EFTA00033747.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

fitignariON.020, 
I NAME: 
PEG STRATIONef: 
OBSERVATION STARTED:_  7  -2 qZL 
rt 
OBSERVATION ENDED: ____7 
PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE 
OBSERVATION HAS ENDED. 
ThANK YOU. 
ITEIVIS ALLOWED: 
Regular Clothes 
Safeh.. Toothbrush 
Newspaper/Magazine 
Books isoftcover only) 
Safety Pen and Paper 
Toile( Paper 
; 
_--_Legal Mail 
Other 
SW Blanket & SW Matti ess 
. Observations. 
if nothing is checked with silver marker, only a Suicide 
Smock and Suicide Blanket are allowed. 
UUNI- lUtIN I IAL 
SDNY_00009231 
EFTA00033747


Name of Inmate On Suicide Watch or Psych Observation: e;Paa-ae-
Registration #: 
EATING/SHOWER CHART 
DATE 
BREAKFAST 
LUNCH 
DINNER 
 z 
/9 
8. 
31VAI 
C-
LIQUIDS 
OFFERED 
SHOWER 
RECEIVED 
SHOWER 
Please check the appropriate box if the person on 
Suicide Watch/Psych Observation actually eats his 
meal. Do not check the box if heiust received it, 
but did not eat it. 
Place a check in the "Liquids" box each time the 
person drinks. 
Thank you. 
CONFIDENTIAL 
SDNY_00009232 
EFTA00033748


2* 20/ 
_ 
--&3 -M 
2tsrca/ etae tem 
_ 
 _ 
8_95-40;4 _Thee 
v p 
-
1L &rot  
 
2.2- 7 tee-aro  
e ex a 
Efk51:4-1/4 
_c :conic iberptio.74,0;,F,  gal Ps ys..h. 
 
7-rrty-bbst c‘dc;j)q 
"Cis thrl Cps+ °sm. 72&-irre: 5-tr  
ilpo 
Ep s  c-; 
_th Mel 
to 
-Fgfr 
• ;..N 
Jaz.. nj  
1C? 
A . cif ke 
vep„,.., run E si_ G.- v, is  ci_ste„. 
CO? OO1 rji:::‘ I 
If ce •
'119441 E li. _ERSI".C(A. _ _and 
.0..r.L 1-talk, 4 ,•?3
CI:Fvfn 
5_p tsrit
„1 _ Ci..5 kc- 
ova \-4Q ;2 (?'t ec  - 
t:3-04:0-4s_ttlA 
Cti) O,-A I f:t I CI 141-e_ 
2.464,4:clim Epstg ,A. is lcycrt,5, cc La.ack-e on ka LeA 
VCoopillithic_Ei;ii-li
ciLppic,s---Vo ‘).-:. -6c.?.q:9S-.56_ 
.1_ .L.Cap, ilifl ffp_skin. _Of p ?CC , -6 le Sloeyi:40)
ify,a0.,3,-„1.7-1,Mi . .54,51-atix lappeAckS \co b e cck.eepiiI \
(2LcibIACM.`_11___Ei•fr_al:e_in iS AY-Ahtee akad___btzkihj 
.1,1,3 i-eek 
_1,294a4 
44-1:4111S:( :(0. t 0 
on h[ r A).e..6  
 C_-
woop„ i 
, 
lie -TT; 
ZAP_ 
.(rte 
nstti42,5 
. ._____ 2,.., CiA…

Open in the interactive archive →