAxfc<)l/diri;rlf^ Ri 41k iMA rmiUATC-Uin-tfA fi\/WS /4mi1kh4 TUlmli Any-! Tl4i^ fSTTiTP.k^lufT liiAMmirnut A15A \i\\A\oiA pAtMft TWa* TU' ifliVttjYilu \Aat \ T)4- i«i lil/kS'(I'm'tHi]*. In^Hn^ ir £ 0-7/HI 13 r M113 Fijn^i ilu.'iTii ite rMti -pK.(j).l4T-inll^ Tl1 A Q-5 ^T&Tii.S-l.4i1iilfWlj< fSimff. rMUT TiM< r\/i- iflrrtf.- 3livp^prJ H4M TU^^l i6 miT^iVk XX2A \uwiui x\Af~ \l\il\-\ hi/ 4 LlFEr-mfti. fiV)«. lUirl TUiAT i'idU \S\l\ mil Tu>i(0^1^^ h 1 flJJiAwiWl HJm Ti4tL iAi6M^)liKwM'l'y^ik /Ak^J puMQC\i\«ii\ Fiiu Llffi^irJi^ '^tliliks m' inpt^i-nrsc ing-^Pliip-iiniu FHk-uH4i/j4 I. h.)WS LWa^A A+A E1l4iinld Id*. Tiupml^ IflflMisL Inriro nltj A. Initial Submission UGI initials: Stf-^* l~l 3. Originals not submitted. * n 4. Inappropriate/Excessive attachments. * Grievance #: -ZQ /Vj / 0 Ol Q? Screening Criteria Used: f C^ nfltA I"") 5. No documented attempt at informal resolution. * , , "Date Rec'd from Offender: . £m6. No requested reliefis stated. *MAR jl 3 Z014 f 'Date Returned to Offender: MM 1 3ZM I~~l 7. Malicious use of vulgar, indecent, or physically threatening language. * _2_°±£g£jnJ2Sion uai Initials: n 8. The issue presented is hotgrievable. Grievance #: f~l 9. Redundant, Refer togrievance # Screening Criteria Used: _ n 10. illegible/Incomprehensible. » * Date Reed from Offender: Q 11. Inappropriate. * Date Returned to Offender: UGI Printed Name/Signature: l^SubmijsiQn (JGI Initials: Grievance #: Application of the screening criteria for this grievance is not expected to adversely Screening Criteria Used: Affect the offender's health. Date Reed from Offender:: Medical Signature Authority:_ Date Returned to Offender:. 1-127 Back (Revised 11-2010) Appendix F Texas Department of Criminal Justice OFFICE USE ONLY Grievance #: a%.A, OFFENDER Date Received1 STEP1 GRIEVANCE FORM Date Due: Grievance Code: 'c'/ • 7 ^ •xfr Offender Name: A1 fcm f_\ \(LAfSXb ft )L. TDCJU-gtlJ t^U5 Investigator ID #' Unit: ££>XdA\(L Housing AssignmqrffTU.S. tfl. tfl- 2l Extension Date w Unit where incident occurred:-fc^TQJ.l(?<-^.. . Date Retd to Offender:. >i You must try to resolve your problem with a staff member before you submit a formal complaint. The only exception is when appealing the results of a disciplinary hearing. . . _. ,. Who did you talk to (name, title)? JUil-* tfUL \U ~(Lirt."ftl ^ ltL/\Tl OMit- (Ll4i iI- When? Qg i I *T 'What was theirrespnfise? •j-J^j}/HJflXfl^ ^A . 1 Whataction wastaken? (J frjk, Hl^tVi j State your grievance in the space provided. Please state who, what, when, where and the disciplinary case number if appropriate iil/iM/llY. I lilUiVM 'ftjfrs'lVl IVV) PH J1Til ill, K1i,./| THE -Artf if3li*jMrtm4 r. i.ias miur-fWjuAi,)/-! ei.u,^i ii/iifei dMrtuM lU\Ai, CflUgji uhv-J Yu^frwj.'rttiV yo^iiU--Mii»sji:iC^Tidm-MtfjdRi'4fc^ i\f.t\AArUr\ T)1 A,~4 ?sXHA< iS IOij THE 1iuMX-OlAfiSi fiC ATi&ni Oftk A* j71m~ A, ^1 Tt4ft a im >ts v/; IIV -r jijtitjOi it&ja- \Ko ^iltudax-J- -ftTifl-M- h\A^ TkrpwpiM \n ' 1 .' I .* f t SijnatureAuthority;'1 ' * "^ ' ' ' '• > ^ Date: If you are dissatisfied with the Step 1 response,')oumay submit a Step 2 (1-128) to the Unit Grievance Investigator within IS days from the dateof the Step 1 response. State the reason for appeal on the Step 2 Form. . , -, v. _ , Returned because: ♦Resubmit this form when the corrections are made. yj 1. Grievable time period has expired. ll*t» tL 4) Qiwvt l~l 2. Submission inexcess of 1every 7 days. * • *> •\ _ / N OFFJCE JJSE ONi; "Initial Submission , ^ UGI Initials: M 3.; ^gmalsnoU.ubmitted.lJf..k. ..^ •» -p-*"!-^ r^~ • ••«-•= » l~|-4. Inappropriate/Excessive attachments. * r . \ Grievance # Screen i nec^u Date Reed from Offender: f~l6. No requested relief is stated.** -,--.. '-. . v - "M . t *» • * \ r J DateReturned to Offender , I r^l 7rMa\icioususe-of vulgar: indecent-or physically threatening language. -*• ^"^Siibmislion"" -Ft ^~ UGI Initials: [~l 8. The issue presented isnot grievable. Grievance #: LJ 9. Redundant, Refer to grievance # ' •* ' ." ; Screening Criteria Used: _ II 10. Illegible/Incomprehensible. *4 1 , ^ «^ i *, --me. ' ' Date Reed from Offender: Q 11. Inappropriate. * -Date Returned to Offender: r UGI Printed Name/Signature: ^Submission UG] initials: Grievance #: Application of the screening criteria for this grievance is not expected to adversely Screening Criteria Used: _ Affect the offender's health. Date Reed from Offender: . Medical Signature Authority: Date Returned to Offender: 1-127 Back (Revised 11-2010) Appendix F •\: ( &• Cn) Vo IAv/ r-f INMATE CORRESPONDENCE REPLY To: FILE DATE: 04/15/14 ALFRED LEE STONE # 599665 CAUSE NO. : 14-0076 ESTELLE UNIT COURT: 349™ 264 FM 3478 HUNTSVILLE, TX 77320 Dear: MR. STONE We will need a notarized copy of your Inmate Trust Fund or a court order to prepare the copies you requested at no charge to you. _X_ The following documents have been filed in the above listed case. File-stamped copies of the documents are enclosed. *ORDER OF DISMISSAL Today, the transcript of your Petition for Writ of Habeas Corpus has been forwarded to the Court of Criminal Appeals. Enclosed you will find a set of questions the Judge has ordered you to answer. Please fill out the form and mail it back to us. Other: All further correspondence should indicate the above Cause number. By: r\€Hte4+ IjUfltn, Deputy District Clerk Houston County Po Box 1186 Crockett, Texas 75835-1186 voft\'l tf CAUSE NO. 14-0076 VS 9 349th JUDICIAL DISTRie^, <*>. A. BASKIN I HOUSTON COUNTY, TEXA^ ORDER OF DISMISSAL On April 15,2014, Plaintiff filed The Texas TortClaim Action alleging four causes ofaction. It is obvious to the Court 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 plaintiff failed to file an affidavit relating to previous filings as7" required by section §14.004. Plaintiff failed to file a certified copy of the trust account statement as required by section §14.004. Plaintiff failed to file an affidavit relating to grievance system as required under section 14.005. The Court finds the claims were filed after the period prescribed in section §14.005. The Court finds the claims to be frivolous or malicious. It is hereby, ORDERED, ADJUDGED AND DECREED that the action of Plaintiff against Defendant(s) 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) the total amount of court fees and costs charged to the inmate in this cause. In each month following theimonth in which payment is made above, the inmate shall pay an amount equal to the lesser of: 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 charged 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. The District Clerk shall forward a current cost bill, a copy of the Plaintiffs original complaint, and acopy of this order to the Texas Department of Criminal Justice Litigation Support Program The Texas Department of Criminal Justice shall withdraw money from the trust account of the inmate in accordance with this order and shall hold the money in a separate account. The Texas Department of Criminal Justice shall forward the money to the District Clerk of Houston County on the earlier of the following dates: 1) the date the total amount to be forwarded equals the total amount of court fees and Page 1 of 2 costs $ that remain unpaid; or 2) the date the inmate is released. Accordingly and pursuant to Chapter 14 of the Texas Civil Practices and Remedies Code, the petitions as filed are ordered dismissed without prejudice. It is hereby, ORDERED, ADJUDGED AND DECREED that the action of Plaintiff against Defendant be dismissed without prejudice. SIGNED AND ENTERED on this the lb day of UtMo-QT 2014. PRESIDING JUDGE Page 2 of2 d Li*) INMATE CORRESPONDENCE REPLY To: FILE DATE: 04/15/14 ALFRED LEE STONE # 599665 CAUSE NO. : 14-0076 ESTELLE UNIT COURT: 349tH 264 FM 3478 HUNTSVILLE, TX 77320 Dear: MR. STONE _ We will need a notarized copy of your Inmate Trust Fund or a court order to prepare the copies you requested at no charge to you. _X_ The following documents have been filed in the above listed case. File-stamped copies of the documents are enclosed. * MOTION FOR NEW TRIAL * AFFIDAVIT * PROOF OF SERVICE Today, the transcript of your Petition for Writ of Habeas Corpus has been forwarded to the Court of Criminal Appeals. Enclosed you will find a set of questions the Judge has ordered you to answer. Please fill out the form and mail it back to us. Other: All further correspondence should indicate the above Cause number. By: \&&i** Lilian, Deputy District Clerk Houston County Po Box 1186 Crockett, Texas 75835-1186 &AUSL Hid. l4-U07«o Td*TdK !t\(pil\Aof>i 34qn4Judi6Al #i$T^CJ ^ TUw T#(Lrt3dH u » . ~—DE?^v - MdTi'diu Pd* HJtuJ TttiA l(U pdK3U^»U(!t Td IX*. rt< App, t /Mf^ufMuT i^tduuTdf TMLCdum Td L}«/4or /( Md Tidu Wit lutu WiM rj« rt*ft raiidtdiw^ rtmajos 3w«d kOdduJ. I. uwju/ikiii tml Qw&diuH Judtjd pw pia- (LMiit Si.ijj'o'eici MW Coot, , UJM'e-i-i u)K A«ud btMdtt. i*j vidldiidiu df rm TdnTuni wqilrauv*!a(t;....jd ckm ^Rda^.„,*,<.,.-u- /udtu Ti-kusj-.d. Cd«u5T. AM4judM«jur om..wrrt ^cits ^?J; J"*', hfl l\ k3f4iU8t Wnpu* Kdf- rife Ttx.6. £%ut4< n dr m m&v. Ma m fa* m^- H.CKJ3. (OHdVidti.'(A) CiXi*(T Mq d/5Mi5S /I fiJ*M»£iW k3tfd^d« Aitw 5tuyitt dc p«da^ if- mi Cdu*T Fiucb TU/ir: i), rfc Aiki4aridKj dr-jOdVM/Tq-'ioTTfe AFF.d/tv/T d« utu- 5uJd«-«jd(t.dl/ii(/sTidu i6 fAtef,. ^.Tf-lt CJaiM 16 ffil^dldus dK MAlitidUi. dd; 3).Ti4il iuN4ru. Pjkd Au APridMUiT dK u/U5uJdiiy THt iyMATt kwty UJ^5 W5t' Tl£! 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- A fo%Lnj Date:
Grievance Response:
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Signature Authority:"
i < "vmm ; <.•, '• ^i/ j v i Date:
1 A
If you are dissatisfied with the Step 1 response, you may submit a Step 2 (1-128) to the Unit Grievance Investigatorwithin 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 aremade. _ " ' • "• *.' '
PCI 1." Grievable time period hasexpired*JCX> U'9 L\i\5
fi2. Submission in exceS? of 1 every 7 days. * OFFICE USE ONL
Initial Submission' ,,UGI Initials:. &*->•
l~l 3. Originals notsubmitted. * i •,.
Grievance #. ^ZH^m2^
_ _ .. . '^ortasMi.»
n 4. Inappropriate/Excessive attachments. * ' • 1
Screening Criteria Used: /
I"! 5. Nodocumented attempt atinformal resolution. * 4
Date Reed from Offender: VDEC Q. Q 2013
n 6. No requested relief is stated. * '„•.., i » •
ZZ \ ••<•;• i J ' ' ' > . • -• ' 1. I ^Date Returned to Offender: faJkL,0 9 2013
117. Malicious use of vulgar, indecent, or physically threatening language. *.
t 1^-Submlsslon UGI Initials:
I~l 8."The"issue"presented is~hot grievaSle. Grievance #:
[~1 9. Redundant, Refer to grievance # Screening Criteria Used: _
l~l 10. Illegible/Incomprehensible. * Date Reed from Offender:.
n^l- Inappropriate. * Date Returned to Offender:
UGI Printed Name/Signature: "• ' ^ DEC 0 9 2013 3"J-Submlssion yci Initials:.
Grievance #:
Application:of the scfeening criteria for this grievance is not expected to adversely Screening Criteria Used:
Affect the offender's health.
Date Reed from Offender: _
Medical Signature Authority: Date Returned to Offender:
1-127 Back (Revised +l-=2Gi-G)-
Appendix F
_*-
~i\L£l llHl M /^5/jO ftaC. 64-OT- /^
Texas Department of Criminal Justice OFFICE USE ONLY
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cri^D 1 offender Date Received: pFP-'ft-ff 'Investigator ID #: -^ yt?f^~
Unit: ESTpllfl. f !-(.<»• f)W«i„c Accic„^nffr Extension Date:
Unit where incident occurred: InSfgJlo, (U.S. b Date Retd to Offender: FEB 0 7 20H
You musty<>jes0ly^^
appealing the results of adisciplinary hearing. __ - ^
submit aformal complaint
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The only exception is when'
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Who did you talk to (name, title)? Iu U/Kb XuxJM t-.Ji.yJ, f.tl.A Wh.n? fg-^3-IC5
What was their response? ( Jkli/A \fMi\U 1 ,
Whataction-was-taken?->|~J(-k4-[/-U-lA^It4 •>- ,. ,,~. ^ ;
State your grievance in the space provided. Please state who what, when, where and the disciplinary case number if appropriate
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g6rievance;Rcsponse: Wit.
Your complaint has been noted. Inmate Trust Fund (ITF) was contacted and states that $2.00
was deducted on 04/18/13 f6r a state order. Two civil orders were deducted at $2.00 each on
04/18/13. You have one federal order which was deducted for $8.00 on 04/18/13 which was
the standard 20% for federal orders and 10% each, for state and civil orders. The amounts
were properlywithdrawn. No furth'eractron'is'warrahleSr^^"~' ' "
WARDEN BREWER
Signature Authority: "^* " *V-X»^> " sTr" Date:
If you are dissatisfied with the Step .1 response, you may submit a Step 2 (1-128) to the Unit Grievance Investigatorwithin IS days from the date of the'Step l'response.
State the reason for appeal on the Step 2 Form.
Returned because: ^Resubmit this form when the corrections are made.
• 1. Grievable timeperiod has expired.
IT! 2. Submission in excess of 1every 7 days. * OFFICE USE ONLY
Initial Submission UGI Initials:.
l~l 3. Originals notsubmitted. *
Grievance #:
l~!) 4. Inappropriate/Excessive attachments. -* • -• - •
Screening Criteria Used: _
O 5. No documented attempt atinformal resolution. * , a j
-Bale Recd-frorn Offender:—- -•*=• ~ ~
L~j6. No requestedrelief is stated. * _;
>. y Date Returned to Offender: •'
1~1 7. Malicious use of vulgar, indecent, or physically threatening language. *
l^ubmissiQ" . UGI Initials:.
M 8. The issue presented is not grievable. „ .r -Grievance-^:-— . - ' ^--~- "—*•• - '
n 9. Redundant, Refer to grievance #_ Screening Criteria Used: _
l~l 10. Illegible/Incomprehensible. * Date Reed from Offender:
nil- Inappropriate. * Date Returned to Offender:
UGI Printed Name/Signature: a-^H^mlSSiP" H .,, UGI Initials:.
Grievance #: - - •
Application of the screening criteria for this grievance is not expected to adversely
Screening Criteria Used: .
Affect the offender's health.
Date Reed from Offender:.
Medical Signature Authority: Date Returned to Offender:
1-127 Back (Revised 11-2010)
Appendix F
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Pi'ltd oxlpiiif A3/»^//^
_^ ^OKFICE JJSE-ONLY_ . .„.
Texas Department of Criminal Justice Grievance #:
UGI Reed Date:
FEB 11 2014
STEP 2 OFFENDER HQ Reed Date: FEB 1 3 ZDU
GRIEVANCE FORM
Date Due:
Offender Name; AtX-xajlTX iilh feTbfiJl TDCJ # 5"q InvestigatorID#: A— \ OO'
Unit where incident occurred: fcfrTtM-l Extension Date:
You must atiacJTthe completed Step J Grievance Tfuii*na~s been signed by the Warden for your Step~2 appVtl, -3e-3 2Qtt^-
accepted. You may not appeal to Step 2 witha Step J that has been returnedunprocessed.
prGive-reason-for-appeal (Be-Specific).-***rl~am-dissatisfied-with theresponseat-Step-l~becavse... ' m'•- rT * - ""*"
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X\*A Date: 0& / ibf t i i l
6. Inappropriate.* Date UGI Reed:
Date CGO Reed: ,
(check one) Screened Improperly Submitted
— - --!.«--,-
Comments:
CGO Staff Signature:. Date Relumed to Offender:
3s1 Submission CGO Initials:
Date UGI Reed:
Date CGO Reed:
(check one) Screened Improperly Submitted
Comments:
Date Returned to Offender:
1-128 Back (Revised 11 -2010) Appendix G
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OFFICE USE ONLY
Texas Department of Criminal Justice
Grievance #:
^ ^^ OFFENDER V ' -Date-Receiv*f.a.disciplinary.hea'ring." __'" ^..1. --- ^"S-~"- *-
Who did you talk to (name, title)? ?MlTi QA^VftJ . UAA(yA Tiki,jfifing MitS When? • V{- ^W^-,' -? >- ^i_
Whataction was taken? M,AjKMfl»iA4^^i<»
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1-127Front (Revised 11-2010) YOUR SIGNATURE IS REQUIRED ON BACK OF THIS FORM (OVER)
Appendix F
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Action Requested to resolve your Complaint
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Offender Signature: Qlrfj/ttzJ fXAl) jdjtfrU) Date: 'Off-o?6-ftg
Grievance Response:
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If you arc dissatisfied with'the Step 1.response,,you may submit a Step 2 (1-128)to the Unit Grievance Investigator within IS days 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.
Bt^GtSvable-time peri?d has expired.1 P^';' AUG 2 6^2013 , l fiOii - l>i ' ' ( -'Ivf
L_| 2. Submission in excess of 1every 7 days."-* -• x " ' ' -^<- "-•*"•' OFFICE USE ONL
[71 3. Originals nbt"subirtitted "j*1.'" x->>* .••*.(/ • * i "• '• >> £• i' v* m'
Grievance #: •.'2>)/J2A7*6< ' ' ^ * L- •' >»' I » •
^Screening Criteria Used:f ^ < jj" ""
n 5. No documented attempt at informal resolution, t* >
' • ~, -• . *, ¥ ' ••••• *.*: ». \ •'•♦. * I
f n,-, I IjXate Reed from Offender": t . j AUti L 6 2013
l~l 6.>No.requested relief is stated. * , ». , . , a, -v
__ . ' ^ ii, '"," .-,!•.'. .-,4. / ( •) •;«;. i- t l j" Date Returned toOffender: AUG 2 $"2013
I I 7. Malicious usS"6f vulgar, indecent, or physically threatening language. *•—•
t2^$q|>ml»iop * | UGI Initials: \
n 8. Theissue presented is notgrievable. ' * Grievance.*: __; .
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[J 9. Redundant, Refer to grievance #_ '"['*'• I : ' ' " . . .• ''*>.'
Screening Criteria Used: — * *" * ^
n 10. Illegible/Incomprehensible: i, V* 'jti ' > . f. » • r 1 ," '
.1 \ 1 <« t . ' -^ Date Reed from Offender: ' ' ' ' O. .-
[j 11. Inappropriate. -* ;Date^Returned to Offender: »• ' - ")
UGI Printed Name/Signature : '7/(L -^^ TDCJ #5^1(^5
1 1>UU ffWI I ~WM Grievance Code:
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trnit: X?)TeJAA. fl'312 L^Te^l^investigatorid#: _| ~\(?oH
Unit-whereincidentoccuiredi-ir/^TMrAiii^LJ-lLl-iT• --• — Extension Date:
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You must attach the completed Step I Grievance that has been signed by the Warden foryour Step 2 appeaW&Tbe u
accepted. You may not appeal to Step 2 with a Step 1 that has been returnedunprocessed.
Give-reason for appeal (Be Specific). 1 am dissatisfied with the response at'Step ] because...
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