Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-arwd-5_06-cv-05128/USCOURTS-arwd-5_06-cv-05128-0/pdf.json

Nature of Suit Code: 555
Nature of Suit: Prisoner - Prison Condition
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

FAYETTEVILLE DIVISION

DAVID K. REIMERS PLAINTIFF

v. Civil No. 06-5128

BENTON COUNTY JAIL, UNIDENTIFIED 

GUARD # 1, UNIDENTIFIED GUARD #2,

DEPUTY WILLIAM BLACKMON, DEPUTY

BARR, DEPUTY PATTERSON, and SGT. 

CULOTTA DEFENDANTS

O R D E R

Plaintiff’s complaint was filed in this case on July 12, 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, David Reimers, complete and sign the attached

addendum to his complaint, and return the same to the court by December 15, 2006. Plaintiff

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

15, 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 17th day of November 2006.

/s/ Beverly Stites Jones

HON. BEVERLY STITES JONES

UNITED STATES MAGISTRATE JUDGE

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AO72A

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IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

FAYETTEVILLE DIVISION

DAVID K. REIMERS PLAINTIFF

v. Civil No. 06-5128

BENTON COUNTY JAIL, UNIDENTIFIED 

GUARD # 1, UNIDENTIFIED GUARD #2,

DEPUTY WILLIAM BLACKMON, DEPUTY

BARR, DEPUTY PATTERSON, and SGT. 

CULOTTA DEFENDANTS

ADDENDUM TO COMPLAINT

TO: DAVID K. REIMERS

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 15, 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 on March 8, 2006, when you were

assaulted by Deputies Blackmon and Barr and Sergeant Coulotta. As a result, you contend that

you sustained a head injury for which you have not received medical treatment.

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1. In your complaint, you state that you were restrained at the time of the assault. 

Please describe the method of restraint used. 

Answer:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

2. At the time of the alleged assault, were you cooperating with the officers?

Answer: Yes __________ No ____________.

3. Do you contend that more force was used than was necessary to get you under control?

Answer: Yes __________ No ____________.

If you answered yes, please explain.

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

4. Did you sustain any physical injuries as a result of this “attack”? 

Answer: Yes __________ No ____________.

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If you answered yes, please explain the nature of your injuries.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

5. Have you been treated by a doctor for any injuries sustained during this altercation?

Answer: Yes __________ No ____________.

If you answered yes, please provide the name of the doctor, the date of the treatment, and

your diagnosis or diagnoses.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

6. Since your arrest, have you been denied any medical treatment?

Answer: Yes __________ No ____________.

If you answered yes, please provide the date the request was made, to whom it was made,

the reason for the requested treatment, and the reason given for the denial of treatment.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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7. You have listed several individuals as defendants. With respect to each of the

following individuals, state how you believe he or she violated your federal constitutional rights.

Deputy William Blackmon:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

Deputy Barr:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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_______________________________________________________________________________________ ________________

___________________________________________________________________________

Deputy Patterson:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

Sgt. Culotta:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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_______________________________________________________________________________________ ________________

___________________________________________________________________________

9. You name two unidentified guards as defendants in this case. In order to ensure that

all defendants receive notice of your complaint, however, we will need a name and address for

each defendant. Please provide the name and address of each “unidentified” guard.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

10. You name the Benton County Jail as a defendant in this case but the Department

itself is not an entity subject to suit. Are there any other individuals you wish to include as

defendant in this suit?

Answer: Yes __________ No ____________.

If you answered yes, please provide the name and address of each additional defendant,

along with a brief statement of how that person violated your constitutional rights. 

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

11. Are you suing the defendants in their individual capacity, official capacity, or both?

Claims against individuals in their official capacities require proof that a policy or custom of the

entity violated your rights. Personal capacity claims, on the other hand, are those which allege

personal liability for individual actions by officials in the course of their duties.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS COVERED BY

THE VERIFICATION MADE BY ME ON MY INITIAL COMPLAINT.

_______________________________________

DAVID K. REIMERS

________________________________________

DATE

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