Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-arwd-3_06-cv-03058/USCOURTS-arwd-3_06-cv-03058-2/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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AO72A

(Rev. 8/82)

IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

HARRISON DIVISION

MARK EDWARD LILEY PLAINTIFF

v. Civil No. 06-3058 

SGT. M. LOTT, LT. BETH REELY,

and FOUR UNKNOWN JAILERS DEFENDANTS

O R D E R

Plaintiff’s complaint was filed in this case on September 21, 2006. Before the

undersigned is the issue of whether the complaint should be served. In order to assist the court

in making such determination, it is necessary that plaintiff provide additional information.

Accordingly, it is ordered that plaintiff, Mark Edward Liley, complete and sign the

attached addendum to his complaint, and return the same to the court by December 4, 2006.

Plaintiff is advised that should he fail to return the completed and executed addendum by

December 4, 2006, his complaint may be dismissed without prejudice for failure to

prosecute and/or for failure to obey an order of the court.

IT IS SO ORDERED this 3rd day of November 2006.

/s/ Beverly Stites Jones

HON. BEVERLY STITES JONES

UNITED STATES DISTRICT JUDGE

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IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

HARRISON DIVISION

MARK EDWARD LILEY PLAINTIFF

v. Civil No. 06-3058 

SGT. M. LOTT, LT. BETH REELY,

and FOUR UNKNOWN JAILERS DEFENDANTS

ADDENDUM TO COMPLAINT

TO: MARK EDWARD LILEY

This form is sent to you so that you may assist the court in making a determination as to

the issue of whether the complaint should be served upon the defendants. Accordingly, it is

required that you fill out this form and send it back to the court by December 4, 2006 Failure

to do so will result in the dismissal of your complaint.

The response must be legibly handwritten or typewritten, and all questions must be

answered completely in the proper space provided on this form. If you need additional space,

you may attach additional sheets of paper to this addendum.

RESPONSE

In your complaint, you allege your rights were violated while you were incarcerated at

the Carroll County Jail. Specifically, you allege that Sergeant M. Lott placed you in a cell alone,

sprayed you with pepper spray and beat you up. You also contend that you were placed in the

“rubber room” for two days without running water. Further, you state that you were forced to

swallow a screw. 

1. You state that you were placed in a cell alone. Please explain why.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

2. Were you being disruptive to the other inmates at any time prior to your placement

in a cell alone?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

3. You indicate Sergeant M. Lott used pepper spray and physical force against you. 

Please indicate: (a) the date this allegedly occurred; (b) what was occurring when he used force

against you; (c) the amount of force he used; (d) whether you were resisting him in anyway; (e)

whether you were charged with a crime or disciplinary violation as a result of your actions; (f)

any injuries you sustained; and, (g) whether medical treatment was necessary.

Answer:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

4. Did you file a grievance or medical complaint following this incident?

YES ______ NO _______

If you answered yes, please state the date and the contents of the grievance/complaint.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

5. You contend that you were placed in the “rubber room” for two days without running

water. Please state the date and reason you were placed in the “rubber room.”

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

6. Did you receive any food or water while in the rubber room? 

YES _______ NO ________

If you answered yes, please state what you were given.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

7. You contend that you were forced to swallow a screw. Please indicate (a) the date this

incident allegedly took place; (b) what was going on at the time you swallowed the screw; (c)

why you were forced to swallow the screw; and, (d) who was responsible for making you

swallow the screw.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

8. With respect to each of the following individuals, state how you believe they violated

your federal constitutional rights.

Lieutenant Beth Reely:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

Sergeant M. Lott:

___________________________________________________________________________

___________________________________________________________________________

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_______________________________________________________________________________________ ________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

9. You have listed a number of “unknown” jailers in your complaint. In order for the

court to determine whether service is proper on these defendants, we will need to know the

names of these individuals. Please provide as much information as is possible about each person

and how you believe each violated your federal constitutional rights.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

10. Are you currently taking any prescription medication?

YES _______ NO ________

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If you answered yes, please indicate the medication, the reason you are taking the

medication, and the prescribing doctor.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

11. Do you contend that you are being denied any of your prescription medications?

YES ______ NO ________

If you answered yes, please state the medication being denied, the person(s) allegedly

denying it, and the reason given for the denial.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS COVERED BY

THE VERIFICATION MADE BY ME ON MY INITIAL COMPLAINT.

_______________________________________

MARK EDWARD LILEY

________________________________________

DATE

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