Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-arwd-5_06-cv-05062/USCOURTS-arwd-5_06-cv-05062-2/pdf.json

Nature of Suit Code: 555
Nature of Suit: Prisoner - Prison Condition
Cause of Action: 42:1983 Prisoner Civil Rights

---

AO72A

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IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

FAYETTEVILLE DIVISION

ANTONIO RODRIGUEZ PLAINTIFF

v. Civil No. 06-5062

 

SHERIFF TIM HELDER;

and DR. HOWARD DEFENDANTS

O R D E R

Defendants have filed a motion for summary judgment (Doc. 15). To assist plaintiff in

responding to the summary judgment motion, the undersigned is propounding a questionnaire.

The court will consider plaintiff’s response to the questionnaire in issuing a report and

recommendation on the summary judgment motion. 

For this reason, Antonio Rodriguez is hereby directed to complete, sign, and return the

attached response to defendants’ summary judgment motion on or before July 26, 2007.

Plaintiff’s failure to respond within the required period of time may subject this matter to

dismissal for failure to comply with a court order.

IT IS SO ORDERED this 22nd day of June 2007.

/s/ J. Marschewski 

HON. JAMES R. MARSCHEWSKI 

UNITED STATES MAGISTRATE JUDGE

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IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

FAYETTEVILLE DIVISION

ANTONIO RODRIGUEZ PLAINTIFF

v. Civil No. 06-5062

 

SHERIFF TIM HELDER;

and DR. HOWARD DEFENDANTS

RESPONSE TO SUMMARY JUDGMENT MOTION

TO: ANTONIO RODRIGUEZ

These questions and answers will serve as your response to the motion for summary

judgment filed by the defendants. You may use additional sheets of paper in responding to

these questions. You must file this response by July 26, 2007.

1. On November 5, 2005, you were booked into the Washington County Detention

Center (WCDC) on charges of breaking and entering, theft of property, and on a hold for

another agency.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to the Defendants’ Exhibit 1 at

page 1.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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2. You completed a medical intake questionnaire and indicated no health problems

other than that you could not eat onions.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

1. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

3. You signed a Washington County Sheriff’s Department medical release and

consent for medical services form on November 5, 2005, agreeing to request medical

treatment in writing and holding the jail harmless from any pre-existing injuries or illnesses. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

2.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

4. You signed an inmate medical insurance information form on November 5, 2005,

agreeing to be responsible for your medical bills.

Agree______ Disagree________Without knowledge to agree or disagree________. 

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If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

3. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

5. On November 6, 2005, you were released from the WCDC after securing bail from

Bail Bonds Now, Inc. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at pages

3 & 4.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

6. On December 6, 2005, a post-arrest warrant was issued by the Washington County

Circuit Court for your arrest for breaking or entering, a class D felony.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

5.

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

7. On December 6, 2005, a felony information was filed against you in the

Washington County Circuit Court for breaking and entering a vehicle and taking a watch,

stereo remote, two small speakers, a gold chain, a ring, and a cell phone. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

6.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

8. On December 7, 2005, you were booked into the WCDC on charges of no proof of

insurance, no drivers license, and traffic violations.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

8.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

9. On December 7, 2005, you signed another medical release and consent for medical

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services form. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

4.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

10. You also signed on December 7, 2005, another medical insurance information

form agreeing to be responsible for your medical expenses.

 Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

5.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

11. On December 8, 2005, you completed a medical questionnaire indicating you had

no health problems. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

6.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

12. You were released on a misdemeanor citation on December 8, 2005.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

9.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

13. You were to appear in court on January 6, 2006, at 8:00 a.m.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page 9

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

14. On December 18, 2005, you were booked back into the WCDC on charges of

possession with intent to manufacture, simultaneous possession of drugs and a firearm, being

a felon in possession of a firearm, and possession of drug paraphernalia.

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Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

10.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

15. On December 18, 2005, you completed a medical questionnaire and indicated you

had no health problems. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

7.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

16. On December 18, 2005, you signed a medical release and informed consent for

medical services and medical insurance information form.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at pages

8 and 9.

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

17. On December 19, 2005, you bonded out of the WCDC.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

12.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

18. On January 17, 2006, you were arrested for failure to appear and on holds for

other departments and booked back into the WCDC. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

13.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

19. On December 17, 2006, you completed a medical intake questionnaire and

indicated you were allergic to onions but had no other health problems. 

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Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

10.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

20. You signed a medical release and informed consent for medical services on which

you agreed to request medical treatment in writing and agreed to be responsible for your own

medical bills.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

11.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

21. On January 26, 2006, you asked for and were provided with the address of the

Springdale Jail.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

1.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

22. On February 2, 2006, you submitted a medical request asking to be moved to D

pod because it was very noisy where you were and you could not sleep at night. In response,

you were told that people were only moved for the safety and security of the facility.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

2.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

23. On February 5, 2006, you submitted a request stating your Father, who was 70

years old, was gong to have surgery down in Mexico. You asked that the jail contact

immigration and ask them to send you to Mexico as soon as possible.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

4.

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

24. On February 2, 2006, you submitted a grievance in Spanish which appears to be a

complaint you had with the telephones. It was responded to in Spanish.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

3.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

25. In response, you were told that you would have to contact your family and have

them contact the Immigration and Naturalization Service (INS). You were told you could

talk to the Chaplin but that he could not tell the INS to hurry and pick you up.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

4.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

26. On February 8, 2006, you submitted a request stating you had submitted a request

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the day before for the sergeant and hadn’t had a response yet. In response, you were told that

the sergeants received requests daily from over 400 detainees and it sometimes took a few

days to get an answer. You were told to be patient. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

5.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

27. On February 13, 2006, you submitted a request asking what your court date was. 

You stated it had been set that day but no one came for you. You were told that it was

February 15th and your bond was $75,000.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

6.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

28. On February 14, 2006, you submitted a medical request for a rash on your face

and above your eyes. You asked for some cream.

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Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

13.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

29. You were seen by Nurse Bradley the following day. She noted no rash or redness

on your face or above your eyes. She indicated she would monitor the situation. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

13.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

30. On February 17, 2006, you submitted a request asking if you had any holds. You

were told that you had an INS hold, a failure to appear charge, and your bond was $75,000.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

7.

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

31. On February 22, 2006, a legal assistance request was made on your behalf to the

public defender. It was noted you had an INS hold you wanted to get resolved. It was noted

you had family matters that needed your attention and that you did not speak English.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

8.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

32. On February 22, 2006, you submitted a medical request. You stated that you had

written a request about a week ago asking to see the nurse. You stated you had not been

seen. You stated that it was about your back and head. You said you were broken out bad all

over. You didn’t know if it was caused by the blanket or what. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

14.

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

33. In response, it was noted that you had bumps on your back and head that were

itchy and had been there about two weeks. You were put on the list to see the doctor and

given a cotton blanket.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 23 at page

14.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

34. Did you see Dr. Howard about the bumps on your back and head?

Answer: Yes ______ No ______.

If you answered yes, please state: (a) when you saw him; and (b) what treatment you

received.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

35. On February 22, 2006, you submitted a grievance asking why your request about

your Father had been ignored. You asked how you could get a speedy trial. You stated you

needed to see your Father before he died.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

9.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

36(A). In response, you were told that your requests had not been ignored. You were

told that the Chaplain had been informed of your requests as had the sergeant. You were also

told that they could not do anything about your INS hold.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

9.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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(B). Did you or your family contact the INS?

Answer: Yes ________ No ________.

If you answered no, please explain why you or your family did not contact the INS.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(C). Please explain how you believe Sheriff Helder could have dropped the INS

charges or caused the INS to transport you to Mexico to see your Father?

Answer:

__________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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37. On February 28, 2006, you submitted a grievance in Spanish that was responded

to in Spanish by Officer Hernandez.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

10.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

38. On February 28, 2006, you submitted a medical request to have the nurse

examine a tumor on your back. You also stated you had neck problems.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

15.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

39. Nurse Moss examined you and noted a raised bump on the right side of your back

that had been there about a week. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

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15.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

40. On March 1, 2006, you were brought to the nurse’s station complaining of an

infection on your neck. Nurse Johnson examined you and noted a cyst like node on the back

of your upper shoulder. It was raised about a 1⁄2 inch and was about the size of a half dollar. 

She noted it was grayish in color and had what appeared to be small capillary vessels in it. It

was firm to the touch. You told her it came up about a week ago. She put you on the list to

see Dr. Howard.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

16.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

41. Were you seen by Dr. Howard?

Answer: Yes _________ No __________.

If you answered yes, please state: (a) when you saw him; and (b) what treatment you

received.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

42. On March 2, 2006, you submitted a request to see your public defender ASAP. 

Your request was faxed to the public defender’s office.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

24.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

43. On March 9, 2006, you requested information on work release. You were told

that you could not get work release on your charges.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

12.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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44. On March 10, 2006, you requested the address to immigration or access to the

library. In response you were told to contact an outside source for the information and that

access to a law library must be ordered by a judge.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

13.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

45. On March 12, 2006, you submitted a medical request. You stated that the cyst on

your right shoulder was keeping you from sleeping at night. You said you were in bad pain. 

You indicated the pain was in your entire right side. You stated you could not take it

anymore.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

17.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

46(A). In response, Nurse Moss prescribed Ibuprofen, three times daily, for fourteen

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days, and put you on the list to see Dr. Howard. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

17.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(B). You received the Ibuprofen.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

21.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

47(A). You were seen by Dr. Howard on March 15, 2006. Dr. Howard noted the cyst

was not serious and needed to be removed when you got out. He prescribed Tylenol PM for

three nights. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

20.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(B). You received the Tylenol PM.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

22.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

48. On March 15, 2006, you submitted a request stating that you needed to be able to

work in jail. You stated your children had not eaten in several days and your wife could not

work because she did not have a social security number. You stated that you were in jail for

drugs that were not yours. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

14.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

49. In response, you were told you were charged with failure to appear on underlying

charges of breaking or entering and your bond amount was $75,000. You also were told you

had an INS hold. You were told you did not have any drug charges. Because you were not

committed you were told you could not work as a trustee. In order for you to get out of jail,

you were told you would have to bond out and then go with the INS.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

14.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

50. On March 16, 2006, you stated you wanted to be released from jail until it was

time for you to be deported. You also asked to speak to someone who could speak Spanish

about your case. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

15.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

51. In response, you were told that you could not be released from jail unless you

bonded out. You were told you should probably speak to your public defender.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to the Defendants’ Exhibit 3 at

page 15.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

52. On March 20, 2006, you asked that a paper be faxed to the public defender’s

office. It was faxed.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at pages

16-17.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

53. On March 21, 2006, you submitted a medical request stating the medication the

doctor gave you wasn’t working. You stated you were hurting bad and you thought it might

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be a tumor. You stated that just because you were an illegal didn’t mean you didn’t have

rights. If they couldn’t help you with your problem, you felt you should be sent back to your

country. You believed you needed surgery. You asked that they get immigration over there

so you could get help. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

18.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

54. In response, Nurse Moss stated that Dr. Howard had said they would give you

Ibuprofen and monitor the cyst but they were not going to do anything with it now. She

stated it was not a life threatening issue.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

18.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

55. On March 22, 2006, another request for you to speak to your public defender was

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faxed to the public defender’s office.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

18.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

56. On March 23, 2006, you submitted another request to speak to your public

defender.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

19. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

57. On April 5, 2006, you submitted a request asking to talk to a corporal. You

stated you wanted to know if someone else was using your name. You indicated there were

some charges that were not yours. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

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20. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

58. In response, you were told no one was using your name at that facility. If you

were talking about Springdale. You were told you would have to contact them. If you were

talking about your failure to appear, you were told that when they served your warrant they

looked up your date of birth and social security number and the charges were yours.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

20. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

59. On April 6, 2006, you stated the April 5th request had been based on a misunderstanding. You asked if you could speak to a sergeant but he or she would need a

translator because you did not speak very good English. In response, you were told before

you could speak to a sergeant they would need to know why.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

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21. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

 60. On April 28, 2006, you requested legal envelopes and they were given to you.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

22.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

61. On May 10, 2006, you asked to talk to the nurse about a medical shave. In

response, you were put on the shave list.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

19.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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62. On June 8, 2006, you submitted a request to see your public defender and your

request was sent. 

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 3 at page

23.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

63. You were taken to the Nurse’s station to be seen by Nurse Johnson on June 8,

2006, about the cyst on your back. Nurse Johnson had Sgt. Wilson translate for her and she

told you that you would have to have the cyst taken care of when you got out of jail.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

20.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

64. On June 27, 2006, you were served with an arrest warrant for no liability

insurance, no driver’s license, and improper use of evidence of registration.

Agree______ Disagree________Without knowledge to agree or disagree________. 

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If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 1 at page

14.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

65(A). You were seen by Dr. Howard on July 25, 2006, for multiple pimples on your

back and arm and prescribed doxycycline.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

20.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(B). You received the doxycycline.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. In explaining, please refer to Defendants’ Exhibit 2 at page

23.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

66. Dr. Howard provided you all medical care he believed in the exercise of his

medical judgment was necessary.

Agree______ Disagree________Without knowledge to agree or disagree________. 

If you disagree, explain. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

67. Have you received any additional medical care for your cyst?

Answer: Yes ________ No ________.

If you answered yes, please explain what additional medical care you have received.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

If you answered no, please explain how the condition of the cyst has changed since

you filed the complaint in this case.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

68. Please explain in detail how you believe Dr. Howard exhibited deliberate

indifference to your serious medical needs.

Answer:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

69. Please explain in detail how you believe Sheriff Helder violated your federal

constitutional rights. In doing so, please state whether you ever personally spoke to, or

communicated directly with, Sheriff Helder.

Answer:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Detail below any further response you would like to make to the motion for summary

judgment. If you have any exhibits you would like the court to consider, you may attach

them to this response.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS

TRUE AND CORRECT.

EXECUTED ON THIS _________ DAY OF ________________ 2007.

__________________________________________

ANTONIO RODRIGUEZ

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