- e a\ said County in Belton, Texas, then and lhere to testify as witness in behaitJot
I
tt\e- S'T ATE OF TEXAS in a climina! action pending in said Court, entitled and numbered on the Cnminal Docker ot1sa1d
Court, THE STATE OF TEXAS vs. THOMAS RAYMOND CARR, No. 57558, and therein remain from day to day,
from term \o term, until discharged by due course of law. < 9trd
::~~~~::,~:~~.N:n:R~ake ~
I!
due return hereol, showing how you have executed the sarne. WHness my ollldil
signature, at Belton, Texas, this 30th day ol October, A.D. 2006. ~~
ij
j
i
By: ________ Depuly. j:
Attorney'_s_O-tr-,c-e-;pc,r,_io r::.._t_o_a_p_p_e_a_ra-n=c::...e_to-c-a""'vo==i=d~
2
Please contact the District \
an unnecessary trip to court. 939-3521 or i-800-460-2355, ext. 52 1 5 ~
t
f:
i·JOTE "11•5 an otfense lor a person .to intentiOnally influence or coer~e a Witness
. t tes !'f',Y rI~rlsel account
,? oX
or to elude legal
of lhe process.
service ll IS
of rhe a! so aas a
person ~
felony oHense 1o harm or threalen to har~ a witness or pr?spectJVe wJtnes~ Jn reta latJOn O !)
.,.111ness or to prevent or delay the persons service as a Witness to a cnme. . i~
1:,,
''lO'fiCIA· "Es delilo intunar u obligar a un lestlgo a declarar con falsedad o a evadJr el pr?c~~o~~ber declarado en juicio o con el alan de
· · dicial Tam bien es delilo penal hew
~menazar con herir a un testigo. o a un testigo prospective, en r~presalia o a consecuenc1a
0
I',
~; .
unoed•r o demorar su comparecencia como testigo de un delito .
.. QIICCS TECUM TO BRING OR PRODUCE ANY & ALL MEDICAL RECOA~g~~~~~8ING
M•r/& ALL' PSYCHIATRIC R_ECOR~S.
OF
cXAJviiN.6.Ti0f'J ,~ TREi1TMEJ'.JT OF JERID MAY F •vr ·
JERIDRMO~~JDU~~~ ~~ 6~~~H~~UGH
5 3
·
PRESENT
DATE ...
"
by deliv,~rying a copy of::'
08
~~~~~;F=--'--
'% ;:
tor the following reasons:
FEES .. sumrnoning Witnesses - $
Mileage------------
Tolal ----·-·-------- $_. _ _ _ __ By:
llllllllllllllllllll!ll!l!!!ll
Oi
52 ;96~J&eJ r~,.,... :~. c,~,,• ~•''"', """"~' ""'~'''' " ""'"'''"
______..________ _
METROPLEX 1 1'1 A Yt JffiRID S
HEALru SYSTEM DOS S!D/cB ()&//'\
EMERGENCY PHYSICIAN RECORD
Psych Disorder, Suicide Attempt, Overdose (5)
ll/! ':l/0 4:
-~
DA Tff IM ELS""3:::Z--- ROOM: -~Arrfwll a I~----------------------------------,.
~C.l..LE..EACI~i,lduo.empJ.}· . ,.
How d1d lngescionlother acu come to attention/ · :1't.
~RIAN: ~tienc _ipouse _paramedicl.-'-~---"-- I1- I
~ --,:
_HX I EXAM UMITEO BY:
VIS &'Pt/...f(1yP-LLL__ ;z~ T 91saa, __ _ I
II
------------------------------1 ;!
Ac·rived br.: _prl..,te car
, . _police
_ambulance (who o.lied!)
pouenr spouse ____ -----------
I ;
I ![
HPI chief complaintrst; ~
1 -Recently
1 seen/treated by doctor ___________________ _
Su1c,dal ThoughLS
Ag1t:ated Hallucinating
---------------------------
l.: __
·----~--~-----·---------- Intentional Drug Overdose
Onse:t- --.-.... ROS N£URO & £YES
Ac:cidencal Dr\Jg Ingestion ~P.Y&CVS
---·-~- _cough___ I
Won~ned ~nee- _ _ __ _trouble breathl n :
_chestpaio _____________ : Q-GU
salferi:ry-
_abdominal pain _ _ _ _ __
:nlld moderate severe When?-------- I
-----1 nau.se.a_____ ·-~---- ---··-·
----------·-- ------1 - •om/Lin!:----------
I
I
- d,arr!lea....-~---··--·-··------·--
----·--------------- I JrobJerns urrnac.ng. _ _ _ _
context:
·---------------
_;,wati~blems _____________ _ ----- - ------- ---- -- ----
SKiN & LrMPH & MS _ _ _ __
-
related co. spou;e f par~nt/ ~on I daughter I significant other
work I lose job! s(hool /leg:~l problems
·----·--·-------·--------
==-=-------------
--·------------
_skin rash 1 swelling _______ ~
1 _jou1t pain _____
I
~-·------
-·
1
J."
-----------------------~-- ··---··---
--------------------- ---------
-··---------------·-· ------·--------- 0-.JI system> neg. e.><d _laci•i droop! CN a.bnorrnality _ _ ~- }MEDICAL CLEARANCE FOR PSYCHIATRIC R.EF£1\RAL (1f needed) i \1
Jml 111oto.r r~;:~ponse _ii,Otor/senscry defici'-------- I Boo,ed on HA.P ond. wh. Aceomlnophen. ASA. ETOH. Other) I h::
_:_yni reflexes _abnormal gal>~----------- I •Infectious (Meningitl"- Enceph•li<..ll, Sepsis) ·; 1 ::o\-
L"mrxo,t I,M~tabollc (Thyroid, Hypofirc""'ia. Orvg Wtmdrawal. Hypo•emoa. El.nrolytc>) I ,.\
_cef"'. lymphadenopathy ( RI L )*_ __ '•CNS Vascular and Ochu (CVA TIA. Seizure. Trauma) 1 ,·:
Nf,.CK I BACK j •Oeled p.cient I f1mlly regording: reviewed
Lbrea.~h sour;d$ nmt 1 -lab rerultt d1agnsh 0 unchange hi nO<)' n:!Vk!wed, patl<:l't •nc.ervl•w~d anC: eX>
.-. ~0 s1gru of trqurr ----.--- - -- --~- ..
?no pe daJ ederna _ --::-_-.:-=.-.:
-_:=-:.. -=-:.--=-=-=.--_-______ - 1 BneRy, pertinent HPIIs:
My penoml e,y.am of patient rewa~-----~- ----;---------
J
'pf.locEouR'is~ - [fRescrainu
I O Intubated
I
_by ED physician
breath ;QNouno clean & ary for next 24 'I 0 Anx.e!y. pan1c arracks. hypervi:!nttlai•On
''ours Le3ve oandage on for 1 day
•cniess \Old dt1erent/y
I 0
0
Back ana neck pam
Bladder 111:ecttan. kodney stones
· On tne second cay. use m110 soap &. I
0 Bums
water or i1ycrogen peroxiae woth equal Ches\ pa1n, costoct-.ondn\Js
0
parts "'a:er :o keep wouno clean Clean Coniunctlvttis, c<:>rnea\ abrasion
0
woenever d1rl> ar,d let dty You should Fever (tylenollmolnn dosrng)
0
~o lh•s even when you have slttches or
0 Fracture---------
:..lapleS.
0 Headaches
· Tnf cieaner your stitcnes, the easier 11 Heaa tnjufles
0
woll be 10 tale ta1<1119 th1S medtc1ne . 0 SiD
Threatened mrscamage
~~-; SPRAINS &STRAINS 0
· Jse r>•t.ows to keep m1urea p;;rt above 0 II is flQ( sate to drink any alcohol whours. may tal gel
• Return to the Emergency Room 11 ll\ef\1l1t\ed
;: F1r.~ers :Jf toes are f\unC, •.·.;)gty, c:.j
Never take any one else's :nedoone or
j1ff~.cull :o n·.ovB 0 qive your child anot~,er chol<:fS rnedlctne
c; t: ~-~ge:s or :oes are clue of p~le even ,f rhey are ~rom I he same farntly
c~ Cosl 9e!s. ·..,ery ugt".!
l'!'! se .... era. steady or greater pain
ACTIVITY
•I FlUID INTAKE No restnd1ons
~: ur•n' &- ·, 2 lvli gta•ses of water a day 0 Up to bath roo~ on\~
. Clear il~uldS for 12-24 hnurs 0 Bed res\ lor _ _ cays
. Sr.
creen/Cna•n
•uq ol CusiO(Iy --,--- I
!'· Ele Exarn fTray set up 2 Sexual Assault!R Kil ape
1.11
I·-~~~~~~~~~-----------------------+:<~~S~~::~:m::en~C~~~Ie~~~i~o~n~--~li~~~~~-~S~I~OO=I~.S=pu~1~um~E:1:c-t~~~~:=~~~::::~---t~~:j
I (Not mcludmg draw•r>g.) · IJ/ood :•
~~;:~~~~~~~~~(~~~~~------i-~~S~u~Gb=·~o~n,~·n;g~~------------------~-1_:~~~~~~
:i
~)·
1 Emolronar Ca1e 4
.f:
~:;---------t:-1~=~:__---~-t~~~~~~E~
! enema Aomlr.isHation.'RectaJ
1----- Surgery DiSl.Spacuon 3 Consul: :.
I
Trache<~l
I
iFetal Hear. Ton'l'S 2 Care \
f~ k;epac~ 1 at10ther Acute, Rehab. 8eM>110ral otal Points: 9 :li' T
ra1lS e< !0
Hospital
f
Fr.
5 11
l loolalior. Care!Pre<:autiOfJS 4 TraM(&fiRelurn lo Nursmg Home"' Other o --,-- ~ :;•·
''
ir------- b~ --_7 l \ j\.'
----------------·----------r--r------------------------------~~~- -~/i " ~ ~~
i'i- P•e'"'>l•ng Monitor Transponto Floor ER witn "5 - "- !',;
2
i !1
t--t------------------------_l~l-:_j--~ -~ -~.~:' i•j):~ 11 11
:. N •nseniOn · Uncomf)l•c.ateo 3 rranspon ro Floor by ER wre (con:l c.a·_._'_e- ---------------------\;+- _-. __o_,.. __"_'c__'_"a_._"_9___
o_r_m
__ ;t ;
O·~e· Enlry ( 1) lf'lCJVl Repaued) !
~1€0
J
~·'o~xv~a~e~o~o~v-,C~aanu~~Ja~o~r~M~a-s~k--------------------4-~~----------------------------------~--~--------------------------~
: Oro& Eon ley \4 •) •ndude u~ed ro dete111"11ne tt'H!. "EO Serv(ce Level• afcare prov!Oed to the pat~nl. ------------------------·-.JI
In a0Cl1I10r. :a tne =R Service Le'.l~ V•s•~ charge, aH procedures pert'ormeO oolfor the patient s.t\ou'-0 be chargecl
~----------------------------------------------------------------~--------~
episOde
\ Only one ER S-er;.IC8 Level rs 10 1:1e ct-arged tor eacn of care \
\c·~l 1P~:•ents cnafl;le~. I
--j
have~ .,.,,~..:;!.·-
no po1ots ano
are ;he&•nls
10
ococed<:re
assrgo~the
Le·;e15 (l:>llrcal Cere) pa11ents are cnes or lt><>se j
oer•nitJon5 contS\f'tOd m \t dOcument Pornts are nor a•••gned
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!h ""'ritt<'H ·.lcl-\.!H.H.,It>Ugrn1l'lll of rttdpi of \\lcc,·uJlk" ,',l(){i' ofl\lltS "'!'PP. .
.l CkfiOI' kdgciiiCJll i'\ l) r oht;wwd br(';HHf'. _ _ PrtfJ{'II~ Ot'l<.·e~)ll CPJ'C'"lf'U1..1Ih l' tli'rlannl - - ()lhrr (desc_nhc)
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l l l l 057
~!l l l l l l l 10497b6
METROPLEX HOSPITAL
2201 S. Clear Creek Road
Killeen, TX 76549
(254) 526-7523
PSYCHIATRIC DISCHARGE SUMMARY
IDENTIFYING INFORMATION:
J is a 16-year-old white male admitted with a history of shooting himself
ln t ve1ns with crystal amphetamines at a friend's home and havlng breathing
e
probl~ms .. The frie~d brought him to the emergency room. Refer to the
psych1atr1c evaluatlon for details.
LABORATORY FINDI~GS:
CBC with differential revealed low hematocrit ar: 41.7%-, (42 to 52), MCH at
29.9 P~ (30 to 34), segs at 38.1%, elevated eosinophils at 9.2%, and
basophlles at 1.7%. Comprehensive metabolic panel revealed slightly low total
prote1ns at 6.1 gm/dl (6.4 to 8.2) and elevated SGOT at 38 units/It (15 to
37) · Urine drug screen was positive for a~phetamines and THC. Urinalysis
within normal limits. RPR nonreactive. Thyroid panel within normal
limits.
HOSPITAL COURSE:
Concer.ta was discontinued and no medications were given during his stay here.
He said his parents told him that if he does not change he may end up in jail
•
or be dead and had encouraged him not to use drugs but he ignored them. We
reiterated the same issues and gave his packets of drug education as .i
assignments. H~ had no remorse for his behaviors and no motiva~ion to
changes. He ·.vas euthymic with a blunted affect. He denied suic1dal or· ":!.'
homic1dal ideation. We reviewed the after-care plans. His parents wanted him
co be assessed at Shoreline for possible drug rehab admission there. He
denied depressive feelings, moods swings, auditory or visual hallucinatlons or
paranoid delusions and was discharged to his parents to be taken to Taft,
Texas where he will be assessed by Shoreline Facility for admission to the
drug rehab program.·
DISCHARGE DIAGNOSIS:
AXIS I:
1 Stimulant induced psychosis.
2 S~imulant abuse.
~ Cannabis abuse.
4. Ar:tention deficir: hyperactivity disorder, combined type by history.
s Oppositional defiant disorder. . .
6. Anxiety disorder not otherwise speclfled
AXIS II:
'I
None.
AXIS III. i
\
None.
''
i:
'.
Admit: 06/21/2.004 Patient Name: , J S
06/26/2004 MR # : 2 9 4 2 2 7 Ac c t If : l 0 0 8 4. 2. 3
Disch:
Age: 16Y Dictating: Vijayababu Jampala, MD
Sex. t~
•
Pt Type: P Attending: JAMPALi'\., VIJAYABABU' l'lD
Room:
• i
Page l of 2
~ ' ·
•.
ORIGINAL : :I·
l I.;:
qa
i I i
I
PSYCHIATRIC DISCHARGlll SUMMA.RY
I •-,·
• AXIS IV:
METROPLEX HOSPITAL
2201 S. Clear Creek Road
Killeen, TX 76549
{254) 526-7523
Severe problems
school - problems
andwith primary
legal support system, peer relationship problems,
problems.
AXIS V:
GAF SO.
RECOMMENDATIONS:
1. He is on no medications.
2. He is being discharged to the parents with recommendations to be assessed
by the Texas Commission on Alcohol and Drug Abuse in Killeen, Texas for
follow-up rehab programs. The parent were also given the name and the
number for the Shoreline Drug Rehabilitation Program in Taft, Texas where
the parents plan to take the patient for assessment for the inpatient drug
rehabilitation program.
VJ/uw
D: 07/26/2004
T: 07/27/2004 11:26:58 E.T.
E: 07/27/2004 11:26:58 E.T./uw
•
Job#: 163760 Doc #: 2327224
CC:
C. T. = Central Time I E. T. :.: Easte~-n Time
i !:,.
Admit: 06/21/2004 Patl'ent Name: , J S
Disch: 06/26/2004 MR.#: 2 94227 Acc t# : 1008423
Sex: M Age: 16Y Dictating: Vijayababu Jampala, MD
•
Room: Pt Type: P Attending: JAlMPALA, VJJAYABABU, JV!D
ORIGINAL Page 2 of 2
PSYCHIATRIC DISCHARGE SUMMARY
\
I.
10 0 8 4 2 3 , M vJ ' , .
v 00029 22..,
JAMPALA s : I
900B I IJAYABABU
6/21/04
MEDICAL ISSUES SUMMARY
• - --~-------~---~--------------~·,-,i--,-i
' '
!
METROPLEX P.AVILION MENTAL HE.t-\LTH
•
NURSING ,tJ.SSESSMENT
,,
I -),----2:.cf_Z5
;; \/
Pat1enl Name f+-·--
Last ·----=-=-.!~:._.==------ Date of Birth· _s_·__,_+j,__, __ ii
•I
First Middle -!!
Age /(; y¥ 5._ Sex: ® F
Race: __,_C=-_ _
Mar1tal Status~if o w
n
1:
(c 1rcle cnt)
Type of Admission:
-~ Voluntary Involuntary l!'
L
:::
Pend1ng legal Charges. @Yes
-----------------------------------------------~
h. /(..J 1 f 0 "T
Date of Admission:
Time: ll_o I !5 a.m c.t:=)
Accompanied by: ""J.._....c._~~ :}-= f(=f cp... 5~:,'-~=:,
-~~·.i.'~
PAIN:
Prlmary Site ------~---:------ _________ How long? ·---- ----~--
---.~, ---
Relieved by OTC/Prescnbed Meds. _ _ _ _ _ ------------------:-··~---
.,~ow
oJ'_)Pain Scale LOW
Ta_k_e_n_?-----::---::---.--~c;--~~~;-=-~-
Ofte_t_l_
1 2 3 4 5 11 7 8 9::;:---11~0~-=_~E;X~T~R~E-M_E__ ------------.-. ~--
\) Comments _________________________ _ ' -
- - - - - - - - - - - - - -,.,----;---
'
FUNCTIONAL Ltmtted ROM/ADL's Explain__________ Redness/Swelltng· ·;
SCREEN:
--·-Contractures (Location)_______
-----Bone/Joint Problems _______ Falls/Or ~!ls:ory _ _ _
Prosthests jt.c.-. -6
(/
Ga1t '
------r-
17
_____ Assisllve Devtce Type New Weakness or Paralysts ----
1
-=---=-=Newly Identified CVA or Head Trauma ------- --:-;--_
-. 'j= WNL Comments . 84 ~v v 00029422TJi~
-.JV'
~
est
_ , !'1D
9008 6/21/04 016~ I
SnJ;tJ.s.
REPRODUCTIVE
FEMALE:
•
REPRODUCTIVE _ __Drscharge
MALE: Sexual Preference ~ Infection Birlh Control
Male~ -=-=-_Sexually Aclr~Yes 1 No ____ Hrslory of STD's
Comrnenls Yesi1rJo
---- ·----------~----
l\'
NUTRITIONAL: t f f f ddolescent Screening
_Unintentional weight loss~ 5% of usual body weight within the last month
V Admission Diagnosis including Anorexia, Bulimia, Malabsorption, Malnutrition (circle)
Child Screening
--~Uninten1ional weight loss :::. 5% of usual body werght within the last month :{
_ _ _ <10% percentile weight for height - .:!
Upon admission, if patient meets one or more of the above high-risk categories. request nutriltonal referral
_____ Food Allergies (List)
____ Nutrrtional Referral -----------·-:-
Yes I No
_____WNL Comments .1.'
--~---:;--
SKit~
______ Color ______ Cysts _ _ _ lnflarnrnation ____ Needle Marks __ .__ DtaphoX~srs
Rash
Lesions EczemaPsoriasisScabies Lice _ _ _ R1ng V\Jorm : ·
::=_--=o,aphoreilc~=-Turg~-:=c~; Farr 1 Poor ___ Dry Cool -==Warm
CQ!d
j; Comments---~--- ---~-+--
•
WNL ----·
LEEP:
---~
If yes, did you require restraint/seclusion? E;.plam --~~- '
------,----
AdUttWo~id you like family notified about restrai!ll/seciuslon? Yes f No
SUBSTANCE , AlcoholPrescription Meds _____ LSD _ _ _Marijuana _ _Methadone ' ,
· ' ~ -, ----H · PCP Stimulants _____ lnha!anl~ . . .
.C..BUSE_ ")V\ ,.,
Co-._all,e erome ____ -,---- .- ,..1_.- .__,__,.y::{.:'::t.x_ !}"Y'-2--t-'._."-?,..:
1, 'J-~ _ .Wiobacco ____Caffeine -c-O.ther (v!hat?) ~r'"'-~-;F' 1 ':--r c.; :; ~
,_~v'l-:--' .._,'>1-~ 2Ac-:~:Y --·.-0:~,~------:-'='cv_~ '.; l~~~,
·r _,__
_ -, .. t'Jiarn how long usage and how much < ; : '/--------
'\1 '~-" ")!-~. \r' ll!_U r,, t-;.)0\ -~.0 ;::____ pv·-~ •>7~~~.:w!.. l- r.~
· '·1 fu:-...LJ >fP
'"'Y\ c.\"' Oa~tUs-e /~ · _~ _4-<--'-- ~~-:;t
- ..,---:- Hrstory of Wrihdrawal e I No Descrrbe p:Jib "-Lt..~ ~ ; . '--"' !___ ~ (_.,
;::;~~~6-· Family Hrstory of Drug Use ( o, What?) ~-b.---------- 11
"'
\)
.t...BUS8NEGLECT _ _:_y;:;?__ History of Sexual Abuse
HISTORY- --~- __ Hrstory of Physical Abuse
-~H1story of Neglect
---~----·~ '
· Oescrrbe I
----------- --------·c·- -\
------------------
• LaDet
.
,.
·- ..
\ \
J
r!JlENTAL STATUS EXAM
-~RSONAL Appropriate _ _ _ Well roomed _ _ _ Unkempt _ _ _ Older I Younger (that sta
----------------~-~------------------D
PPEARANCE: Comments
_ _ _Dyspt10ria E Labile j... Anxious _ _ _ Irritable
____ Paranoid Appropriate
~ Anger (How do you handle anger. Explain)
\...Omments ----------------------l-
ted Hyperactive _ _ _ Erect Posture a ted _ _ _ Un
_ _ _ Slumped ____ Grimacesrrics
Comments
----------------------------------------------------4--
A ECT: ____ onstricted ul _ _ _ Sad _ _ _Angry ___ _Appropria
Comments
----------------------------------------------~~-
e ace _ _ _ erson real ____ 111
_ _ _ Circumstantial Tangential _ _ _ Loose Associations ____ Flight of Ideas
___ Delusional Ideas of Reference Paranoid Ideation _____ Preoccupied
_ _ _- Difficulty Concentrating Confused Grandiose Appropriate
Cornments __________________________________________________ ~--
i-iALLUCINATIONS: _ _ _ Olfactory _ _ _ Command
____ Visual _ _ _ Tactile _ _ _Auditory
Gustatory N9ne
Cornments___,&~~~~~ct:::::A~I::1d.J:..t:;~~'l-6,:~~~b~.L__---------------------tt-
10MICIDALI 1. Past history of suicrde/homicidal attempt (by p!anl_.!LLW-----------'--------1---rt?/
• UICIDAL
HISTORY: 2
3
Date of attempt )rvfJ
Hrstory of surcide rn nuclear and/or extended family Y..... Yes No ?'d
,,g)
4. Self-inflicted burns I wounds present Yes
No -r:-
:=r=No
5 H1story of frequent accidents Yes
Comment _ _ _ _ _ _ _ _:..___--------:-:----~~-
6 Hislorv of self-mutilation Yes -f--No
7 Histor-y of restraint usage YES I ®xplain: ------------·-------++- • ',1
PRESENT SUICIDAL POTENTIAL (Explain any checked items)
No evidence of suicide/homicidal thought or history • I
~ I
•
'
•
'i :,
Rumination 'i'
--:::- Current express intent _
.:..£!?Other violence (i.e., cruelty to animals, fire-settrng, etc)
Comments______________ ·1 '
---~-------------------------~r-:-:
t I
1
I
:· \.
_ _ _Poor Long Term j; Intact
MEMORY: _ _ _ Poor Short Term
Label
I :\
. , I
lOOB 423 M W V 000294227 : :\
M , : 'I
.-
, : :I
JAMPALA, VIJAYABABU, MD- I
1 ~ i
I
90GB 6/21/04 016Y I
5/13/88
PSYCHOSOCIAL DATA
. - ICCUPATIONAL
.
Disabled Menial PI . I ., .
STATUS F nT IP ---- 1yslca 1;1 :
- - - u ln!e art T1rne Employment -(Where?) l': :
______Unemployed j-- Student ' · -----------------~iii_i_·_
Are_11~1ng arrangements satisfactory? · Yes 1 No :li ·
Religious Preference f Needs \;; .
Comments - - - - - - - - - - - - - - - - - - - - - ---.:..;....:.__
PRENATAL
_____Birth Traurna Comp'icat' . P
AND Developmental Delay --- , Ions 0 unng regnancy
CHILDHOOD learning Disability - - . _Mol or Speech Other.-~---
DEVELOPMENT: Immunization Status -~ . - J~ c.. r(\A..{N--A btl r) ----·l-'-
Cnildhood Illness ¥ ~ C:'--- w
1
---~-f=_WNL c;,om~m~en~ts~--------------------------=·--+---
EDUCATIONAL
NEEDS: ___ Limited Education Background
_ _ _ Speech I Language Barrier
ducation
. '
HOBBIES &
LEISURE ~~:?(A~ ~- ~r~----------------1-;+--\;
• .~CTIVITIES: f,;
j::
r='ATIENT'S
IDENTIFIED
STRENGTHS:
,,
!! I.
.
DISCHARGE DISCHARGE TO WHOM: SELF I PARENT I GUARDIAN I SIGNIFICANT OTHER :: i
SUMMARY
PLAN:
~ ~t&::~ =S' ~~~__--1 cL <:...._
__'- ----:-:-
;)-~
.
':I
Upon assessment. 1f the pa!lenl requ1res a referral, notify the appropriate depaliment:
Label
~}
\ -'·
.,
;
';
tjerroplex Pavilion Integrated Progress 1Yotes 1008423 M WV 0002.~227
, .
J'
JAMPALA, VIJAYABABU, •.MD
DATFriME OF ENTRY- DOCUlv1ENT EACH SHIFT TO INCUJDE 900B 6/21/04 01 ~ I
All signs/symptoms, interventions, evaluation 5!1 \\188
• --.·-+-----
PPOGRESS RECORD MH 51~ 3
902065
METROPLEX HOSPITAL
2201 S. Clear Creek Road
•
KilJeen, TX 76549
Dr. Phillip Day *Dr. Fayza Reheim
Pathologists
0;:-dering t'hysic:ian.: JAfviPALA, VlJAYABA.BU, l\1D
Patient: M ,
Phys1cians: Location: 9A
J~~PALA, VIJAYABABU, MD Case tl: 1008423
Med Recif: 000294227
Admit Date: 06/21/2004 Discharge Date: 05/26/2004
"*••••*••••••*•********************* Hematology
i!
;;
~·EsT ·······*·•••••••*•············~~·-···
LJNITS · WBC RBC HGB HCT tvlCV MCH MCHC NPV •·
xlO' 3/uL x10' 6/uL g/dL % fL g/dL t"L :1:
3/~4
LO-hi
4 0-12.0 4.7-6.1 14.0-18.0 42.0-52.0 80-94 32-36 ;\
- - - > - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - ~f2 -----
06/22/04 {I'
')5lS 8.0 4. 83 14.4 :j
41. 7L 86.3 29.9L 34.6 9.4 i
Hematology
TEST. PLT DTYPE
0
SEGS LYMPHS MONOS EOS BAS OS
'5 x10'3/uL % % % %
:i.l.S-13.5 140-450 40-75 15-50 1-12 0-5 0-1.5
06/22/04
------------------------------------------ -------~----------------- .. ---~-------1 ~- ... --
0515 l3. 0 173 AUTO DIFF 38.1L 44.9
....
w"'
·- {l
.,
Free t4
I ;1de.:;<:.
ug/dL
--------------------------------- --------------------------
Chemistry
-------------------- H
il
!:
-~t----
-~6/22/04 ~: ~~
;'.•
G':· l S J 10
.~ i~
. ~
r,•••••*•****•*********************** Chemistry ***************••·~············~ry-···
C l ivm :
-:-Lt:ST· sodium Potassium. Chloride C02 Glucose BUN
mg/dL Creat
mgidL
0 c
mg;'dL" ·:
L:?-JI-:-~
mSq/L mEq/L mEq/L mEq/L ~~~~~0 7.0-22.0 0.6-1 2 8.5-10 l
'.·.)- !--! T
135-146 3.5-5.3 98-108 _____________ ... ----------------- -------
21-32 -~----
--------------
1. ' 9.0
1.41 3 .a 104 29 78 14
==~=======~=~=~~~=====~=====:z====~== Chemistry
SGPT T-3 T.EABlJ, fvlD
':··
Patient• t ,J S Location: 9A Room: \ ~:
9~io,s. 04-A
Physicians: Case#: 1008423 11
JAMPALA' VIJAYABABU I "ID
,. Med RecU: 000291227 I \. 'i
Adrnit Date: 06/21/2004 Discharge Date: 06/26/2004 ·,)
TEST.
"' :,~~~ ~"'""'" '""' """""""""""""'""'"' Chemistry ""'' . . . . . . . . ""'" , . . , , •• " ••• , . ·~• ••. , •
UNITS
\t
----------~------~---
-· -------------------- ~------------ --- ------ --- ~r-----
\'
ll•.:./2:?/04 ;1
riS 15 078
*~*~~******~~***************Drug Screen *~*~**~****~*~**~*****k**~*** ,,
?l
06/2~/04
,.
i
l4SO Drug Screen, Urine I.
I
Amphetamines, Urine * Positive [NEG]
Barbituates,Urine Negative [NEG]
Benzodiazapine,Urine Negat.ive [NEG]
f
Cocaine, Urine Negative [N.EG] I··
·-
Opiates, U.rine Negat::ive [NEG]
Phencyclidine,Urine Negative [NEG]
THC,Urir1e * Positive [NEG]
Immunology
THIE·
06/22/04 NORMJl.LS UNITS
0600 -·-------.-r---
--~--------------------·-------------------------
-------------- --~----
i.
Yellow
~= ·~· ~ :_-..r Clear 5.0-9 0
s.s 1.001-1 035
11l':J/d!~
>=' 1.030 NEG i\ '\
::;!JeC ~ f 1 c Gra.v1.ty mg/dL ;·
Negative NEG
:.1 ucose rng/dL , I
Negative NEG
61Lrubin /u.L
Negative NEG
9
~::2r.ones 1119/ ciL
Negative NEG
·.:i lcoci mg/clL
Negative 0 2-1.0
:;·;:c.::ei !l
0.2
_!;_-ob1:.: :log en ;·
.\,,
/
9A/ 9A0904-A \1 ;·r
!l l
.~ .. l> Y, J S P<~ge:!l4!
SEX:M CONTINUED I:
uGB:DS/D/1988 AGE:l6Y INPATIENT MEDICAL RECORDS
l
~rin:ed 06/27/2004 07:00
::.... I J
'~'
• 1
111
1:
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_prz:j, /I I
AFFIDAVIT
Before me, the undersigned authority, personally appeared
~
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;C6 v . t.J'----
·---'~----~~~;-;:::-:::-:----:7"::-:-:::;-;---'--------- who being by me du 1y swo ~
. \
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·~
\
.
(FULLNAH£) :\
'!'
deposed as follows:
My name is ,111e/k\. /Jum-t s"5;)-zvk6·J!()·-- I am of sound mind ~i.,,
I
,.
capable of making this affidavit, and personal1y acquainted with the facts herei~i:
stated:
, am the custodian of the records or ms:n op I Eci. \:±o~pJ.i<'Z,.~
C\~0 I s .C lQ Qc (ye.e_j(_ lld- I(; l 00'1 rb J (o~ Sf 1 \
(NAME OF FACILITY AND ADO ESS) \
Attached here are \d-.L\ pages of records from the medical records of 1!,
•
--or.--(
(ADMISSION ANO DISCHARGE DATE)
'\
These said pages of records are kept by said Hospital in the regular course of '\
business, and it was the regular course of business of said Hospital for an ',
employee or representative of said Hospital, with knowledge of the act, even~, ;~
condition, opinion, or diagnosis, recorded to make the record or to transmlt ,
information thereof to be inc1uded in such record; and the record was made at or :':
near the time or reasonable soon thereafter. The record attached hereto are the ·~'i:
original of exact dup1 icates of the original.
S~ORN TO AND SUBSCRIBED before me
1 '
i :\
SEAL
(Printed Name) 'l:
Q\ -l~ ~8 oO 1 \: i
Hy Commission Expires:
THE STATE OF TEXAS
llllllllllll!llllll!lll!ll!lll!lll!
I :COPY *** SUBPOENA - Duces Tecum "*"
•
5'7 5 58
Cause No. 57558
To The Sherilf. Constable, or any Peace Officer of BELL County, said State, Greeting:
~ cf L~/ d,~~~· p
You are hereby commanded to summon:
1D-d~ ()Lj · I
I
·- .... ;_;,_/d
CUSTODIAN OF RECORDS
METROPLEX HEALTH SYSTEM
Or Serve At: :; . ·:
RETURN TO DA'S OFFICE F_Q~_SER_YICE·~
·;I :::.·I--'- o~r; - s/
i
-----
' \
to be and appear • • • • • I N S T ANTE R • • • • • before the Honorable 264 Distnct Court of Beil Count~~
liexas. to be held at the Courthouse of said County, in Belton. Texas, then and there to testify as witness in behal bf
t~e STATE OF TEXAS in a criminal action pending in said Court, entitled and numbered on the Criminal Docket o !sa;d
qourt, THE STATE OF TEXAS vs. THOMAS RAYMOND CARR, No. 57558, and therein remain from day to day,
fr.orn term to term. until discharged by due course of law. lro
· Returnable INSTANTER. 1
; HEREIN FAIL NOT, and make due return hereof, showing how you have executed the sam~ Wrtness rn·t ott:cr.l
srgnature. at Belton. Texas, this 30th day of October, A.D. 2006. !
r
Shel'ra F. Norman, Clerk,
264 District Court, Bell County
By {}~av~ Deputy
•
Please contact the District Attorney's Office prior to appearance to
an unnecessary trip to court. 939-3521 or 1-800-460·2355, ext. 5215.
NCDTE "It's an ottense for a person to intentionally influence or coerce a witness to testify falsely or to elude legal process. It 1s also a
lelpny offense to harm or threaten to harm a witness or prospective witness in retaliation tor or on account of the serv1ce of the person as a
w1tness or to prevent or delay the person's service as a witness to a crime."
~~QTtCit\ 'Es delrto intimar u obligar a un tesligo a declarar con falsedad o a evadir el proceso judicial. Tambien es delito penal hern o
an!enazar con herir a un testigo, o a un testigo prospecUvo, en represalia c a consecuencia de haber dectarado en jUICro o con el ilfan de
1mpedir o demorar su comparecencia como tesligo de un dehto."
.. DUCES TECUM-TO BRINC3 OR PRODUCE ANY & ALL MEDICAL RECORDS,INCLUDING
.TES
\
--Summonrng Witnesses-$ _ _ _ _ _ _ __
·Mrleage ------------
Total ............... $, _ _ _ _ _ __
------
2u
111111111 !11111111 !IIIII !IIIII
v?f:-==r
By: _ _ _
__ Sherrti/Conslable/Percr;:
OHicer!Private Prcqlss
~--t~
Cou.nty, Te~as,
• METROPLEX HOSPITAL
2201 S. Clear Creek Road
Killeen, TX 76549
(251) 526-7523
i''iI
vuI FlfJENTIA!L
i
PSYCHIATRIC DISCHARGE SUMMARY
IDENTIFYING INFORMATION:
S is a 14-year-old Hispanic male who was admitted with a history of
USlng drug~ including methamphetamine, resulting in auditory and visual
halluc~nat1ons and paranoid delusions on the night of admission. Refer to the
psychiatric evaluation for details.
LABORATORY FINDINGS:
Psychological testing on 6-25-04 by Eugene Waters, Plt.D., revealed a psychotrc
disorder not otherwise specified and borderline personality traits. Refer tc
his report for further details.
CBC with differential revealed inc.reased monocytes. Comprehensive metabolic
panel revealed elevated alkaline phosphatase and bilirubin at 1.3 mg/dl (0 to
l). TSH vJithin normal limits. Urine drug screen positive for THC and
amphetamines. RPR nonreactive. Urinalysis revealed a small amount of
bilirubin, trace ketones and protein with 2-5 red blood cells. EEG revealed
normal sinus rhythm.
HOSPITA.L COURSE:
He was maintained on no medications during his short stay here, as it was felt
chat his psychosis was the result of the drug abuse. He was alert, awake and
more appropriate as the treatment progressed. Family therapy went well. He
admitted to low esteem and depressive feelings. The guy who gave h1m drugs
had reportedly threatened to kill him if he told anyone about who gave him the
dr'-lgs. No cravings for drugs were seen. His lip abrasion was treated with
peroxide. He needed nutrition supplements. He denies suicidal or homicidal
::hcug!1ts. urges or plans or florid psychotic symptoms. He admitted that using
diugs is wrong and that he would not repeat such a mistake again. We
processed how drugs can be detrimental to his health and how they can cause
r;:enta~ status changes. At birth l1e had anoxia secondary to aspirations. He
said he felt supported. He denied suicidal or homicidal thoughts, urges or
;:llans c.nd \·las discharged :i.n stable condition to his mother. We gave him a
drug package which he worked on in his therapy sessions.
DISCHARGE DIAGNOSIS:
AXIS I:
l Psychotic disorder not otherwise specified.
2. Dysthymic disorder.
3 St:.;.mulant abuse, episodic-
.1\XIS II·
Borderline personality traits.
A..X 1 5 I I .I :
None.
ll.dmj_ t : 06/22/2004 Patient Name: G , S
Disch: 06/28/2004 MR#: Z94254 Acct#: 1008534
Sex: i'-'l Age: 14 Y Dictating: Vijayababu Jampala, MD
•
P.oom . Pt Ty'"Pe: P Attending: JAJvlP.Zl..LA, VIJAY!>.BABU, MD
ORIGIN.l\.L Page 1 of 2
PSYCHIATRIC DISCHARGE SUMMARY
• METROPLEX HOSPITAL
2201 S. Clear Creek Road
Killeen. TX 76549
(254) 526-7523
l
' ~
I l-.J
;
~ !
;__
,_I l'
·• ••
I ' '
l s 1 \) :
i.>.~,
Severe - problems with primary support system, peer relationship problems.
f:..XIS V:
GAF 50.
RECOMMENDATIONS:
1. Consider antipsychotic medication in the future if he regresses to any 't .
psychosis, but at this point he does not need any medications.
2 He will be seeing Dr. Daheim on 7-6-04 for follow-up individual and family
therapy ..
VJ/uw
D 07/26/2004
..,. o1 / 27 ! 2 oo,; 10:18.34 E:. T.
-· . <)7/27/2001 10:18:34 E.r./uw
Job ii : 163746 Doc jj: 2326622
cc:
c T .. Cencral T1me I E.T. = Eastern 'rime
\'
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i.
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.r,drc.lt 06/22/'2004 Patient Name:
'i
MR#: 294254 Acct#: 1008534 . '
D.isCh 06/28/2004
·-
SE:X: fv\ Age·. 14 Y Dictating: Vijayababu Jampala. MD
Pt Type· P Attending: JAM?F1LA, VIJAYABABU, MD
r1 fl.ge: l4Y Dictating: Vijayababu Jampala, MD
Room: 0902 Pt Type: P Attending: JAMPALA, VI,JAYABABU, f"iO
\l
ORIGINAL Page l of 2 '
PSYCHIATRIC EVALUATION
tch
••• ~TRO~L2~
2201 S. Clear Creek Road
killeen, TX 76549
(25<1)
d1ff1cult tu awaken. He answered monosyllabically, nodding or answerino in 1
EOSPITAL
526-7523
word (h~ reportedly had Geodon and Ativan shots last night). His 3 wis~es are
to be r1ch, to have a good life and for his family to have a good life. He
denies current suicidal or homicidal ideation. His career plan is to be an
artist. He is sad, blunted in affect, unarousable. He is oriented to place .
only with poor judgement operationally, nc insight and no remorse for h.is drug :i.
abuse.
DIAGNOSES:
AXIS I:
.1. Stimulant induced psychosis.
2. Rule out major depression. '!
l i
I i
·
1
Dysthymia. .:
4. Oppositional defiant disorder. il
AXIS II: 1.·.
None.
;:..xrs III:
None.
!l.X IS IV:
Severe - problems with primary support system, peer relationship problems .
.n.XIS V:
G!l.f JO.
Severity - severe. Prognosis guarded.
RECOMMENDATIONS:
l. Admit to acute inpatient treatment with close observations, structured
milieu behavioral management, individual, family, grcup and acrlvity
therapy and specialized educational services.
2. Will not start any medications at this point. Although Geodon was
ordered, will discontinued at this point to watch his baseline behaviors
and need for an~ipsychotic medication. I believe this lS a st1mula~t use
psychosis if there is no previous history of psychosis.
3. Drug educa~ion, and referral to outpatient rehab services will be made.
IJJ/L;w
D: 06/22/2004
T: 15:04:13 s. r.
06/22/2004
E: 06/22/2004 15:04:13 E. T./ uw
Job 4 : 152028 Doc #: 2165402
cc:
c 'r ;
Central TlnH? I £. T. = Eas~ern T1me
i:q
'I
!,
~ :
P.dJr.l t-;-- 0 6 /2 2 / 2 0 0 4 Pat i e nt_N_a_r,{e;- ·-G-,;-.- [i
Disch: 1008534 'I
'i
·-·
Se~;: i"i Age: l4Y Di.ctati!lg: Vij~yababu Jampala, MD
Room: 0902 Pt Type: P Att'O!nd.ing: ,.JP~'1PALI:\, IJIJAYABABU, !"lD
ORIGINAL Page 2 of 2
PSYCHIAl'RIC ZVA.l,UATION
•
·---··
METROPLEX HOSPITAL
2201 S. Clear Creek Road
Killeen, TX 76549
(254) 526-7523
CONF\ OENTIAL, ·
PSYCHOLOGICAL EVALUATION
DOB: 2-21-90 age 14 DATE OF EVALUATION: 6-25-04
REASON FOR REFERRAL:
..'
:tephen. is.referred for psychological evaluation by Dr. Jampala, as part of
n1s adm1ss1on to Metroplex Pavilion. The request is for assistance with
differential diagnosis, personality dynamics, and treatment planning.
ASSESSMENT TECHNIQUES:
Diagnostic Interview
Review of Hospital Records
Test of Non-Verbal Intelligence (TONI 2)
W1de Range Achievement Test (WRAT-3)
House-Tree-Person (Projective Drawings)
Bender Gestalt Projective Drawings
Rorschach Inkblot Test
BACKGROUND INFORMATION:
S says he was admitted to the hospital because ~r did drugs and I was
•
halluclnating," adding that he did "the shot kind" of drug, unable to recall
the name, and that his only prior drug use was "the pipe kind." for a
detailed history, the reader is referred to the psychiatric evaluation done by
Dr. Jampala, as well as the psychosocial evaluation.
ASSESSMENT RESULTS:
presents as passive, cooperative, somewhat lethargic and slow. \
Efforts at drawing are detailed and careful, and her participates without
incident. He sc6res at third grade level in both Reading and Spelling, and at I'
1:
fourth grade level in Math, with probable significant deficits in all three I(.
areas chat would require remedial intervention. Standard scores are 71, 76, I
and 75, respectively. I.
I
His Bender suggests conflict and tension in his relationships with both
parents and in his role in his interpersonal world, where he appears to feel \
:solated, and there also appear to be ego-integrity problems in hi~
relationship with his mother. Overall inner tension is suggested by the
pressure exerted in his drawings. His very artistic drawings suggest and
active (out of control?) fantasy life, a possible traumatic event early in h1s
childhood, and a sense of alienation within the family constellation. with
unresolved oral dependency needs.
His Rorschach indicates that S n readily distorts reality, with no
apparent concern for the incongruous nature of some of her percepts and fluid
boundaries, making it difficult for him to interpret events accurately. Self-
concept is distorted, as is his view of others, and his passive behavioral
sL~le makes h1m vulnerable to being used or manipulated by others He has
Adm.i t: 06/22/2004 Patient Name: G , S
Disch 06/28/2004 MR#: 294254 Acct#: 1008534
•
SeX · ~~ Age: J.1Y Dictating: EUGENE C. WATERS, Ph.D.
Room: Pt Type: P Attending: J~~PALA, VIJAYABABU, MD
\=
•'I
Page 1 of 2
\c:A
ORIGINAL
PSYCHOLOGICAL EVALUATION
• METROPLEX HOSPITAL
2201s. Clear Creek Road
Killeen, TX 76549
(254) 526-7523
withdrawn from age-appropriate competitiveness, with lowered aspirational
level, probably due to his lowered self-esteem, and lack of self-confidence,
and he keeps others at a safe and superficial distance in order to avoid
compromise, not expecting to have positive interactions. Oral dependency
needs are unresolved, and he easily feels challenged, due to his fragile sense
of integrity. One metamorphosis response suggests that personality is
organized a.t a borderline level, and he appears to be extremely ambivalent,
unable to clear define his boundaries.
DIAGNOSTIC IMPRESSION:
AXIS I:
Psychotic disorder, not otherwise specified.
AXIS II:
Borderline personality traits.
AXIS III:
Deferred to physician.
RECOMMENDATIONS:
An i!ntipsychotic medication appearsappropriate, and psychot:he~apy may have co
explore family dynamics as part of intervention as well as selt-esteem and
self-concepts issues.
EW/uw
D: 07/2·6/2004
EUGENE C. WATERS,
Clinical Psychology
Ph D.
I
T: 07/26/2004 15:24:49 E.T.
E: 07/26/2004 15:24:49 E.T./UW
Job#. 163734 Doc #: 2323163
\
CC:
l·
c. T Central Time I E. T. ~ Eastern Time I'.
i
i.
i;
Admit: 06/22/2004 Patient Name: G , S ) I
I i
06/28/2004 MR#: 294254 Acct#: 1008534 i.
Disch· ;:
Age: 14Y Dictating: EUGENE C. WATERS, Ph.D.
Sex· M
Attending: JAMPALA, VIJAYABABU, MD
ub
Room: Pt Type: P
Page 2 of 2
ORIGINAIJ
PSYCHOLOGICAL EVALUATION
.~tie!roplex Pavilion Integrated Progress Notes
1 4 000294254
--~.-----------------------------------------GA S
DATF~frlME OF ENTRY- DOCUMENT EACH SHIFT TO !NCLLJDE JAMPALA, VIJAYABABU, fv!D
: AllsJgns/symptorns,tnterventions,evaluation · 902A 6/22/04 014Y p
2/21/90
FROGRESS RECORD MH 5193
:>J2065
tJfett[op!ex Pavilion Integrated Progress Notes M H D 0002942~~~
- I
I VIJAYABJl..Btl, :p;
DATE/TlivlE OF ENTRY- DOCUMENT EACH SHIFT TO lNCLUDE JAM p ALA I I 04 I] 14 y "
\All signs/symptoms, interventions, evaluation 902A 6/
22
2/21/9~
ROGRE RECORO MH 51'33
102065
'
;
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JAMPALA, VIJAYABABU,' MD
902A 6/22/04 Ol4Y p
2/2J/9c
PSYCHOSOCIAL ASSESSMENT
I. ill ENTIFYlNG Ii'l.FORMA TION
NAJVIE. DOB and AGE:
DATE~~ASESSMENT: FTHN1C:
6 :!1. of I
~~()I)
/ (I , ill 'IA'J,~. J:NFO M; TS:
I ~ ).{~VL.d e-;z.., 37,
ADDRESS: .c:/ 4 /o
l~ 7£-?~\
! 1')~- _,Vt_ o -
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--- n.. SPECIFIC REASONS FOR ADMISSION (Include referral source)
What precipitated the admission to the Pav~lio~? C?~" ""7\7- ·~ 1 • a C/ .~o
n ~ r-'~-~~~ ~ .~-1~ JJJ~ -:;;r~- 'f/,Nt Cf:i·~
L 1 · \- thl ~c>~ .~ .!L.u rt-vJJ (rvJ---- ~ :'/ (f"t--<. ~~
. ·- I~~ -.J!-:7~, J .
U "v• ~ U ~
Who brought the pt in? Voluntary or Involuntary?
• A!V Hallucinations? Content ofhallucin?tions? Any command A.HI VH?
~J.Ju~\; p~~ --
SJ!HJ? Any plans, intent, past gestures and dates? Any access to weapons?
\ \
\
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I
History of Present Illness? When was the onset of symptoms?
•
i\ ny previous treatment?
i\
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1008534 fv] !-. ) 0002~tll254
G , S
••
JAMPALA 1 VIJAYABABU, MD
ill. SOCIAL HISTORY 902A 6/22/04 Ol4;Y i P
2/21/90
A BIRTH AND CillLDHOOD DEVJ?LDPI\ }IT:
Was pt fu\l term? / ORg~? ~aginal d liver: or C-~ec~on?
Was C-Section planned oremergVncy?r- ftcJf.A-.<.J OJ...)'._M(.,~ ;;:~ __
Any complications during pregnancy, delivery
·
or~~
"- r
1 ut.-~}·, -·
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. . Any ETOH or drug use by mom during p~anc~ I ~~-?~ ~/--f ·!
/~~~; --e ~~ . .
!YJ]l ~~1$0 ._...,Developmental mde~t~ne~ Vv'NL? An;; developmental delaysJ.ln what areas?, r1
(\- - !J.
·1
:
l~u;< !t Q;_,.~~~ wtt~ ~ [).._~ ? VVL I'LJ - .:)~<..-~ t-'../A.. vc~tf '\..~
:1~ ~~~;!_~ Any significant health problems or surgeries or hospitalliatlons as-a chjld? Age? I o---JMJ:t
-~ \-~) "\.)J' '·J
A 1 Vi
· c)'~ :/~ Any head injuries? LOC? How long? Age?
k&\o
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-
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Where was pt bam? Multiple moves?
J ·~ 3 lVI -
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. ~\.v-v'~~ 'f'A''-' B EDUCATION JO '-l/1 ~~'-L -~ t~~-z_. .~ / F (
'· : ('·Ct., : r- -
-}~ What grade is pt in?
resa rce, cont;<,nt ~a~ery)~
(i.p;;j.
What type of classes?
Name of school?
Asy ber special ed. Servt~, -t4-4~--...,
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)IJ~J fv~ ~ .. ~~v tfl- ,M-;~ ~Vl~ P
\(, ru~·
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. dF
. Wl--(.v?
.$lbilities.
l
· Is English the
\ .
language?
. ~
~~
,. ~Jo 4
Was the t ever retained or advanced a grade? When? A ~-' LA.-_,4 U/J:p,U: · .
b - FcrJ.-W '7 1~ ~)..:.£!) :;;tl.J- '71. I ./1-<
Any beh 10ral difficulties in c ass? Detentions? Suspensions? Expulsions? L--0t--1-Z-~ vp-.~
For what reasons? I !:
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C F M;DL y CON~TELLATl_Ot~t~-RELATIONSHIP~(Include dis~ipline):/(~ill+""c-J~:
!VV11XJ-j~ ~ ---A'Lo fr.e~- i[)~,M.... d'-~1-- . --+~~ P!. -~- •• ~_)
l . 'd
?.]_ -v_..v..,.r- Fl/' ~. tJo .
Any ot'her siblin7;:1iving ou~e home?l{:names and a~es and where they,hvg?), ·Ll. . =~..r.o-'--
' 0-- ~\.J\&L r- . 5t.YJ A ' it- tA_.L. ~ .v'--~-:
I cr~
. . . . /V'-f'.
Any b1o-parent hvmg oulslde the home. wliere -
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10 --
Does the pt h~ any contact w1th that parent?/ How frequentlf/ C(;_.tJ.-rV>Yf -~ :: .
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• Describe pL's relationship with absent parent?
Describe pt's relationship with household members/
1008534
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00029'12541
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Who is primary disciplinarian?
W,hat form of discipline is used?
Is disciplining effective?
D. MARITAL: . ;
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How many times have parents been married? Common Jaw or legal? r? ~ u +
l=-?=,
;( V\..1. ~h"
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·.I -0/~r Give names of spouses and approximate dates of each marriage) union?
L-£9_;.~ ( :,
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~ Fyt (;hW Any children from these reiationships?
1
i 1;_t~f Brief1y describe each relationship. Any physical abuse? T;;-Jw-p F··-- VV.lio~ ~Describe job. ~~ ~-- ~ :?tJih 6 5_J? k
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p~ ~ w~ :v /JJ.<-r?L __
Any past work or military history? Length of time~ --
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.
p \ J"3
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/ Any other source ofincome7 (SSJ/SSD, child support, housing, food stamps, TANF, '\'
etc) How much?
\,.
Does anyone else contrio.ute to the household? l
\
What type of insurance does pt have?
Any financial stressors? () /'<.._
Does family have access to transportation?
. --..,
1008534 M H P00294.254
. .
•
JAMPALA, VIJAYABABU 'MD
902A 6/22/04 Ol4Y. D
F. SPIRITUAL/RELIGION: 2/21/9\0
;
Does pt or family have any religimJS at1iliation? Current belief system?
What church do they attend?
C\~\.it- tfn.--c}
: \9 r~., ~
ls pt involved in any church activities? ~~"'0 ~ Q~'
~ 7--t-rr ·
Dpes pt enjoy attending church:Z ~\ l') t· i
Was pt baptized? Does pt or family consider spiritual beliefs a large part of their life?
" '\{\._i) -
G. PHYSICAL/SEXUAL ABUSE:
Is there any hx of physical or sexual abuse with pt or family member?
When, Where, What, Who~ and by whom?
Age of abuse? Age of perpetrator, if known? ~
Was·a report made? To Whom?
•
Is CPS currently involved with family? CPS worker's name and#?
~'0
Age pt achieved menarche? Any difficulties?
ls pt currently SeX11ally active qr has hx of being sexually active?
~
Sexual orientation?
Sexual preference?
Any hx of S11)?
.tv-Jy pregnancies?
Does pt us~ birth control? ·Type?
H. SOCIAL R.ELATlONSHJPS:
Does pt have any friends? Any best friends?
Is pt nble to make friends and maintain long term relationships?
•
Does pt socialize more with males or females?
; ''
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Is pt able to share? i:
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Who does pt consider a support system? I
[:
What does pt do for fun? !I~ -b- 0 (rJ'-Lv~ . I~
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Any involvement in _extracurrictdt!f activitje&'
o other leisure activittt=s?, . 7 l.
' t~- b~~ t~ b~A.- (?~ aU_~ L.r~/'-''J L 1
~ ;;;.__Jfj ~!.en..-._ l
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'\LCOHOUDRUGH!STORY /-:~ C{;;{. 0"{ --; fc~~ ~~
Does pt drink or use drugs? What kind? Frequency? J r~. I:
How rnuch? /vvk~ '('g ~-'--! " !
' f ---- I'
When did pt start using? .;< _~~ -...() 1
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I
Does pt feel he/she has a problem with drugs!ETOH? 1:
1:
How ·much does pt spend on drugs or ETOH? 1
t
•
Has pt ever been to rehab?
Where? When? How long?
Was it successful?
(/\;~
Does pt attend any support groups?
Any legal problems due to drugs/alcohol?
Any fami~ hx of abuse? (Give details) n!"'i. /)
~/\)-' 01'~ , ~; ?r~ /
J. LEGA.L:
VI~.,
Has pt ever been arrested? Why, When, Where, How long, Whar reason?
rs pt currently on probation or parole? Why?
Any charges or warrants filed against them? Why?
Any other Jeg~l issues? (custody, divorce, restraining orders, DWI'S, etc)
• Any family history oflegal involvement? Who, Why, When ... ?
• 1V. PERTINENT MEDICAIJPSYC.EIIA TRJC HISTORY
Has the pt ever been hospitalized before for any psychiatric problems?
Where'/ When? Why? (Include diagnoses and meds, if known)
I
I
Any P.ast suicide attempts or gestures? (Include elates and nature of attempt) \
\
Js pt on any meds for a medical copdition?
v.
Appearance
Eye Contact.
,r} ns-1
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i'v1ood
AJTect GiY~r
Thought Process: v\v"--
Speech: \.>.~v"' -
What is pt 's/family's expectation ffom treatment?
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DIAGNOSTIC SOCIAL ASSESSMENT SUlV11VlA.RY
STRENGTHS ~
c~do64? 4~
A
_ B WEAKNESSES:
C GOALS
VIT. DIAGNOSTIC SUMMARY
Summary ofwhy patient is admitted. Diagnoses '
!:
• What are the patient's current needs?
Assessment of the case.
.
:I
''
'
Goals oftreatment. ''
'.
:~
. !
'vllJ. SOCIAL DISCHARGE PLAN
• j
I
Where will pt be discharged to? I
I
.1\fiercare arrangements? j j
'
Any identified services needed?
•
• ~TRO~~ ijQSP!T~
2201 S. Clear Creek Road
Killeen, TX 76549
(254) 526-7523
HISTORY AND l?HYSICA.L
CHIEF COMl?LAI'i~'l':
Adm1ss10n to Metroplex Pavilion
HISTORY OF PRESENT ILLNESS:
The patlent's mother has been reporting changes in his behavior for abcut 2
weeks now. He got in with a group of kids that were doing drugs. The mother
d1d not know that he had been smoking marijuana for probably over 2 years
H.:s fc.ther is in prison for murder in California. The pat1ent ,.,as 5 years old
the last tlQe he saw his father. He has been talking to h1mself and hav1ng
hallucinations according to the mother. Over the weekend, he was apparently
Wlth some friends and they did marijuana and crystal meth. He chewed on his
lower lip during this time under the influence.
PAST MEDICAJ~ HISTORY:
He was delivered normally after a normal pregnancy. Birth weight was 10 ~
pcunds. There is no history of birth injuries or breathing difficulties. He
had ~o problems while in the Nursery or Eor the first month of life. There 1s
r,o h~story of him being hospitalized previously, and tller.e have been no
chronlc illnesses, except for seasonal allergies .
• .ALL-ERGIES:
No ~nowr.
lJI1MUN'IZATIONS:
medical allergies according to the chart. He is allergic to cats"
Seated tc ae up to date.
FAMILY lUSl'ORY: I
,.
There> is a family history of asthma and school dysfunction.
REVIEW OF SYSTEMS:
I·iegatlve.
PHYSICAL
GEN7.RAL: He lS a tall,
thin boy. He climbed on the table and 1mrned1ately
laid down. He could not open his eyes well fer the exam. His eyes were
Pl'::nnt •.·1hen I finally could look at them. He was very wobbly 1n h1s ga1t · I
; '
~le ~pparently got some Ativan and Vistaril last niaht because of the reactlon .: i
:!
cc ~he crystal meth injection and he is still unde; the influence of that at ; I
i
: r~ 1 s t } :r~e .
vi'l'A.L 5IGI'!S: r~oced
and are ·wiU)in normal l:units.
HEENT: Nose, mouth, pharynx, eyes, and ears are normal. His lower llp on che
r1ght side has been chewed considerably ins1de and out. It does not lo0!<.
:ir:f;;cted. It is sw·ollen, and there are abrasions.
r~.-- RR
--
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--- _
T1n1e _ _ _ _ BP
---
Puis~
T1rne _ _ _ BP ____ ?ulse--=-_
-A"Vl /1 .J-.1 _ . , , !.. I , JJ--
Ri< T•~rn;:, - - - · ,
K~--=.:-- T~mv =~-~'"--~------·-\
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NOTICE: TO ALL PATIENTS OR PATIENT REPRESENTATIV( : i
(' piJ.~·s,c;,,;n,s on duty in th1s Emergency Room. Th~t physician is nor nn employee or agent ofMetroplex HospJt;JI Yo11 ,n,,_,jral]"· ''
w be seen b;· vour tam i ly phys 1c i2n or you may choose 10 be seen by the physician on duty in the Emergency R CIC•,r. ! .
. AVISO A NUESTROS I'ACI£NTES r
i 1-:~: un 111ed•co de lurno aqui en esta sale de emergcncia. Ese medico noes empleado ni ag,ente del J\.letroole-... f-losp,i:li Uol~~:~""'k
p~d'r C]lle s•J tnel: Bulging
\lp·IS Forn1 J80 IOIQ2 Rn ~/OJ #900380
poor
Visual acuity w/o correcti"~ lens. R
Visual 11Cllity wtco,.ertive kns: R
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: \LETRCH c..X HEALTH SY~ A~M \_ 'f
i E\lf-RGENCY DEPARTJVfFNT 0002~42tl4 1008534
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j PHYS!ClANORDEHS \ G
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~ursc S1~t\:1tu1-i,: I
i)-ITE 1 Tll\tE ORDERS
'--~.+-
I LA BSffEST:
I Onlcrcd 13y/
, ;v!OSignarure ~.•
•. I
1
0 ABG 0 Accucheck 0 Amylase ' ', !
I 0 BS 0 Blood Alcohol Level 0 B -::~1et 0 C - Met i i
I 0 CBC 0 CPK 0 CKMB 0 Tropon.in 0 Carboxy Hgb 1 i
· 0 Cultures/Sensitivity: 0 Blood X O'i:'urine 0 Throat 0 Wmmd I
Acetar~inoph·~'o I
I 0 Dn.Jg Level D ASA 0
o~nobarb D Valproic Acid/ Ocpakote 0 Otht-TS
Digoxin 0 DiiMtin J
I I
0~ i
DPT/PTT ·~:
0 SHCG: 0 Qu,'ll1t CM) 0 Quali 0 Sed Rate
1
0 STD Work-up: 0 GC 0 Wet Prep 0 Chlamydia 0 Cervical CIS
1. 0 T3 T4 0 TSH ~ _
s~~~ ::::::,Ulll[S D Type and Screen
/£;z_ \~~ ~Drug Scree0
1
l-\A.DlOLOCY/IMAGfNG:
,,!
I 0 CXR Po11 2V 0 AAS 0 C Spine: Xll_/ LTD 0 KUB
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l. J DXRay(State): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
I 0 Skull L TO ', \
j !0 CT- Head w/ contrast I wfo contrast 0 Al3D ,
0 Others: ---------------
-------~==:=====;============-!----·--+~----
1 [ ,
1
~ ;,;_~
,-r--r-
[ : 0 U!S. I
• ! ! 0 "trdwo mm!to' 0 "'''" Ox!mdty 0 B'" hogget
4 71lJ if~ f ,1~- ·JZcJ ?1--!bJ /~~
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~----'----=-c--:L___------:--:----------~-----------t---:::0:-r-;-tlc._r.c~u-B_y_l-1-=Ti-n--,c--,(:iven By, 1j
( ·'-'letlicaL1uns fl V Order-s/ Addilional Onlers ,_ Si'noIlature Given : :J
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C. /1.~-'~g Information.
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:F Anticipated Problems (optional).
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Cq>mpleted By:
'
·---·Date:
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METROPLEX
HE}\LTH SYSTEM 1008534 M H D 00029~254
G , S !
f'Jurs1119 :AdmiSSIOil Summary Jru~PALA, VIJAYA8ABU, MD
902A 6/22/04 014\~ P
2 /21:y9o
AOORESStlJbr:Ac'H
~~11EDI ~ AL ISSUES SUMMARY
1::-o:noieted by
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METROPLEX PAVILION MENTAL HEALTH
NURSING ASSESSMENT
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Patteni Name G :\
:
Last
I First Mtdd!e
Sex: G F Race:
II
-rf Marital Status: S M 0 W (wcle onE]~
I
T~pe of Admiss1on
i
·V Voluntary Involuntary
P~nding Legal Charges·~es _ __
J;
'
c~ te of Ad missto n: --~--->...:[d-'---J.-......:_0_'-\-'--- Time: CD fS:
___::c___ _ _ _ a.m. p.m.
1 • }\': mvrf\J
A~companted b y: ----=~~__;:____;__.:...;,_ _ _ _ _ _ __
Relationship to P a t i e n t : - - - - - - - - - - + - -
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@of; ~~
.
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;current Medications Dosage - · Route Times Classification ,., I
L_ i (tnclude OTC ,::
~-~----~----+------t-------r----·------~---11
L Pi
..:..___ _ _ _ ~-------1------f------+---------r:r-----~
[~~~-;:~-M~~r4...::::__j_~~h.....J!ill+fli=h=-~~~~~~~~==--r------·- \; J~ ·!
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10 ~ 8534 M H D 000294254 SF- ~~a~-~.... ~~
G I
JAI'~?ALJI., VIJAYABABU, MD il
902 A 6/22/04 014Y
2/21/90
P _ -<"1--{-
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MPr~''e'' 1/03 f.i..._ _
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j c\sJ~r-r--1~ REVIEW OF SYSTEMS
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__,_Glasses ____ Contacts
• - VISION:
_____ Pupils _ _ _ Biumng ------Cataracts ----Glaucoma ~---OipiopJa
_ _ _Eye Surgery ( W h e n ) - - - - - - - - - -
______ WN L Comments
--------
SREECH: _ _ _ Speech Impairment ___ Slurring ____Difficulty Expressing _ _ _ language Barr er
_ _iPressured
I
___
V_WNL Comments \
HE;ARING: _____ Pain _ _ _ Limited --~-Right Left _ _ _Tmnitus -~--Discharge.
----;/i-
Hearing Aid _ _ _ Ear Infections · Tubes i
~WNL Comments ---- !
RqSPIRATORY: _._ _ Pain _ _ _ Dyspnea _ _ Cough Sputum/Color Sinusitis
_ Epistaxis Apnea Frequent Colds Shortness of Breath
-~L_Smoking Type Amount
__i_}Asthma Breath Sounds (Describe) ----------,--
__V_WN L Comments s~-.6-.I;~:C:tr--0. ~ ~~ LV~:li
CARDIAC _ _ _ Chest Pain Hypertension _ _ _ Hypotension _ _ _ Congenital Heart Disease \
iAND _ _ _ Pacemaker (Date)____ ~_ _ Heart Disease
CIRCULATORY: _ _ _ Surgeries (Date & What) ----...--.,-----,--:-----.~-------+1
-·_ _ Heart Attack (Date) _ _ _ Numbness (Location)_____
- - - ~dema (Location & Measure) - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - i '' - -
+-
'r--
_Y_'Wi\NL Comments_____ !:
·.'
~--Bowel Sounds !l
•
G~STRO ____ Nausea Vomiting Last BM
INTESTINAL: _____ Laxative Usage . ConstipatiOn _____ Diarrhea ____ABO (Soft I Hard I 01stend~pl
___ ford ~--Hemorrhoids Eating Disorders f '.
___
V_WWNL Comments _______________________________--frr~
''
URINARY: _ _ _ Incontinence ~--Stress Incontinence ----,--Burning Color ___ Odor;.\
________fo{equency _ _ _Nocturia Hematuria F,.-a-n-:-k--=p=-a7i n History UTI's
--- --- .\
! \
V_WNL Comments-------------------
NtUROLOGICAL: _ _ _ Seizures _ _ _ Paralysis ____ Paresthesia
- - - Weakness
Loss of Consciousness (Explain)----------=--------
-=-___
---Headaches
Dizziness
Tremors Stroke Surgery ____ Head lnrury
Neurological Testing YES I NO When/Where?
--~~--------------
- - - WN L Comments:.__________ ______ ____,____ ,
PAIN: Primary Site,...,.,--,--::--- How Long? - - ·
Relieved by OTC/Prescribed Meds
Vv'haUHow Often Taken?
__________________________ _;__;--
Pain Scale ix' LOW 2 3 4 5 6 7 8 9 10 EXTREME
Comment~-------------------------------------------~~
F~NCTIONAL _ _ _ Limited ROM/ADL's Explain _______________________
SCREEN: Contractures (Locallon) _ _ _ RednessiSwelllng
---Bone/Joint Problems _____ Faits/Or History ,____ ProstheSIS ____ Galt
- - -Ass1SI1Ve Device Type
____ ~ewly Identified CVA_o_rH_e_a_d_T-=-r-au-ma ~--__ New Weakness or ParalySIS
i
___ WN L Comments I.
f ~ ;
·,present, request rehab screen i.'
. 1008534 f'.1 H D 000294254
,
J~I~ALA, VIJAYABABU, MD
;,;f? ':J:..:.::.A 6/22/04 014 y p
.... __
REPRODUCTIVE
FEMALE:
•
REP~ODUCTIVE ___ Discharge .,.
Lesions Infection Birth Control . ~
M.ALE: Sexual Preference Male I Female Sexually Active Yes~ _ _ _ H1story of STD's Yes I No
Comments C/
-~~~k\-K ~~~-V-v-t ~ ·f
NUTRITIONAL: Adult/Adolescent Screening :
_ _ _ Unintentional weight loss ~ 5% of usuat body weight within the last month
_ __.:Admission Diagnosis including Anorexia. Bulimia, Malabsorption. Malnutrttion (circle)
Child Screening .!
- ___ Unintentional weight loss : : . 5% of usual body we1ght within the last month i\
_ _ _ <1 0% percentile weight for height
I,
n
Upon admission, if patient meets one or more of the above high-risk categories, request nutritional referral J:.
_ _ _ Food Allergies (L•st).____________________________-n-
----Nutritional Referral Yes f No I'
Comments - - - - - - - - - - - - - - - - - - - - - - - - - - - · · · - - - II:
I'
_ _ _ Wt~L
SKIN:
_EEP: v DGA · MNA EMA Insomnia · Hypersomnia ___ Nightmares _ _ Na~~
Number of Hours of Sleep/Night Sleep Aids (Name) · -4---
Recent Changes _ _ _No Problems :. :,
Comments _______________________________~------------------
:I
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!-lOSRIT ALilA TION _____,...._.'---Hospitalizations/Surgeries (dates &reason): - - - - - - - - - - - - - - - - - ~
• I
AND: -?'Q""---=-.,--,-:-:-~~--:-:-~--;-;-----.:--;-::-:-:-:-:~=-=:::-;:=::u::::.~~n~~-:----~------~
SURGERIES: -~c..._ Psychiatric Hospitalization
__ If yes, did you require restrainVseclusion? Explain: - - - - - - - ; - : - -
Adult Would you like family notified about restrainUseclusion? Yes f No
r
J/,'f'.J- G f.f: rcR . -;: I
SUBSTANCE Alcohol ____ Prescription Meds LSD __CMarijuani?' ____ Methadone
ABUSE:
-------.-
.-----------·-----------t-1
bate-orCas\ Ose 1 _ : . i_
History of Withdrawal Yes 1 No Describe:+ .--------M Q-~IZ~ID~'-
Family History of Drug Use (Who. What?)_ ~o F , _m , .
.t..BUSEINEGLECT History of Sexual Abuse
I ---
HiSTORY: ____ History of Physical Abuse l
i
_ _ _ History of Neglect 1
Describe: --------------------------===·\
.,
M -: D 000294254
.J-'lf'r ..L' VIJAY '
0-14Y p
' ! /2?j'04
6·
'jO)J\ - 2/21/90
' ')
MENTAL STATUS EXAM
• ERSONAL ---~--Appropriate
---;c;,PPEARANCE: Comments
___ Well Groomed _ _ _ Older I Younger (lila! staleqiage)
I
---------------------
'lt1000 _ ____;Dysphoria Euphoria Labile -=--·lrr1table ------1. alrn
_ _ _ Paranoid Appropriate 1
_ _ _.Anger (How do you handle anger. Explainj - - - - - - - - - - - - - - - - - - - - - 4 - - - - - . ' . _
Comments _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _' - - - - - - - - ! - ; _ _ _ '
PSYCHOMOTOR _ _ _ Coordinated _ _ _.Hyperactive
BEHAVIOR: _ _ _ Slumped _ _ _ GrimacesfTics
_ _ _E.rect Posture ___ u~litated ______ uncoordixted
Comrne11ts
AFF,ECT: ____Constricted __ v Flat _ _ _Tearful _Sad _ _ _ Angry _ _ _ Appropri~\e
Comments _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ---fT~
]:
THGUGHT _ _ _ Orientation _Time Place Perso'n Logical lllcg'd~l
PROCESS: _ _ _ Circumstantial Tangential --____ Loose Associations____ Fl1ght Of Ideas it:r;~:ex
____ Delusional Ideas of Reference Paranoid l~eation _ _ _ Preoccup1ed ~Q)./:)
_ _ _ Difficulty Concentrating ____ Confused ____ Grandtose Appropnate ~
Comments '
i i
/ I~,
HALLUCINATIONS:
~--Visual · -'Auditory
_ _ _ Tactile ___
l/ _ _ _ Olfactory _ _ _ Command
I'
! '
i ·.
Gustatory None \ ~
Comments - - - - : i,
e i0r¥JICIDAL/
SUI:CIDAL ' I
·-·---:--
HISTORY: 2 Date of attempt--------~-----:-:-:------;-;----:::;'--::-;-::---;-;;;;::-::-;:;----
J HJstory of suicide in nuclear and/or extended family Yes
7
< No Who?--------~-,-~-
Self-inflicted burns I wounds present Yes ---c:7' No If yes. wJ:ere? ___ __;_ __
4
History of frequent accidents Yes ~-No
Comment ~ /
v
I
6 H1story of self-mutilation Yes No
H1story of restraint usage YES I pla1n - - - - - - -
,_ _______________
PRESENT SUICIDAL POTENTIAL (Explain any checked items) .l !J ·n ··
No evidence of suicide/homicidal thought or history lo.:,l.b-vx IV (l(,.Vr·V._ . : '!J
Rumination J Jt ~~ ~~+11 !LJ.J :,_j\.vrv\'2',_:
- - - Current express intent .
==Other v·lolence (i.e., cruelly to animals, fire-set11ng, etc.)
~ j_
~~~> •
t i\
~\_ (j~J\.Q
D
Comments __________________________________________ ~-V----
-------------'--; ·
------------------- ·.I
_ _ _ Poor Long Term Intact
tv1EIYIORY: Poor Short Term
~008534 M H D 000294254
.Jl'.~PALA, VIJAYABABU, ~D
902A 6/22/04 Ol~{ p
- 2/21/90
• ~
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PSYCHOSOCIAL OAT A
'
PRENATAL
Birilt Trauma Complications During Pregnancy
AND; Developmental Delay. _ _ _ Motor Speech _ _ _ Other
CHIL'oHOOD Learning Disability ,
DEVELOPMENT: lmmun~~nStatus--~---~~~·~:~-~~~~=-~--~-~-----~-===;~-
Chilqh~a Illness ~
---~l/- ·wNL C~om~m-e-nt-s~--~~~~~---------------------------------
EDU~ATIONAL Primary Language -----"=""'-\.1'----=~~~- ---~Limited Education Background :li1
NEE8S: ___ Reading or Writing Problems -~-Speech I Language Barrier ;I11
_ _ --MOtivated Learner Special Education !!
___ !:2WNL Comrnenls ____________~---~~---~~--------~-+···-··---
RECENT
LOSSES:
~~--Health _____ Job
_ _ _ Disruption in Lifestyle
_ _ _ D1vorce
Other:
_ _ _ Death of Loved One ~ p~ l; ,
Comments pc. ·~~~/
-_-~-_jj ~
HOBBIES & '.
';
LEISURE
·---~-----------------------·--------+-C...-
.<\C~IVITIES: 1'
------ri
PATIENT'S
IDENTIFIED
STRENGTHS:
PATIENT'S
GO~LS OF
------~~-tJ~· .
--------~-J-~-~--------·
TREATMENT: ·--------~--
; '
i '
DISlcHARGE DISCHARGE TO WHOM: SELF I PARENT I GUARDIAN I SIGNIFICANT OTHER ' I
: '
SUMMARY
PLAN:
~~~~~~~----~---- ---------=------=---~~----------~
:
:
_, _ :
'
________ Relationship to Patient - -------------·-:--'----
. I
upqn aS5essmen\. 1f \he palienl requires a referral, notify \he appropriate department: I
l i.
I, I,
1008534 M H D 000294254
Jl\MPALP..,
gQ2A
VIJAYABABU,
6/22/04
·"
014Y
1.-.. ·•
MD
/...-.""
P
\~
METl~OF i. HOSPITAL
2201 S. Clc~r Creek Road
•
Ki1leen. TX 76549
Dr. Phillip Day * Dr. Fayza Reheim
Pathologists
Ocdenng Physiciun: JAJ''IPALA, VIJAYABABU, t'ID
?,at:.ien:::: Location: 9A Room:
;
9MJ901-,C,
Rhysicians: Case If: 1008534 :~
. JAMPALA, VIJAYABABU, MD Med Rec#: 000296254
Adffii~ Date: 06/22/2004
Hematology
TE:ST WBC RBC HGB HCT MCV MCH MCHC
:_;(') l :s: :><10' 3/uL xl0'6/uL g/dL % fL pg g/dL EL
LO-Hl: 4.0-1/..0 4.7-6.1 14.0-18.0 42.0-52.0 80-94 30-34 32-36
------------- ... ---- ... ---------··----~------ ... -------------------------------------
06/22~04
0530 8.2 5.17 14.9 43.6 84.7. 28. 7L 34 '1 8.2
'
~========~===~=~~~~==========~~~~==~ Hematology ~========~====;~===~==:~~=~~~~~f~~~=~
'!EST. ROW PL'l' ,;
DTYPE SEGS LYMPHS MONOS EOS BASOS J
U~..JT'TS: % xl0'3/uL
:,o- ili ' 11.5-13.5 140-4504o\s 1s\o 1\2 o\ o-~.s \:
----------------------------------------------------------- .. ------------------ -j-----
~1 G /2 2/ 0'! i:
os.:;o 12. 0 229 AUTO DIFF ; f!S ·. ·.1 I0/L
i
LO-MI
~------------------- -----------------------------------------------------------~----· i
I;
Clt/22/04
0530 2.54
< 1 6/~:l/'04
2.0:10 Drug Screen, Urine
Amphetamines, Urine ;) Positive (NEG]
Barbituates,Urine Negative (NEG]
Benzodiazapine,Urine Negative [NEG]
Cocaine, Urine Negative [NEG)
Opiates, Ur-ine Negative [NEG)
• I
Phencyclidlne,Urine Negative (NEG] 'l
~-Hc:,ur·ine » Positive [NEG]
;
Immunology ******~******~*~********~•·•*~·t~*·~~
\
1:..A.'?E: 06/22/04
T If,iE · 0530 NORMALS UNITS
'
- - - - - - - - - - - .. - - - - - - - - ~ - - - - - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - ,.. - - - - - - - - - - - - - - - - - - - - - - - - - 7' -~ - - - -
NON REACTIVE NR
06/21/04
2010 NORMALS UNITS
---------- -· .• --------------------------------- -·-- ... ------------------------------ ~ -~----
':.clor Yellow
.~~.~dr iC.'/ Clear ' !
5.5 5.0-9.0
~.t;
1.030 1.001-1.035
SpE=lflc Gravity >~
Negative NEG mg/dL
Cl-·....:·.:ose
9
NEG mg/dL
ell i t:.;Ji:nn Sxn&ll u
Trace ,., NEG m,
(A~ISSION AND DISCHARGE DATE) ,!
The~e said pages of records are kept by said Hospital in the r~gular course of
bus1ness, and it was the regular course of business of said Hospital for an
empl~y~e or representative of said Hospital, with knowledge of the act, even~,
~ond1t1on, opinion, or diagnosis, recorded to make the record or to transm1t !
i·
I
lnformation thereof to be included in such record; and the record was made at or
near the time or reasonable soon thereafter. The record attached hereto are the
original of exact duplicates of the original.
,.
\<
SWORN TO AND SUBSCRIBED before me
SEAL
• My Commission Expires: ; '
COPY THE STATE OF TEXAS
""* SUBPOEGJA - Duces Tecum "~" llllll!lllllllllll\!llll!I\!1!!\W \
5 ., 5~.~
Cause f\Jo. 57558
To The Sherif! f'onst bl _, ~
, ~ I a e, or any Peace Officer o! BELL County said State r: t. .D 0' ;---, '6 o
.. , , uree rng:
·r ou ?.re :,ereby communded to summon·
1.. '----'
c;:,_ f: ')
. ~-I I -cJ ...) 'f5 rL--
cusrootAN OF RECORDS ,-;::::~-., ,--;:-::._·-. r--::---:,:·· : ;·· lu_ _ ~ (- O c 1 \C A
METROPLEX HEALTH SYSTEJ. ( ;~.: r, I}\':::;',)\>/ Or Serve AI: 0 "-i ..!- \LJ
'-':._"::__. \...::_-,!/ u L; RETURN TO DA'S OFFICE FOR SERVICE
' I
to be and appear • • , • • I N S T A J,:;
T . NTER ' '. ' ' ' b efore the Honorable 264 Ois!nct Court of Bell Coun .
exas. to be held at the Counhouse of · I.
the STATE OF TEXAS Ill a criminal acrid Cou0ty, .In Belton, Texas,.then and there to testify as witness in behalft\Ot
Coun, THE STli.TE OF TEXAS vs. THO~~~e~~~~~1~ Said Court, entitle~ and numbered on the Criminal Docket onsard
from terrn to \erm unt1l discharged by due f NO CARR, No. 57o58, and there1n remain trorn day to day ~1-,d
· course o 1aw. · ;:
1
Returnable INSTANTER. Hi
HEREif\l FAIL NOT a d k d i\
l
srgnature at Belton Te' xans tmh a 3e0 hued retur!n hereof, showrng how you have executed the same. Wilness my olf1cii!
• , , IS t ay o October, A. D. 2006.
Shelia F. Norman, Clerk, I'.
i·
264 District Court, Bel County
By: _ __
Please contact the District Attorney's Otfice prior to appearance
an unnecessary trip to court. 939-3521 or 1-800-460-2355, ext. 5215.
:·rc>'_::O ··li •S an oHense ior_a person to Intentionally rnfltJence or coerce a witness to testitv falsely or to etude legal process. lt•s nlso a
,.;,Jor.y vftens€ IQ ilarm or threaten to harm a witness or prospeclive wrtness in retaliation (or or on account of the servrce of the person as"
,, 11~ess 01 ro prevenl or delay tile person's service as a witness to a crime."
r·,OTICIP. 'Es del1t0 H)tlmar u obllgar a un testigo a declarer con talsedad o a evadir el proceso judicial. Tarnbien es .ctelilo penal hem 0 •:
ar;1enazar con he•u a un testigo. o a un lastigo prospective, en represalia o a consecuencia de heber declarado en JUrCIO o con el a fan de
.mpec11 o oemorar su r.omparecencia como testigo de un delilo."
.. uUCC:S TECUtV1TO BRING OR PRODUCE ANY & ALL MEDICAL RECORDS,INCLUOING
'-ifi & ALL FSYCHIATRiC RECORDS OF C LEE
V FROM JUNE
:s 20')<> THROUGH PRESENT DATE ...
Officer's Return
Ci:l~8 iO hand !he .,1-]
r-} ~~· _A.D. 21J-"'_,ati-J
day of~
....6, at z...fsO'clock T-_M. ·
f'.Jot e>-ecuted as to tt1e wi\ness - - - - - - - - - - - - - - - tor the following reasons·
t I
• FEES ·Summontng VV1lnesses- $ _ _ _ _ _ __
J·,.;lle::Jge ------------
,.oiul ............... $
111111111111111\l\\1111111\111
5[1~0
By: _ _ _ _ _ _ __
/) ~/ 11 vv/
HALLUC:lHA noNS: -----~~~~~~~--------------------------
SPEECH: &1--:
AFFECT:-----
TIKXJGHT CONTENT!PERCEE'TION: _ _-,.--_...;../_t.U:if'Z-t=-4-..LJ .L.~a:~(-------------
:\Pf>ROPRLo\ TE CONCENTRA.TION
lz E.ASLL Y DiSTRACTE.D - - - POOR JUOOMEI'·ff ---'--/-~-
REVTEW OF SYMPTOM: MAJOR DEPRESSJOH (MtET J.aT DSM lY DiAGNOSllC CRf11'JUAl
- - - 1'\)()R. ~ SJGNTfiCAJ'.{T wmGHT LOSS
__ ----·I~ lA OR HY!'£R,SOMNlA .
- - - - - PS'YQ\(JM(Jl"OOI. AGIT A TIOH OR Jl$f AKDATIOO
--·---LOSS Of EN:EJ\OY
FEELlNO OR f/'..TIIUATC GU0.T
Of W041. THLE-<:SNESS
--~
--~OR REC\.A{R.ENT THOlJOHTS Of oM TH, SUICIDAL IDEAnoN. WJSHES TO 86 D€..AD OSl SUI OPE A'JTEMPT
EYtDENCE Of Di.MINISKEO ABUJTY TO TIIIHK. (X)NC'ENTRATC (SI.X:H AS SLOWER TH!NKIN:-;~Mt:Nr ur· Ll:THA.LlTY FOR DANGER TO SELF OR OlliE~: i ''
-~·IDEAS ~.~----.:~----------L.:~f~=:.,.L-----------~
T~An _________________________ -+-----------------------------
GF..STURES:
--------------------~-------------------
.-I
PLANS: Ii
r·:
';·
,:I
ATIEMPTS:
---------------------~~---------------------------
ASSESSMENT OF lHREAT TO SELF AND/OR OTI!ERS: NONE MOD SEVERE
DISPOSITION:
--~- ~"YCHlA TR.IST NOTIFIED UPON CO.MPLETION OF PRE-EVAWATION
DR- TIME NOTIFIED TIME REsPoNDED-----
____ v...,...J)ISCHARGED BY ER PHYSICIAN TO ~.;::-~WHEN MEDICALLY §;fABlE
___7_ REFERRED FOR OUTPT. FOLLOW-UP Wffii: ~dtJCJ- 'f~ Er::
_ _ _ _ INSURANCE VERIFJED ) u
_ _ _ ADMIT TO MBTR.OPLEX HOSPITAL
_ _ _ HOLD FOR 23!-lOURS OBSER.VATION TO METROPLE.X PA VIIJON
ADMIT TO METROPLEX PAVI:LJON INYT. UNIT*
-~--PATIENTS' SilL OF RIGHTS.~IGNATURB OBTAINED
- - - CONSENT FOR TRRA'lNffiNT FORM SIGNED
_ _ _ DIRECTOR, MENTAL HEALlli.SERVlCES NOl1FliiD Of A.DMJ.SSION REQUEST
- - - ADV ANCEJMENTAL HEALTH DIRECTIVE FORM SIGNED
e ATICriD.ING ER PHYS>CW-l:. _ _ _ _ ___!{/~.,:...f_U.}_!!_v.J_d4=t:=::...__----------
A.DMITT1}Ki P H Y S I C I A N : . : . _ · - - - - - - - - - - - - - - - - - - - - - - - - - - ; - - - -
PHYSiCIAN'S ADMITTING D i A G N O S I S : - - - - - - - - - - - - - - - - - - - - - -
C- J-J:-oi--
oATE
TIED: (l) EMERGENCY MBNT AL-
• NOTE: TilE fOU,OWING ITEMS SHOULD ~CCOMPANY PATIENTS BEING ADMl swB
CARD AND
HEALTH EVALUATION, (2) EMERGENCY ROOMEVALUATIONIFACESl-IEET, (3)
(4) SlGNEDP.ATlENTS' BJJ..l.OPR1GfffSCOVE.R SHEET.
ii
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··-· .·:·.
2201 SOUTH CLEAR CREEK AD.
PHONE (254) 526-752
EXT 8103 EMERGENCY D
KILLEE
O
~ea'----------------------------------------
Age·----We~-----Oata - - - - - - - - - - ,, .
'
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v ·, (_ . _, d .'., (!_ (r'-'0 )
T iT j.J. ' f"' 0 'r ft ;r·- j!4
1-rr o--'
rJ. ~ ~ -:if- h,.) ( T ______._ ;.. , )
_----.!J..Q~Q~----:--------M.D.
l...tlafll\6C:)I Usa Only
,--
Refill _ _ _ _ Timas
Dpn --n.·~I!i·~!
EI\1ERGENCY. DEl)A.RTl'vffiNT ,.., ·- .. '·\
PHYSIOAN ORDER~ OOOlOOO.BG l00863B )
l.MG~L-~E~R~Gffi~S:---------------~--~--~----~~r~·r~~~·7~cr LLEL_E____~I·~
DATE :;;;u,. -ill'm·i:>C. DOS 9/21/89 014/t: ::
I
t---t-'1'"""--t'-"-rv~-
·~rm;.....~"';;;:;:--------------_j__~,'rt~Q_D~Siena~rus~yr/eL_""r~-s_r_:,-ig-nn_tu_~_J ~
LABS'TEST:
0 ABO 0 Accucheck 0 Amylase
0 BS 0 Blood AlcohoJ Level 0 8 - Met 0 C - Me~
0 CBC 0 CPK 0 CKMB 0 Troponin 0 Carboxy Hgb
I 0 Cuirure.s/Sensirivity: 0 Blood X 0 Urine 0 11Jroat 0 Wound
0 Drug Level: 0 ASA 0 Acetaminophen 0 Digo/(i.n 0 Dilantin
0 Phenobarb 0 YaJproic Acid/ Depakotc 0 Ortiers _ -----·-
~
0 ?T / P'IT
0 SHCG: 0 Quant (M) 0 Quali 0 Sed Rate
0 SID Work-up: 0 GC 0 We1. Prep 0 Chlamydia 0 Cervical CIS
0 T3 T4 0 TSH
! ~N:J~e & Crossm~ \\ \-., lmits 0 Type and Screen
I
I ~ me~~m
I
I
l; lOLOCYflMAGI~
V 0 CXR Port 2 V 0 AAS , 0 C Spine: XTL I LT'D 0 KUB
I 1
! 0 X Ray (Srate): _ _ _ _!_.'- - - - - - - - - · - - - - - .·.
0 Skull LTD :~ ~
I 0 cr- Head IV/ contrast; w/o CI,)Jl[ras( 0 ABO i.
i I
0 U/S:
0 Others: --------- - - - - - - - - - -
'
e i
i
r
0 cardiac monitor 0 Pulse Oximetry
i 0
!1-le1
HOSP. ID: MET
ACCT: 1008538 DR: PIPER, JOSEPH N., DOCOD£, 00301
M9240 COLL: 06/21/2004 20:30 REC: 06/21/2004 20:36 PHYS: PIPER, JOSEPH N .. D
Urinalysis,auco,~ Micr
Color Yellow
Cla:::ity Clear
pH 5.5 15.0-9.0)
1. 030 [1.001-1.035}
Specific Gravity :>=
Negative (NEG) mg/dL
Glucose
Bilirubin " Small [NEG] mg/dL
Negative lNEGl mg/dL
Ketones
Negative (NEG] /uL
Blood (NEG] mg/dL
E'ro~:ein
• 30
l.O ro.2-1.ol mg/dL
Urobilinogen (NEG)
Nitrites Negative
Negative [NEG) /uL
Leukocyte esterase (0 -21 /hpf
W8C, Urine 2-5
[ 0-21 /hpf
RBC, Urine 10-15
Bacteria Few
Epithelial Few
Crystals Moderate
Amorph urate
•
Mucus Many
,,,.
:~
•
. . . ,,.
.
~TROfLEXlROLLINS BROOK COMMUNITY HOSPITAl.
EM:EJ(GENCY MDfT A1.. HEAL11-1 EV ALUATJON . ·
.,
• DATE!IlME: C:d:?:-:0-f C/ / l EVALUATOR: -+fh~o._O-=---Bv.::::._o::_~l~_-E>=--~{1'-'-'.h......,/_)_ _
POTENflAL PATIENT NAME: ~ F~
ADORES.,, OTYISTATE:
RESOURCESIINSUR.A.NcE: ----!..~~~Q,..L-. _ _ __ TEl..EPHONE: _ _ _ _ _ __
M.il.JTAR Y SERVICE: YEARs SERVICED: DISCHARGE:-------
VA ELIGIBLE:
VA cUgjblo * ..ao.ud be liUskrnd 1o
~ ifbdsl.e-
VA~ 3 ~ ill sonia: "rib lllllloeoonbie ~ or.,.... J~days;, oc:fflco: ,.;a • 8>0&aJ ~ tl>o: P.lic.Jc is
~ cm.n..)
O\OV
MEDfCAL HISTORY: _ _ _ _ J:.U.~n~C::~~~:rd~~sl®n~hlf.Fi~~otic \1
Luxury ar~d El':ecu\ive Programs Effective, Affordable Luxury Insurance,
Excellent vatue,(thttp.i-.'r~dependency. ne tl]l\
lnsurarlf~ Acce!?.t7d • .
Oetox. Dual-Diagnosis and rnore
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• Sleets/ Side Effects
Wthdrawal and D3toxification
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Barbiturate
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Codeine 'l
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Wthdrawal from Rita\ in can result in a change in the
/learn/ codeine/)
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(http:/ I www.dependency.net ;
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(http://www.dependency.netf learn/ drug-addiction!), (http:/ I www.dependency.net 'I \
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and suddenly stopping the drug can cause psychotic
• behavior, aggression, panic, extreme fatigue and depression, Dexedrine \
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•
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LDrazepam 'I
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(http:// www.dependency.netj I
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Lorcet
Long-term Ritalin use may cause heart disease or stroke. (http://www.dependency.net
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abusers who inject the drug. Ongoing intravenous use Lortab
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i
(http:// www.dependency.net I
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Methadone !
(http:// www.dependency.net \ \
Treatlll8nt for Rtalin Mdiction /learn/ methadone/) l
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Ritalin abuse treatment can be complicated by the severe ( http:/1 www.dependency.net [ I
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can cause them to exhibit psychotic behavior when taken 1methamphetamine/)
off (http:// www.drugs.com/ sfx/ ritalin~side-effects.html)
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the drug. This behavior can manifest in life-threatening ways
that may be too complex for an untrained individual to
(http:// www.dependency.net
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•
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handle alone. People who are interested in~ nding
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(http:/ 1pubs.niaaa.nih.gov/publications/ arh22-1
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and- al co hoi- to I erance-
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• Methamphetamine Urine Toxicology: An In-depth Review
By Michael DeGeorge, Jr., PhannD Uauthor/11339/degeorge-jr) and John Weber(/author/llJ1l1pathetic nerv . . \ i
•
system, so it is not thought to possess dd' . - . a us system but has lJttJe activity in the central nervo,•s i ;
. . an a tct1on potentw.l anywhere near that of th d . . \i
few phystologtcal effects is vasoconstriction, which mak . e -methamphetamme ISomer. A.lnon¥, iq.
es lt useful for nasal decongestion.! !I
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(http:/ /www.p~actlcolpainmanagement com/sttesfdefaultffiles
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total is c~nsidered ~nclicative of a source other than an OTC product qt a
metabolite of seleg1lme.9 These sources could include a prescription\ i
medication or illegally .m~nufactured methamphetamine. If the patie\jt
does not have a prescnptwn for a drug that would result in > 20% 'I
d-methamphetamine, illicit use of a diverted prescription product or \: "
street methamphetamine should be considered as a source. ~
A recent study by Esposito et al published in the Journal of Analytical\
(http f fwww practicalpaaunanagement.com/sites{default{files Toxicology showed that d-methamphetamine percentages often were
'unagecache/hghtbox-1Drgejimages(zo 12 t 11 / 2916755019 _ 1_opt.jpeg) few percentage points above or below the expected value based on the
standard solutions they were testing.g This was due to impu nties m ~·'
some of the denvatizing agents used. When interpreting test results, a clinician should consider that the result might never be \
roo% d or l1somer due to these impurities. Esposito concluded that the >20% d-methamphetamine guideline is still relevant an :
I
appropnate based on theirfindings.g 1\;
Sununary
lllicit methamphetamine availability and use poses a serious health risk in the United States today. If abuse is suspected, urine ·~~
drug tests are available to help clinicians detect its presence and intervene in order to optimize patieot outcomes. There are a few \
distinct sources of methamphetamine. Using current methodology for urine toxicology testing will allow clioicians to narrow do~i
tl-:e possible source of a positive result and assist them in managing their patients accordingly. \'
,I
VJew Sources [/treatments/ pl:armacological/ non-opioids/ methamphetamine-urine-tax icology -depth· rev iew#fieldset)
•
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F1rst published on: November 1, 2012 '
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··· -·-•••••(•"~""• .... ••••.,...., VI U6 L'-",H • l't"lt;;U:)\_...tlctl http://www.medschat.conV JJJscuss/ Will- L-pass-a-methamphetam me-
Will I Pass A Methamphetamine Drug Test
•
88 Replies Updated Wed. Apr 29 '15, 5 31 AM
Home Drugs: M > Methamphetamine > Discussions
Conversation Starter
Angela Says:
Sun. Aug 21 '11, 3 39 PM
For the last two weeks ive been smoking meth, nomore then two grams throughout that time.
Havent touched it since yesterday aug, 20th. I have to see my probation officer on sept, 2nd
and will be getting drugged tested. Here's another thing lm prescribed Adderali 20mg and
never had a problem passing test, now that I have been using methamphetamine this month,
will 1t trigger me to have a positive drug test even if the meth is already out of my system?
Whats the longest time meth has stayed in someones system? What can I do in 13 days??
Please help!
Showing Replies 1 ~ 20 of 88
~.-. Verwon Says:
~ Thu, Aug 2!i '11, 11·15 AM
Though it can vary from person to person, depend·1ng on their own individualizing factors,
Methamphetamine is generally detectable for approximately 5 days, after use in a standard
urine test
However. as to the longest time it's been detected, the answer is a lifetime. There is no
explanation for it, but traces tend to linger in some people, even with just one use.
As to the Adderall, the Amphetamine salts in it can caus~_,9.fal~ positive for ___ .. ----
Methamphetamine_,__ ____ ._____ ..-----· ...
. ------ .. -
http:i/www.medscllat.com/wiki/Adderalll
http://www.medschat.com/wiki/Methamphetamine/
___Are there any other questions or comments? _, ../
""} Frank Linn Says·
,;/,.. Thu, Aug 25 '11, 1·22 PM
Meth will not show up on the piss test after 13 days. , .
they will see the meds that you have a script for, as long as you have proof you re 1n the clear.
Allthough, if anybody does a hair test on you you'd be toast... unless you shave your head.
":t Angela Says:
•
v· Fn. Aug 26 '11. 6 10 PM
2 of 7
•
Exhibit 11
•
-· --·--·--·- - - - - - --tt------
IN THE NAME AND BY AUTHORITY OF THE STATE OF TEXAS: \
•
\
ii
THE GRAND JURY, for the County of Bell, State of Texas, duly selected, empaneled, sworn, cbarged; and\\
" . ll
organized as such al the January Term, A.D. 2005 of the 27th Judicial District Court for said O:Junty, upoo their oatW
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present in and to saic;l co_urt at said term that \:d
TBOMAS RA¥MOMD CABR
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hereinafter styled Defendant, on or about the 18th day of June A.D. 2004, and before the presentment of this lndictnfnt,
i
in the County and State aforesaid, i
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did then and there cause an object, to wit: a "dildo" to contact and penetrate the anus of J ~ ,a
child less thau 17 years of age and not the spouse of the said Thomas Raymond Carr, and the satd
Thomas Raymond Carr operated in concert with Tammy Bishop during the same criminal ~isode,_ and
II
the defendant did provide to and administer a controlled substance to the said J d M Wlth the wtc:nt \I
of administering said offense I~
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against the peace and dignity of the State.
•
District Attorney 27th Judicial District ofTCUS
·- ----~--~-· ... ~.··-"'·"-'.!'·~=-=·--""'·""-''..~.""'-'''-"""~·- - - - - - - - - - - · .
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THE STATE OF TExAs 1, _________________________________________ ~·--
CoUNTY OF HELL li
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of the District Court of Bell County, Texas, do hereby certify tha the
withln~d foregoing is a u-ue and correct copy of the original Bill of lndlctmcnl, t'Ued in s:tid Coun on the ',,
day of A.D., 20 ___ , ln cause No. , style
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STATE OF TEXAS § 0 r1
COUNTY OF BELL § -o
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COURT:9RDERED AFFIDAVIT
(in Cause Numbers 57,557-A and 57,558-A)
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Before me, the undersigned notary, personally appeared th.is day AffLant
Cha~Jes ("Mo~nty") Montgomery J r·., who, after being identified. by Driver Lice~se
aRld du~llJ by me du!y sworn~ deposed upon his oath and stated as follows:
"I, attorney Charles ('Monty') Montgomery Jr. (State Bar 1114288000), give this
AffidaviL in response lo and compliance with the January 23rd, 2013 'Designation of
issues and Order Expanding the Record' in Cause Numbers 57,557-1\. and 57,558-A of
the 2 7rJJ Judicial District Court of Bell County, Texas; and l have ei.ther good reason to
believe or personal knowledge of all facts herein set out and swear to the truth of same.
• "As regartis the Court's designated factu~ issue NUMBER 1 (one), as u"ial
COLUlsel, I di.d investigate the facts of the cases and the law applicable to said facts, and
did discuss both, as well as possible defenses, with Applicant, Thomas Raymond Carr.
Wi(n~ss the following 'plea colloquy' I question and answer exchange between myself
•!:
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and Appli~~t: '·l
·. ;'t
-~~l·-~l6: .·;
. .. . -~: . ~ow.-1-~;n, ·h~ve you altt! dissatisfaction whatsoever with my representation ''
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of you?
A: No.
'.
Q; l~ there anvthin~ that l have (ailed to explore by way of investigating and '
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preparing anv defensive issues or witnesses?
A: No. ::
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: All rlo-ht And it is true is it not, that I obtained and interviewed -~d [got] an •!
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o . . . . itt] Outten who ... e.arns Jus lt~tng_ as a .
assessment by Bob [ : 0 4 · . . t'mooy in mitlgauon ot
drug and alcohol counselor and was gowg to g.tve rest
Affidavit~ Page 1 of 22
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your mmd and your intent[ ] and . h.
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rugs nughl have played on
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as all of the other testimo~y tha~:~; d::~all of t~at. in th~ b~hmce., as well
witnesses that vou told me ~.......... 1 __ oped, 10 !ntervleWltl~ all Q{lh.e
'U-'~V><-b PJUS some others tJr.aJ J de t ed
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Q: .All ri.ght.
. As a maner o f f:act over the weekend I made contact with and
tntemewed t/te.lllst r~nin_Jf_witness that you wanted me to talk to and gave
you a l;eJJ,~l't back on his !J!l.Wlllm~ess to testify and what that testimony '
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would have been had I compelled tt by subpoena, correct? ~;
A: Yes.
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A: Yes.
Q: All right. And again weighing that in the balance (,1 you decided to take the 'I
State's offer rather than go to trial?
A: Yes.
Q: And also yesterday in our meeting with Detectives Jerry Dugger and Mike
Simmons, you »;ere provided acct§s to your com.outer. were you not?
A: Yes.
Q: We were unhappy with the fact that we had been unable to obtain an expert to
do a computer analysis for the $500 that the Court bad been able to authorize[,]
and Jerry J)ug-cer wh,£ is a police o((~eer and not obligated in any way
whatsoever to assist us· nevertheless accessed everything on yow c;.omeuter i
that you thQ.JJKht w.ould be to {sic) of qyail in £OUr defense; is that correct? II
!
A: Yes.
Q; And he promised to deveiop for you and print up for you and, if necessary,
give testimony to aU defensive matters that were raised on your computer,
correct?
A: Yes. ·1
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Q= And he also pointed out some things that did not forebode good, again that
they showed sites lhat fllllt4"'1ifiJiJ.] you had accessed on your
Affidavit-Page 2 of 22
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comp~ter. . Alld _he expressed the opinion that based upon bis years 0 f
ex.penence m w0rking these types of c ·
saw no basis what ~> ases, pornography cases, etcetera, he
soever Lrom thQ.se computer record h !! h d
on your c~mputer on the hard drive jn the unallocated s~ac:t ct~c:er fo~nd
saw JUJ evitk.nce whatsoever rtlz · . ' a, -!
cril~U!£, did he not? or an u er t.nvestz ation o an other
A: Yes, sir.
Q: ·
4
"i "!'
he 5 he would testify to thm and that was one of the detectives who
wor ed this case, correct?
A; Yes, sir.
Q: !s there ano/·complaint tha1t:ou've got regarding mv (aiiu.re to do a.nvthirtg
m pr~mu.ation o(any possible defense in tltis CCJ§e~?
A: No, srr.
This 'plea colloquy' between n~yself jllld Applicant~ addresses (RR V 1-pp J6-17)
my development of the 8j)o1i~able LAW, regarding which the following explanation
should - better than mere quotation of the plea colloquy - i.llustrate my effons thereon:
In addition. to s.uc£essfully getting STRICKEN from the CAPTION of
the Indictment (i.n. Cause No. 57558) the 'nwiester'-branding aJJegatkJI:t
'(Aggravated Sexu~l Assault] OfA C'hild~ and ALSO forcing AMENDMENT
of that Indictment's allegation of specific intent, I HAD ADDITIONALLY
ATTEM;PJ;ED TO QUASH SAID INDICTMENT yls a vis a contentiop that
.the law of parties would have to be relied upon to hQld Ag,Qlignt criminally
responsible for (his common law wife) TA.MMY BISHOP's an.aJ dildo-
penetration of the l.ntt!pt;/} 16 year old) victim (tmd two J4 year old extraneous
victims) - my client's ruain defensive claim being that he did not personally
dildo the victims and only FILMED it). Tllh."N (so my argument ran), this
'Parties-Prosecution' of a lnd degree offense would be boot-strapped into a 1st
degree 'Operating-.In-Concert' case W 1THOUT THE REQ[/ISJTE factor of
any ADDITIONAL conduct. I advised my client, Applicant Thomas Carr,
Affidavit-Page 3 of 22
• fl
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• that 1 had done my best to build reversible error into the Record
TRIAL foJiowed by an app l b ha -
... th
- In .e
f
event o a
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TAMMY' - ea - ut t t, ag Thomas himse}f kept complaining,
. . . s NOT HAVING BEF~N INDICTED FOR A SEX OFFENSE (or as
a C()-defendaot) would probably doom any appeal or collateral attack based
upon sajd issue; AND TRA 'f - as I put on the Record m
. the ptea coUoquy
(RR-Vl, pg 17)- AppJjcant' s judicia} confession to the gpzpyi¢ indictment,
aHegiug th1M Jl,Ji administered the drug to the victim with the inteut of
'facilitati·1U! COif'l.mission of the penetration of the aiUI.S ()j [the victim}' ~l
would D.li~E4.1' ~ny appellate contention that there bad been reversible
error in t·be trial court's denial of said motion to quash.
fi'Nl = ~&!~ il~P.dmen,t substituting the phrase 'facilitating commission
of the penetration of the anus of [the named victim]' for the
original allegation 'with the intent of administering said offense',
g~ew out of another attack by my motion to Q.«&jh.
There were many otber issues, factual and legal, that I dealt with, constantly
(when Applicant wasn't either at the Vernon State Hospital on competency comt::llitment
or elsewhere, at the San Antonio Dominguez Unit, etc.) over the 2J.nwn!h duration of my
representing Ap.pl1cant, a jew of which will be touched upon hereinafter. Suffice it to
say that, when he was at the Bell County Jail, I was NOT visiting Thomas for the purpose
he would have the Court believe (that of getting him to enlist cellmates as my clientele),
but, rather, because I was constantly addressing his problems and needs, attending to his
medical issues (infn~.) AND to the problems of his parents and chi.ldreu (infra) growi.ng
out of his and Tammy's incarceration. While this might seem irrelevam to the manner in
which I discharged my criminal-case representation responsibilities, the point is that
J\pplicant has fabricated a picture tbat 1 'never counseled' him, ~never did anything to
represent' him, and 'just sat ther.e and got [him] to sign a plea, with broken promises (I]
would appeal [his1 case' (infra).
For example, Thomas viewed the yideo 1'\VlC::&;.- not just immediately before
signing up for a guilty plea, but, also, months before that; and on bo(b Qfthose twO
Affidavit~ Page 4 of 22
•
• occasiotJ~ he .heard H!MSELF
. GIVING
· DiRECTIONS
· AND I SSUING THREATS,
as, for example, that lfthe juveniles resisted the anal penetration that he wanted to film,
then they would have to perform Fellatio upon him.
. Aild as (or his como,lai,nJ tlwt I never showed him Tammv Bishoo's alleged
.. ..stateme-nt. well
wntten · • NEIT.f-T'GR
. · uu. had "'ed
'7'
Potter-
. •
for thirty years the kingpin of the
centraJ Texas criminal defense b;u- and APPLICANT'S PREVIOUS ATTORNEY (whom
I had substituted in for)- been able to get tlu Stgte to give it up_; it wa.m 't suuuwrily
disco.ver.ub,le
• (Tammu;r NOT bang
· a. co-rJe·f. ..1~ 11
:,~enuant1. I had. moreover, gpne to tbe
jail to intcryien; he~ - and she decided not to di,fcuss anvthing with me (although my
stated agenda was merely discussion of their children's visitation with Applicant ·s
parents/ the children's grandparents).
As for his boast of having gotten 'quite a few people to fire their lawyer and hire
[me]', that grew out of his and his cellmates monitoring the block-long walk from my
off1ce to the jail; 1 do not deny benefiting from the earned reputation of a lawyer who
rer:ular-lv visits his cLients.
As for the State threatening Applicant with' 17 {seventeen} indictments' AND
my supposedly ~nat responding', I bad previously told Thomas that by MY COUNT, ; 1
:'
there were indeed FIFTEEN, bnt not seventeen, possible total charges, SOME OF
WIDCR- if not ALL of which- he should EXPECT to receive stacked I consecutive
IN THE FINAl, ANALYSJS, THIS- and !!:fl1. the bleak prospects
sentences for!
of .an Appeal, Q! anytbing else- was why I advised Applicant to w.aive trial, waiye
direct appeaJ a.s well as collateral attack, and plead guilty. I would have loved to 'i
! :
nave tried that ca.'3e, as winning it wou1d have been. a big feather in my cap; but 1 owed it
to roy dient to make him see reality- that we wouldn't win 17 (or even JS) times; and
that any jury who might buy the State's argument that Tammy's cooperation as a witness
should condone Thomas taking aH me blame, tbat would be a jury that WOULD 'MAX' I .
HIM and aiso recommend consecutive sentenci.ng. AND TI-lAT 1S WHY 'fHOMAS l' I'
ACCEPTED THE STATE'S OFFER. After a.U, it had taken me 23 months to get it do·-'lll ! i
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1.0 thirty years; and it wasn't going to get anything but worse\ \ \
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Affidavit-Pagi! 5 of 21 I
11 1
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• Fmally, as for Applicant's claim of having been on 'psychiatric medicati n [ d]
scared' and supposedly not allowed to talk to his family before JM Jri,.,~ a d . . t
o an ...
tl
. . ·~ ectslon o accept 1e
offer or reJect lt., well, simply put, neither was th"' case.
... He knew beforehand wluu the offer
was and that I could not. et beuer one - and ad
the assembled Jhree ju,venil~ .AN}) their Parents, letting them know that in any trial I would be
altcmpti.ng to litigate the juveniles' previous drugging and boozing - AND ASKlNG THE
JURORS 'Where were the PAREN'lS?'
As for the psychiatric medication, that was the I
result of Applicant overplaying his hand at Vernon State Hospital, refusing to particip te in ,.I
11 r
intervie.ws by the d~agnosin{f.'!!!'. doctor (actually calling him an insulting oame whicb he i~
fr
stupidly joked about. in a leng distance MONITORED phone cal.l to me), AND being observed !I: ~
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demonstrating hidden cognitive abilities AND consequently classified as a malingerer who n
should be rttumed to Bell County with medications for 'Ps_ycho£k Disorde:r'. Truro was, il
Tn.o.mas was constantly mlUJ.ipulating, bul.in complete control; witness the unusual consistency
of his very dear, cursive sig.narure on the plea papers.
FNl: I even tried to f.!llJJSJ1. bis discharge and return to competency, by arguing that the
psychiatric reports had not been authored by a doctor who had PERSONALLY
imer.:vi~..ed this 'Malingering ... Personality Disorder' pati.ent. :I
'1
, I
, I
ln closing, I must comment further on something onty touched upon hereinbefore. :i
Applicant knew that 1 had grnter
i
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to his 'threat' to return addiuonal · ·
mdit.tments an d s'T'ACJ{ ~" defendant i{ I
.t.n.
I!
Affidavit-Page 6 of 22 I!
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• he wem to Lrial, WALDMAN DID INDEED OBTAIN A SECOND INDICTMENT and try
thaJ case to another jury, with the result that the defendant who had only three years to do
after the {irsz trial WOUND Uf STACKED, with twentv-three years to do after tbe second
trial.
FN3: Th~c; revelation was significant to Appucant, as well as myself, because said
auorney Ted Potter had represented Applicant prior to my being retained.
!n shon., it was my considered judgment- aud adviee to Thomas Raymond Carr- that he
take the State's offer of a thirty year punishment recommendation, waive appeal a.nd
NEVER breach his pl.~a ba.r:g.ain by attempting to get habeas relief. Apparently (?),my
former 'Client.& Rr.-U;nd' (as his letters refer to himself) h!1now for~otten the TWO
'DISCLOSURE 01<' flLEA RECQMMEND:\TION' orovisio!!1 - WIDCH APPUCANT
S[GN£U AfTER I HAl) SIGNED THEM AND MADE SURE THAT HE UNDERSTOOD
THEM - that if he eYer 'attacks the judgment and sentence in this C3Se (57,55§.1' Q/1
'tries,jn any way, to collaterally attack the judgment aDd sentence in this cause (57 ,S51J ',
tile Stat~l is no lo,nger;,
.
bo.u1.1d
.
by its promise not to f!le additional charges!
"~
[
rega-r.ds.the.Coullt's.desi&nated factual iss~e NUMBER 2 (two), to w1t,
. ~
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whether rlrequested and received complete discovery from the State AND shared that i:
:
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[nformati9n - • ·
with my client, I must Lmtial!y ·
note that upon my entry mto tl•e case I was
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met with ~bat my predecessors, Ted Potter and John Bigham, had faced - a ~mined ' '
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Mark Kirhba11 who was prepared to retum seventeen ·m d'1ctmeots of Applicant, Thomas
! '
.' C . D fi d Carr would not take a '
arr AND GO TO TRIAL if Applicant I then e en ant-
;
Raymon.d !
v; .... ball initially stonewalled me, then orally assured me tlla.t
ftftY. (50): year plea offer. ~,_.,
l would gel\ everything I was entitled to ifi executed a' W ruver
· f . EQrmal Discovery'·
o .
~ f record
; I
I . . . I did sign ! t
On Januty 27'\ 2005, shortly after my subsbtutlon mas counse o '
. in that it got Kimball talking co me about the
that waiJ~r and do believe that it paid oft~
i
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Affidavit-Page 7 of 22
• case AND EVENTlJAU y LED TO
juvenile victims AND th ·
a group meeting between
h' . ·
myself and the three
(RR-V/-~;/arents., w JCh meettng (as hereinafter explained) resulted in
Qarentai permi~sion"'being given to Kimball to COME DOWN (t' fr r.H-..
· 1rsr omllt1.E years to
thirtJ;-five., and- after 23 months offlghting me- from thirty-five to the thirtv year offer
that Applicant decided to take).
Mean.whik,, however, disagreements between myself and Kimball regarding wha1.
1 sbould be considered 'entitled to' (i.e., differing views regarding what 1 contended to be
Brady-Discovery) caused me, on September 20m, 2005, to file my •Affid8vit Supponjng jl
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Applic:uion .For Deposition Testimony' and the thereto attached 'Defendant's 'i'!
•i
!:
Amended Omnib.ns..Riie-Trial Motion', seeking, inter alia, joint/er of prosecutions, 'i
:;
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quashing of the indictment, expert witness funding, compelled trial testimony of the I
! !
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indictment-named victim. a copy of the video I Defendant's recorded statement,
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notice of extraneous offense evidence, a list of the State's c.ase-in-chi.ef witnesses
.,
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AND of it's expert witnesses, various other routine Discovery requests (crim,joa! 1:
histories, etc.), a.nd quite a few requests that were TAILQft.ED to discovering 'I
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evidence corroborating mv client's .ttory tlua, imer aliu, the three juveniles got
I
themselves high..o.n.pills they'd h.een crushing - which pills supposedly came from : f
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the prescription drug stash of the father of the indictment-named victim (contrary to i :
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said father's contentio~ ·
at the above ment1one d JOmt
· · meetll1g,
· that n one of his pills had
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been at his house where and when the subject criminal assaults took place); together '
I·
with a 'Motion In Limine' AND an 'Application ... For Degositiop Testimooy' (of
/by SAID.father) .
•
,,,:
• .1S REGARDS whether I g.Q! that 'complete discovery' addressed by the
Court's Designated Factual Issue Numher Two, I must say in aJJ candor that 1 told
my client I Applicant tlu.u !felt the Court had erred in denial of~ of my requests
'
BUT tb41 any prejudice thereby occasioned would N01' likely generate a REVERSAL
of conviction up.on appeal (INFRA, regarding appellate engagement and advice).
At any rate, I did share with Applicant all Discovery obtained;
and th.e (previously herein described) meeting with Jerry Dugger~ fuiJy explored -
and dashed- aU ho~.e. th·at ex-onerating evidence wo11ld be found on tbe defendant's
coqwuter, so that (by v-irtue of the described hiw-enforcement-computer-assistance)
~ve got more t#s.t;o.v.ery t.kqn what we were sta:tutorilv entitl~d tl)}
FN4: Please refer back to pages 2-3 hereof, where the quoted 'plea colloquy'
between myself and Applicant reflects his confirmation ofthe valuable
assistance of Detective Jerry Dugger in examining Applicant's computer
in search of exonerating evidence.
"As r.ega:r.:Q_s.!pe.Co.ua) designated factual issye @M:.BE.R 3 (three), as trial
counsel, I did consult witth AppJjcant to prepare for trial. As explained oo pages 5-7
hereof, Applicant and 1 basically spC'!nt 23 months constantly rehashing what we could
do with the evidence- and what we'd be stuck with. Generally, Applicant's proposed
witnesses wouid ~ have done anythlng more than show the juveniles to be typical
. Dt-h It d"d 't
teenagers, except that Tommy's S~st.er, Sonya~ op- w o 2....11- w n
a {to testify- ~
C.OIJ.ld have
corroboraied thai Tammy said she was going to leave. Tom for a Rl.CH eighteen year old who
was jus! back from Ku.wail., UIJd,._,..
~corJ· ..g the contention that the indictment-named victim
..
LED THOMAS AND TAMM¥ TO BELIEVE HE AND HIS PALS WERE AJJULTS; this to
•
AffidJJ,vit-Page 9 of 22
• be coupled with computer eyjdence tbat the couple (Thomas and Tammy) had sought out
ADULT- rather than juvenile - websites.
Another witness that Applicam had me
mterview was a neighbor that would supposedly testify ( l) he'd been told by r AMM"Y
that the (the indictment-named 16-year old) juvenile said neighbor had seen visiting
Tom's house was an ad#Jt "rich guy from Kuwait' she was going to leave Tom for; and
(2) was into dru.gs; said witness told me tbat his testimony would 'Not belp' Applicant.
Her.ew;itb-s.ybmittcd ~ ~~ is a three-page write-up (one of
several Applicant furnished me in our preparatioru for a jury trial) of the defense (in
addition to the claim that his sole role was the mere filming of Tqmmy 's actions) that
Thomas wanted to_pr.es.ent, Lhe Court's reading ofwh.ich wi.J.J illustrate why I
• previously herein stressed that drug and alcohol counselor BOB OUTTEN was prepared
to give testimony (that I would have trie_d to get in oo Guilt-Innocence rather than just on
punishment) as to the effe£ts of d~ugs - particularly drugs mixed with alcohol - on
..
I.
!•',
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Ir
- - -- - - - - ---- ------- -- -
HAs regar.ds t·b~ CQ.UJ.fs design~ted factual ~sye NUMBER 4 (four), as trial
! ;
i:
'
counsel, r did Hf)_T fail to contact any al.ibi witnesses. There were NO alibi witnesses,
a:; Applicant hints~lf '!l!J!ears . m
momentanly . 1us
. own· Vl·d eo, weann
· g a hideous negligee-
i l
I !
type 'gown'. And as Applicant acknowledges in the plea co1loquy, I contacted ALL
of his so-called •witnesses'; and they generally (supra) would not testify to what Thomas
d" whom I recall being able to coofi.rm
wanted with another exception, his mother, Ger ...,
•
' Affidavit-Page 10 of 22
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• that-- prior to Tom's and Tammy's arrest for the su~j~t offenses- Tammy wa.s sneaking
\i
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iii;
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out of the house at night to supposedly rendezvous with the indictment-named juvenile ~:
.•
victim. Th · ·a1· f h.
e tnv1 uy o t IS tyPe of'd.efense' was in keeping with Applicant's
approach to everything: whatever the problem, it was always someone else's fault,
as evidenced by ~-i'.WO (Appljcan.t's .fi.ve·page 'Overview MTR [Motion To
Re k ]' ~ · ·
· vo e wnte-up done to enable my preparauon for the then-upcoming hearing oo
revocation of his felony probation), wherein, on the second page thereof, the second !\
li
"'I
fl
paragraph of said page shows Applicant attributing to his probation officer, Mr. (Joseph) i\
!t!'I
Perez NOT liA VING AN UNDeRSTANDING OF HIS JOB REQUIREMENTS; just as,
two pages later, he talks about the indicunent-named victirn BEING A 'PUNIC
•
a punk that 'GOT EXACTLY WilAf II§A.SKEJJFOR'I
I•'N5: The memos Tom generated were always discJUsed at my next iuil visir. : iI
when - be now contends - I w.as, assertedly, NOT counseling him and instead .
I
supposedly focusing on which of hts cell mates might become my clientele. In
point of fact, tb.e complaint raised on the :first page of this particular memo (about
having been put on '1 0 years [probation] immediately) was resolved with the
decision that he should get started serving time on that case while I continued
Dghtiag his new cases, and thereafter consider appropriate habeas relief. :l
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"A~ r§ga.r.ds .the C.o.urt's d~i&nated factual issue NJJMBER 5 (:five), as trial
counsel, I did timely co.rnm.unicate all plea offers from the State to Applicant. As is
.
recited by two of prosecutor Mark KunbalJ ' s letters (EXHlB.ITS. TJlR..EE:
. ..sm-110~)
.. -· I
I•
1'
w 'lED POTTER, whom I bad replaced, KipJJall offered {!1C. initjaJJv, tk-£ WM fi.ff;y
(50) years that he'dQf(ered both Poaer AND PotterJs predecessor, JOHN BIGHAM.
telling us all there w.ould b§ NO FURTHER NEGOTIA. TION!
A.ffidal'iJ-Page ll of 22 I
•
• Nevertheless, l gradually got the offer down tu tbiny-five years, and finally
•I
(after 23 11Wntns fighting forT om), down to the .!!.!i_m year offer which Tom elected to
take rather then running the risk that Kirnball!Waldman would carry through on their
promise of additional indictments I stacked sentences. Each time I had a better offer I
immediately went to the jail to report jt, but Thomas never understood why HE should
get ANY time; it was all the fault of Tammy -- AND OF THE VICTiM (Exhibit Two,
supra, wherein Th.omas says 'The punk got exactlv what he asked (or').J<.WfJ
FN6; The next sentence, referring to 'his [tbe pseudonym-named victim's] 35
year old girlfriend in Kl.lwait', is a reference to the girlfriend about whom Exh.#J
shows Thomas quoting said victim's brags that she used to dildo him be9ause he
liked it; in Tllomas's mind, neither he !1f2L Tammy should be punished for giving
said juvenile- and the two younger ones- what the older juvenile liked.
"As r.ega.r.ds the Court's desianated factual issue NUMBER 6 (six), as trial
counsel, I did agree to prosecute an appeal IF Thomas pleaded 'Not Guilty', went to uial
AND was convicted. I made very dear that to get the benefit of a plea-bargained j i
: .
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punishment recQmiJlendation, his 'Guilty' plea would have to be coupled with .a I:
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WAIVER of both direct ap_peal and collateral attack. I explained what was meant
by those terms, and I emphasized that if Thomas~ tried to overturn his Guilty plea I
.
conviction., he would then havereleased RR· VI-I iiB h State from .tts pronu.se not to rerum
t e
additional indictments; and io that event he would probably face multiple trials and
sracked sentences. Finally, I explained to Thomas rhat, yes, he could plead 'Gullt(
~ !
withOUT benefit of a plea bargained punishment recommendation and STU.L APPEAL
I'.
any
t£ led upon, BUT that there was -liule
of our pre-trial motions that had been adverse ru
i
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Affidavit-Page 12 of 22
• 'i
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• iikelibood that an appellate court would find reversible error, AND that 9:f!E:. such
a 'Bench T•·ial' Q!! the sole issue of punishment, the Sentencing-verdict would be.
ttifficult to overlurn!
A.ND WHEN TOM AND lMUTllAUY SIGNED THE PLEA
PAPERS, l FASTII>EOVSLY WENT OVi:"R IiVERYTHJNG'AGAIN, MAKING SURE THAT
APPLiCANT, THOMAS R.4 YMONJ) CARR VNDERSTOOJJ - AND TOLD M.f:.' THAT He
UNDETtS1'001J - EVERYTHING THAT liE WAS SIGNIN&:
While my request for compensation addi.tional to the initial fee WAS based on
my COD ti:Jll.U.,in..g efforts to (1) lower the State's "Plea Offer while (2) bu.itding
whatever defense was available AND (3) attempting to inject reversible error into tht.:
case, i1 Wt.L.\' JU!:Iler _staJ&tj hv me, OR u~od h\! either Tho'WJS or his fnJher ~~.
I
that there would be an. appeal" irresp-ective of whether the defendant might tli
I·
plead 'Guilty'! n
It was always understood that I was working to generate the BA.SJS l!
tor an appeal sho~ld one become necessary; and wben Thomas W A.IVED both direct !i
:I
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appeaJ and collateral attack in ol'der to get the benefit of the thirty-year punishmen1 ~\
"
recommendation, NEITHER he NOR his father Lowry tbougllt that I would be
faiiug .<01y appeal OR refunding any fee, for l~d done everything 1 bad agreed to do!
And subsequent to Sentencing, /::!{£ VER did Thomas or Lowry write or call
in.qu.i.r~g o.ftk.rt s.t~tus t~L anr
. @. -
aeeeal Witness
~ 5:-& SA., where(n Thomas, writi~g me from the (Abilene) Middleton Unit,
. i
~..a·
speaks of his aJways-ongoiug (in f ra ) mc::uaca J L'lSUts
• AND being 'ready to move to
Gatesville soon' -BUT SAYSNOTHJNGAJ30UT EXPECTATION OF APPEAL
' Ev-r::rTDIT., 1:. .:A.: LD .. 7 ?·A&:7B revolving around the singu.Utr issue of
S ee a~so ~- " "' "'q.,_ lllP.t .,. . ' '
I:
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Lowry) s djfficulty with having to travel far to see Thomas. In SUJU, 1 did NOT I •
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Affukvit-Page. JJ of 21 i. II
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• fail to do anything that I had been paid to do·, an d for comparison purposes 1 refer
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the Court to EXHUltfS .EIGll'.tAND NINE, wh.lCh bespc::a.k the determination of
·!
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pn>secuior Kimball not to lower his plea offer (particularly to the point th.at I a.lone il
q
finally got him to}, Kimball's intent to return l7 indictments I seek Stacked 'I
!I
.sentences, AND my never-ceasing ~ efforts on Thomas's behalf.
7
1
FN7: Getting hi~ 15 rather than 20 years in the 2"d degree case facilitated a possible
parole after servmg only hal[ of his time on the 3 fJ..vear sentence (RR- Vt-22)~
"As regards .tb.eCourt's designated factual issue NUMBER 7 (seven), other
facts pertinent to resolution of Applicant's PetiLion are as follows: I spent manv hours
(confirmed by the plea coiloquy betweeo prosecutor Kimbg]l & ApplicantRR-Vl-lSct ~q.)
:\
tending not only to Applicant's personal issues, but alsQ- at Applicartt's request- to l1
.,:I
those of his parents !!!;!!l children, issues growing out of Thomas's and Tammy's ..
il
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incarceration (infra). Mores residence
Cfrom six P.M. Friday to four P.M. Sunday, lwice a
·hi b CPS ·
- - w c · was saymg was 'a crime scene' and had some
waH damage (which .Skip was in the act of repairing). And tllis role as intem1ediacy
between the CARR and BISHOP fami.lies had me also dealing w.ith Potter QJ:.Lowry' s
fanner CU$tody attorney (Lowry wanted me Jo get a REFUND from Potier, a11d I !li!!)
and with Potter's then-associate, DAN LIC.rHT, from whom I obtained such ofPott~'s
criminal-case file material as ~-;~~ (informing Thomas that it wa:; not a
defense that he, Thomas, had wrongly believed the indictment-named victim to be an
ADULT); a.nd Thomas was meanwhile sending me letters, from where he was elsewhere
incarcerated. regarding a Bar grievance against Potter (whose written advice to him T'd
• Lbought qu.ite S ! :
(by Tom's own story) 'eating AND crushing up and snoning'. Whence the Se[!t. 19 . i
:'
(2006) fllin.g of my 'Motion For ContiJJuance' setting out the following:
1. The St1l;te had-.faih~d to comply with the Court's pre-trial ruling requiring
th·at Defend.ant be g.tven a list of case-in-chief wi~n~ses 'M l~ter than
four-teen d-ays ·pr-ior to [our scheduled OctoberJtrtal - hampenng our
ability to timely confer .... ; .
2. The State had concomitantly failed to honor a prom1se to the Co~rt. to
; l
provide Defendant- twenty days prior to trial- specifi~ ~rescnpuon
recor-ds oftbepreviously herein mention.edfatb.er ofthe mdlctroent-111UJ1ed
victim.
. . REVERSIBLE ERROR into the Record
Hence, I had again done my best to lllJCCt .
!!J the event_ that we be put to trial without the requested continuance and DISCOVERy;
•
AffuW.vit-Page 10 of 22
I :.
\1f1
I
• and this was explained to A: l' b .
~p Jcant efore he decided
:
to enter a Gu 'lt
~
l
Y pea.
iI
''
:.!
i
I,
''
i
i
A
roser:ulor
(AFTE . ·
R mme and Applicant's meeting with Detectives Dugger and Sinunoos, then with
prosecutors Kimball and Waldman) !!{'the. medical records that that we bad
req.u.ested'!
Finally, it is also on the Record (RR.-VI-27) that there was NO Lab Re,gon;
and confirmation as to the 'Methamphetamine' classification of the controlled substance
came fi·om 'the victim's blood', Regarding wh:ich I would observe tha~ it js hu.rdip ..f.
r1.
ineffective assjsla!,l,c.e tg..fa.iJ lo.~e.t di~coy.ery of that which never exist!?(!. And it :·1
:l
was a strategic decision on my part- a decision proven sound by obtau)ing a fifteen l,,
II
:i·'
year (rather than tw.enty yea.r) recommendation on the second degree case- NOT to :j
,.,
l~
'I
':
ran kJe the prosecutor by insistence on seeing tbe medicaUy documented blond-work. ! ~
.: .'
; I
I,
In dosing, l did everything I promised to do- and much more than what tbe
Carr fainiJv would have obtained from most attorneys; and it is because of my
sLeadfast efforts on behalf of Applicant, Thomas Raymond Carr that he obcained
the prospect of being paroled after ONLY FIFTEEN (rather than twenty) years - a
.
a prospect that I lwpe he has not forfeited by this improvident Writ appiicatwn. "
___ ,.
FIA.NT, h , "M ontgomery J r·.
C.ERTIFlE,O COPY SBOT 1428800 Tel. 25 4-98 6- 2531
DOCUMENT ATTACHED IS A
TRUE & CORRECT COPY
~400 Seven Coves Rd., Temple, TX 7 6502 - 65 ~ 1
I
•
Of THE ORIGINAL ON FILE A.ffidu:vit-Page 21 of 22
~ .~
I i
APR 11 2013
SHELIA F. NQRMAN
\1rl.
! !
® DISt..RJ.CT CLE
BY.&.::wv
, B~Ll ~ TX
't'.o~UTY
I.
I '
' I
• b
SUBSCRI:B·ED AND SWORN TO , before me, the undersi n d N
Y the above rulmed Affi
,tf 4~l~t
g e otary,
(as knnwn H> me or identified by Driver Li~ense), this
the / (/ day of ' • '2013.r
DEBRA KAY STURTEVANT
My Commlnlon ~lll~s
July 25, 2013
~
I·
h
t'.
r
; i
; \
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' .
'
CERTIFICATE OF SERVICE
Tb~ is to certify that •• this th~~My of April, 2013, a true and correct
copy of .tbe for"lloing •coun-G·+ IN-~-·· -J, 1J 1-t \ .
(ll) A 4-3-0Sletter headed "Dear 'Monty'".-~ h., \ ~ \ , ;1..-·l-__s ? f::'" I"' •./ ~) lfi •·\;.:~>
(12) A 3-24-05 Killeen riews clipping headlined "Heights man indicted on charges of
drugging, raping 16-year-old".
(13) A 3-25-05 Temple clipping headlined "Harker .Heights man may face life
in prison for meth, sexual assault" and picturing DefendfoR.t's mug-shot.
( 14) A 4-16-05 letter headed "Dear Monty". e
'f'.J ~ \ "'P(. (
( 15) A 4-23-05 letter headed "Dear Monty". tltvu
t{~ pr c.sr .· D r. a· ,....,/ \r. y·:v
(l6)A5-l2-05letterheaded"'Monty'". Qr-,;-~.·?_ ~ v·r ·-,'):.:
.<"
(17) A May 28 '05 fax from Ft Hood number 254-288-2065, labeled "Ask
!);· -- Monty (for] Thomas Can''.
(18) An LUldated Letteradd.re~ed" Dear 'Monty'" and signed "Your Client &
Friend'' --t.r..Jt-~f,f.J._ ,
( 19) A December of '05 envelope and Killeen news clipping, headlined
·. . ". "Heights woman given 8 years for giving meth tO children", and mailed to
f . . : f ;ll...
. '-~ }
me by Gerda Can (Thomas's mother).
r· (20) A 4-20-06 (the four looks like a nine) letter I memo addressed "Monty",
~together with two pages of sn·ategy I inst:J.uctions for r.et:rieving files
~ ';.
'\. ( c
. .. \.r '· .£rom Tom's computer ( al that time in the hands of Harker He1ghts P. D.).
..........
-~
~
..
..
'~ i I
't• Receipt-Page 2 of 6
.~ ..
• (21) F om ( 4) pages stapled together and labeled by Tom at the top thereof,
respectively, as "Computer Forensics", "How were we to know",
"My [Tom's] closing argument [for his anticipated jwyr, and
"Gerad's story".
(22) Five pages stapled together, containing undated further insuuctions for me
and headed, respectively, "Questions to ask a computer expert", "Back
date the computer. .. ", "To copy files we will need ... "*, "Things to take
pictures of. .. ", and a one page map.
*: At the bottom of said page is !!!.Y subsequently recorded "Post-
Plea Memo:
"All of the stuff Tom wanted was accessed by [H.H.P.D
Detective] Jeny Dugger for Defendant at om jail
meetmg (where we got on Tom's computer and viewed
the original cam-corder tape) tluu the cam-corder which
(with the computer) Dugger & [Detective] Mike
Simmons brought to the jail".
(23) An undated (postma.rke~ 8-3-06) and un-addressed letter to me (i.e.,
without salutation) regru:ding "Tmth and justice ... " and swearing to tell tbe
truth.
(24) An undated letter (no envelope) beginning" 'Hay [sic] Tom'" and signed
e·- "Joe Starks", and apparently quoting in red ink a reader's letter-to-the-
editor about Tammy having been given 8 yeru·s for Delive1y to "boys"
while escaping indictment ("no charges") for the "sexual molestation" .
,................-s. Sixteen *(16) pages stapled together and constituting my I Monty
7_0
.:.-- Montgomery's) personal notes I work product, of which, while keeping my
L.-'
I"" I ;': '
c v originals, I've given you color copies so as to enable you to discern red ink from blue
or black ink, and thereby better follow my notations.
*: The sixteen will actually number eighteen, because one page is copied two
different ways (i.e., with two extra half-page {top and bottom} copies,
ensuring that nothing was lost in the copying process.
9. Seventeen (17) pages (NOT stapled together), containing various letters I
other writings by Lowry Thomas Carr (Defendant's father), Duane Miller,
Ted L. Potter, R. 0. "Bucky" Harris, and a note from my secretary, Kay Jones.
10. Various documents comprising the file history for Cause numbers 57,558
/) and 57,557, in the following orde1·:
/ (1) the Complaint for Del. C/Sub. To a :Minor
(2) the Complaint for Agg. Sexual Assault
(3) a 1121/05 printout ofDefs criminal history, along with Affidavits For Arrest of
51
both Thomas Carr AND Tammy Bishop on the Delivery charge. (Tammy's 1
"Affidavit" is nothing more than a screwed-up Complaint form; and Tom's
contains two Complaints with no Affidavit in this particular packet.)
•
Receipt-Page 3 of6
• (4) my Motion To Substitute Counsel in Cause# 1847.
(5) " " " " " " " # 1847B
(6) Waiver Of Arraignment in 57,557 and 57,558
(7) Motion For Continuance in 1847.
(8) " " ~' in 1847B
(9) Defendant's Election As To Punishment in 57,557 & 57,558.
(10) Complaint & Affidavit For Arrest in 1847 (Aggravated Sexual Assault).
(11) Two-page Waiver OfRight To Formal Discovery And Request For Infor·mal
Discovery -which Waiver I later abandoned (with Kimball's agreement).
(12) Indictment in 57558 (with my observations regarding its defects)
(13) " "57557
(14) my rough-out of a bench warranf(to get Tom back from the San Antonio
Dominguez Unit
(15) my type-writer prepared bench warrant (which never was filed).
(16) Kimball's (filed) Bench Warrant.
(17) Photostats ofUS. & Texas' constitutional Double Jeopardy provisions (the only
research I kept, as all else would have been incorporated into pretrial motions)
(18) Defendant's [15 page] Omnibus Pre-Trial Motion as filed 8-17-05
(J9) " [18 page] Amended Omnibus Pre-Trial Motion as filed 9-20-05,
this copy of which contains my Hearing notations.
•• (20) The Clerk's copy of said motion, with the Court's (Hearing) notations.
(21) The March 6w., 2006 report of the Vernon Campus Texas Dept. of State &
Health Services ChiefPsychiatrist, Dr. Joseph Black, M.D., finding Thomas
CO:tv.!PETENT to stand trial, sening out the medications he was on,
diagnosing him as "Malingering" and explaining - as verified by Thomas'
writings (supra) - that the patient was "feigning ... mental illness" (see
Paragraph 3 on page 4 of the five page report).
(22) the March gth 2006 Bench Warrant of Thomas back from Vernon.
(23) my "Defendant's Court-Directed Motion For A Sening On A Previously
Unheard [actually un-ruled upon] Pre-Trial Motion", as filed 9-19-06.
(24) my application for a subpoena of District Attorney Henry Garza (along with
notation of my agreement to quashing said subpoena in exchange for the
State's agreement to deletion of the scarlet words "Of A Child" from the
Caption of the Indictment), stapled together with the State's Motion To
Quash Subpoena.
(25) the bench warrant for Tammy Bishop, issued 9-27-06
(26) Motion For Continuance in Cause Numbers 57557 & 57558 (complaining
of non-compliance by the State with prior court rulings).
(27) a l 0-24-05 (belatedly furnished) print-out of Kevin May's cholesterol-prescription
(Tom's identification of the pills he said the kids were crushing up and snorting,
to wit, "methylphenidate" - see above item #7 (2l)'s "How were we tO know"
page - might indicate that Mr. Mays had an ADHD condition/prescription; but
Tom's "AZO 36" observation would have to have been incorrect.)
Receipt-Page 4 of 6
•
·-- (28) the "Notice Ofintent To Use (hospital blood records*] to prove that the boys had
been given Methamphetamine. *: Those records- filed with the Court Clerk-
augmen~ t~e A~davit For Arrest ("the children 'tested positive for meth .... ").
(29) the State s Not1ce Of Other Crimes, Wrongs or Acts".
(30) the State's Witness List (for case-in-chief).
(31) a 2-8-05 Transmission Verification Report reO.ecting mv having sent Bob Outten
(the Beeville, Texas alcohol & drug counselor who I hired to interview Thomas
and prepare Bob's jury-defense~testimony, SUPRA) twenty one (21) pages o(
[actual background on cause #s 57557 & 57558.
(32) a large envelope dated Mar. 14, 2005, repeatedly stamped "Privileged", addressed
to Mr. Thomas Carr in cell #304 I changed by Jail personnel to cell 328, and
containing a lengthy letter (with exhibits) TO State Bar Senior Investigator
J.M.Richards and FROM Ted Potter's grievance attorney, Austin's Jerry Zunker
(3 3) a 3-7-05 Adjudication of Guilt; Sentence To State Jail Dlv, TDCJ in Cause
#53430, wherein Tom had previously been probated on a 4-25-02 Possess[on of
Marijuana Over Four Ounces and Less Than five Pounds, and now (3-4-05) was
pleading True only to the "tested positive" allegations of a "Second !Viotion To
·-
Adjudicate", with the State abandoning all other allegations (i.e., those relating
to the offenses set out in 57557 & 57558).
(34) the above mentioned (1-31-05) "Second Motion To Adjudicate".
(3 5) Various (together stapled) Cause #53430 setting notices, respectively dated
l-21-05, l-27-05, 2-22-05 and 3-1-05 (on which latter notice I recorded that on
3-4-05 Defendant pled True to paragraphs D, E, & F {of said 2"d MIA}, 1-11ith
paragraphs A. B. C & G be;ng abandonecj)
(36) the (8-17-04) First Amended Motion To Adjudicate in 53430.
(3 7) my ( 1-20-05) Motion To Substitute Counsel in 53430.
(38) the County Attorney's ''Motion To Dismiss" & County Court at Law Judge's
3-16-05 Order dismissing Cause No. 2C04,-05521, stapled together with three (3)
preceding Agreed Motion(s) For Continuance
(39) the County Attorney Office's l-18-05 two-page DISCOVERY for said 2C04-0552l
(40) County Attorney Richard Miller's Cause #2C04-0552llNFORMATION charging
Thomas Carr with Marihuana Possession Less Than 2 (two) Ounces, stapled
together with Harker Heights P.D. Detective Jerry Dogger's sworn Complaint and
probable cause affidavit AND ten additional pages of supporting Incident I
Investigation Report(s), Magistrate's Warning, AND Supplememal Reports(s) -
all together establishing that only marihuana was found upon execution
of the search warrant at Thomas's (Gerda's) residence, and that there never was
any seizure of methamphetamine, hence nothing to submit to a lab.
Receipt-Page 5 of 6
---·.
e
(41) my 1-18-05 Motion To Substitute Counsel in said Cause 2C04-0552I
(42) a 35 page ACLU "Prison & Jail Accountability Project" 2003-2004 Prisoner
Resource Guide that Thomas Carr wanted me to consult in regards to taking
legal action about his medical complaints
ADDENDUM: The foregoing documents are what currently comprises my
file on Thomas Raymond Carr and are additional to those filed with my April 1ot~>,
2013 "Court-Ordered Affidavit .... ". For example, I apparently filed therein the
original - keeping no copy - of Thomas's 12-31-061etter (therein denominated
"Exhibit Five"); and there may be other such instances.
As for the accuracy of those comments herein whereby I did you the courtesy
of alluding to the significance to me of any given document herewith provided, it
must be borne in mind that the case is nine years old, my memory may be wr·ong
due to the passage of time; and your (Timothy Tesch's) signature hereon will NOT
be taken as indicating agreement with my conclusions. You are merely confirming
receipt of each of the foregoing documents .
•• Receipt of the Foregoing is hereby acknowledged by signatures of the undersigned.
EXECUTED June~h, 2014 by ~ !7&£::~
MEDFO ~Agenr or
SHAIN A and
subject to inspection by Timothy Tesch
EXECUTED June_, 2014 by
ATTORNEY, TIMOTHY TESCH
(SBOT # 19808200)
Attorney for Thomas Raymond Carr
Receipt-Page 6 of 6
NOTHING HERE. FOLLOWS
•
Exhibit 14
•
VVUULC JCV,....AKU)'
Bill of Rights
No person shall be held to answer for a capital, or otherwise infamous crime, unless on a
presentment or indictment of a grand jury, except in cases arising in the land or naval
forces, or in the militia, when in actual service in time of war or public danger;
nor shall any person be subject for the same offense to be twice put in jeopardy of life or
limb;
nor shall be compelled in any criminal case to be a witness against himself, nor be deprived
of life, liberty, or property, without due process of taw;
nor shall private property be taken for public use, without just compensation.
The
BILL OF RIGHTS
-DOUBLE JEOPARDY
No person, for the same offense, shall be twice put injeopardy of life or liberty, nor shall a
person be again put upon trial for the same offense, after a verdict of not guilty in a court of
• ·urisd· ·
No per.soA' for the same offense. shall be twice put in jeopardy of life or liberty; nor shall a person be again put upon trial for the same
offense, after a verdict of not guilty in a court of competent jurisdiction
Art. 1.10. [8) [9] Jeopardy
No person for the same offense shall be twice put in jeopardy of
life or liberty; nor shall a person be again put upon trial for the
same offense, after a verdict of not guilty in a court of competent
jurisdiction.
Acts 1965, 59th Leg., vol. 2, p. 317, ch. 722.
\
Art. 21.13. [407] [463) [451) Act with intent to commit an offense
An indictment for an act done with intent to commit some other
offense may charge in general terms the commission of such act with
I
intent to commit such other offense. I
~'
Acts 1965, 59th Leg., p. 317, ch. 722, Sec. 1, eff. Jan: 1, 1966
Art. 21.24. (417; 408a] (481] [4691 Joinder of certain offenses
_ _ _ ---~~~ v.L.Lc:u::>t:::> may oe JOlned in a single indictment,
information, or complaint, with each offense stated in a separate
count, if the offenses arise out of the same criminal episode, as
defined in Chapter 3 of the Penal Code.
(b) A count may contain as many separate paragraphs charging the
sarne offense as necessary, but no paragraph may charge more than one
offense.
(c) A count is sufficient if any one of its paragraphs is
sufficient. An indictment, information, or complaint is sufficient
if any one of its counts is sufficient.
Acts 1965, 59th Leg., p. 317, ch. 722, Sec. 1, eff. Jan. 1, 1966.
Amended by Acts 1973, 63rd Leg., p. 968, ch. 399, Sec. 2(A), eff.
Jan. L 1974.
• l
,qq
••
·Exhibit 15
•
BELL COUNTY
District Court Coordinator 1~~~ lllllllllnlllmllllllUl
•
57557
Post Office Box 324
Belton, Texas 76513-0324
(254) 933-5246 Fax: (254) 933·5990
1·800-460·2355 ext. 5246
March 24, 2006
CHARLES MONTY MONTGOMERY
4400 SEVEN COVES ROAD
TEMPLE, TX 76502
Re; 57557
-1- !1 7 s-s- ~ (ft'~,..;; 'fd ;u,..;.,~}"' fl
11mm ~IIIIUI ~~~~~ mtm l~llltllllllll
I30CJ!Jl'ITL
Exhibit 16
•
c:\users\a~nugnes\local settrngs\temp\76868993.tif printed by mi'iap. (Page 1 of 2)
_ -·· DIII-I L
.Scanned by ALBERTS ANDREA l jn fac111tv MIPDLETON on 02/02/2007 08:51
PJ 1·-flz_
• --,.--HAM~~;;;-:---- 7"~:;,;;--~-- 7(.
~
STATE 101
TEXAS UNiFORM HEALTH STATUS UPDATE
~
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(L./0 ~) )
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SJ:X; Male6;._ Female _ _
WT: ~' :HT: s:..1.:,''
II. CURRENT/CHRONIC HEAlTH PROBLEMS
A. Health Problems · Ut .SPECIAL ,.EEDS. CCheck aU that apply)
A. Housh~.S Restrictions
_ 1. Nona
_ 2. Asthma -41.None
_2. Stilled NuniAg Facility
_ 3. Pregnancy _. 3, Extended C.,. Fadllty
_ 4. Dental Prlortty _4. Paycha.tric lnp~~tlent FacJIIty
- 5. Dfabebts _5. ~ Jaoll!tfon
_ 6. DrvgAbUH _ I . Other:
_7.Aicohollem
_ 8. Orthopedic Problems
B. Tra~tJon
_ 9. Cardiovascular/Heart Trouble 1. R~tlne
_10. SulcldaJ • CrutchM/Cane
11. Mental Retardation - 3. Ambulance
::,[12. Mentalllln~tSS (Specify diagnosis)·--- - 4. WheelchaJnWheek:hair Van
Dt~)ltN
_13. Recent urgery -5. ProstheS!.: - - - - - -
14. Seizures C. Pendblg Spe~ Clinic Appolr•tment
-15. Dialysis
X 16. Hypertension Non•. --A-
Typ. - - - - - -
_17. CARE System YIN 0. ALLERGIES----------
~OTE: WIHtn screening subStance abuse facility. clhmts,
please cont.tct the TDCJ-IC> Health S81Vices Uaison et ~KA
(131)437-3SIJ9 for cltent:a with •ny chroniC disease ~:.._..._ _ _ _ _ _ _ _ _ __
S)'JftPfOnts deemed unstable.
• B. PrevantJva Madlcina
X 1. T~uloels Status
H J~ (!.... NM IJ3'""ksf-
-c.~
Skin T~: Date Gtven: !J.Jl!J..I.i£ D!~M.Wt..J
_13. Recenturgery - 5 . Prostheata: - - - - - -
I
I
_14. Seizures C.· Pending Spe~ Clink: Appointment
15. Dialysis
I None --4-- T y p e - - - - - -
j X1s. Hypertanalon
_17. CARE System YIN 0. A L L E R G I E S - - - - - - - - - -
I ~OTE: ~ screening subStanCQ sbusa facility cllenta,
I p/Nse contact the TDCJ·ID Health SerYJces Us/son at
I {138)437-3649 tor clients with eny chroniC d/$ease
~~--------------
•
sympt»ms deemed unstable.
I
~ J~ NM '1..131~+
! B. PreventJve Medicine
X 1. Tubercadosls Status "<-C o-. ~ .
Skin T~t: Date Give ,/l.FJ!it D&tte Rea ·_. ''·:-~:- >: ·: : · : ·:_-:-.-: .....: ., .),
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div. , divide
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d.t.d. : g:ive of such doses
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- .. '· ~~··-
m,min · minimwn :a minimum
meg :Recommended replacement for ")..lg"
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m.d.u. · to be used as directed
: utendus
mEq _,_milliequivalent
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• mist.
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NS : normal saline (0.9%)
• l/2NS :half normal saline (0.45%)
-r ··-··- "uup~:>uta, Ult: 1... nttp://en.WII .· .· . ·~J;:;~~U:~·~~!~})·• .'· ·•.··;!
1
p.o.
p.r. or PR . per rectum
PRN, pm : pro r~. ~~~~ .... _._ .:. ~ ?:~~ded
pulv. pulvis : powder
. . -- - -. .. .. .. - .. ... . .. -~-. -- .. . ...
PV . per vaginam
. - .... - ....
: via the vagina
' - . ' - ......
q quaque :every, per
q.a.d. . q~aque alternis . every other day
d1e ·
•
·ofiO
.. u.-..., ... ~.ua., uJt: L.. oup://en.Wtl(Jpedia.org/w!.IWLJst_or._abbreviatiOns_used_in_medtcal.
quater die
q.d.s. four times a day
sumendus can be mistaken for "qd" (every day) ·.
• q.p.m.
q.h.
q.h.s.
· quaque die post: every day after noon or
·meridiem
. quaque hora
quaque hora
every everung
every hour
: every night at bedtime
somni
. -- ......
q.l h, q.l 0 every 1 hour; (can replace
: quaque 1 hora
"1" with other numbers)
.. - ...
-j:
;·can:he ·mi~tak.eit.f. :;:..:::\ _... ,~.. : ·... ~- ·i:-,;,. :~~::·7.f::~;;--~<~ ::?-~.:·_<·::-~-~~~- .-_ ·. _;' . .. _. irihihhor" -
.......:.-.. :~-·~ ._ .._:, ..
· : : · · ·· · ·ll
;of
SNRl :Serotonin-norepinephrine
(antidepressant) _reuptake inhibitor
I
: selective serotonin
: reuptake inhibitor
SSRl
(antidepressant) . (a specific class of
• antidepressant)
stat . statim · immediately
SubQ : subcutaneously
: suppositorium suppository
•
supp . . .. . .. . .. -~
1
'. ~ ... - . ~ ...
susp . suspenswn
syr • syrup!LS :. syrup
tab ; tabella 'tablet
••••• , 1- ••.
tal., t ·talus :such
tbsp tablespoon
ter die
td.s./TDS . three times a day
• sumendum
top. ,:topical
__
T.P.N. : total parenteral nutrition
-)
tr, tine., tinct. ·tincture
troche troch.iscus · tozenge
tsp . teaspoon
•
oflO
ULL(J.//en.wUtan_d rrial.
Current Medic;~tlo~ UJc as f··J11cm. S¢r()Cf..Jel 8U0mg.\)0 q HS Enulupril 2Urn{; po 4 ANI
1\·k!Oprc]c)\ 50u:ll po L!ID pt.: HCTZ 2:1mg po q AM ECASI\ gr V po ev-:r~- ctr.o:.r ClYJil1L"15
\V~ :~.m now :equescing r.bat tho sheriff LJf yo~ county tr.m3pO:t '.h: defc:ncLmt to your court as soc~ us J:"l..5l:Jn e,,;.uc:; CR/03/"::''J
cc: Distr\::.1 A.t\Orne.y
•
.OefCD:lt: Attorney
Oistric1 Clerk
Sht;ri.£f
An Equal E:nploymenl Opportuniiy Employer
NT3H SP~UEE 1FFICE P 0:~3VJ;Ji
Rdc.JTaiJConsultation Report CARR 'ffiOMAS RAJ)'MO!.JD
•
BH1S # 2\7489
To be ccmpleccd wbcmevcr t1 sUindltfd MHRS for.n docs !lot provide OS- 14-67
adequ.ntc $pace for the rcqllin:d lht:!.
12-19-05
PROGRAM: SP.l:lUC:E
-------·--··----------:---
·-·---~-~· ------:--
REQ!.IEST: Reuson for Requested Cons'.Utatiou: Compctcn.;y Assessmcm1 Requited by Courti
'
------------·---;------
Rcque&ted Dstc.: i 02-02-06
~--
CONSULT Am: FINDINGS ANl? R:Ec'O'~-:;m ;&:rTONS:
Namo:: 1l1omos !Uymond Co.rr DOB: GS-14-67 Race:. Wh11~
•
\
DOA.; \l-19-Q~ HospiULI !1: 7808. C31JSt:. li: 57,5~7 & 57,5:58
Col:il..llllning Court: 2·7.UJ District Court of Bell Coucry P.cpurt Date; 0.2-27-0~
R:E.A..SON fOI\ AQMISSI\;,l~CASSESS~...a::NT: -Thotn.aS Raymond -Ga.rr is a JB nar old Whirb ma!c ;:~dJ:rmteo to it.bc
Muximllt;l·Secuiity Unit cifNorth Tal:lj; State Hospiml - Ve:moo Campus \l.Oder provisioos of Ai-ticjlc 46'B.D7J of the Tcix.Jv S?R.UCE
\
-------------·~-------------·-·- _.,L___ ~--·--------..- - · · · - · - - - : - - - - - - - · - ~·
L:S A..'nl_Y, while ~· .Un' was. in ~o ~o1rrth gnd.e. He bus i:od.ic:Jted !.hat be is ~blc :.o sp~ Grr-nn:r-f
lin.lc.is actually lmown concerning bis_.birth, eurly devoelopmcut.. or fumi!y_buc.kg:round. He .=efted liul.• te 'W!I)a~oi:k.r.cl
unc regording ,oial co.Jl;Jctcncy. lie!':;~
been obl~ to readily assi.m!.latc urut nJ.les iUld proc~~. br:: bn..~ been hem oo •he u:lcphocc rmk.i.ng Ct);u.n.izcd requcs!.S
when spe;\iong 10 his f;:.mlly, and he 1vru able to ro;:.'lll demils cor.cernl.ng the V(ay in wtuch in.lOn::rnal ,vn.r.cn !e~ts of t*'-"Rwl
compclctlCy Lr.fonnatioo. wc:i'c·adrUiniSteted to· ilm..'\!lohsc:rvanon by; uoJt Mental H~th Wor~is particulMly ~en::
"He seems to enjoy. tcivis gnmc:s, and ~bQWS kno~ledt:e in maiiY S\Jbjccts.'' lt. then fore Sc:qms more likely tMt llis
tcnaciotUiy ctmilcd:maoili.rY to.r.Ccnli compet.cncy.i.nformt~tion in fuct reDecli l:ick of a williogocS!i\
~ ~~~ this infurm.\'tion
Then: is no e'ricknce·suggestilig .that he i.s .mentally retarded, !WJ his use of VOCl!bul.ary ead ·hls ;fuciUty in ?~~ lW
:irgumcnt.s v.~ll!Gl su~O:sdti{li bis i.ot.c:UectUal. functiouing is in the !:Aw Avc:t11go r.mge. or perbnp~ c-•o::n !~ornr:w'bt hlfher
•
J·Iis'judgemr:til and·lns~ilu·Die quc:s~i.lnable, howo:ver. \
VPD....AT@ Dld.,G]"Q~; (Pc:r )o~ph BlllCk. M.D .. art:;ndi.Dg pzychi;Ul'ist) i
MIB !: Mnlingering V65.2 \
"I:o.l:o:v]:!nmc;c)~opcndt:n;.e_, ;._Q:HP.. !
..
P~yc~otic J?~~C!ro,~ ~9t OlhtJW'._o;c_Specificd 29~.9.
Ax.is n: Per,'opa.lj~· B)s~jdi=c.~ ·Not Otherwise: Specified 301.9
Axis W~Hypl'l!'tcnsion .40J.9
Hypit-ChQI~~Qieinia. 27.2.0
Hyp~rtriglyc~d~ll ~72.!
Obe~1.ty .278.00 ·
l:':;oriasis 696.1
Higll Rjsk Mcdiciltion V58.69
A." V. Glob;U .t-\sl!cSsttu:~t offu.'lctkm.in~ .
1. Ps~icbolog1caJ·Jmpa1nncni·- 65- Althougr. he cerntin·.lcs to co:-oplain of "uditory bil !lm:iiJariuus ~nd
:Jlr:JlJOI)'tlz.opllir'nint, lllerc is IinJc cvidr.:oce w ~Jppon th~c ..:lillns, Oli!d ill u.ny case \ba-: ~~ ue> ::-."idt:lJc~ l~r
unpaired fun.ctiorung JS.~ result. His. primary psrrllologic<~l -:ci.J::i~ i.ovolvo iwpwt:4 JUdD!JcnL ,.,,d !ns1/ih!·
Wd. D !IlJL"'.'oQally mapprcpriate, u.nd las l.ittl.;: undl!rstuad\ing of ~ow to
sympathi2i: or~~ ....aili cctlers. · · ;
:l. V\cl~e- 70 -~-To~··bave bc01 no acts of verb11l orphy:Jicalr:q~gJusioo d'.lril:.g h1S llt.a/ l.lm.
-4. .-.DUOccupation~l SKU\s- 65 - AJlhoug.b uc hn3 ;1 h:u1ted bislory of educllbcn;tl JJJ~ occupall01~Jl\
~rtlli.nr.o~t.,' cn~·e:ue lJ~ chvi'6U3 barriers 1.9 him k.cg ublc to waim."lin [!:job ll.Dd livt: iimlcpr.Jtdt:Ue.,.
•
.'1' H ~: - : • ~ · c .I u t: 1 liJ .1 rt .• 1. • ; • :. I'J Nl :_"Itt ) r ..:I.J:_t .ltf"li_:
Continuation Form CARR TifOMAS RAYMOND 656
BillS H217489
• Dared: 02-27·06 og..I4-61 W!V(
12·19·05 F07808
To bo: co~plcted wh~evc:r
a stand:u-d MHRS form does llOL prOVJdr;
PROOJVIM: SPRU.robl~ ·-· 4D :- Majci.r.preblcms with r.he tow lis c\ridcocod by·his bov~ beCD found
incowPG-t!:Ut to sta.r:Jd trial. ·
Global ~SC'.SSmt:mt ofF.unctioo.ing • Equivalent" {Su"bscalcs #J.,-#2+·#3-tl/.4) + 4 • 65
.Highest GAF- EquiYall:nt P~ Yea.r Ul.l.knoWil
~ COMPETEtlCY ASSESSMENT: A:J has ~ not~:d above, Mr. C1UT refused to i'~ticipate in an inr.crvj'w
-:onccrning this infon:ri~oC. aid it' has be= necessary to mako Lnfa"l:llces fr.iill mtt:nic:ots he bru tnacc tc othm, and from
his be~vior.:Th~·'·i?~owi,ng ¥o~~~on.!5. or$D.J*.ed ac:cordin!J to the slxsl'~::ific ~that aro mapc!nied 4"1 be n~d in
Article 46B.ofthe TcxOS"·CodC.~f Criminal Procedure. ·
i
) . Capacity. to 'UndeT'!rtUnd 'tbo· Ghar2es -Rnd··P.otentinl Conseaucncen:lr~Pendin:. <;rlml~al:;rr,.cEedin!!J!: When
' mcctlilg with his_ a:r!~cpt.:~' ~Oritl1'\is.o~:.:t6:.()6.'.Mr~·can: hes,bci:n n15fc·to'ac~tdy ~te jth~ clinrgcs tliat he faces.
AlU1ough_ b~. d,:m~ .~d~tin~g.·:~. m·~ ?f these:. charges, .it Is ·intcrarlng that; "fh~ interviewed by the
•
trescincnt team S\)Ciul. W.oiker.oo.\:)Ot!g ~his l!dznissio~ here, be wss able:~ ~~~·~e de!.iill.s of•.he i:lw rcgardlng
npl'i;or.clwge ~~he f~ I(woj.ild·. th~~J:9 5c:cro ~ordikcly m~t; ro~a.~ .~:wici:ilt:J:to· \Uld~d the ciJ.amc
be f;st:C!S,he is iofnct simply uo,~S to reyeaJ·~s.inf.o~ation. F.lll1hc;rypor.C, ,the·l~ be ~1S,gonc to'i.ri att~p!Wg
· t~?,_S9;J.:d!cc-s!a.ff tl~tJ1c, h~..p~~hlatiic: dcficiLL£1 !ruffi.oi~~ ;_sqcrity. Jf!~~- ~~~lt;~~qr;~'Staod ..~ .~J~~ .
. irifonniuiori.per.oinlog to,.Cri~.~owps:u::ncy W!J.uld. imply some'.uodcr:st~W.ding. of;the.'sc:v~tyj of the ccnsequc:oces' oe
rri.lgbt:fuci::;i£cox1Yid~O:· · .... ·· · · · ·· ··:: .... · · ·
2. ·C.Hpacitt_to Di.!lclcN,,.P.~r.tincnt. :F:.acll,. Events; :~nd .S.inte• Df.·Mjnd-.tQ Coun!el; Wb:n bc:j wa.'l. intm1cwed by Dr
P\ijtU~~'.prior"Ui .'Dt.Ing;·s:n~ 't:o.•\hi4.rtiicili'\y, MJ. em wa:u;;&d:Jy, abl~ .toJdeDtifY. rbc llttomey vf r'cco;rj by me. He
ilPPare.1dy ~pressCd.ccm.Sidc:rnqlc.dllsatisfaction With,l'li~ lawy~.·.aud in¢c-.ateo ws desiiC llhhave cuiot.ber nttorney
' '. '· • ' I' ' ' ' · " •'' I'. ''" ' • ~"· •· •·· ,.. '' · ' · ' ' ' ' '
ttppoiftcd to ~men~·h.\*-t.lt is :~otewor.thy that be 11:\s bec::n'uble.. to rev.Ca.l r:~c:V:wt info~tion to mcmbt:n of·bb
treatment :c:l!IIl·wheu: it hB.:I mited his ends to co so. This .would .s\Jgge'st.Lhlit lie would be t~bl~ to provide his attorney
Wi'Lli.rclevunt' liS viic:u; ~houlcfhe cbooec 10 do so.
. '.Uifoimatico,
. : ' . . . ., ,,
· · '
J. CapaCity to Engage i.n 0. Reu•uned'Choleg of-legal StrateJ!,Iell nnd:Optlons: He !10$ rcpcilt¢;.ily insisu:J l;e i.~ Ul1.8.blc:
to recull,O\'en o~jo·ilif"?~~-~~~ng'tQ t1inl c::~~?,~teney. ';ll.h'iie ~ee~ Witb~ ttcatrD~lt' team on 02-23-06, for
C'\nmplc, he ~hib~ted c~ps~deteblc diffic~ty III namwg oilly ;hrcc o! the fo~. po6.Eii!:Jle ple~led be was
·*
uo.cc:rtllio a!lltJ lhcil·.mcacirigs. His.performancc on infonn:U wriwm u:sm of fui::tuk.l eomp~y inform:ltion !:!..8! ;Wo
been qui~ p()orJn ~ct, his ·.scon:S have beef so low thai it is ~ more
likely ·he kf?o·N8· 'tlit corm:t IUlS'Ntrli \0 the
questions, aorl 'l.lt.s mstea\~ i~liQnally Jm!vidCd incorre.~;t rui~wen;;. It apPears that be been fc:lgmog Mdlor
C';\aggcrutiD.g wymptcm.s of.m~.i}J,n!'Ss .. !::.or~er to a~!d _pro~~li.u~.f~rt!!~ c!Jt.rgc:$-l;hPt be CJ,IlTCnll)' faCd, a
coc~llui.~n·.·~~fw!Jf ·w~ tile~ P.F .~~b-p.itY.' SOOfl in ·1iis cl~~. ~op;· ~,~enti! ~ii his .Mleged ~sych :ltic .
sym1=~IJ7S (Le., :C.IW'ing voice$), Some cow OQve tnl.Ct'pn:tcrl tl!c: usc of such' ao'11ppr0m;h ·~ !fPro;cnting a di.~rinc;ivc
kr.al str.itcQ'.
-·. - ... -· ------------· ------·--·--;:-:------::----
Sif:%1<\tll!~. Dote, !U'ld Ti.mt: B. Thor~1 <.'1;.;;-j., Ph.D., AS?P
D: QSfBTG T: 05f\cl.kistcuo C: 02·26-06 C:'l.ld Psrcbolol~t. Cnmp. Uru:
R: 05@ AM ry !Ja.nci Ccrr. Faru: r:
' I
No C6ntinuial.lon of ~.nms :H 7
Pnge 4 of5 L__i
CuntinQntion Form .· CARR TIJOMAS RA '{lv10ND
•
Bt-US#217<189
08:14-67 WM
Dated: 01·27-06
l2-19·0~ F07808
To be completed whc.ncv=r a slalldard MHRS form does not provide l'ROGRAM:
ndequatc·spacc for tbQ req\lired lc to p~c:nt argumc:n~ to hilve mcQicotl_oru clwlg~;d, ;md to iltl=IDPt !1~ b.:lvc hi:! level in
the unit, privileging ·sys\.Cm incn::a~d. He hos therefore dcmoDStrated il!l libp.ity iO rC~pcrod 1.4> cpJestions approprie1CJy
wbc:n he cho_oses to dci so.
•
SVMMA'RY...Al:£Q...MCOMME'JIIDATIQNS: .1: is my cli.flicill.opitlion, With a ~ooable degree ~f p!fycbologicul certninr:y,
t..'"'at Tho~D~C~ Raymond .Carr currently mteta criicrils to be couiidei'ed Compcteut to Stimd· 'jrrlii. T~ is b~~.Sed '>n
1.11formation oi:!Ulillea· f'rol:lt· ay~aqlc. rei:-ords.from lJ'eoun.ent ~ mc:i:n~ers.·.lllld from the ob,;~tions of direct CllJ"e gWf
on the: WxiL Mr.:cm qoa .ii'qt appear 10 mec:t crileria·to be <;onsidered:tl:ientllj.ly n:t3rt!ed; bMed.~~ bis usc cfbnglla.gc.and
.. tis ~" :)1ry_ip_ tw.~.. lllll~gt:$.. Jlc._ !:!_ .riE!'.~fi~Y. su'pili:r:c~~--fl-~poutic .. en~-t?.Qlllc:.!!t. Uivo lvi~'l!l~~:-cf-pJY.S!!~ctivc
~cqcatioas.Jt i& 1.1l1Cl~ ~¥,lher lhese m::dic~tiO_TlS aJ'!! essencil\l· for him to ~~ txilti competency; tl:.ey do r.ot ;::p?,el\1'
\O uad'Uly impact tlli e:aPacit)"-tb particip!ltilc his o~n dcfcil$0. ·It •.voUld he helpful ior huu ro\bave a,;r.c~s to. ongoing
peycbiatric :::are, !t iJ; quite importnnt that. lie: cik.c p;e.scnbed mcdieatioo., or ncqvitics in a. dcspcr11,tc attc~pt io uppeni' tnt:l~lly iJJ )0 Q.'; to CO:ll!DUC
avoidiug ·th~ consequC:lces of ~-'charges be cum:ot.ly fuces. This concc:ivably cou;d include gos:u.res or ~ven ?uoi~t
lttenlpts JO hnrtn hiriiSeli. '!t is'tlierefore
recommendid'ctm he be clos~ly mo.nitored. :
This r=-port 3ddtt:sscs is~Jcs of compc:c:nc:y oaly, and .is not a· dangeroUSlleSS rule: assessrncn~ lf the: ·.ourt dc~.-u.S i1
appropriate, a qua.l.i.fi~ profcssionlll shoulc be contncl.ed te .perform such an ~vlllUQtion.
lt is recogr.Ucd that eccisions cooccrnillg trial compctcucy are mo.dc by R judgo andlor jury, lllid nn1 l.•y m~cCll betl.l;h
professionuls. Coiuequcmtly, opinioo.s ~rated in the ;ontcxt of this report~ otfmd as ndvisury oaJY:.
:') .
·--·-------~~~,...!.i1~)
U1lc
.:n~~~ -·--.~--::~-
B. Th0mlt.q Gr1iy, Ph.D., ·AllPP
D: 05/B TG T: 05/tdklstcno C: m-26-IJ~> C:h.iefPb'jr.:l:JOlngi.!H, Comp. Unli
P..: 05@ _1\M by hand Core Form \rl y,~~ Contin~Lion of MTIRS J- I 7
P;1g~ 5 0[5 '-'
•
• Exhibit 20
•
-~----------------------- --- i
I
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DEFENDANT ~ISBOP, TAMMY ll1Cif1tl1.E RACE _ _ P
W_ SEX _____ 07-1SL74
DKWB ______ +[--~--
' •~ ' 0. A. NO. _ _04~-~9~2~1--~-- CHARGE - DKLIVDY OP A COtmlOLLED SUBSTABCE 1'0 MIHOR 1
DATE FII.ED: _ __,Q~7..;..-,e,13:.-Q-=4"'----- FlUNG AGENCY:_.;;;;;BSP.=:U:::._ _ _ _ _ _ _ _ __ CAUSE N0: _ _ _ _ _ _- - 1 - - -
COMPl.AINANTMCTlN: -'S'U~~D~.!!:!O~J'-'TUAS~~~--__:_~---------- OFFENSE N0:_0_4-0
__ 18_4_7_-+~--
CO.DE!FENDANT(S}: "DATE OF OFFENSE: 06-19 4
IN THE NAME AND BY THE AUTHORITY OF THE STATE OF TEXAS:
BEFORE ME: the undersigned authority, on this tne _ _ _ m____ day o f - - - - -,.JUL~L!:~----· A.O., 20c::0:..:4_+---
t ...
personally appeared _ _ _ _ _ _ _MlltE
_ _- SIMMORS
:---- - -------------'-----------t--who,
atter being by me duty swam, on oath deposes and says: 1baf r ha'R ·good reason to b&lleY9 that_ heretofore, -to wit an or a out the
l9'rll -- day of J1JliE . A.D., 2~ , and before the rnaldng and ~~~ of this
Complaint, in the County of Bell, the State of Texas
TAIII« HICRII.t.R BIIBOP
did then and there laiDViD81Y deliver a concroUed Rbst.aa.ce co wic:
Metbaaphetamines to Judd May, a child leas tban 18 years of qe
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f ··:.t ::::>
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~
against the peace and dignity of the State.
•
·1
AFFIDAVIT FOR ARREST
STATE OF TEXAS }
COUNTY OF BELL }
COMES NOW THE UNDERSIGNED AFFIANT, A PEACE OFFICER UNDER THE LAWS OF THE STATE OF
TEXAS, AFTER HAVING BEEN DULY SWORN ON OATil, WHO DEPOSES AND SAYS lliAT I HAVE GOOD
REASON TO BELIEVE AND DO BELIEVE THAT TAMMY MICHELLE BISHOP HAS COMMITI'ED THE OFFENSE
OF DELlVER.Y OF A CONTROLLED SUBSTANCE TO A MINOR AS CHARGED IN THE COMPLAINT TO WHICH
TIUS AFFIDAVIT IS ATIACHED AND TIIAT MY BELIEF IN THE FOREGOING IS BASED ON TilE FOLLOWING
INFORMATION.
I AM A CERTIFIED POUCE OFFICER UNDER 1HE LAWS OF THE STATE OF TEXAS CURRENTLY
EMPLOYED BY 'IHE HARKER HEIGJITS POUCE DEPARTMENT AS A DETECTIVE. PURSUANT TO MY DUTIES
AS A DETEcnvE, 1 HAVE BEEN ASSIGNED THE INVESTIGATioN Of A REPORT OF DEUVERY OF A
CONTROLLED SUBSTANCE TO A MINOR IN WHICH 1HE SUSPECI'S NAME IS TAMMY MICHELLE BISHOP.
I HAVE READ THE STATEMENT OF J M WHO lS 16 YEARS OLD. HE REPORTS THAT THE
SUSPECTS, THOMAS CARR AND TAMMY BISHOP, CAME OVER TO HIS HOME IN HARKER HElGJUS, BELL
COUN1Y, TEXAS ON JUNE 19,2004, WITH MARIHUANA AND METilAMPHETAMINE. JERRlD AND HIS 1WO 14
YEAR OLD FRIENDS WERE GIVEN METHAMPHETAMINE, BY INJEcnON, BY TiiOMAS CARR. I HAVE SPOKEN
TO TAMMY BISHOP, WHO GAVE A VOLUNTARY STATEMENT IN WHICH SHE ADMITS TO INGESTING
METHAMPHETAMINE Wl1ll THE 1HREE JUVENILES, WHICH SHE AND CARR BROUOHT TO TilE RESIDENCE. I
HAVE ALSO REVIEWED A VIDEOTAPE IN WHICH TIIE THREE JUVENILES, CARR AND BISHOP ALL REFER TO
DRUG USE, AND IT IS APPARENT, BASED ON MY TR.AlNlNG AND EXPERIENCE.AS A POUCE OFFlCE.R, THAT
ALL TIIREE JWENILES ARE INTOXICATED. I HAVE BEEN MADE AWARE THROUGH MY INVESTIGATION
11iAT ONE OF TilE 14 YEAR OLDS HAD A BAD REACflON TO THE DRUGS AND WAS TREATED AT A LOCAL
HOSPITAL. I HAVE BEEN FURTHER INFORMED BY THE PARENTS OF ALL THREE JUVENILES 11iAT THE
CIDLDREN TESTED POSrTIVE FOR ME'IHAMPHETAMINE.
WHEREFORE, PREMISES CONSIDERED, YOUR AFPIANT REQUESTS THAT A WARRANT OF ARREST
ISSUE FOR TAMMY MICHELLE BISH.OP FOR TilE FELONY OFFENSE OF DELIVERY OF A CONTROLLED
SUBSTANCE TO A MINOR.
. ~=J3_
Sworn to and subscribed before me by the above named Affiant, a aedible person, this the day of ~j!1
2004.
,_
(lJ:!Jr! r~-~
LU
(;)
!If!
4
tn
IIIIIIVII~JIIIII
JUSTICE OF THE P
PRECINCT NO.
BELL COUNTY,
-"'
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ii
•
•
Exhibit 21
•
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SEX -11-- Q/018 fa/l.ffif
---l.-.~l..,/'liiiiiD~/,_.85g.._--- AUNG AGt:NCY:_;--~·~------- CAUSE NO:
COMPLAmANT~M:~sa.~~~~C~II•B5-------------------------------- OFFENSE NO:_a.+y-"'~..,t.f~=+---,--
CG-DEfENDAHT(S): DATE OF OFFENSE: 87/MIM
IN THE NAME AND BY THE AUTHORITY OF THE STATE OF TEXAS:
BEFORE ME, the undersigned authority, on thls the _ _.,._.,_~----- day ofJ::Uili.II-·J--------· A.D., 20 85
personally appeared _ _ _ _ _ __&....JDI• •L__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ who,
after being by me duly swom, on oatil deposes and says: That I have good .reason to believe that heretofore, to Wit: on or abOut the
- -....•-•---~-- c.1ay ot_ :r._.u.~nl-4a~.
_.._ _ _ _ , A.D., 20 M , and before the making and filing ~ this
Complaint, in the County of Bell, the State of Texas
•
0
~
-
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against the peace and dlgnlty of the State.
--,1
•
I I
AffiDAVIT FOR ARREST
I
I
I
STATE OF TEXAS }
COUNTY OF BELL } i
COMES NOW THE UNDERSIGNED AFFIANT, A PEACE OFFICER UNDER THE LAWS OF THE STATE OF
TEXAS, AFTER HAVING BEEN DULY SWORN ON OAlll, WHO DEPOSES AND SAYS TIIAT I HAVE GOOD
REASON TO BELIEVE AND DO BELIEVE THAT THOMAS RAYMOND CARR. HAS COMMITTED THE OFFENSE
OF AGGRAVATED SEXUAL ASSAULT OF A CHILO AS CHARGED IN THE COMPLAINT TO WHICH THIS
AFFIDAVIT IS ATTACHED AND THAT MY BEUEF IN THE FOREGOING IS BASED ON THE FOLLOWING
INFORMATION.
I AM A CERTIFIED POUCE OFFICER UNDER THE LAWS OF ntE STATE OF TEXAS t.'UAAENTLY
EMPLOYED BY THE BELL COUNTY DISTRICT AlTORNEY AS AN INVESTIGATOR. PURSUANT TO MY DUTIES
AS AN INVESTIGATOR, 1 HAVE BEEN ASSIGNED THE INVESTIGATION OF A REPORT OF AGGRAVATED
SEXUAL ASSAULT Of A CHILD IN WHICH THE SUSPECrS NAME IS THOMAS RAYMOND CARR, AND TilE
VICTIM'S NAME IS TOM VICTOR.
'TOM VICTOR,(A ~NYM) , . JlTS :r4f.E
IS 16 YEARS OLD HE FURTilER REPORTS ntAT THE . ,,;
SUSPE{j1 ON JUNE ~. IN · '. 1UM - •· / AITER TIIAT, THE SUSPECT
'VIDEOTAPED WE VlCilM WHILE THE VICTIM WAS BEING ANALLY PEN TED BY A "STRAP ON DILDO"
WORN BY TAMMY BISHOP. l HAVE REVIEWED THE STATEMENT OF TAMMYJ!ISHOiif WHICH cbNFJRMSj.
THAT THIS HAPPENED IN HARKER HEIGHTS, BELL COUNTY, TEXAS, AND JllA.T. IN FACTt tHE SUSPECt{
~-INJEC"I'FJ)jrwo OTHER 14 YEAR OLD BOYS WI1H METHAMPHETAMujJt AND THAT SHE ALSO ANALLY
"J5tNifRX'TED 'lliOSE BOYS WITH THE SAME DEVICE. J,..UAVE REVIEWED AmVlDEOTAPE SHOWING THE·.·;
.1\NAL PENETRATION Of' THE VICTIM BWSUSPECT TAMMfilSH?i( AND IS RAmER APPARENT THAT
'fiiOM,t.S cAiif"rs DIRECTING AND ~EOTAP~G ll{lfAcnONS Q.f A~ ~E~~ ~L~ IS ALSO
APPARENT THAT THE BOYS INVOLVED ARE HESITANT, Btrr AT ONE POfNL • US· , • . TENS
M · tf_ · · :rs· nRFORM E .H ifrHB SUSPECT,, IF OT AL R .
ANAL.JNTER.J . THE S,USPECT IS SEEN, BRIEFLY, ARIN'~L..I-'··rvl~! 1
d:< \.__,:. ;11/21/2006JCPL 30 YEARS TDCJ;ID -\· ,\( ..\. :Docket I n
\'.:- l11/21/2006\PG 30 YEARS TDCJ;ID w\~V . f'l\;:_t~ jDocket
/f . .. :-._ _ _ _ _ _ _ _..:..__--+--'------ .• ~~ -~~i·
'· ,. j_~
112212006 JFILE CERTIFICATE OF THUMBPRINT !Docket
. ~' .- t,· I 111/22/06
\'-...... '.;. .~~-------.~- ~· I
· / ~,FILE TRIAL COURT'S CERTIFICATE t;)F
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\ ;,...::,#~11/22/2006 ;DEFE~DANT'S RIGHT TO APPEAJ._l~/MJT !Docket ' " ·. · :
\ 'A( ' 111/22/06 I
1
~JV ;~D-o_c_k-et--:
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:1112212006 iFILE DISCLOSURE OF PLEA .. 1 l
; ;RECOMMENDATIONS 11/21/06 !
[FILE WAIVER OF MOTION FOR NEW TRIAL ;..-...---~
•
111/22/2006 jAND WAIVER OF RIGHT TO APPEAL /S/MJT iDocket : " 1
i11/21/06 ·~--·--\
1
~---:FILE WAIVER OF JURY AND AGRE.EMENT I I
i11/22/2006!TO STIPULATE UPON A PLEA OF GUILTY ;Docket " !
i
l
/5/MJT 11/21/06
--------------·----------------------------~·------
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; iFILE JUDICIAL CONFESSION /S/MJT !.Docket ;, " I
:11/22/2006111/21/06
~--------------------------~
\FILE ACKNOWLEDGMENT OF NOTICE AND
. I I
1
: IWAIVER OF OBJECTION TO :oocket " 1
1112212006
; PRESERVATIONOF EVIDENCE /5/MJT I 1
1
I
___________~------:-~---·-·--,---·--l
c..:.l1...::.1_12_1_1_06
I :
~ -~FILE ADDENDUM TO DISCLOSURE OF PLEA :Docket i " \ \
·
1112212006
!AGREEMENT 11/21/06 . ; I -1
: iFILE NOTICE OF PLANNED DESTRUCTION .Docket · .. i
:1112212006 joFEVIDENCE 11/21/06 1
-~:
:
. . iFILE SUPPLEMENTAL ADMONISHMENTS
.:11/22/2006iFOR SEX OFFENDERS REGISTRATION :Docket : "
. \REQUIREMENTS /S/MJT 11/21/06
~~-, "l
\11/30/2006iSENT PEN PACK TO JAIL 11/30/06 ~D_o_c_k_e_t_ _ __
l . tFILE BACK BENCH WARRANT 12/07/2006
1
:Docket ~~
•
1210712006
l ;SERVED 03/16/2006
DISI'
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\COPY OF LETTER FROM CLERK'S OFFICE . \
i1i/ 2012012 jTODEFENDANT IN REGARDS TO NOT ; .:, " II
: !SIGNING WRIT 11.07 11/20/2012;SENT NEW !Docket
! !APPLICATION . ' I
fCOPY OF LETTER FROM CLERK'S OFFICE ;-----~--~---
'
.12/11/2012!TODEFENDANT REGARDING RETURNING !Docket •• i
I
!WRIT-NON COMPLIANT 12/11/12 I
,.---
:o1/02/20131FILED POST-WRIT; TO DA 01/02/13; DUE .. 1.
:Docket
i \FROM DA 02106/13
!-----.------ i
j
0110212013 1POST·WRIT TO AUSTIN 05/23/13 BY lOocket
i CMRR:7011 3500 0001 5214 0723 .! iI I
!01/02/2013 !POST-WRIT DISP - D I S M I S S E D ):_D_o_c-ke-t--~ /
:
0111612013
!STATE'S ANSWER BY SEAN PROCTOR~-.. -r-----~~ !Docket 1
; ;o1t1&t2o13 I : I 1
:-·· !r-----------------;.....----r--11
: \COPY OF LETTER FROM SEAN PROCTOR \!Docket ;, , I!
0111812013
i ,TO DEFENDANT 01/16/2013 ,
!COPY OF LETTER FROM SEAN PROCTOR :__---~r--!
'01/24/2013!TO DEFENDANT REGARDING COPIES ·oocket : " ! j
-------
',1/22/13 l~----iI
i01/24/2013iSTATE'S SUPPLEMENTAL ANSWER 1/22/13 !Docket ! " 1 \
l !;DESIGNATION OF ISSUES & ORDER I I
:
0112412013
EXPANDING THE RECORD SIGNED JUDGE \oocket I I
, \TRUDO 1/23/13;COPY TO BETTY YOUNG & \',.
1
: \SEAN PROCTOR . .1_ __
:coPY OF LETTER FROM ASSISTANT - - - - . - - ,1 I
\ \DISTRICT ATTORNEY SEAN PROCTOR TO !Docket .. !
1°112512013 iATTORNEY CHARLES MONTGOMERY
· i o 1 t 2 5 / 2 0 1 3 i __ ~ -j
I
- - - - IORIGINIAL & TWO COPIES OF REPORTER'S : i
I
!
101/29/2013\RECORD BY BETTY YOUNG FILED ;Docket ; " l
\1129/13;0NE COPY TO SEAN PROCTOR ~-~
-.----~COPY OF LETTER FROM ASSISTANT
1
!01/30/2013\DISTRICT ATTORNEY SEAN PROCTOR TO :Docket \
\DEFENDANT 01/29/2013 ~~---~
-:-.---!DEBBIE STURTEVANT CHECKED OUT WRIT !Docket ~~ i
\,_ 0310412013 iiFILE 03/0_4~/=2:....01:....3:.:.._____________ _ _ ' l
. 1cOPY.OF LETTER FROM ASSISTANT
l03/06/20131DISTRICT ATTORNEY SEAN PROCTOR TO
-
:Docket
·:r------\
: "
I
1 \
. ioEFENDANT ABOUT EXHIBITS 03105/2013 _ 1
.. i
· . -!RECEIVED EXHIBITS 1 & 2 FROM Docket !
• 0311112013 I
j \oEFENDANT 03/11/2013
i !COPY OF LETTER FROM SEAN PROCTOR Docket
!03/11/2013tTo LOWERY T. CARR IN REGARDS TO
, I
1/18/2015 2:14AM
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EXHIBITS WE RECEIVED 03/1112013
·--··- ----- .
04 i 10,. 2013 COURT-ORDERED AFFIDAVIT BY CHARLES
MONTY MONTGOMERY 04/10/2013 Docket
-. . ·--
04/12/2013 LETTER TO DEFENDANT FROM SEAN
Docket
PROCTORREGARDING AFFIDAVIT 4!11/13
04i 1212013 SEAN PROCTOR CHECKED OUT WRIT FILE
04/12/2013 Docket
----· -· ---·
---- --···
--~ ··-·. ·- ---. --
04/30/2013 ATTORNEY TIMOTHY TESCH VIEWED FILE
INLOBBY 04/30/13 4:11PM Docket ..
---
05/01/2013 tlEBB'E CHECKED OUT WRIT FILE FOR
Docket
SEANPROCTOR 05i01113
FINDINGS OF FACT AND CONCLUSIONS OF
05/15/2013 LAW SIGNED BY JUDGE TRUDO Docket
05/15/13;MAILED COPY TO DEFENDANT
MOTION TO ENTER PROPOSED FINDINGS
05/15i2013 OF FACT AND CONCLUSIONS OF LAW BY Docket
SEAN PROCTOR 05!14/13
---- ·--~·-· -- ---~-- -·----- -----------·--
OSi15120 13 -COPY OF LETTER FROM SEAN PROCTOR Docket
TO DEFENDANT 05/14/13
RETURNED CERTIFIED GREEN CARD
05/30/2013 5/30/13;RECEtVEO BY ABEL ACOSTA Docket
5i24/13.CMRR: 7011 3500 0001 5214 0723
WHITE CARD fROM COURT OF CRIMINAL
05t'30/2013 APPEALS 5/30f13;WRIT RECEtVED & Docket
PRESENTED TO COURT 5124/13
.. -------- .... - . . ... - . -
LETTER FROM TIMOTHY TESCH LAW FIRM
07116/2013 REGARDING SUPPLEMENTAL APPLICATION Docket
FORWRIT OF HABEAS CORPUS 7!16/13
-·-------------------- -····----- --------------· .. -
MA\LED SUPPLEMENTAL RECORD TO
07/18/2013 AUSTIN 7/18113 BY CMRR: 7001 0360 0001 Docket
2135 9626
RETURNED CERTIFIED GREEN CARD
7/22/13;RECEIVED BY COURT OF CRIMINAL Docket
07/22/2013 APPEALS 7/19113. CMRR:7001 0360 0001
2135 9626
-------·- --- WHrfE--CARD FROM COURT OF CRIMINAL
APPEALS 9112i13;WRJT DISMISSED Docket
09/12/2013 WITHOUT WRITTEN ORDER FOR
.NON-COMPl.IANCE 9/11113
FILED posT-wRi=r, .:ro DA-o1:16J14; ouE Docket
•
01 1512014
/ FROM DA 02/19/14
---· .POST-WRIT TO--AUSTIN 01i31/14 BY Docket
01/15/2014 CMRR:7010 1670 0000 4848 9580
8.\IIJ
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.. . -· ·--
01i15l2014 POST~WRIT DISP ·DENIED· 03126{14
•
.- ~-ockt~
COPY OF LETTER FROM SEAN PROCTOR
01/22/2014 TO ATTORNEY TIMOTHY TESCH Oockft
REGARD\NGCOPIES 1122/14 i
·- ·--·-·--1
01!22t2014:STATE'S ANSWER BY SEAN PROCTOR
Oock~t
1/22/14
FINDINGS OF FACT & CONCLUSIONS OF -+- 1
I
01 iJ0/ 2014 LAWSIGNED .JUDGE TRUDO 1t30i14;COPY Doeke,t
TOAPPLICANT (BY CMRR:
'70131 090000008887484)
. ··--. - ·-·· --· - ---. ----· II .
MOTION TO ENTER PROPOSED FINDINGS '
01/30/2014 OF FACT & CONCLUSIONS OF LAW BY Docke~
SEAN PROCTOR 1/29/14
COPY OF LETTER FROM SEAN PROCTOR
01/30/2014 TO ATTORNEY TIMOTHY TESCH Docket
REGARDING COPIES 1129/14
-----:
RETURNED CERTIFIED GREEN CARD
02/03/2014 2/3i14;SIGNED fOR BY SHAlNA MEDFORD. Docket
I
CMRR; 7013 1090 0000 0888 7484 I
RETURNED CERTIFIED GREEN CARD
2/4i14;RECEIVEO BY COURT OF CRIMINAL
0210412014
APPEALS 213/14. CMRR: 7010 1670 0000 Docket)!
4848 9580
I
WHITE CARD FROM COURT OF CRIMINAl
02/06/2014 APPEALS 2/6/14;WRIT RECEIVED & Docket\
;
PRESENTED TO COURT 2/3/14 i -
'APPLICANT'S OBJECTIONS TO STATE·s
I
FINO\NGS OF FACT & CONCLUSIONS Of Docket\
0211 Of2014 LAW & APPLICANT•s PROPOSED FINDINGS 1
'
2/10114 ----------·
------MAlLEi:)sUPP-LEMENTAL RECORD TO 1
02!11i2014 COURT OF CRIMINAL APPEALS 2/11!14 BY Docket:
CMRR: 7012 1640 0000 4263 0008
02/13/2014 CRIMINAL APPEALS 2113/14;RECEIVED Docket
SUPPLEMENTAL RECORD 2i12i14 ______ _
i
WHITe-ciRii fR-oM couRT of cRIMINAL \
03/28/2014 APPEALS 3/27i14; WRIT DENIED WITHOUT Docket\
WRITTEN ORDER 3/26:14
--------- Mori.oN FoR posT'-coNvscTroN '
1 ..
•
Docket
06i13i2014 FORENSIC DNA TESTING BY TIMOTHY
TESCH 6/13i14
9-lll
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LETTER FROM SEAN K. PROCTOR TO TIM
0'!/2112014 TESCH REGARDING P05T· CONVICTION Docket
DNA TESTING 07/21/14
- ·-· ~ - ·-- - -
--~ - --·-· ··- -· ·-· -·
~-·-· ~~ ---
STATE·s REPLY TO DEFENDANT·s MOTION
07/23/2014 FOR POST-CONV,CTION DNA TESTlNG ·Docket
7/21!14
MOTION TO ENTER PROPOSED ORDER
07/23/2014 DENYING POST-CONVICTION DNA TESTING Docket
7121/14
·FINDINGS OF FACT/ORDER DENYING
POST-CONVICTION DNA TESTiNG SIGNED k t
0712312014 0
JUDGE TRUDO 7/22/14;COPY TO T.TESCH & oc e
S.PROCTOR
.MAILED TIM TESCH COPY OF ORDER
07/23/2014 7/2l/14 BY CMRR # 7014 0510 0002 3175 Docket
2499
GREEN CARD RETURNED FROM TIM TESCH
07/29/2014 7129i14;RECEIVED COPY OF ORDER Docket
DENYING DNA TESTING 718/14
......
..: ;~ .;, :· .. ..: . -~ .:~=- ·::;: ...
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•
Exhibit 24
•
•
Tesch Law Firm
Ph (254) 865-03 13 P.O. Box 255 fax 1(254) -731-2584 ;.
Gatesville, TX 76528 teschlaw@gmail.com •
June 6, 2014
Mr. Charles F. Montgomery
4400 Seven Coves Rd
Temple, Texas 76502
Re: Thomas Raymond Carr
Dear Mr. Montgomery:
I spoke with you about obtaining Thomas Raymond Carr's file. You wanted a
release and $100.00 to copy the file.
I represent Mr. Carr. Enclosed is a "RELEASE OF FILE" signed by Mr. Carr.
• Mr. Carr is entitled to his "Original" file per the State Bar Rules. Should you
wish to copy the file for your own records, please do so.
I request that you provide the information requested in numbers one through ten
in the release.
If you want someone to pick up the file as opposed to your mailing it, please let
me know. Please provide the file within te n(lO) days to the date ofthis letter. Thank
you.
Sincerely,
Timothy Tesch
Attorney for Thomas Raymond Carr
P.S. The release has my bar number as 119808200, when it should be 19808200 .
•
• RELEASE OF FILE
I, Thomas Raymond Carr, Wynne Unit, Huntsville, Texas, authorize the release of my entire legal
file to Timothy Tesch, P.O. Box 255, Gatesville, Texas 76528, SBN 119808200
This authorization includes the release of information on any criminal matter, child custody
information, and child support information that Charles Montgomery, Jr. may have.
It includes, but is not limited to the following:
1) Witness statements in whatever format used( tape recorded, written, and notes of
interviews with witnesses),
2) All notes of meetings with Thomas Raymond Carr,
3) All research done on statutory and case law,
4) Names, addresses, and phone numbers of persons contacted about competency
and insanity,
5) Medical records concerning physician reports and drug prescribed, including
medications that Mr. Carr was receiving during the time of his plea hearing on or
aboutNovember21,200~
6) Names, addresses, and phone numbers of all potential experts contacted including
forensic computer analysis experts, psychologists, psychiatrists, DNA experts and
Lab experts regarding Methamphetamines, and any other experts,
7) Your contract of employment with Thomas Raymond Carr,
8) The entire original file as required to be released pursuant to the disciplinary rules,
9) If you do not have any documents requested, then an explanation as to why, and
10) If you are refusing to release any item, then an explanation as to why.
Thomas Raymond Carr
•
•
Exhibit 25
i.-:: - ........
• l.ll.f~l ~II~HIIJIIII Jll l tlltllll
INRE
No. 57,557
* -Dff::JAf};]
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DISTRICT
*
THOMAS RAYMOND CARR * BELL COUNTY, TEXAS
State's Reply to Defendant's
Motion for Post-Conviction DNA Testing
TO THE HONORABLE JUDGE OF SAID COURT:
COMES NOW the State of Texas, by and through her District Attorney for the 27th
Judicial District of Texas, and respectfully requests that Thomas Raymond Carr's
(hereinafter referred to as "Tom" or "the defendant") Motion for Post-Conviction Forensic
• DNA Testing be denied, and in support thereof would show the Court as follows:
I.
Procedural Summary
The defendant was indicted on March 23, 2005, for the felony offenses of Delivery of
Ia Controlled Substance to a Minor (Cause Number 57,557) and Aggravated Sexual Assault
\
I
:(Cause Number 57,558), both alleged to have occurred on June 18,2004. On November 21,
I .
\ 2006, he plead guilty to the trial court in both cases, and the trial court found him guilty in
I
\each case, and sentenced him to fifteen (15) years imprisonment for the Delivery of a
I
\Controlled Substance to a Minor, and thirty (30) years imprisonment for the Aggravated
I
1
i
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llii!IIIJ Ill~ IIIIII copy
• I
I
!
!
• lo Tom's house and smoked weed. He also recalls J and Christopher having sexual
contact with Tammy, while they were still at J 's house, which he thought Tom
videotaped.
HHPD officers also took a statement from C rV on July 8, 2004. 4
According to the officers' offense report, Christopher recalled the events much the same as
did J and S n. He recalls Tom shooting the Meth into his right arm, and Tom
providing Marijuana for them to smoke more than once.
i
The officers note in their offense report, that during conversations they had with the
\
I mothers of J Christopher, and S , each of them stated that their son had tested
I
l positive for the presence of Marijuana and Methamphetamine during their treatment at
\
•
I
Metroplex Hospital.5
After obtaining written statements from the boys, the officers report that they
prepared an affidavit for search warrant for Thomas Carr's residence located at 114 West
Mark Road in Harker Heights, and on July 9, 2004, presented it to District Judge Martha
Trudo, who, after reviewing it, authorized the search. At 9:45 a.m, the officers report that
they made entry into the residence after knocking on the front door and ringing the door bell
received no response. They report that once inside, they encountered Tammy Bishop and
4
See Statement of C V attached to this Response as State's Exhibit No.3,
and incorporated by reference for all purposes.
5
See partial medical records of J M and C V attached to this
Response as State's Exhibit No.4 and State's Exhibit No. 5, respectively, and incorporated by
reference for all purposes.
• 6
• Thomas Carr asleep in the bedroom, and two children asleep elsewhere in the residence.
They report that they moved Thomas Carr into the Living room, and kept Tammy in the
bedroom where she was advised of her Miranda rights. Tammy spoke to the officers at the :
scene and voluntarily agreed to accompany them to the police station and give a written
statement. 6 She admitted to knowing that Tom had provided Marijuana and Methamphe-
tamine to the boys, and admitted that she had sexual contact with J by letting him
perform oral sex on her, and by having sexual intercourse with aU three boys with a "dildo .. ,
She stated that Tom videotaped these sexual encounters because he had been wanting her to
''do something with another man" for quite some time. She admitted that all three boys
looked young, but J told her that he was eighteen years old.
•
At the scene, the officers advised Thomas Carr of his Miranda Rights. Carr admitted
to the officers that he had been at J 's house, and that all three boys had been to his, but
denied providing drugs to the boys, insisting that they had their own. He also d~nied
injecting any of them with Methamphetamine. He explained that he met J on a web cite
called "Adultfriendfinders.com," and that he purported in his profile to be eighteen years
old. He further explained to the officers that he had been searching for someone he and
Tammy could have a "threesum" with to "spice up their marriage" because they had been
together for 12 years. Officers report that Carr was arrested on suspicion of possession of
Marijuana when he took control of a cigarette package from his bedroom that contained a
6
See Statement of Tammy Bishop, attached to this Response as State's Exhibit No.6, and
incorporated by reference for all purposes
• 7
• Marijuana cigarette.
The officers report that during the execution of the search warrant, among the items
seized were: a computer and its peripherals, video tapes, a digital audio player with a flash
card memory, plastic envelopes containing suspected Methamphetamine residue, uniden-
titied pills, 8mm video tapes, and a Sony Handycam. They report that all the items seized
during the search were cataloged and entered into the HHPD evidence vault.
The State has been in contact with Detective Daniel C. De Leon, custodian of the
evidence section at HHPD. Detective De Leon explained that all the evidence seized by the
officers in this case was itemized on a HHPD "Evidence Submission Report," and then
placed in storage for long term safekeeping. According to HHPD records, he states in an
affidavit that all of the items seized by the officers in this case are still in police custody
except several video recordings that were reviewed by officers and later released to Thomas
Carr's mother at his request. He further states that the Department has never had biological
evidence, or items thought to contain biological evidence, in their custody in this case. 7
On July 13,2004, both Tammy Bishop and Thomas Carr were charged by Complaint
with the felony offense of Delivery of a Controlled Substance to a Minor. The record
reflects that on March 23, 2005, Carr was indicted for the felony offenses of Delivery of a
Controlled Substance to a Minor, and Aggravated Sexual Assault. On November 30, 2005,
Bishop, pursuant to a plea agreement, waived indictment and pled guilty to an Infonnation
7
See Affidavit of Detective Daniel C. De Leon, HHPD Evidence Custodian, attached to
this Response as State's Exhibit No.7, and incorporated by reference for all purposes
• 8
810
• support of its Orders denying relief to the said defendant.
Respectfully submitted,
HENRY GARZA
DISTRICT ATTORNEY
27TH JUDICIAL DISTRl
B
Assistant District Attorney
27th Judicial District
Post Office Box 540
Belton, Texas 76513
(254) 933-5215
(254) 933-5704 [FAX]
Certificate of Service
• I, the undersigned, do hereby certify that a true and correct copy of the State's
l Response was mailed to the attorney of record for the defendant, Tim Tesch, at Post Office
'
Box 255, Gatesville, Texas 76528, by United States mail, postage paid, on this the
,., J ::!
_ _ _ _ day of July, 2014 .
_ _~
• 15
\
• IIIIII Jil ItillIJil IJllll!lllllll
No. 57.558-D
EX PARTE * IN THE 27TH JUDICIAL
*
* DISTRICT COURT OF
*
THOMAS RAYMOND CARR * BELL COUNTY, TEXAS
State's Answer
COMES NOW the State of Texas, by and through the District Attorney for the 27th
Judicial District of Texas, and denies generally the allegations of the Applicant's Petition
for post-conviction Writ of Habeas Corpus relief, and opposes any request for bond pursuant
thereto. The State would show the Court that this is a subsequent appFcation for Writ of
Habeas Corpus relief by the Petitioner, and it does not contain sufficient facts establishing
either ofthe exceptions enumerated in Texas Code of Criminal Procedure, art. 11.07
•
§(4)(a)(l), (2) & (3) (West Supp. 2014) and therefore should be dismissed .
Prayer
WHEREFORE, PREMISES CONSIDERED, the State of Texas prays that this
Court recommend that the Applicant's Petition be dismissed, sending him hence without
day.
Respectfully submitted,
Assistant District Attomeym
27th Judicial District
Post Office Box 540
.,
Belton, TX 76513 r
(254) 933-5215 rn
•
(254) 933-5704 [FAX]
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• Certificate of Service
I, the undersigned, do hereby certify that a true and correct copy of the State's Answer
was mailed to the attorney of record for the Applicant, Timothy Tesch, Post Office Box 255,
Gatesville, TX 76528, by United States mail, postage pre-paid, on this the __ t,_-t!.
____
day of August, 2015 .
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• IIIIIII IIIII tillIJillIJillI!1111111
No. 57,558-D
F\LED
EX PARTE
*
THOMAS RAYMOND CARR
Motion to Enter Proposed
Findings of Fact and Conclusions of Law
TO THE HONORABLE JUDGE OF SAID COURT:
COMES NOW the State of Texas, by and through her District Attorney for the 27th
Judicial District, and moves the Court to consider and enter in this case the proposed
Findings of Fact and Conclusions of Law as those of the Court.
Respectfully submitted,
HENRY GARZA
DISTRICT ATTORNEY
27TH JUDICIAL DISTRICT
Assistant District Attorney,
27th Judicial District
Post Office Box 540
Belton, Texas 76513
(254) 933-5215
(254) 933-5704 [FAX]
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• Certificate of Service
I, the undersigned, do hereby certify that a true and correct copies of the State's
Motion to Enter Proposed Findings of Fact and Conclusions of Law, and the State's
proposed Findings of Fact and Conclusions of Law, were mailed to the attorney of record
for the Applicant, Timothy Tesch, at Post Office Box 255, Gatesville, TX 76528, by United
States mail, postage pre-paid, on this the --.3!<{p::.....-~---- day of August 2015 .
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1111111 jllll tillIJllll JillI!1111111
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I
No. 57,558-D
EX PARTE * IN THE 27TH JUDICIAL
DISTRICT COURT OF
*
THOMAS RAYMOND CARR * BELL COUNTY, TEXAS
Findings of Fact and Conclusions of Law .;
Having considered the Applicant's Petition, the State's Answer, and the record in
the above numbered cause, this Court makes the following Findings of Fact and Conclu-
sions ofLaw:
I.
Findings of Fact
• History of the Case
1. The Applicant is currently incarcerated in the Correctional Institutions Division of
the Texas Department of Criminal Justice by virtue of a Judgment of Conviction
entered in the 27th District Court of Bell County, Texas, in Cause Number 57,558,
wherein he was convicted of the first degree felony offense of Aggravated Sexual
Assault.
2. The Applicant pled guilty to the charge, and the trial court found him guilty and
assessed his punishment at thirty (30) years imprisonment.
3. The Applicant did not appeal his conviction, but this is his fourth Petition for post-
conviction Writ of Habeas Corpus relief in this case, his first and third having been
dismissed, and his second having been denied. 1
1111111! 1111! 1111111
1
See Ex parte Thomas Raymond Carr, No. WR-79,620-02 (Tex.Crim.App., delivered September
11, 2013) (not designated for publication); Ex parte Thomas Raymond Carr, No. WR-79,620-04
•
(Tex.Crim.App., delivered March 26, 2014) (not designated for publication) and Exparte Thomas
Raymond Carr, No. WR-79,620-06 (Tex.Crim.App., delivered July 8, 201 5) (not designated for
publication).
• Allegations of the Applicant
Thomas Carr- 57,558-D- Findings
Page 2
4. In ground one the Applicant alleges that his plea of guilty was involuntary and un-
knowing because of coercion by the State. ·
5. In ground two the Applicant alleges that the State made false representations about
the results of drug tests.
6. In ground three the Applicant alleges that his trial attorney lied about researching
the law and explaining the law to the him, and was ineffective. ·
7. In ground four the Applicant alleges that he was incompetent at the time he entered
his plea of guilty.
8. In ground five the Applicant alleges that he could not be convicted of aggravated
sexual assault "because no date rape drug was administered" to the victim.
• 9. In ground six the Applicant alleges that he could not have been found guilty under
the aggravated sexual assault "because he did not act in concert" .with his co-defen-
dant.
Necessity for an Evidentiary Hearing or Expansion of the Record
10. The Court finds that the existing record is sufficient to address the Applicant's
Petition.
Jurisdiction
11. The Court finds that this is a subsequent Petition by the Applicant, therefore, before
the Court can review the merits of the Applicant's allegations, it must address the
Court's jurisdiction to entertain them.
12. The Court finds that the factual and legal basis for the Applicant's allegations in
the instant Petition existed at the time he filed his previous Petiti~:ms.
13. The Court finds that the Applicant's Petition advances no facts establishing that the
current claims were unavailable when he submitted his previous Petitions, or, that
but for a federal constitutional violation, no rational juror could have found him
• guilty beyond a reasonable doubt.
• Thomas Carr-
Page 3
57,558~0- Findings
II.
Conclusions of Law
Based on a study of the applicable law, this Court makes the following
Conclusion of Law:
Grounds For Relief
1. The Applicant's Petition should be forwarded to the Court of Criminal Appeals
because this Court may not consider the merits of this application, because it does
not contains sufficient facts establishing that: ( 1) the current claims have not and
could not have been presented previously; or (2) by a preponderance of the evi-
dence, but for a violation of the United States Constitution, no rational juror could
have found him guilty beyond a reasonable doubt. See Tex. Code Crim. Proc. Ann.,
art. 11.07, §4(a)(l) &(2) (West Supp. 2014).
III.
Recommendation
The Court recommends that the Applicant's Petition be dismissed.
IV.
Transmittal Order
The Clerk is directed to prepare a transcript to include copies of the following
documents:
1. the Applicant's Petition;
2. the State's Answer;
3. the Motion to Enter Proposed Findings of Fact and Conclusions of Law;
4. the Findings of Facts and Conclusions of Law of the Court;
and transmit the same to the Court of Criminal Appeals in Austin, Texas. The Clerk is
• Thomas Carr- 57,558-D- Findings
Page 4
further directed to serve a signed copy of these Findings of Fact and Conclusions of Law
upon the attorney of record for the applicant, Timothy Tesch, at Post Office Box 255,
Gatesville~ TX 76528.
Signed this the ---1-- day of August, 2015 .
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• STATE OF TEXAS
COUNTY OF BELL
CAUSE NO: 57558-D
EX PARTE
THOMAS RAYMOND CARR
I, Joanna Staton, Clerk of the District Court, in and for Bell County,
Texas, do hereby certify that the attached instruments are true and correct copies of the
Originals as contained in the courts file in the above styled and numbered cause, now
On file and of record in the said 264 TH District Courts,
WITNESS MY HAND AND SEAL OF SAID COURT, in my office at Belton,
Bell County, Texas, on this 12th day of August, 2015.
Joanna Staton
District Clerk
Bell County, Texas