_ lng
éAégL /4[(5_54
o "6 AB€%S€O££_U
l \ @F>:£CT’O'“’ 729 DXSM:: l:;¢“: /"“'W
wigsz »JM- MMD’::;q »_,3¢» Q
./w -~='i;;W-/> ”-“’//;
izg,,[\S,°T{ ,Z}:§`Z£-D M£
v _ q AD/&D'LO@V
l ZKM,)©VA /( a 4 4
3 ga MS)B?F § WQ‘WAW£;¢L
:; ewng /é., F~WS
/Qz?D/€`/"
Ql_m.b: C‘>¢/ W£ @Mf
70 f W‘ fw
, ' P_DEW“€§JOW "
l REcElvEDxM VM
couRToFcR:MmALAPPEALs b
NUV 04 2015
AbefAcosia,C!erk
`E:\Zels‘é"Tl//(§:
l ',>
1111
Correctional Managed Care
RAD|OLOGY REP'ORT
Date Transcribed: 03/28/2013 08: 45
Patient Name: JONES, TONY R TDCJ#:1312115 Date: 03/28/2013 08 45 Age: 49 year Race: W Sex:
male _
Patient's Facility: M|CHAEL (M|)
Department of Radiology
The University of Texas Medical Branch Hospitals
~ »Galveston, TX 77555 , l '
Phone:(409)747-7000
Fax:(409)747-2850
PATIENT: Jones, Tony
DATE OF BIRTH:
` DATE OF E)Q\M: 3/25/2013 9:46:00 AM
PATIENT #: 1312115 `
EXAM ID #: 6429482 - ' ’€5//
REFERRING PHYSICIAN: u¢%
GARY D. WRIGHT glow
MICHAEL UNIT
TENNESSEE COLONY, TX 75886'
OFFKIALCOPY ' 1
WRIST, MINIMUM OF 3 VIEWS- RIGHT SIDE g
HISTORY: ORIF 01/24/2011,LOOSE HARDWARE PAST 3 MOS
COMPARISON: None.
FINDINGS: `
An old fifth metacarpal fracture is noted. A cortical plate and multiple
anchoring screws affix the distal radius in satisfactory alignment without
evidence of hardware complications.
No acute fracture or dislocation is identified. Mild soft tissue swelling
of the wrist is noted.
PAVIT BAINS, MD
Personally interpreted by:
FERNANDO CESANI, MD /signed by/ FERNANDO cEsANI, MD
Department of Radiology
The University of Texas Medical Branch
Last edited On: 3/27/2013 3:45:00 PM
Finalized on: 3/27/2013 3:45:00 PM
'Elecuonically Signed by GAS"i"lAN SUZANNE 011 03/28/21)13.
Elcctronically Signed by \‘v R1Gl1'1", GARY G D O. 011 04 ’OS 0213.
##A11d No 0111¢:13##
wm ` _ JoNEs, ToNY 380
_ gsr-1617 “s“
¢)‘
-WHEREFORE»,; APPLI;<:AN¢!= mass THATTHE connT »GmsrArgchANfr
t 'RELIEF rio wnr'c:-H“HE"MAYBE ENTIILED5.IN '1“1'11'§§$_`P'ROc;‘,jI:?;ll~;i§)'ING:s
vERIFICATIoN:_
This application must be venf' ed or it will bc dismissed for non-comphance For
verification purposes an applicant ls` a person 111ng the application on his or her own behalf A
petitioner is a person filing the applrcatlon on behalf of an appllcant for example `an apphcant sl-
attorney An inmate is a person Who rs in custody
by a hccnsed attorney the attorney may sign the “Oath Bcforc a Notary Pubhc” as pcnnoner and
then complete ‘Pet111onor s lnforrnatlon ” A non-lnmate applicant most sign the “Oa`th Bc`forc a
Notary P'nblic” before a notary public unlcs§ he7 rs represented _by. a hccnsed attorney in Which
case thc attorney may sign th"c verification as petitioner
1 _ A non~inmate non-attorney patiti_oncr must sign the “Oath Be`for'c a' Notaly Publ:c”
before a notary public and must also complete “Petmoncr s Information ’~’ An inmatc pct1t1or1er
must sign either the “Oath Bcf_ore a Notdry Pubhc” before _a` notary pub1ic or the “Inmatc-’ s
Declara_tion”_ W'ithout a notany pnblic and must also complete the approprtate “Pcntmner s
Inf`orrnanon
carn_:annonr A_.No'rany marra 1 ,_ y ._ ;. ~ 1 '; : _;;H _ .' :\ ` l
mrs @FTEXAS ` " ` '
rcoUN-TY( orr
z ,b_cing duly sworn under oath;- says “I arn
.:\thc` applicant `/ petitioner (circle onc) m this act1o`n and know the contents of the above
apphcatlon for a writ of habeas corpus and, accordmg to iny behcf the facts stated 111 th_c
_apphcatxon arc true .
_. sUBsCRIBED AND_ sWORN 10: BEFoRE 1113 rios DAY on 1 1 20
~~ .. .' . , ~ 4f>"ig.v»r'r"irf~f»0.1`1_\1<.>1€1131,.Puli>’fir
16
Rev._ 011/14/1»4
._1 c- _./<’
1
1 1..~INMATE’s DECLARATI<:)N
1 7//V/€‘1'Y`g>"'5_§ l ,`ani the applicant / petinoner (cir_¢le one) and
being presently incarcerated in M Kl< [/J. MZ}/AZL l4hW declare under penalty of
rapenjery that~_,,-acc_ording to my~-belief,~ the facts staiedyi'nthe above application are'tr_ne and;eorrect;,:
_liS_'i'sned~ orr 57% 549 615 MMZZO 010 Z§/
Re\'z. 0.1!1*4`/1"14
iN 71/£6’@11/!’700€€/€//“/#/%£ /H,M
07 757/16 AMFWM
"/71;/71)/3@11£5 ` 7 `
¢/5. _ C/w$f M>:
W£>/ 71»73:&): 764/46 _ 775€7 /’1’3 1'68"'1>
' W»/(’ 3161/1551 03
w/C ;L@zn;> szo_<’¢
M$i/> 11/1&/15 511/1175 11°»71@17~
(D>'Y>;£CWz)/J 76 _D;$/W
Dé~?‘<'i© 7111111”01757 617 11/5~
M~QMM,
1101/796 15 501/117 /vow £0/1/1€5 p/€o.§i Afpz/M/
/€£MT/€ 771 /}/.§Dvi vi77L&1> 777 571/pas /111)7’/1")»1
715111115 7117 ?11@~1%¢';1
/a[.,/»A W/€“ 3773):03 §
55 m 767/1707 ~D_
APPLI`£A»/T {J/€o
umwa 6 1171/3610
L»JJ€*SK‘I"'LZ§`£¢{ 15 éfpggj|vi/O
fswl iF§/<’_€cl 7:SW 71111”¢9
1111/1117 7 Séél< wl PA"°¢H
, _j:= 1145 HAM;L@RPMS w£sN¢S'Fl-AU- CON'
" 1910 /’rCl/>) Jaz/
14 115 D@/v<>f 1114115'/4
15 }» (¢¢,4>")11»4 1111 7 1'11€ /1~171@€
11/165,5 571
,1, …M,e`,?- 01 11111”111 (ccA) 1175 501/175 /1)010,
_ A{lPZl°CAWHPw L< €>éf;\j 71@ 115 M?l@ 77 151°_9,, 3
W MAM£J/ A/d EKC£éAé.D 1419 Wg$ AHUM
Bg ~~`1114156,16 611‘:1>115 1573/wm
777 60\)61< pma MCCCA> ~F@/