You're viewing Docket Item 1 from the case Barnard v. Churchwell et al. View the full docket and case details.

Download this document:




Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 1 of 18

!

U N IT E D ST A T E S D IST R IC T C O U R T

SO U T H E R N D IST R IC T O F FL O R O A

C ase N o.

T h e attach ed h an d -w ritten

docu raen t

h as b een scan n ed an d is

also av ailab le

in th e

SU P P L E M E N T A L

P A P E R F IL E

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 2 of 18

!

.

. (Iuv. 04/2005) Complaint Under The Civil Rights Act. 42 U.S.C. ; 1983

U NITED STATES D ISTRICT C OURT

Southern District of Florida

Case Num ber:

.. .

y.yg-v . . . . . .

j c j j ( jj a ( j
. .

t's z tz / /qf i-..1- .

-r' 0/4-z! b1.-
a 4.J/ ri he..h a .4 J qr
-D A'/ I'Z>IA . q eA cf'ls ft azkA

FILED by

.

i

!
' D.c. ë
1(-,.
jq.
JUN 2 5 2212 .
STEVEN M LARIMORE t
CLERK U à as'r cT. ).
s. o. of fl-é. -MwMI #

.

(Enter above the full name of the plaintiff or plaintiffs in
this action.)

$4, <suov3 J . '

.'.ZSXU.OJ

-

a: pjs,k.kvxi

. . Ir u o o c.

- D

>

fow.x.p >

, <u A k

.

(Enter above the full nam e of the defendant or defendants
in this action.)

'-

A COM PLAINT UNDER TH E CIW L RIGHTS ACT, 42 U.S.C. j 1983

Instructions for Filing:

This packet includes four copies of the complaint form and two copies of the Application to Proceed w ithout
Prepaym ent of Fees and A ffidavit. To start an action you m ust tile an original and one copy of your com plaint for the
court gnd one copy for each defendant you nam e. For exam ple, if you nnm e two defendants, you m ust file the original
and three copies of the complaint (a total of four) with the court. Your should also keep an additional copy of the
com plaint for your ow n records. A 1l copies of the complaint m ust be identical to the orizinal.

Your complaint m ust be legibly handwritten or typewritten. Please do not use pencil to complete these forms.

The plaintiff or plaintiffs m ust sign and swear to the com plaint. If you need additional space to answ er a nuestion. use .ià
additional blank paze.

Your complaint can be brought in this court only if one or m ore of the nam ed defendants is located within this

district. Further, it is necessary for you to file a separate com plaint for each claim that you have unless they are al1
related to the sam e incident or issue.

There is a tiling fee of $250,00 for this complaint to be filed. If you are unable to pay the filing fee and service

(

costs for this action, you may petition the court to proceed in forma pauperis. t / <jv (R'IAI Em-ko $ (rNtq

Ca
CaSO #
Jtldge
M otn lf p

- . (-.
- --'
Mag - Pqx.h .. '....
FOO Rd $ T-V , --
' --

FD- 0O17

Receipt #

Page 1 Of 5

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 3 of 18

Iuv. 04/2005) Complaint Undœ The Civil Rights Act, 42 U.S.C. j 19à3
(

='=

Two blank Applications to Proceed without Prepaym ent of Fees and Ax davit for thk purpose are included in

this packet. Both should be completed and filed with your complaint.

In addition, if the Judge directs the U.S. M arshal to serve the sum m ons and com plaint to teach defendant, the

United States M arshal will require you to pay for the costs of this service.

Y ou will note that you are required to give facts. TH IS COM PLA INT SH OULD N OT CONTA IN LEGAL

ARG U M ENTS OR CITA TION S.

W hen these forms are completed, mnil the original and the copies to the Clerk's Oftice of the United States

District Court, Southern D istrict of Florida, 301 N orth M iam i A venue, M iam i, Florida 33 128-7788.

Previous Lawsuits

A .

Have you begun other lawsuits in state or federal court dealing w ith the sam e facts involved in this
action or otherwise relating to your im prisonm ent?

N o

B.

lf your answer to A is yes, describe each lawsuit in the space below. (If there is more than one lawsuit
describe the additional lawsuits on another piece of paper, using the snme outline.)

Parties to this previolzs law suit

Plaintiffs'.

Delendants:

- - -

Court (if federal court name the district; it- state court, nam e the county):

--

'
.

.

.. -

Case N um ber'.

N am e of Judge to whom case w as assigned'.

-

.

,-. -

Disposition (for example'. W as the case dismissed?; W as it appealed'?; Is it still pending?):

A pproxim ate date of filing law suit: -

A pproxim ate date of disposition:

Page 2 of 5

FD-0017

. .

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 4 of 18

(Rsv, 04/2005) Complaint Under The Civil Right.s Act, 42 U.S.C. 5 1983

.

Place of present confinement;
so -

s,s a z 4 x/

-



l o m o &' A

,

w > x

%..,.4 s ? s o /v

..

!

= a :z

P b ,
' #-

Is there a prisoner grievance procedure in this institution?

Yes (

pz'
)

D id you present the facts relating to your com plaint in the state prisoner grievance procedure?

Yes ( )

No

lf your answ er is YES:

What steps did you take? t

?

W / p't- L cj c

* - '' J

2. W hat was the result?

& oN - 6

.

' Kg ô rJ G -

' N 0-7-

zuv l >'ç)

D .

If your answ er is NO , explain why not:

111.

Parties

(In Item A below, place your name in the first blank and place your present address in the second blank. Do tht
same for additional plaintiffs, if any.)

A.

N am e of plaintiff: '

.

t t) I ( 3 (

Address: 0

C' Vèm D Z

.

* -

'
J I SO I

C

.

!

FK a2I

X'J n .f

J)

.

-

In Item B below , place the f'ull nam e of the defendant in the first blank, his ofticial position in the second blank
and his place of em ploym ent in the third blank. U se Item C for the nam es, positions, and places of em ploym el) '
of any additional defendants.

B .

D efendant

is em p

loyed as W /KM QO

lztlz

L. j. 6 o (.e

.

. .... ... . .

. .

FD-0017

Page 3 of 5

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 5 of 18

(Rev 04/2005) Complaint Under The Civil Right.s Act, 42 U.S.C. j 1983

!

= QQ

Additional Defendants: x-wwu.?x / U . -f
/A Pu o l r

uw,(.,

r

U tx.
,

. .
a

XL bcl G * o X L -

o p

.
.

.

f u A

z

'-

:

.' r'. u. o >.&.

.
-

so / J.

s4 r

ru 4za r. .

Statem ent of Claim

State here as briefly as possible the facts of your case, D escribe how each defendant is involved. Include also
the nam es of other persons involved, dates, arld places.

D o not give any legal argum ents or cite any cases or statutes, If you intend to allege a num ber of related claim s
number and set forth each claim in a separate paragraph. (Use as m uch space as you need. Attach an addition:)
blank page if necessary.)

'

.*

'*

q.xx xkx)
Af

.

4

w-gw r;- , . < w) a- r W + j 4 '&1 g g
.

.

t

,

. vr.w

&-

./' -'

6
e

w wxcp

. < . J rv - ,

.

x.w -

-

w-

'

w . mxxgw .<a# .

' n

- . W ' . ' )

.

A ./s.A

w

.

t è X f

:

.

c -

o

G CQ X A A C'd K k9

ex

w

0/xx.G..

. A - evr ' '

.

.J.Ju

e- ccu z

@

&

y l . & jmj u y

l .

ëx

% o.pw j g g g g x W g '& W A. j py

- ..e

JX 33'1 3 N . QJ

..j

wka?

g.-,.s-/

-itta-rx.'--l-,/

=

@

v '

%

etw .p

.

' -il - t *1- -

Lz vvew/cw
ygj

*

.t, w w-z-z

.4 / I

uj

>

..

a

t.
v tzkpww.47 '

*
..w

.a

.
, .-

* *%

<

teer,td c'A .. :è:g.

t-.-,-.-a
, e .

T e: fo. r

Qj
Nv' .4 x1 F'/- DlD G

.w

...%s-... r- .-.e/d
,.) 'w cxz,v ,.o
..... ..
. ;

*3 .z.4

A'.< m

'

aoG

t

c W '

o

Apzafak/x/ozt

q.y

. jkv ussi

pny

''.

'

N

'

- ' n d rokaatw x
,w z il= ' o ,0das, '-
.mw z.,w nkuu l.
.

.

.

-

2 N ôT e.xaw r.a nnu .

D Xame
.

:veu p

tAz v: ,a . zata-p :

.ptpivwc,.al ...v
ttuxA -

..
' , xk -q-' P ,
,
.- n4 axsxzçl t, ),
y- L
+-&, o-o'wz m p # / : ,ueJ z,ow-u e-,+t,
c / vvy. -x . ) / v
,.z xk r h . y !
1
, . #

, 4

r

.

v, wp r d.i.G

4,vv

'

L 7 .x'< - ># u u vp I

p J,v .+<-

r

w

o'

.

#
x ;.4,<
b%
t:1<
W ow' .
X ,tA,

FD-O017

Page 4 of 5

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 6 of 18

(Rev, 04/2005) C-omplaint Under The Civil Rights Act, 42 U.S.C. 5 1943

= a =

Relief

State briefly exactly w hat you want the court to do so for you. M ake no legal argum ents. Cite no cases or
statutes.

.

.- N AAJ

'

,. -t wv ..vXJ n4v, a

6 c

xw #

. .
/ ixz

*

e

2 V l &
if
- c- u

ô o o

>.

%.

o

.

-* waw az e

.

m am p .

'

' !

-

..

signed this .Q.J

*'

day of

a
, 20 /

.

I declare under penalty of perjury that the foregoing is true and correct. Executed on

'

,2- p &. () , ->

(Signature of plaintiff or plaintiffs)

FD-0017

Page 5 of 5

(Slgnature of plaintiftl

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 7 of 18

!

' h

fx g x y.q,-t4.)-

oào

y

r

T..rxr

j

#--

rc

rtg.w ...,.,-'27 /txo'7- 461 .- oo3

<u

r zw-avzl t.u l > o7- +( a - o oa

r-' ( t O @ V - + ( 3 - @ Z-4

r wz,uax,o th..r t oo-l- +t :J - o z.t

/t$-

C

E

U owvxwvww f o p

-( -. utv ; - # c t/.

'

G x ar

l oo-l- q$ y - (;+

l 6LA - t .0 - o! ,-:sT. - / wa l

I

o

=

>:

j...j 1
. 1

x x z x x e o x

x .e sl si s, tn e! ': ,: rn

N %K YY O IMO '

I
$
1 % < U 1
1 > - O î
k- n O * )
x:
z z .< , r4 > ,
x Fd o
.g s, l
q x
x x e: r4 > g g sl a >sj l k Fya sx ko 1
w j l b:m Lt x 0. . r4 j o r; t; tj j , j
m
,4 oz s,
x
m
t, x e! cn j: c) >: t:
,
-
o ee
z x (n tt .4 y e, x a s4 > z x 1 o
w ,
,
G7 % U2 ts 'Ho x r I kx x.a oz m.q ?. o.t tn. >1. l ' , 00 no Oh .
x sl F/ u ' >1 t3 '
o o y > x tt
%
o > o , .. x l
u z sa o el
x .t t< x: x Lt .5 i
tt z Fd > .! :4 C> U F z .t l .. 8/ '
'B
z l
O
<
. l qg ej 'j :1 ; , , .yy .
x 7 Oz >
ro
x
sx
x
ro x (a
sl n p . a o o q: o zz j (a ,
x: x x >
. j ' ,
,o
o
.
. m ea > z
cj v) >< sa î e,
sj
x x o x (n x: t3 Z ) Q tax v o m 1 .>
x s, î z
x .a x to > x td
1
s! ro p x sj t; L; Ft j o m $ j
ee x oo x e: .4 bx o tn
z o e1 x
.4 m -
z sa
.! (n > ca ) x Q x >: o ej r7 Ho F/ x) j Fd.a ' .
. x ra t: = j xsj x y o j x (n
x rj aj
FA a ztt ro m
o o .. x j
..
,x td .! ,4-- n tt U1
pa t, F=
8, o x x 51 Lt m
sl
z
o cc k) > > !) m C) >: >
x x u .! o ea 84 4
z sx > t3 eo y
o
x1 t,
sa F= tz z z tt > >
%
o
C o >: Fd > o (7 tt
e4 4 I Fdo F= Z 1 > LH O > r: .M
(a
c) z
s 'o e! z eq v
rn x o
x qj
. e4
a . r, x o m x sj ra 4
r' z 4 u .q x o z x a o
x sj eo x
. w j4

x a sl e. x) o o
x bl

a o x . tt s: 4 -

co x (s o c h1 . ql FH

e, ko o m

s! x x u >

z y< u s,

*

t1

'M Fd >: FH *

Fd

rn

Z >

s. j yj g;

y u x x e!

ra j 'lo o '; 1 j Cg * yO / O.e X: %< / >-
Hx ''z t, Yx G 'd 'J 0* V 4 l
l >1 rn
o r, . .. j r,,x ..
o o x o tt y'd ..<
x x k t; ts > z ru
o
>
a j ox x k 1 . z ej ' x *a. '., .
x .' . .
<
'-i u = tn y sj u, x: o c) to
x - x .a p o o o
o o x > 13 7: rn o z
x .! ', x'
i, x .a o
.g a ,0 j Ou u 4,
s . s: a
s, x x ez o 4 > > a a ,.: o >
x x o y x *4 o . > a .e .
t:s ua . 4 ..a tl:o - . x -
ea
),
x: .>
11 -

o
x o ', sa
x .o g, ..a
>
a:
x

'<
e
o
41

t4 ee
x

-
o

tn

'
''

- .

t
j

1
î

,

,

,

tx: a

j.a
z

j

*
cc

x

'x

i
, Fe x

x Hd .4 : '<

,4 F< - o o z > b4
ro s! o

x z , j

z .. I t:g o e!
< o I x t3

> j-râ o
p tt 't x 't j q
e..o e.yI.4--..- o >.-z..-.-j
I o (n o
, z e! l
qr < g: 't x
$
1 o Fa $
3
',z Fj bg , ca k ra $
'e
qj x ',
m
sj
tzx y x o .cr 'qsx I j t3ej sj >: ' , ua z xs zo l
)x: t,q x g , - z ea ,
. ea
t' x tt , x (n .! C1
qo o
x
,
l '-3 a
ku
w o u, '-: '-q g s! , o s! Fw ,
o o v x z
m x x .a > ' j O , m FH x r:
sj ej o
)
qa T X(x Fvo o Fw 1 o ' c: t4 Z ' , - i= 1 s:
'U
j,
, z ox z eg >sa ra g sx . . i j j j sa i , o .j x xsj zo xsj
Y
o x: s4 e4
a .: F= x i.q , y , x hx x t x t, z a
b;u . :n o > rn
Q ua ea z o ..3 tt , ; o t sx x x m >sa
, 1 s4 o ', > Fg Uzea , F 1 < ', tm 'j j s!
, >m .a u :4 '< -
o
1
, x > s! x
r. z
, o oa z cc x , ut j 1 x
,
sj
tl : l z oo o.
, z 'j - '< . e! 'g a , , yg o ' ,
, x .rJ o x '< ?
$ tm o .a1 o o o '
ts x '-1 j
, .< Hx x j
x gaoz IHU , z m a
';s x x
'
- s x x
.
,
o ej t7 < sj sj ' l y tt j , , rnsa >sx .- zra l
, 'a
j.x
o
, z > a
< ru o
j e,
x j tt t:s , o ta ' j sa x txj
, o eo
1
, tr >
l
$ .6 '.! (n .1 ee tn
tn e tn x '<
I r FA t:m > ' .
î e! '.1 Lx1 (n tt O tl tr
l (7
tx cl l.4 x
1 o > '.!
< .a tzl 8.4
$ s: <
I
o
, ea tzl cn 4 tn
j n r3 , z o I
: s4 s! ù x x > o
, '.1 tzl
La1 rn tt >'
' x a 8, (n o F-! (7
'-ë
o tz:
,
tw '.! tt
l Gl rd
a ee z
, tzl t,l z g y t:x o j . . > , o o o. o o
'
Z
M
U
o b, > Fg Irn ' , 'Oys I j
>s
,.a
, F-!
x)
o t,l gs t,
x
, y x r: y otz: x î.a , o
'
Fv
j u x FA<
z 1 ts .M cc m tj ' , Z ' $
,
o o x
I o
,
, ,x
$ ,.a x F-I x:
ee x j >
x m tzl
,
,
o e4 z > H trl Z !
I +4 x o '< 14 '-5 > C)
'
o o
, p.l
$ x: p
x
' > '.! x z (a
Fd z
..
.e 1-5 x co tzl '-1 (7 'B
'
'
$ i-l z trl tzj
'
o o
l :r1
ba > x x
o
'
,
U *4 % &
l
' o o o z (n 'r1 1-1 Fd
x
t,j l .
. y x y .a. tm. '. ro ' , g , ,
x y o
'
(n
u > 'x t:n
9 trl u
,
I o s! .-1 ca (7 i-l
'
- o.- ba l .....-
. x z- ts-- o tn-, c tnrx
>
,
' .
' N tw' 'N '-'rn x: <'sI
, t:l '-)
= =' )) ' .x.
.4
t
, sd x œ: = ,-3 h'x -'t
.
x .4 x
..a >.., tzl Y t; L''st ' , x ' . o. Hd.e '<: Ufs
' %z'a 'u'z '-'- 1.4 -(a z
! Z,.x
'-e4 etz: o -
l
'
I
uj
I ux/yM y , x t
N <
XM >
t xm> . *
- !
u o O H
l
d
l
'
' I O;c m. ,.a e,,.x x-
a t x , ', ' s! > j
'
a (,)- m X .
,
x =rn %&'t< ' . .
' k '< *.! 'b$ -'z -(n -'o ' t:l ' ,
'
a x co w
x '.a o x x
$ C) o
I
'
!
I trl cc :4 FH U 8-1
t'q
'
Lt ?
Lr1
I
,
'
j
x: ? G3
, k i-x s
,
l
I U > =
1
l
> '
1

I
, x
' , m
' o
! .<

Y m z x
U
(''
.a

'
j
'
'
' ,
1
I

' m
I C)

'
I t:b

td Le 'N

x
. z

j
!.

''!
x

'-
trl

<
=

x
.x

rs

t'J

m

.0

,

.
,

Fd

.

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 8 of 18

O
tn
&

M
Q O
7: X

U
$7 >
te Z U
C) C1 $1
t7
sx y
*> C1 :C

1 r /
Z o
Z4O
> >Y R
to C7
A1 X
% >1
O r7
AJ H
H FH
Z

H U >
- > Z
M H %
*>j
C3
8-: CD H
G1 tn Fd
. . ''<. (7
M > Z
o e

N .

c

&
OA
N >
t-. J
F'J
N
h.J
C.l
F.w

>

%

mV
%.
@

G

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 9 of 18

!

xv
.'
w.
: ?. ,<
h
j..' . . . . .... r
lvx.w-k-.. .. -.( -a.w .s N-mar-. ' :w =w4 - --.#- -- . . -.. -. - -- --- . -. . . . - .- '--
:
.

'N
-. s ..'
.r j rn b, x )
j ( t
,
i, . , !. J. t ) ( ''t 1 k.a= l 1 -k ) 1 'k 'u 1 k

.j ,' > . : ..'. . (( . $

.
. 1 . 'k .
. j

: .? I -k . w.c t

.a c (.

j

.

i
1. . - --

,

'
'
'

X '

!
it
- .
'

i

,

- --

*1

.

.

.

,

ocxô

-.(; .

&' t 1, -

# 4 jcs,

b 1..4. te 'k vo ptëc

:,, ?.), L.o :-.-vu b-smnll.ècbfïq-sa.bjpe/k f#z,' /
,- -

.
.4- oog g yx #s t ; .p. . ) /go

ifxa'rlr ''F/kC . .* #.!'3Ae.k3 - . .-

A.$ k4'. #*1ûhe,.&, .+qG .1VéC1#(;#3rAeA/..V' C C-OX
Yb + t.5qIid-or..:&''e. LAlik
1 jt4b'lvî.IJY*> . û -.
.+:.4-vk-ol* J.oo-o2' 3.-lA/.'nsse 6s( tlrl cvr-c' 1.5 4, ckn--œ fi.o,vAltzur,
k supp,o.4.a..
'Aet..c gkone, o,r ,azq- oiher u ircutesx devioe ,, +/)e--.:-#k-.7k* .-1 . >
rJ.
ukï,!- .$ houji' bz .R.e.vxlrue.d rkvv't mem oved mvonx Afapelqqrt-la iom o *.r .
t:ko Keskovca ToeTetq'l'e- W... --190 Kcb,(s ,:qJ#4 + ;= e- Iez-k-l/ ifx/). ?n<'b-M !. îre,o
nqpk tlao': l+-ck#teâ 4:/).e. 4htto u/tr.q .',
t .) 8+ #kae .0u.1, xert'g ip-jm-ltoxklA w'-dql house4 k e,. é1, a. IA cxtrxn/nn-o/odr,
bcwm i+ov.qly f-n b,t,tin k -.A t-rfo/cLowwe-r ..5g/2- Ltjz'.c-e-$s azlzauzztzatfz-g :3l
'
tW tàctd Jfkl - o . yk-o f.l o
-/a .cootolned tv-- t -k- vk. lro-pcs--tetfo -.e-
ïiel.e. p'hezze. ',-'.. w tlh 1% +h e. ri-t P tj-owe- Ckqse ) i' #o.q.4tt<,é.- w k4lv .qi B..ct4.E)k f: p'o
i
l lkrtu --u#- -At pzkvu r,. - -.tb-c., v-hrzssu-t-, oj-x .( a . : ,
,, q, .os tu ow .xpcx ' To.. -.?ptc u u op
1 .
. ''Tk etrhe.: ;..xoaar/,e..y).-5, 47)/:. - t3 gtht-ls.4ucu..z# y., Jkjarrnx. pn-) ,.35 a :. 3: 8r,7 ?
!
j,jjjfj;:t,t.' .,. c.!ii,.. ljp:...jjj jj:.2.
( c-,.kc, -4. o.t)-t
l
1
q ccca - raoc-ez; l b te- 1.,0, .c g j wov #aa ra-tvty /co,,- zokepo .'euc-t-t y.lzeorwtf,c.,s -.k . t+
t skl. ##' 1/ C..I'..K.GY. ) i
! Q.') -/Y 5u,fya+' jau.,t) y ctrq , tazucto, 4) jcca:lr c4.+ +h4. 4-:,..0.0. . & j.. + ..t-tn. , j $.,% a:lg -.7,.,a :4 iyfy'
- .f .z: b .uez .y; o .o ) ..g atc/. '-zcv-t' .(.tutla-) . 4, q-jeyo ta t: .c,
-1- Sae cu e
. , ,.
kzuqs. t o D.,/7 ;ç lvct okd' .e j (+ 'ts ) f .
. ! f
pt ei 5 k.d., - rt'./h k- kaj'l j.,j-h ï'' oyo 1.1 .0IY4. b iurtcrs c o orj.- wl.rg-y .c..e t ( u-ta y. 4.o tc jw ; y,gzpye.
''l'o mù+ ; vA 4
l
'.3- ..h. >.. jta-cc.p av zvu, - lç a ...cAl t lt:c ïroe. Yhr ctay >, sqjcl. pp-j-ftxl q v-,+ t! .te otota. ,p-
j x:r . .
L c(>. 1 /4.-.6. ' .L.0. ,,k. vs. . . œ - - ,- - ay. '--? -t) .*.-% p (.'t l (-7 .?, Izo- /0 (' 91.' .%. ' .4' 3.3 ?w-.. 1 - 7 k.()lt. :' '' nt'/nc.. '' '. A/'C , (-.' ,'.3,11. , '$It
j
l ' -' t t ) os. ' 0.rt.- '#. . -h. ' e . . c<? .1' t j..t )co--.-.. -,
t . . k - -. q j
) / ' 'h- u ; . ' '
: .i t). . J-') ' o.tu . b-l.-r- a.'x?- .-E.4 --t-) tt')..y-1t :, o #.. ... . .,- ('y .s
$
!

y . . . j . .. $ .
a, tt- j-rh h' c,9,a.z-- î t,.j j' ue-a' +. --,-. z-z-o-5 t4..y u..), '-cu'-:.- k -td'.' :.,/.4 d. e ,f:T . '--'
;.

' ji; .
.) L<.q .ë emcuz .+ixa., i- qooitc tt toaodu -w.,l. s 4.0t ytoct 1,x /t(:ïr q 4r/'

.s?-îv xj'tj ..)k , f- ('t y -k.kcle-$., .. (4.po., ap) c u4l jv,
j

. .
, éh' e. -4 () s?-?. ..y?o od v- , t '

J ; 4

è ttu' ta -z l-e (-zp, l4oo,e,.''
.

j , . , v . ,. y, .y , ., ,y, ' t. oy ry ,j- y yj ,(y y

, jj , .., .yyjajj j, s, u ..,. . ), s .+y .. js. . j u. y... .

. .. ..

, .8g

l'. gy..,,yj .

.
j,b.

y ;
.

.. . y-,;u .j..

,

-- 1

.-. .

. ..w- -

-

.- -.. ..

.,../'

.

'

C i

.

'

.

-

.

j

''.

. . .

.

# '-

. .

-

.
,

.' t,j

'

k -

.

-

-.?

.

.j. .

;

,

.

e'

.

.

,.

.

-

.

.

.

,
.

, y .
u

-

/ / , .

'

o js, y.. y s.j u, j
y
c j , y y
.

j v j o

.

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 10 of 18

!

D'.
'. .
/,-1
!
f
v prxx
;1 ;.:.;i. tz- -'s . ,.. r y/
u ' ;j, v'Q. / . .v) .) c.x ( , . qxss.x k.ajy jy jj
- --.- ,., .I- ..jt- h/'#- 4 t ç. -..-dt.. l -.-. .. T
. . /
t
1
z;l

. x.. v.x . s---,

'1: v( j.
. ; ., y . r . . -v

. jq

...r o ( . . )
. v

ysjy..... ..

'rt' -I ...a ,

' # ,4 * , k/ r c. cj.
(y j (-.A. ;. y ) c g r .

jl)v

. u

'

y

.

!

y j

t - c-

, 1f-j. . , c.l -.j . - 5;,/e-4 j ;). $ ,y. jr . -6 sg, ,. . : . t F rv- .. ..rj fy ; z . -), . û' . q .-,.>
l.y ï. . .
, .,
-'
l
..J % Vs 4-. .
v . ).., . % . *> ( x j :J
. ,2 .. . xi:<p, x z

, J . ' 1. r'' run (*N ',t .o. U/U ).: !.. . , j' t/'), k.

1. Atw . l

. $-**--

. r ..,-

u. - .'.

7 w '

,,

...

,.

,

,

12 -i. C'..,'- 1
'

,.,-'' '

!;' 1' st'

<&. '

-:

. (7 - 4, ) 'r .' ' . tk ' j' C.. k-n '
;,.. , ,.,44, . ....,: jjr ,. , . j? .z ,0
( vt.o
)
. .w zp.#a

, , rt . u

)

. c.

wa . . , j
%
o wzk. .x. . ,,.-) ( ;bj y, a, . . ? j y . ., ....r-
' k..:.. . . . tk., s. y .2
.
.; ..
.
. ; :w. .. ..; , ? ., .4:4j.
I ( .#. 'r j l : ?' /,.t.
( - $ > .( , , 3,J ... .e

0 f Ni

. ?-n.x .zv
' ! / ....*

'$

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 11 of 18

,- ,,3, ,4 1; ,$$-- j;-
1, . . . t.- -. ,q
Vx

j

*
*
'
'

%

'

.-, ....L. . -s, !(,':
..-,,-----,.--29f
. ir 11/1''
.. li L

,.-..;j. .m

.

,.
.
'

. j
t
%. u tloo $ ,' z

, g.

!

3

vJrr
. t

p'A .'x .
,...J)/ ),

(j Q.. %-
k-x
,fY :.J> ' .
5t r -p ...t4

.v:

.

-
y, . j - , jky,. --.,.
-

.&'' . '
-4 . -'b. ,? ' -- . 14- ,,sr), ---h@hu-- i..

W).
- ,, ?- ,. -ç:-..,-- 4:y.,- ..,- !k. ,j .: jsk-
'tik.n-.
- -a?. -'
'X
j s..- - k
( f. x j j!. ,(. c.m;
'.-b'''-i y' ! Vu-.- k- k é. h......j. .-'s ''rw''- (

'

'

..

'

'

.-x .,.k+.t
w t i '

)'' t r (..7
-*%b
----,1 -.-.
- .,
, j'/ yà . ' .j' , (,
- j . . xj p . ,r
J wse
! I %-. @

-%.

',
ta ') '''-# 'bf- .y''' ' j''- -7 ,f-k -..t - (-...) .-j
. w..,.z f... , u . a. $ .. =. L .

jj

1.....,,-/ (
C-o,-. k -..u'' /g' r
)e. /
,'
v
' $r...-'!
..-#4-'' ,-
-

- % r'''---'
4 . ) x.. j ,! -
?à ! ,/---'hk .' ,,' ,
..!

'

....w. . u. 'x my ) s . .) ,r x y. .. ,,jj

. )
. I..J g / ,' ?' ) / k.
,.'N,.
' qi'-- ..). -- .6.-
'tr-.. ,r:-'k...-..
-
.

-/t , , t kz/.
: ....
f
' ' '
'(''''
y
.
'L .,,,,.. t,r, -. j' . (.-.2----- . -y ,t. ,,--.
....4K x...av , j
-.-.

.y.
:. ' ..#..e. -. , -

v ..:x œ i v.w

.

;t j$, -.-.jj.- . /ëty' ..i -. - '- t'-- i '

..- .., kN...-m

!r

. y , , .. ..j

-
.) ,17 k' .

.

.- '

. 1

*14----1 ?-Nl q<

- *-

-1: 'i''t ''

.

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 12 of 18

1

' ,. . ;.. . ...kjr.. ...9. ' ---'.'
? ' .
li,

.rj.)- ). 1(441k.

'',, !, 'k..
. ;
.

BARNAR W GARY

''--i-svAT:

191636 1007-463-003

NUMBER --ùRlfk>NcE uoo NuvlssR

DADE C 1.

CURRENT INMATE Locv loN -

F22181-

HouslNc uocAhl :.: C-'

PART B - RESPONSE

Inm ate Barnard, you are currently out of time fram e to appeal your disciplinary report
f
rom your disciplinary hearing.
Based on the foregoing your grievance has been DENIED.

. Be advised ,:)u only ha'/e 15 é

You m ay appeal and obtain fudher adm inistrative review of your com plaint by acquiring F
form and forwarding it

with aII attachm ents to the Office of the Inm ate G rievance Adm inistrator

Tallahassee, FL, 32399-2500. If you do appeal, take the form and attachments to the m ailroom for receipti

orm DC J .303, comp'eting tqe
, 26C,,1 Blair Stoae Ro: (',

ng

i

I
l
t

i
I .

SIGNATURE AND TYPED OR PRINTED NAME

OF EMPLOYEE RESPONDING

t u
L >N>
SIGNAIURE OF WARDEN ASST
SECRETARY'S REPRESEIITATIVE

w, m

<

. WARDEN OR

,

) - J '-u
DATE

--'-''

COPY DISTRIBUTION -INSTITUTION / FACILITY
(2 Copies) lnmate
(1 Copy) Inmate's File
(1 Copy) Retained by Official Responding

COPY DISTRIBUTION - CENTRAL OFFICE

(1 Copy) lnmate
(1 Copy) lnmate's Fise - înst./Facility
(1 Copy) C.O. Inmate File
(1 Copy) Retained by Official Responding

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 13 of 18

!

Relzetveu

z

..

, . .akssl .' ' rdtz/f & t. .gh/ef:.

., ' ' ' )h . .. x . ,

.

' ------x -.
t t ' x.j . t.-
t. v '/. .a.A -.-.t! .-.

-. t . -; ..j- t(.Jl!. -).., 9. ''(l..)f;' .kjyi-s l'( -! -) 1 '1j'
-... ;, . x,az v. -. - u

.

1 ( ' tjtjuty

t'Jofrectional Insrdl-utic j

IE r e

-t r ' ik' .-.;
... z: k . -

-t.... <.5 . u

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 14 of 18

!

PART B -RESPONSE

6

BARNAME?, QARY

INMATE

191936
NUMBER

1007-463-026
oRtcvAlkcE uoG NUMBER

DADE C .d.

CURRENT INMAIE uocv los - - Hotyslsc, uocA i è 7-

F2218L

Inmate Barnard, you are currently out of tim e frame to appeal your disciplin
from your disciplinary hearing.
Based on the foregoing your grievance has been DENIED

'

ary repod. Be advised ',,ou only haï/e 15 .:'ê:ys

You may appeal and obtain further adm inistrati
form and forwarding it with aII attachm ents to the Offi
Tallahassee, FL$ 32399-2500. lf you do appeal, take the form and attachm ents to the m ail

ve review of your com plaint by acquiring Form DCC .303, completinç t
, 2(:! '; ! Blair Stc.ne R,'

ce of the lnm ate G rievance Administrator

room for receipting

.

SIGNATURE AND TYPEi OR iRINTED NAME
OF EMPLOYEE RESPONDING

.

V GX ' WVG ' W '
i

SIGNATURE OF W
SECRFTARY'S REPRES

,

ARDE ON ASST. WARDEN. OR

ENTATIVE

X'1 **- iâ ''l i

D/7E

(
j

COPY DISTRIBUTION -INSTITUTION / FACILITY
(2 Copies) lnmate
(1 Copy) lnmate's File
(1 Copy) Retained by Official Responding

COIDY DISTRIBUTION - CENTRAL OFFICF

(1 Copy) (nrnate
(1 Copy) Inmate's File - lnst./Facility
(1 Copy) C.O. lnmate File
(1 Copy) Retained by Official Responding

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 15 of 18

>.=.vw% > r.-

y.u-

o, .n . . m v.r ,..x r = vw v. , -x .-s s . w ,
.7) t .-k i at, t.z t5 r t.xt.: l t. l k .k ..A.

g C & j jt ry-l X# 'L )71 jN r j'N & F ( '- 1 j j I () j ..( j 4 3 ).h VX j (lj yxyj $X

u x . - 1 . x.- - '....x

A ..

x

L

'

u ' - ' e

2'2 . . ..& .
'V
'd

t

-

1
j
4 .
- j.$=q ...e=.t- . . -.yg .
'
. .
X . -

<! , , 'î, ,-
pj.'
v
)' hk 43
,, .x
j.'*). ,.k
*-.
. z. --
'S
l .
.' N'<w.w.
:.E
') '-r'zn .

-

.

ev

I

-.-

.'. .f I i ca l
,, et
'.'v'1 e 11 lEa 1 I-l ealth

jgt u j j 'juj jy y y .y ju s y. ..
1

.

-- -

. ,

g? , -y .
) J) s t 1 (u 1r I () IR : wsj 3 f'Nk'j .v?' . q t. u' % .w., '
. .

. ..q4,

e Y

x . ' '

.

' ( ï ''- 11 t:t t! l(. :3, 1) e)

R E SP O N SE

t',l x':k 'T '.Us

' R E (-7 E ' 5v/- E D ' th 't 9 0 f'ï t:s +7 r.: * r !

. , Axs? tp. , v.,r ,., . ?,,. ,,. , ) ç i -. ...

a.

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 16 of 18

STATE OF FLOW DA

'

DEPARTM FwNTA FC.EIQREOTION: -.-.-

t<Q>'C tdru- --- -
j)' k kez ) ( /.o rcj mk c. ; jney.y osox
' 'k
s.u q'o $ . . k ,vs 4 $ . ... ws ë . 6..., x.h ç ) I sv,, w .

RE UEST FO R A DM U IST TW E REM EDY O R APP M z

(

7>0*(DzW arden

*
'
'

Eql

Assis ant arden

.

11:7' 1E-4:2h 1(-1r1: *

.

' ' %' , . . ? '/' '' .

r .

. . ..

..

ast

First

> .. -' '
#
r

iddle itial

s

. /

.Itlt- 1 t5 2g1,4
IZ Secre ary, Flori a Department of Cprrections
. .zr . e .., wg g , j . j u
'
.'16--' 'F -' * --T ''
. ) ;

. .y
. l
' îhb : ' ' ' ' . '-*4 t''- ' >
l ..

t''-''w . . jIz' <
'v .LX r y e.f'''h j j f*' Cj Cj I j rj slz '; 5. , j j' cj j..

oude

*
.

! '

7

u btjr

sti tion

P

- I ate Gn'evance

*

.,

r.

,

3

eq

:
9

,

jj

)- ..

y. ' ( - . ,

j;' .,,,
z. .
,1 @

J
.j
42 . .p. >'h' t . r?'.. .

l
.!
. .
j
., j ..' . :.
I
y' G' t'e..x - , , . ' ' '! <j. , w j
4 . 1 '
;:'. !à, ' . i:. t's. . ., jlj tj, :. r?'?b'jj ./à.. .:vaj!' j:. tt.. . , jy f.., % lj ( s...... . - . .,... . u ..jib. . (7$, - . /., t . . ..,.43% ,//' .1t, . ;t. .;qj .j , j(. , .. : . :;) biL. ...,e,#. v:ji l.j jt'.. ,,, ,? .. . .s ; ze g..r ,,. . r:.. . . ... . .q,r. .p. . j(g. . ... . .. j
,
j'
r .C : J - - . u', : ,81 ,.: t j
,, f u. -,t .. ?, ,. . . z ,
;.
j ) q k v; .- ( v. y ,.s.<, j j z.e z . r..g j, ( .z.,,.+. g j .s , j
.
y
.w;.,u '. l . - ) x . , /.. .. ,....... ' .. ,) t N. w.... . $. . z ,

.
/ .w. .
p J' , 6. ) .r zG . *e NXVR ' 25 yek j j . 4 rN Wt j. , 'Nj . .

)f ' . : Q '
#' sè . .w''y . .xe::..,.., , .,. - ..
,.f , j ; .

41 . n .. . . .. .. .ïv.t
. . .

.;' t' . . 'r <'.'/' '' t ' '''' . . ''Aj. . .

! . .
.J, . ..<k ! . v:a
? '? k f' 1 $ w
,.,' ,, > .; z.' v.: '
..
'lv.o; t...e . sU, - . - *'L. x ,...)
';
t , . j . t : o >-., .; 'x, . .' ) '.''. . f'- r-
.,t ,. 'ï ,. 'ç- ,;:..%... '
i
.
.
; .
r .
' .> . -.#/t*' . . . s .>& s. . ewlj aek . <' 4k/ k. 1 .,r', . .

. '
.
..-..r . ; ., .... . . s.:' -.>. ' , h r'
' : 't-e'w...
r - ..7 j J .'... . .. -. ,t. ?k ('
...j ... . . . .,. wxr..t x, vz .y., .., $, ! ) :. j , w 4, .-., ) j' , .. , ,. ..r.-. ' .- , .. jvy... r-ay-x.-rj .y.1..' i( wg .s... . ù yo. j j. . , , y ..,, , j,
/ p ' l
,
'
9.
f

,
'
e) r ..,.- ,-..- ..'s, . aa-..k .% ..? ...x . . ..,.' . s. .v... -... )' i.4 .. ' , -x. ; ., 4..-.
.. 1 ' zi '.' , '. ; . R'- '. t .-- - . . z 41 . 'w. . -'. , . . 't t .,- ( r ;. . g , j s

' ' j
. .. .. -..t--..' .,/ ,/ 1. . r , ''$ . k#-''- . . ' t '-. . -. , , j?z -;, 4.- > ,:. kk:;p jt , ---1r-'- , lr----f.' , , . .
.
., , ;i jr !t
? u.
. ' . .
.
.# s .+ , q
. nrs ;-'. I
,. '%, .u .-..r- , r -.
. m ' . 1 ù r ' .
s;
.
5
jy ?/ jk . j,..y ,.y
r
;.m
: . ,
.., : . .,. .t: .'. .. !

.
..
.k
y
... .y. n ,. x. . . ,... /,. z .t w. y. . .. .v% ? ;,... .s. ' .r . , ,
-r. t, . ,. 'r''
. .,.z . . .?' /. .., , . .w, t.p ,. .v' .
l >-;. . A... 1
w ?... ..0- <- ! ,

'
.
> *
,
)
zl
. 1 . : ?# '( Ig

k 62/*%j . J; .1 ,b. ..e' ) .,:: v. .u
.- .) . . œl. c . : ) , . 7 .

, kr?., , ,,.. ,. . ,. , i. jk kr,,j.j, ,
.;,.

. ,:,, ô,. jj ,! ?. ....; h - ? t. ?:-.-.
;

jr,
$
. .1 , i .. a.j ... ,.mr. . ,,x vj x .. . , ..... ..j . z.?, . , . . ,
. ,
ç ..r.. s , ,, suv..j sy 4 y j. a.s ,y y j j y g j y
:
.u .
. j .,, ,.u. . .. . .w.,.w .. w
''
p
' ' ' .
. J . . +'

K. ) **7 . . l . . . - ç. v

.!.A.
.....k ) o J t- p. ; z !. . zx

.
.
' , ' erç ! I /% .'a l

, ,'' c. . $ f . / - a v. , b

'v't
b
',, ,

< . :h . , - . . . ,..

( ,. . ;
* h
'
,a.. .

) ,. . .
. ..

..s,...- .
..

.p% x..,i .'

j jk

!
y ye
.

;
A .
j j

r L . xjt

.,..1. . .

'. ... .

r7

r
;

.
'

...

!
%

.

:

k, ,

;'

%

œ

(;

, .

.

,

'

$

.

.
.'

<

:

.

. .

.

,

'

.

.

. ! t . ..

'''-

,.
.t ./ . - . .,
. .

,
'
q

..y
t

.

e jl

..

'
j j

.$.
.

'

.. '. .

q
;
. .

. .
:*
p :
.

.
t
..w:k - . .. .u ''-%. 4 ,.. . .t,,.o c-.,p .z-'ts -.

,... .

e-

.
.
. ...xt----. krqà . 4<k , , . . j .. . j ( , :.4 . . . j. j. .
.. . x .. .. ,
1.
q, . :

N
'
. 'f
' ' r'
' -;kqu: r'' l,- ,-' .- 'x: ( Sk' ', r 8. . . . ig gb' Ir :2 h .. . . ... f'k

e , . f lk . iuo.o . .e'. .

. ; j . .pq t. s t

?' $
' t
.'
.. w ,e

j, ..i , .t.'-'e

t ' k .

. ...,

A x
;$ ''

qk
.
! q$ ' . ' ' -.. -.
. #.
'
v. $k. i

.'%
..

i,
'

w .

. liu $'. ,

.

..

1.

'

'

é' 't' %
.)k .

.

...

. . 'w
. âLt'ô'*'.t. .

. ,

< .

.
.

.

+

.

'''

. e.
. v''*r.' t '. . ... .

--
.

.

.

.. . .

.
r i ..

.m

'
.a
, , ;

.

.

.. .

.

. '
. .
q
. :
g, .

il'b
,
, ,
. y

x '

. .

.

, . .
'; . .

, u , a.j r ....,

'

.
.
. , -.. . ,
.
è
' . . - ' . -.f . - ' ! .
'

'
' d''shhjd ''

,. .)('*''. .

'
.-

.
. . :;s
# .'
.' . :
. s, ,.

,,j
?

..
.

,

.

.

.

%
t. .
f
. j,/
$
;
:
'k,. ,: .,.n s.2 4.., : . t..
, e,.
.

'.
j.
pe p..

.

Jb.

.

.

0.

. . '

. .

z

.

,
. (
: ;

v ' ..a

. .

' .;

. .

j

.

.

. x

.

-
. ,

.

,..

,

' '
i

à

y*

.
' r

.

f .
.

.

?
'

..
.

.

.;
.
,

...

.

.

.

. .

r as

.

.

;
I - C*
e.p

. . .
.
..
G .'' ' z'

p. .>

. '
. . .

j. t
g .. tq r

.
5: ' -

C

.
< 4

..

, .

. 9 * . *

u

'

.e

*

-

;
!!

e$

.

..

.

' ' . , l

, :

.

;,

' '* e 1'

' j

-

, '
, -
.e
.
.. ..

,:

. .

'' .'

.

. 1
4

!-

I

l

e
;
j

'
$

Jr

d'

. ù.

.. .j' ll,l)j , ê-

. .

. .

.

..
.

r.

x

.
(

.

.

..
.

- ,4 ..
.j. jj. '

.. . . ,

.
.

.

'y.
,

I

J
' 4/ s !. .

p '

'

.

'

'

:

;
.

' '

.
'

.
.

-

.

g' ,
p

'

..

.

l .

.
. - ,
w

' X S' <

. .. . .

. M .

.

.

.

t
q . .!

!

Y

) x
$ , e
&

'

. : ' ' < w.

.

sa ,

$

.

u.
' '' $% ' .

.

q

/r3.
'' y. z
.

.p'''

.

o

:

' X
!
.

. .: i?
.

' , o

r ? ' .
.
Kf .
g
.

x .

p'k.

h

..

j w.. . , . ' : , .c
%z+

-N

s . . > ? ' .
ae . . ' . .

'

. . .

. . y a n ) ;. < y. y.j . . f.

. . w : e K; . . )

'
. .

'''

p . . j A

.# . . .
L

'
'
t

' .

, ''* .

, %$

* c
u

.
.

w..

.x
.

i' . j.

w.

i .
j

y

: ''
,

.

.

.
. ,
. ,

'

...
,

,.

N .

. . j . t

. '(
,

- . .

.
k

c

'!;

.

.:P v > .t J.u . . - . .. ' t , . .
....

., ;6

, '
.

.
! ..

' -

s

. , j

'. .
... wi .J.

,,

. . r.. o . .r 'j )c..; . . ..

1

y

.

I
k

i

. .
J .

a' .

' ... .

.

:

' >

km / ' e 4 .

.

.
i .- ' .

:

.)
..l

a. . - . l

4

e

3

'

' .

)'

13 '
'> ..f .. ' '

1'' .
'.

z ,

. , ?. $ ' .. . . 2:.. .
,' jqsr *'... .

!.t !

,

a., .

3,; /r 'j j

t:;y . , c- .. j..g ' ç / lj . rx!d''''' . . q . 7z'?' .u
'

, . j j j

. . .

. h.!k

,

i

,?

4b ..d' %ha :' ' ' Im'e .

.k ,, ., 4..,k . .

. .

. r . .

.: J j .-. . .
-
. '. jto-..r / l'rjtj. î Jj ...

. .
y j
..
. '
#

'

*

, .

11

, ,

.

- . .. , . . i(;.

.

>
, v t .7
% - ,.
$4 ,.'
. u x . ( , M
,, . . -; ..()( .. y.
. k.w,--. .k1 , .
.
!
x.-
kf
j
. :r .e- ,
ç z
. .
t ,. * u>' 'q . l & T . ' <

i% .
jg .
.

. - .

?
.% b !

.

.,

1
. @'

, .

l

N

: ..
<
. .
jm
f
. . , ... j,z '!k. 1; t:rr.--. .
.
!j: ,M
e....r
z
y x

t i ' -''
.
. .. .

''
. s.jj, a..,
.) .: -' . 'f,.- h ,.v.-6t -4 . .y !t' -*,'..a., !t.'' lk. iLï'-...ë''-b '-it:d/ *p@ . !:- 1'-.!k. ,,- L.>.. 1./.*. .' .>-h$-.- 'x - .t. i., J--': . ( ..$.. lc . '.t''- ,''' è j àt...i--.. .K . 1k.t.. . . . . .. :, , -' j! . ..
x
jg...... js'h tt. y.f ,ï a,;. ry ..,c. .4.:,.,t y.-y. /r.' , ? ijzo'y jp?. x?.. ujk... -' , . - ,tc a%p,,! t, .- , i .r.. *-. . pmw -kjj, , . ..0,.:. .u, y . wj. y.. ;$,.... 4.;,j ...q-<'.... . .,- z' '.,j,y - ' j). êaa,jv.xv .jir.. jjr.

$' ('' qz wx +. ##' j: ; :y.- xu $ k .. ? . ..v j'tbf ,, .>t . ,

.-. . . .. -.' ;,

z. t .a; . z-j,,

.e t: -. .

. è. .

- Aë 'kh ..''

k -- .--.

'h

av..

.
,

.. '

.

.

'

.

.-.+>

'
h

ik
. ? -K

,j

. .

.

4vpxz.. ,. ::j .,. . . j y.vri - . .. . ,s. ) e.yj
j.. 2,, .f..- .. e. ...--...J ..,sjt 'flk ..

v. . . ..J yk..,jj. . jy .,r;..

.
, , . , ., .E,,e. $1 v

.
j

'
,.

k. -,.. .. Sr .. . . ' ... f , 4. v.yIt-, . $. / ...
F .''
Y''

' W
w/w .. ..u u * '

1!' if ' * G
.
j r'
.

A z'r , % y #':#

... ... je. ... .- -. , ., .

0, <.: .,-' . p.p ..' v . . .. . .
(k . , , . - ,; f ,. .- . . .., h . -

.

.) t,
. .>$.'h, .pe 4 '5; . ' ,z * *' -'-i c ; / z ,1 r'... l ( z. sr.,l 4. 3 1t. . .:., .
4. ,

--.c /? .$ .. .-kt4 .

-

/ p

.

.

j

.

*.w

< .

Jl k ., .1 : .. ..z.
' .y'***

...e ' <#*. , . s rg A, . c sj
-''
.2. , f$-.''' 1- k' --

-
. -
7 DAT

..

. , 4
. j, .$
ylh --1r' ' ' pti ?/ tvb' f- - : . .$' --J ' '. u.. .-.. .:. .. ...... - .1 -7;?r . -

j.
. g. xt rg ,.jx , g j .. ,..y y y ...g, a . g%wmJ4* jj, . ..x

j ;

y

k ,

SI ' T

O1: G EV T 7 ,5 ) '. ) . t

.
!.
f.
l

*BY SIGNATURE, DMATE AGREES TO TIIE FOLLOW DG # OF iOTDAY EXTENSIONS:

/

#

E!; ii 1E.?) l-t :it't7t;L 1- -7l '

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 17 of 18

!

7 zB%

PART B-kESPOHSE

BARNAKR, QARY

INMATE

191636
NUMBER

1007-463-104
GRIEVANCJ LOG NUMB

'

DADE C.I,

j#.-*

CURRENT INMATE LOCATION

F2218L

HOUSING LOCATICL

-s?*--

Your formal grievance has been received and reviewed. It haS been determined that there was nesligence in the hak Idiirlt,:
of chain and medallion and you w ill be reimbursed for those items.

Based on the forgoing response your grievance has been APPROVED.

SIGNATL/RE/jb i##Yb OR iàiùiED NAME
oF EMPLOYEE RESPONDING

SIGNATURE OF WARDE ,N ASS .T WARDEN, OR
SECRETARY'S REPRESENTATIVE

- 1% )

- - DATE

COPY DISTRIBUTION -INSTITUTION / FACSLIW

COPY DISTRIBUTION - CENTRAL QFFICE

(2 Copies) Inmate
(1 Copy) lnmate's File
(1 Copy) Retained by Officlal Responding

(1 Copy) lnmate
(1 Copy) Inmate's File - Inst/Facility
(1 Copy) C.O. Inniate File
(1 Copy) Retained by Official Responding

Case 1:12-cv-22355-PAS Document 1 Entered on FLSD Docket 06/26/2012 Page 18 of 18

!