EFTA00139365.pdf

M•adrin /Ma IMIMI• Sam Melia .•—eenr ass - jaeli f • '1 4/ A • ; a a f yk 1; ir tat- . • Al;r7: • ep„4 OBSERVATION STARTED: 7/?)19 0 a PA1 PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK YOU. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Magazine Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail r L ve Other SW Blanket & SW Mattress must be used even on Psych Observations. wci a . d If nothing is checked with a silver marker, only a "tel : t Ai.:iv ) • ..- Suicide Smock and Suicide Blanket are allowed. 44,,sewy, Ars 'Illader'Srelk • -;•41111ramp k4 UUNHULN I IAL SDNY 00009558 EFTA00139365 Name of Inmate On Suicide Watch or Psych Observation: Erk n Registration #: 1(03 q-(1)5t/ EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUID `' OFFERED RECEIVED SHOWER SHOWER L., '" 46 Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. CONFIDENTIAL SDNY__00009559 EFTA00139366  EStslelh 1&3R-0 54 CM .Timcde (Ohlpeaan -A'r(t/ Ulehed 3'5377-057/ ones tke I-14/ )6)441141 -Pyt -fie, 1/0416 s* 40y a\evae rein 7631$-061{ (8144 Or 6 01 Wit 3cil 61501 alurok Etskil; , 43 :Acuity ably' +e. bray -1-14y lektY ser? 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