.. . 

MJCHIGAN DEPARTMENT OF CORRECTIONS 

PJUSONER/PAROLEE GRIEVANCE FORM 

Date Received at Step I -�Z,

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7 ,__/�'1 __ G1ievance ldenlifier: 

1!<1",4247 l(t/94 

'SJ 247 A 

RESPONSE (Grievant Interviewed? If No, give explanation. If resolved, explain resolution.) 

Respdndent's ,t t

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Respondent's ame (Print) 

2/l//7 Date 1

Cl&t�o 

Working Title 

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( ..________.,-

Reviewer). Sign,ature{) /7 

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Reviewer's Name (Print·1 

Date Returned to, If resolved at Step I, Grievant sign here .. 

. Grievant: u';· 7 . 7 Resolution must be described above. · , · ," 1 Gnevant s Signature 

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DISTRIBUTION: White, Green, Canary. Pink - Process to Step One; Goldenrod - Grievant 

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Working Title 

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Exhibit 4 - Slone's Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-5, PageID.7263 Filed 06/06/18 Page 1 of 4
• • 

Step II Grievance Appeal Response 

Name: .Slone #296250 

ORF 17-02-0317-28E 

Lock: G-33 

The Step I rejection has been reviewed by the Warden's Office in accordance with PD 

03.02.130 "Prisoner/Parolee Grievances''. 

THE REJECTION IS UPHELD AT STEP II. 

Warden S. Jackson 2 Z.i 17 

Respondent's Name Date 

L 

Exhibit 4 - Slone's Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-5, PageID.7264 Filed 06/06/18 Page 2 of 4
SHIP'D FEB 1 5 

l 

MICHIGAN DEPARTMEr<JT OF CORRECTIONS 

PRISONER/PAROLEE GRIEVANCE APPEAL FORM 

Date Received by Grp

a71

�oordinator

at Step II: ],, 7. 'I 

t- t 

l'NSTRUCTIONS: THIS FORM IS ONLY TO BE USED TO APPEAL A STEP I GRIEVANCE. 

11 · e white copy of the Prisoner/Parolee Grievance Form CSJ-24 7 A ( or the gold 

with a Step I response in a timely manner) MUST be attached to the white c 

II and Step III. 

5/41tL . .j/Z9',/Z:� 

C--JJ 

4835-4248 5/

CSJ-24

, FEB 28 2017

If you should decide to appeal the Step I grievance response to Step II, your ap eal should be directed to: 

G--C � o rf-1 "k-- by "> ////7 . {f It is n.ot submitted by iQfff�,of � A1ifafM

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r f--d-te_r_m_ln-a-te_d_. 

If you should decide to appeal the response you receive at Ste'p II, you should send your Step III Appeal to the Director

Office, P.O. Box 30003, Lansing, Michigan, 48909. ·" 

Name (Print first, last) Number Institution 

Respondent's Name (Print) 

li"',t11 

NOTE: on·ly a copy of this appeal and the response will be returned to you. 

· -- .,. ·=-tt;;ched as a separate sheet.

Date of Incident Today's Dace 

Date Received by 

Step II Respondent:

-i, 'Z/ 

Date Returned to·

Grievant: 

- !-•�-.n+-

Exhibit 4 - Slone's Grievance
RICK SNYDER 

GOVERNOR 

��· .. ( . . 

.. 

STATE Of MICHIGAN 

DEPARTMENT OF CORRECTIONS 

LANSING 

STEP III GRIEVANCE DECISION 

To Prisoner: Slone 

Current Facility: 

Grievance ID#: DRF-17-02-0317-28E 

Step III Received: 2/28/2017 

#: 296250 

HEIDI E. WASHINGTON 

DIR CTOR 

28E 

87903 

Your Step III appeal has been reviewed and considered by the Grievance Section of the Office of 

Legal Affairs in accordance with PD 03.02.130, "Prisoner/Parolee Grievances". 

THE REJECTION IS UPHELD. 

THIS DECISION CANNOT BE APPEALED WITHIN THE DEPARTMENT. 

Richard D. Russell, Manager Grievance 

Section, Office of Legal Affairs 

cc: Warden, Filing Facility� 

Date Mailed: 

l\ • ,'i 

\.' ,l· ,: 

- ~ �AV "nno3 • LANSING, MICHIGAN 48909 

APR 1 8 2017 

Exhibit 4 - Slone's Grievance