EFTA00134858.pdf

PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. HANK YOU. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Magazine Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. A lf nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. EFTA00134858  in is s in is 21 skin ism - - SONY_ODOOG395 EFTA 00000060 EFTA00134859  E 7636I-05/ 1e43u0Si664e E 4 h l_4011 *it-F-110k s ,UP assfaes chi obse-smarkon,. k Fes tt/9 _1/9° ifi. ,4Itilingle-j--P"-rEix) i5 StEEff>3.C.> --7-7- Peicitivor,te -r 0.1 GliSf 4-th "ii CrEt34/),l 13 LA0Mal•Q (\Aar 17 esatei Was.. r -- •!Fa \s )4,e+er- ERs-rci k 6 tam, fA tilak,E-PSTELY .5- cizbiciwzi - 1St imhakEpsic0 awah,,p,a, n )14/) ispaeijAA_Lits 1;c4a 1AA43-1telositi 6(45 okaGON-, jatA/Amekt-Psi-EN is..p :czin EFTA00134860 Itielmak -1O37 itymigic 5Ttia 15 his orril P 14 LS =mac, in, i509; n, FreStei).\ Pac_i 11.a EPSTEN 96S0Nit 41i(sk Ark nt01:5 afAI- 1.37&15-1311 ,es7 1-41133-(-e:4W4ca---.E.o) ?s ezt frizzv,tms 6L p Dirdce-t:"1 PTRr--)45a-L?ci sze. \`.› msno3 k\-e. k-A0frxrcx.i)-A rk:(1)1M* a475\ei•I 's Vtiii\63 ba,3,1 EFTA00134861  II _ imAE Ji EV-J .6W s (91) !o_SS_CeM_ t ia7144- e t`) 6 ;TA rokc n LAN ks C -Gr brokas 73*, AFF,341 i4 2; \frqii.;(3 ttisi;)5C- 1- 7 (Q 181 cos . • 00Mitsi 6.4 4<J is - (Ayo5 (rl EFTA00134862  N 1.6 - O-St :11(54 g<ty -14_4 et-we ?di :'04A 7t1 13H •Iteir epsie.21, ':/Cav* --ePth/;)- 96.at 7:.:1 eperie241 . .P44-2k 14687 A.g.laot e Stia. 0-4 : 617 ET,2 2 tat ,70-k9Vkl fra,_ (SYNegt\13'.1 :CleVY:\ -EQAC,Ci\) q ‘b tti5 .-__75VA\ CDA7., - • es.kg._..\8-ELCIC: _ tts).75_435C- _ C ede\e-t-kt 1 \5e = k6;n&N / 'd‘i•_ia;Lie‘S- r; 6"..1.6aV\A\C- Efr 1 2 45,AS ti\kA cs4.15j: cd4 ;vis \\, doc.,c-cyN \,(0.6,1\SI.IttoCActi, kLe SDN1100006359 EFTA_00000444 EFTA00134863  1 \CO\ ebrct; - ,pke.eiAits St.Set: 114k: gSklindi m:12/m._i___cLiV_ :11.a /933011",--Ennoer.k. .Edicaus okA e4ako rr tro \S 3V-LIA r F 800#4i fok VA-Taff Psyci/oiss • :too' L.' A0.17kr4 -fPSTrieti ZSI 0_ • 3: IsITNAKTE psrfitiv rs .00 - 3•3Qr: fAcrenti - TS - ear Ep_srEpv .ES__Oaf 4-.04T LirithvATE:- cal -- .11:14-`slANATE rani _Okr 1730 TkiwtrE- - - TEDY - - riViWATE Epirk,srs _our. „ .5.:001!s'it\tAk/A-TE: tp.srem- c V3" . DAME. EpST EEN _our L;s9-cisia5 Veld A E -Tpumft: SONY C0006360 EFTA 00000445 EFTA00134864 -ON AT-E1/11 7631?-of .Eplrw VOT 6 rkimptiE _mut Is star ?•15 f3P, MA/1TE - MIK iS 001- )''IP!ThitAkTE STQI4 rs — rce- - --- -#701- 651' 511,01.06361 EFTA 00000446 EFTA00134865  7164 FfrfrtgA-v.. 0,6-0-e-71ceide---eco rrog 404.A.4.iee-;$ T (6t ffrae-A_Zializ12/ 17 cat-iNa it.47-4A-.,. eietvar° prfry 514.frtG14- rfc,„ .-4iliati Tice( tule-‘4,1 Cruil—a7 004-itZ./ 5g-P-4-7-7*-0 swe Fil-orrerr- . 4SSAA16-Sr•r_Spda:Ei jpbsavva4-frorva€ lA,v Fe ceif 4:frq0A 7 9 14A.434-e-Eccretaii6 11 livver6C.-Ostr.,1&:61 facaIn ll-)Tis .laktViimarteLEAsruz.T:iS limia-ip__EP6-rettO.k 1474-1/vvisitEPsTER\--is itiN EFTA00134866  1741maf-0_,E s~ ISIS Gill 1 144/6-12- eSTE1,/s) ;5' 'atm Fa i In Ef317E-1/CliS_ .1s 4'M ,Inhaps-it.i.)3 1-5. lAmaft:aciL57,,tw : csk;11 Felle5TEIN ti P5(El4'k is 5 /14 Ian WSJ Eto pacit4 a )4.4. psi E- rn k5- jcinaele- E` 14‘135 'AiY‘E ck,tex wist. c(6icirti raA- sicciA- Qcssolmvss)op 0-0416 P51C • hIP -o . 71/6111 3°1 : (*go e(1slit- ,F 5 tAiffi4 ,SA.o7Z!ci 4c,c3_2„,..j. _ hirtArb ' 693-061,1_ _/ 5 14-1,4, ) 3 1) 1,0-.44-1( Cps"..7V7,1 r s kimke-ct /1-40.4‘no:_ 3 2.6.1.MIC5 rr 115 ga, 14 L-4 -77, ut (40,01 orc 4 Lca trii cc' EFTA00134867 EFTA00134868 -, 1w019..fj PA rify C6()4V+ 5 4 a 2kANA 7‘ pactNi ail+Aii5 un,945A1 -4A400.3 -avyy ?CONcOW 5FCAI 0 -i\olAA wr hAt V11, 1- 1597011^A'k .{49kA.N0,1_.)6 „ .ter.0 0J52.), sauA5-O Dtt (A.5.711,5 1 t s,9 kw/ 3..9.-74-f76 0, ms.2 201-41 ST (if(t)-9- cm- - 7- Atri) 3 53. -14-1- 09 LAE-1cl kfroW.Ctti - 1 /4. ) sr-VS fd- • 1.14 ' 2O.it, J;1 ??.• ---maRctr, -:•.7, 4-1iLPtt, r-Y9Iff:4frity4o.1 NI , )1,, Sv,2/'1 7011-t k_so- r-O)11  Vsliptivi-ss.ciAH,E5 1-3.6e 19e-4 tot n)orn tt tivistS=. P_An. (N. Lbc,sei— o, A6,-) it_Lt5 e is op-4g cke-s c6r Vim9ef \I‘s0- 1:00 ,rYAry,64-e EPstem v.los( &\,1 of 4nic=4- SONY C0006365 EFTA_00000450 EFTA00134869 Name of Inmate On Suicide Watch or Psych Observation:AESErk Registration #1: 1631S — 65 1 4 EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQU 7 OFFERED RECEIVED SHOWER SHOWER Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. SDNY_00006366 EFIA_0000045 1 EFTA00134870