EFTA00033926.pdf

Type: pdf
Source set: data-set-8
Extracted text

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I NAME: 
S
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REGISMATIONef: 70-b
OBSERVATION STARTED:_  —7 —2q 
ZL rt 
OBSERVATION ENDED: 
7 
PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE 
OBSERVATION HAS ENDED. 
MANE: YOU. 
1TEIVIS ALLOWED: 
Regular Clothes 
Safety Toothbrush 
Newspaper/Magazine 
_``_Books isoftcover only) 
Safety Pen and Paper 
Toiler Paper 
; 
' 
Other 
SW Bianet & SW Mattress 
Observations. 
U nothing is checked with a 
Smock and Suicide Blanket are allowed. 
silver in:ulcer, only a Suicide 
UUNI- lUtIN I IAL 
SDNY_00009648 
EFTA00033926


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_00009649 
EFTA00033927


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SONY 00009650 
EFTA00033928


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