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~- TEXA.S DEPARTMENT OF CRIMINAL JUSTICE--- INSTITUTIONAL DIVISION •, . INMATE REQUESTTO OFFICIAL REASO~J FOR REQUEST: (Please check one)
PLEASE ABIDE BY THE FOLLOWING CHANNELS OF COMMUNICATIO~HIS WILL SAVE TIME, GET YOUR REQUEST TO THE PRORER PERSON, AND GET AN ANSWER TO YOU MORE QUICKLY.
1. 0 -:;signment, Transfer (Chairman of Classification, 5. D VisifrRQ_ List (Asst. Director of classification, Administration Administra" n Building) Buildin
2. 0 Restoration of Lo wertime (Unit Warden-if approved, it 6. 0 ents and related information (Unit Parole will be forwarded to th State Disciplinary Committee)
3. 0 Request for Promotion in ~ 7. D Inmate Prison Record uest for copy of record, infor- (Unit Warden- if approved, wiil be to mation on parole eligibility, 1 arge date, detainers-Unit of Classification) Administration)
4. 0 Clemency-Pardon, parole, early out-mandatory supBrrt-ision 8. D Personal Interview with a representative o~ outside (Board of Pardons and Paroles, 8610 Shea/ Creek Blvd. agency (Treatment Division, Administration Building) Austin, Texas 78757)
TO: _d_cttj/ ~nd tit/; o o ;c;at) DATE: 9-1I- I ~ -~A~DDRESS: --- J+cJ 05c/y{/