M•adrin /Ma IMIMI• Sam Melia .•—eenr ass - jaeli f • '14A/ • ; yk 1; ir a a f tat-. • Al;r7: • ep„4 OBSERVATION STARTED: 7/?)19 0 a PA1 PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK 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. .dIf nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. 'Illader'Srelk • -;•41111ramp UUNHULN I IAL r L v e wci a "tel: t Ai. :iv ) • ..- 44,,sewy, Ars k4 SDNY 00009558 EFTA00139365 Name of Inmate On Suicide Watch or Psych Observation: Registration #: 1(03 q-(1)5t/ EATING/SHOWER CHART Erk n DATE BREAKFAST LUNCH L., '" 46 DINNER LIQUID ` ' 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 he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. CONFIDENTIAL SDNY__00009559 EFTA00139366 EStslelh 1&3R-0 54 CM .Timcde (Ohlpeaan -A'r(t/ Ulehed 3'5377-057/ ones tke I-14/ )6)441141 -Pyt -fie, 1/0416 s* 40y a\evae rein 7631$-061{ (8144 Or 6 01 Wit 3cil 61501 alurok Etskil; , 43 :Acuity ably' +e. bray -1-14y lektY ser? 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F-Rart4 kicz.„; 770mi yocivsttf 'cilia° A IN tiyA_ga, toefrm D1214 e,„ sec 40 , 7:00 S-tb-at 11 23° A 3 Q1 f I t't 40% n 23,:reg.-Tfri 5 e n hio &to xIou ; cpste(N tficrt eh:44z e:304 eTtA-eip one 12/ :4:ctSONY 00009563 EFTA00139370 e Pc .4 et r\-: 763 16 - os-y c:ifsA . e ip-) %'-(.4:0 ©4 :12 A efr5.-te-/xt . 4.-:-ci c't.`" ------ __IT, /4 :.,04it X,1 epC/ALe.) SI 41. _01:43L___ fa( :mss /3,7 _,...: t-f ctuba- 4-L.- S -f- R/1 API Ti ir?'-?0 A epc/e241 *at „ 3-61-1 0-4 • • •• ' *•••5 •- • -% • - :.i ,.. . .s-....._- Eii- r c„,... -Y.::1iC-0N-r--k_nrnAe Eea:?.) gjoebiria. 7:tio rt.iiitag1_0: IS ilt.lks.. sVAK 4:5-p ., .... .. . ... AW_kil cv - 2 ka7S\--fic‘Toctca7 `::±t - ..... '- -%d caett+tx,,m44e. 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