5 Po LATA ee ne a REPRE APRN ERe Sy LO ie □□ □□□ I i, 7 Paccr re ra Aan eas re Pe SEE ee ee oe □□ eee PRET UNTRERS OES) CE ee □□ EST oe bane oy pan OSS re args es PF ete saree 7 Beret ik Nay Cee PUREE RMT Cha sind Vgit a Se OTE Bot: a seine oe Berm rere eg : setae en BEE Sen BRN mC □□ . PEST Re 2 5 Pree Reith tains we : eo : eto eee MEME ee : PEER ELUAe + ERE heeds a a . EC OREOR ARCS 1kor9. <3 : Sarat rather □□ □□□ □ CERIO RA AS Fy Waban yes an ESL . . . . Reseed Lee MESSE cos TET Mago SERS Sars ee” <2 Lox MME CT cS OR REE Lay bs ROS per PER eR Meal rustare □□□ □□ . . : Rees: are / ! OME Sine : : PRM Sc : : «| SOS TS noe Se . . i kK
Ole ro” “+ swe ieee □□□ cB he a oy RAAT iy Bot SENS Be EY oo et Say Caer ta har mea: CADE: pos ith 2 RR he ROR Re a A Oe NR NU □□□ soe ee SaeareS Ise aa USOT emt Cae: a ira Pe CNS ean Boe ERE on el Bee ee are se oe .
. Qo 1 eee rere sa □□□ ena a Reed) ata a 2 Oe BS eS Beis on aa ae i Reem . of Se dS EFAS to aOR EES SE LIEN oo aR □
a a es SG. OCR eee Re eae □ Oy . «2 ee REO fee eR yO made Le BAGS, Sy Se . +L een EE oe re cee Eitan | Oe RRMA i Gia en ERO gS. 2 SS Got ee □□□ oo Rane a Me Es cca UR a eae □□ Obed oo ae ve od. 75 eee eM oe Om ae SS Mage □□□ ON cee ee Oo EA aa nee an ae : ee Ee i SESE tS ae eae, gh Ae oa! *: meet, rey TE, ets eB aaa ae Gis oes a BE ogi EEE det eee Phy eee Beh Tike ot a SE ea OREN aod Sa BROS, cP aed he od SDL Meg 2 ee EE □□ fee □□ iS) SO eel Es GRR ee Sasi, oe “Blan lah ee ree: iN Sigien PRN uid ee sea coe och agg ss Lr Tage Pega ety eee ae ina Ronee peal Peete ents RRs A a □□ “bg RS □□ OA ips a Nae SS a Bese cane Scr aien paler se tage ahi an □ NE ed CR AO ge FOS 2 oe RASS ae NZS Sera rgatee ts Mae el ite a EES ag aE od ec ae Ptae reae gure PRR Ne Hee TS So a eS □
NG ane □□□ Re SS ibe □□ ea errr eMMee, METEOR FESS Nye: A AC a □□ EA aa ae Spa ok oa Ree □□□ ied ae □ Ee Occ aes a Bee ee eae Se CULLEN re SADR OR its Dia a ce Se Ree Rit MOREE eae CC CRA TERRACE ar ortRRe a LL ease ES ae ec CANA ta paved Lara □□ ae pri reir en ae aa aera Ba ore a ee □ eae Unie □□□ ay ee Cee ke Ret □□ ae Rie stag □□□ ER a □□□ aa PS ae a an PG Ons □□ □□□ ieee a RR ONE HD eed Ca renner ce te ce a ee eh er ce ra a eee ee □ □□□ a fan 5 _ a a eae a i □
a oo □
_ a □ □ □ □□ □□ □□□ pm re □
Sa 5 Po a cg 4 □□□ _ a 7 a ae ees oe oe ne ai aad □□ Ga Uo 27 ce a. eee oe —— . oie Soto eg. a eo 5 Pn oa aed a Re i oc, inch ae Fs a eee ; PCM a te 7 we be NL EE OE a ar err er taint ‘ae wai □□ A ea ala ee ra a i nr ay we 2 2 □□ See daa. pias Saeki a AM Saracen ne a a “eee ae oe Sap Ee AP ACC a # 3 □ □ i . | Se ad ae □□ a ere es | □□□□ □□ FRR □□□ CER ntl a □□□ □□ □□ a Ba vie, os ier ea re 5 a a re oe” to Fe □□ □□□ + BE atl ca taco A a oe □ i . i. □□□ □□ □ . Se ae OD aaa ee □□□ Rs Pa Ty See Bet □□□ ok □□ Tos Ones une ee eae iron an 7. gl So. aia a □□□ Cece Teac ie ae 7 eal eee CN By ie vai enernes a 7 a ae 7 nee re a Rs aes □□ □ mame es gs ae cs aa. (ee ae Rese anit Tana rae □□ os ere ee citi SS an er : . eae ery a cr Ae SP Eee oie ie ... een on digg" Og oc tas eer aes □ aad Pe Ma i. sy Sa ce oo . 2 7, ee Meee a oe es A a ai te. +, , ee aise Pati ary ue eee or ee De Ce call ee ok □□ is Pl ee a oe: 2 Po i ee Ge oe a - , LPN 4 3 : re a So Se ee i . eee ke Mere on aie SS : ion ae Ie. Ph eas og fapely Me. eh Sea eS . □□ gL ae ee aiid Re a RTRs OR ee Sih □ : KS eta oe” eile, . aero ee. Re PP, ae □□ . wee. oF rae wae. oe Cg ey ee ee □□ . ee. Ag am OF ae eae □□ □□ □ SSE Aw fay EE al 5 + □□ gay OE fet EM oe ee. ee cn Sid □□ . a Gee NTN at. hor ae 2 □□ aa
. we a EE + sit sf 4 aa Ae a □□□ □□□ □□ □□ ld eS st □□□ ry reat: — nos ea i □□ : wy hy ge 2 See a Wt Ee io □ oe □□□ □□□□ □ ame, ge aaa SE leh oe one □□□ . : Se ol Oe RR pen a a co □ RA □□ 5 nit eae a a ae: □□□□□ □ 2.1 cl ceca : □□□□□□ 1 glia a RAT Rere Loee Poe □□ ln ena Canna □□ □□ □ “3 ot Peet er CeCe □□ fh . ee Rare tres ear en eet □ □□□ □□ ieee □□□ □□□ ena aa ae Bens Bare 21 □□ □□ □□□ oh □□ rae) eee Pricer" gncotes a eae an va wat □□ □□ : ass PO See eee haa ce □□ . . ee ee tee Se nace” : . ie Pre eek Re is hederhee ee 7 □□ . . . □ |S ie Rr ete ‘sa et ae pea reer tn . □□ □□ : nn □□□ ea rene aa aa oe . “2 vee BP orcs oh ee Te EN, □□□ AU toe ese Leia no □ □□□ ES Pree ote oe a? aS ts es oi □□ . . ae OE ee been □□ : . . Ege Odi, AION BONEN Rape “ary . ia We □□□ era Reise □□ 4 . vat wo ee Lo Sy ire badaghtes SNR aur iation Soar . □□□ . . gh aor | □□ Maat oid Basia SNE aa ae: ng me te dope ot . of a PSPC So aR ee oe ie: Lob : ve Jie : : Cn a ena SAC a Mes . i Sua Ba eg | RENE SES Re ewe □□ a Se pee ea REN . . oot : PON EL he Denne SO eee :
: vs Ce pccia incRe □ 4 . out . Sop eet Weeden fh get Ge : □ □ . eT eS Ee . . . . . o Pe Deb Se Oo SRS + . j : . . : . ‘ whos . PP te tee Rattet Hy □ . . . . . vy wey JOR Bip IP hed Bs . . : So eset oo AB □□
□ . 1 vo eS □□□ 4
. . . . 7 eS re aye 7 Sage □ □ Lo . , ee De Bet Ee. □
Co, wie prec . . □ : : : vo ARP IS oe
. . , . Doe nat Nas : □ .
Lo : Oo Jone TLS gt ell Re .
. pete : : . . □□ □□□ EES aS □□ □ □□□ : j . . / . ‘ . is ARE gh □□ Bae, ce Fo Le □ □ t . 2 th, . . . ME SET SS ae SRE ES 4 . □□□ . . : . eeaeien rh iison ee iar i ag eth ot □□ : i Re SEE SSR REE □□ eae . ee PN cps Sin, SORE Peart Ty te lye □□□ □□ aN EB □□□ □□ □□ □
a □□ □□□□□□□□□□ □□□□□□ RRae ees £m NAS . □□□□ □□□□ oo a era! BP aE oe q . □□ □□ . po canara Fem, EEA See □□ eget aA 3 □□ □□□ sy: Tee Remaster ae 4 ae ? □□□□ □□□ ENE ys aa amish 4 : □□ . mE Nd tre, a . a □□□□□ oy Brn, TE a : : te □□ Sores oe . a 3 Mee □□ Pe ER cite 4 eS □□ Re ES ae x ae □□ B ur □□ oma: AS “Ye ag Os □ ‘3 + . age cthe ng ; a Rey 8 nt i ee Ge ; een ‘3 4 Tae oo . J : . asap acre. a’ 4 rah Bic ae . m J □□ he q . _ ee 4 □□□□□ verte, = ae a! ae □□□□□□□ ac eS ABE ad pare Bie “ ee 28 oy ins ad ss Fae Tee Pee : RGSS + aug St □□ eer 1 se RA oS WR a Me SS apt Peres ce et oe Be aC in Ga ‘ ra St Fens iat ae bof] A SS ane AOC en ea □ acts em seas scat esa aR aR eee □ a Data os APCS Tan 1 CSE □ ca Be Re Oo ere as ee □□ rsca dike CU ay APO: oa a Ma RECN noe eli Oo SR Ree kt. ae Aaa + tle RSS AUT ed PRR ra bors i a sg So RED AERIS fii □□□ a □□□ he oes, Ea ieee ae Rei: □ gee ee a ane ee! ea aes □□□ wee CHR nah ara’ Bea mas Sat As 57 a rite Dia □□ GR a Fede ea fuck a a Cer Pan Pe □□ ae □□ aeae fe Pes ike sean a a a ens a SR aca ee □ ae ae SS oe iene ar ees 1 toa □□ □ a rere ae □ SPS Rass oN an PRR ay Ke 5 te a Breen ooh (er □□ ; ERIE S620 fone wr □□ PERRY. Kae Ca □□ ; Scie ta 2 □□ PREGA. ir om oe oe 7 □□ cede. sae ea □ 7 iy
oan oe □ □□ 5 Hy Pao aes an; □ a a a ts rf a Dy □□ 3 rn cc reais Si a | er: ae a J ay □□ 7 re □ od A □□ a a a ra mouse a ce. Oe ete a □□ □ Be ciel po ae □ roa a ugiaaaell a Bh ae Sennen ne □□ □□ ‘eae mS Fy can Fie Bt ra
* AO i “a i ae 7 ian 7 □□□ (a pe a a ag (visi UU awe. eed ee “af eo? ie Rey |. ay Beene eter; a a ee ee □□ Lou pate ee. id 2 bs ey an iste UT cs wR ae 7 ai eer SS fi ge aes og a te AP
□
□ 7 es aa □ 7 se a a □ □ □ a a □□ _ a eo a er ne coe a a a □□ □□□ □□ 4 rr ca ae □□ □□ ere □ □□□□ □□□□ Fi □□ □□□□□ □□□ □□□□□□□ □□□□ ESAT □□□ □□□□ □□□ : a ENTE □□□□□ □□□□□ PRPC □□□□ □□□□ □□□ □□ ROMANS □□ □□□ □ □□ □□ RPRRE CTS oS □□□□ □□ □ Ree tae ae □□ □□□ caren Sa Ae int □□□ □□ □□ □□□ CST BUNS SURE □□ □□ □□□ □□□□□ 7 Re OL * □□ hte □□ ree Ee enter: GM : □□ a hoe □□ □□ □ asst a ee mae □ eRe an Peer SEPT Se REACT 8 Deere a a eres Eee eee ee : ee | '
(gt? pj re*' | — Yaa DS _ C J 4 gr ' fet (Ko) Copy ORANGE COUNTY JAIL te INMATE MISBEHAVIOR REPORT tr □□□□ A. You have been cited for an act of misconduct as indicated below. You may be confined to your cell pending your hearing. Inmate’s Name: Murphy, Adam Booking Number: 2023-00985 Housing Unit Location:B1-13 □ ; ? Date of Infraction: 07/21/2023 Incident Time: 1944 Incident Location: Moveinent re □□□□□ Violsted: □□□□ _ i A121 Possession of any facility contraband .. no ON ~ A1-22 Conduct disrupts/interferes with facilty . —
Description of, Tncident: On the above date and time I was working my assigned post as Hallway 1 ERT Officer when the □ following did-occur. At 1944 hours, I was directed to escort Inmate Murphy, Adam 2023-00985 to Movement with Officer Pullen #474 and Officer Prelvukaj #138. Inmate Murphy was suspected of possessing facility contraband. Inmate Murphy was placed in a changing booth. I questioned Inmate Murphy if he had any contraband and directed him to turn over 4 ate Murphy was in possession of. Inmate Murphy removed his sock and turned over two small phckages of row sybstance to Officer. Putten, Administrative Sergeant Weed #123 was notified. Inmate Murphy is being issued this misbehavior regOrt for possession of facility contraband: - L C { . { □ □ □ Employee Witnesses:Officer Pullen #474; Officer Prelvuky #138 Ta CC Oy j CO Wh | Cay Other Inmates Involved: N/A A Ose [vy VQ Name: K. Rodriguez #114 Signature: M/E PP Report Date: 07/21/23 Report Time: 2200 A Sergeants Findings: S ANCL Av ol AW hb Q VAS (Bean hersfel □□ f L have reviewed the report and investigated the event. Based on the information provided in the report and the information gained during my investigation, I have determined i ion is wie and ac : □ , 4 : i or eS 4 Notes Nened= Muc phy eared AG Nosh n4 ta tracts and stated an OFFicas Geve Vy re nies. : “27 Sergeant Name: _ ay AW 22d Signature: D3 (nee Report Date: Report Time: 2330
B. Command Review: Review Date: __. dealer Review Time: CUS Name: L. Mcfery : Rank: Cpt Signature: \ * 4
Level: Confinement Pending Hearing: yes{_] nol} 0085 / LalDismissed AL Reson apiseapnatcs □□ 3 x ena wt □□□ Reason: □ he aa eg es | □□ □□ D8 iy i AW Ie □□ □ Hr || : wn Qe □□ eS enn info □□ of _—_ 4 | tspcesaty—_ □ : __ RECORDS ROOMiex □□ . epee etttg genie tt ocagnsthshcnat augay saiiomeaugyt, □□□ □
YY “a roofs “ (HR é) Ol = . G 4 a KM \ li ‘ “4 Cc NT 23-6 □□ ey ORANGE COUNTY JAIL INMATE MISBEHAVIOR REPORT A. You have been cited for an act of misconduct as indicated below. You may be confined to your cell pending your hearing. inmate’s Name: Murphy, Adam Booking Number: 2023-00985 Housing Unit Location:B1-13 Date of Infraction: 07/21/2023 Incident Time: 1954 tncident Location: Movement Rule(s) Violated: Al-21 Possession of any facility contraband .. - A1-22 Conduct disrupts/interferes with facilty .. .
Description of fncident: On the above date and time I was working my assigned post as Hallway 1 ERT Officer. Officer Prelvukaj #138, Officer Pullen #474, and I were attempting to coriduct a strip search of Inmate Murphy after he had just turned over facility contraband. Inmate Murphy was refusing to complete the strip search. Inmate Murphy did not comply with the search after being directed multiple times by Officer Pullen and myself. Inmate Murphy was directed to remove his boxers and bend over when Inmate Murphy grabbed one white package concealed within his boxers. Inmate Murphy attempted to conceal the package within his rectum when Officer Pullen and I attempted to gain control of Inmate Murphy‘s arms and secure the contraband and Inmate Murphy resisted. Officer Pullen and I placed Inmate Murphy on the ground where Inmate Murphy continued to resist and kick his legs. Inmate Murphy was ordered to stop resisting staff's pts to secure him and the contraband Inmate Murphy Stopped resisting only after oleoresin capesicum was deployéd*T retrieved the white package Tnmate Murphy attempted to conceal and it was securedThe strip search was completed yielding no additional fig found at this time. en meseesot at. TaLace wt Employee Witnesses:Officer Pullen #474, Officer Prelvukaj #138 ‘ oe CR TR, OFHULSS Chr Other Inmates Involved: N/A Me \ Employee Name: K. Rodriguez #114 Signature: y- z th ‘Report Date: 07/21/23 Report Time: 2200
Sergeants Findings: I have reviewed the report and investigated the event. Based on the information provi i i ation. gaine i mvestipation, 1 have determined: information is true and accurate as report 4 4. \ “Wot she Waar The Tatloacew Gnd didnt tes Loe Nucgby os torte ‘ ce » +o Get in any Furies trenitole pypak over Seecansa bt Many Woe 4 | a 5 > : wy ws QV = Sergeant Name: “2g □ | JIZE cA Signature: ab LaszeV125 Report Date: sport Time: 2395 Shift Commander Name:_{ NV 0% Sigutue, > B. Command Review: Review Date: 7 2] 23 Review Time: C6 Mcrepo Rank: Cop b__ Signature: | J lan, Level: qq Confinement Pending Hearing: yesL_| not Disraissed at Review - Reason: —— Page sist Incident #: Hearing #: Revised 03/17/17
‘caer JW yt.) CAM 2 Omar Gay” it ~~ , 3 Lee Fy □ “yr Kan : (CO 4 -CV . ORANGE COUNTY JAIL 7 □ . INMATE MISBEHAVIOR REPORT A. You have been cited for an act of misconduct as indicated below. You may be confined to your cell pending your hearing. Inmate’s Name: Murphy, Adam Booking Number: 2023-01134 Housing Unit Location:Delta 3, cb pe Date of Infraction: 07/21/2023 Incident Time: 1948 Incident Location: Delta 3 Celt #26 □□□ □ . Raule(s) Violated: □□ Aji-21 Possession of any facility contraband .. A3-08 Violation of General rules □□□
<7 oo => ' 6 4 ? AS j □□□ eur shy lth Larale Description of Incident: On the above date and time While working my assigned post as the Delta Wing Runner the following did occur, At 1948 hours, I was ordered by Delta Wing Sergeant D. Figueroa #132 to conduct a cell searchin Delta 3-of ce 126 Murphy, Adam #2023-01134-Dyring the cell search\the following items were □□□□□□□□□□□□□□□□□□□□□□ soktsback > □□ ACE, fiple pieces ef cardbOard, protective eyewea (Condoms Orange ear plugs, 7 pairs. non-jail issued tf hip-fleps-bard cover 6S Case, plastic food container with the lid, sharpie marker, highlighter, pencil With metat piece to hold eraser, rubber band, extra mattress, 2 exira green jumpers, 2 extra laundry bags, zip lock bag, 9 large manila envelopes with metal clasps, copy paper, excess issued ck Lend Tes 2 extra blankets, extra hoodie, and an extra pair of shorts. End of report. 7 y a YI: rd FO 8 . fy» vol Even Tay WS TY eat Wis Sven CAL Conlon | Employee Witnesses:Sergeant Figueroa #13 > . f 1 fepactul Co Keon: UP □□ □□□ Other Inmates Involved: raul ESA ( (O § Lyf (- (2 AT Cai LOMERL of , sre VIS Employee Name: J. Castro #518 Signature: eport Date: 07/22/23 Report Time: 1430
Sergeants Findings: [have reviewed the réport and investigated the event. Based on the information provided in the report and the information gained during my investigation, I have determined that the information is tue and accurate as reported. Notes When interviewed Inmate Murphy claimed that he found the items listed above. Inmate Murphy also aa! S Gav acknowledged that he was aware that he was not allowed to have the items. Me (- (O “Hv WAL Gil Coys Sergeant Name: _¢4A\é head o34 Signature: ah <2. toe Rey ort Pate: 07/22/2023 Report Time: 1800 Shift Commander Name: ___b MAG@Me or, ___ Siar Cee} Loe Sere B. Command Review: Review Date: 4 | a4 Review Time: | j 4 Name: Ss. sadeoa,. L Rank, Signature: L= | ee eo Level: L - Confinement Pending Hearing: yes{_]| nof4 [ |Dismissed at Review Reason: Deb wo . Cun Lae fins Hetty □□
Page of Incident #: Hearing #: . Revised 03/17/17
Ps LH “ ps AB, ap WY, ORANGE COUNTY JAIL vO § INMATE MISBEHAVIOR REPORT
A. You have been cited for an act of misconduct as indicated below. You may be confined to your cell pending your hearing. Inmate’s Name: Murphy, Adam Booking Number: 2023-00985 Housing Unit Location:Delta 3 Date of Infraction: 07/21/2023 Ircident Time: 1816 Yocident Location: Echo | Hallway Rule(s) Violated: A1-15 possess/use/intro drugs/alcohol/notprese med .. Al-22 Conduct disrupts/interferes with facilty .. □ A1-21 Possession of any facility contraband .. Description of Incident: On the above date and time while my assigned post as Hallway 3 Officer the following did occur. At 1910 hours I conducted a security check of the Echo 1 hallway. During my security check I lifted the top off CSS ae ite pane up t-shirt. Upon further investigation I found 2 sealed commissary coffee pouches; tutes □□□□□ of a female on white paper, a small amount of plastic and a dime sized unknown green. leafy substance. Upon facility □□ seer Inmate Muphy, Adam 2023-00985 outside Echo 1's door with the folded up t-shirt in his possession and placing it in the same location as the laundry container at 1816 hours. End of report. |
Employee Witnesses:None S) Jedd JOS Other Inmates Involved: c-- A □□□ Employee Name: Mackey 527 Signature: JZ Z Report Date: 07/22/23 Report Time:,0745 ra ly\ L AI O02. WV □□□□ ts Findin at = OF ao ergeants Findings: ! ; sbacd Fénales haw SEX: Lhave reviewed the report and investigated the event. Based on the information provided iirthe report and the information gained during my investigation, I have determined that the information is true and accurate as reported. 29 Hata jdbaepblel fe AAHO LearraSag Z Sergeant Name: CC. Signature: al, EO Repgrt pate: 1}22]1Report Time: ogc Shift Commander Name: ___L-« MORENO ___ Signature: ef LO csc nvm B. Command Review: Review Date: 1 LY i wy Review Time: 24to 2 - □ Name: J. Vi srw, ' Rank; UT Signature: Li 2. ee — . 4 . . . ‘ □ Level: A Confinement Pending Hearing: yes[_] nol [ |Dismissed at Review Reason: Towale aw on Cs Awd wy tcmes ac } } □
Page of Incident #: Hearing #: Revised □□□□□□□□
Lese Are flor Reports jor ead PY TE wis Coorg! Mite FELL oy Thee cer Wik Threaps ide bY GU SAREE while Pur Baadlyys Nee VERS OF Fo-C ged WY ioe SH harrassh [ne Erefaay. Today, F13-/Y ER after Poly
S eBatir \pw □□ UP VYhode SheeS Yor IHR Blie
Ret ne tosbeng te oy ys pss ‘Lune bi Pree
tt Io ) Ke Sf tren test 5 □ = of pores MEDICAL INCIDENT REPORT Nm \C Lo ) ORANGE COUNTY JAIL □ □□ □□ JV ~ {GAS Cl r2i~ 2S RIM □ IIVVOLVEO (LAAT NAME, FIRST, MIDBLE INITIAL) | GOCKINGNUMBER | SE DATE GF BIRT □ Linen, Padi DW | PimaeCremoe [OS | Ol 6 | LOR 2.0 pf, Clam. (J P.M. ) ii OUSUM Lon rh N AYE PROPERTY INVOLVED (IF YES DESCRIBE} WAS PEI ON AUTHORIZED TO BE AT THE LOCATION INMATE [J ves] No _ | ofthe ncioenr? [XJ YES [ }NO . EQUIPMENT INVOLVED, (IF YES DESCRIBE} A TYPE OF SEGREGATION SEGREGATION | +77 ciscipuivaARY L] ADMINISTRATIVE [1] PROTECTIVE CUSTODY [] Paperwork Complete q elves RECEIVED: SPECIAL HOUSING REQUESTED FOR HOSPITAL HOSPITAL RETURN YES NO RETURNING (IF YES DESCRIBE) = { |ves [ | DAMAGED STATS THEDAMAGE: . neg DeeNRG, Clo Acheron | Nasal Doin | fain on daveheed. ‘ves C1No 2o00 42 Wodical | tif NZ, kK WAS INMATE/OETAINEE SEEN BY A PHYSICIAN? wo WHEN WHERE PHYSICIAN NAME a8 : [lyes FANO ae WAS ALD ADMINISTERED? WHEN WHERE BY WHOM (_| Yes‘ i] No : WAS (NMATE/OETAINEE INVOL ED TAKEN TQ A HOSPITAL? WHEN WHERE AY WHOM . [ }yes [YLNO INDICATE Or] DIAGRAM LOCATION OF INJURY Ch (NDICATE TYPE OF INJURY [_] LACERATION [|] HEMATOMA =o pension [ | BURN UK NON APPARENT [| OTHER (SPECIFY) NY
if te ACCIDENT eh [J FATAL . [_] NON-FATAL oN ao Cer a ATT Seay dred, YA) Chae Pan | Asa pain
□ 7 se —— cue TULITG ERSON A AR om □ INURE eepp a TT AA Al RAL J - Note: A COPY OF ALL MEDICAL INCIDENT REPORTS WILL BE PROVIDED TO THE FACILITY SHIFT COMMANDER
fee CANO Shite ash pale BY Obmited To | fea, ORS F □□□□□□
— TO Ileeorcls for (eros
aS oY Ryo: TA Sot They whl fry fe Ta ERT footanp Fem I (bots Yle lead
| Ow ly CRT footesp SLawS Whe ENsessve fore. Kew Tey Qise Veiakd Ay YB | [BSF | Lr) ) Ne Vhe. {Coon odd C fb lee Hf wit Femwurs Stadf MV ses (Pe ( BW see( Py (Shure | I} Nice fo Do ZH ALL
(yee) «|=: ORANGE COUNTY SHERIFE"S OFFICE! | CORRECTIONS DIVISION
AS - REQUEST TO USE THE LAW LIBRARY
| NOTARY PUBLIC request to use the Law Library on:
eh ig A | If yes, type of document: pRINTROLLNAME FS ae 8 oe. |
FR INMATE’S SIGNATURE UNIT OFFICER: © (?.° □ ee
CCDattes Le ‘Time:
[Y-28
ONE 238 ME (HG AE)
oe BYE
ie te ELT es Pr ee fp “THVECEIVE fe TT
A. | D.C: S.DOANA: He EOS my RO 4 1 RECORDS ROOM...’ Oe id 2 BS □□
_. See ON om oS oo □□ 2 Of □ Soom = CO VA = SS -\4 WY oh ey □ SOO yw
MN ge RAR Nee W, VN | Cs OTN □ ) 2 es O Ld : ~ <_<, noo : —oooie C Co &. ay Cg VA 2 y wa aut! = Kd
yor BT eee ree 74 : " Foon ; ‘ ws ;
Ree . i pee coe * > wo, co Pg Heo a . — fous ; : ad Se □ □□□ es oo mr }
“