2:14-cv-11691-LJM-MKM Doc# 246-9 Filed .05/04/18 Pg 6 of 7 Pg ID 7079 

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MICIDGAN DEPARTMENT OF CORRECTIONS 

• PRISONER/PAROLEE GRIEVANCE FORM

@ J,b . 

4835-4247 10/94 

CSJ-247A 

• Date Received at Step I ___ B ____ 'cil __ e;_-_/7....___ Grievance Identifier: !gltV\l.:t:I ( 11 IO 161 I f rBI-!131 '2:r0@j 

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n�:con�ise in descr:i�l�,;i��rl�f

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O� -�a��-,�Y qu��qns concerning the ·grievance

procedure;;- �fer to PD-03.02.130.anct:.O�•03;02; l3Q available in the,pnson Law-L1bnu-y. -

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Name (print first, last) Number Institution Lock Number Date oflncident Today's Date 

M�lv,11 Bo().)r,f;S. I 7c;\ �a.i RniI J-��so g-�0-11 ·6-�'l-11 

What attempt did you make to resolve this issue prior to writing this grievance? On what date? 8-d O -17 

lfnone, explain why. ::;:"Ut:.. w� 3.E:.£1Jtl. rr-tS � J-lt�trl, G1'9-2(..., 

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State problem clearly. Use separate grievance fonn for each issue. Additional pages, using plain paper, may be used. 

Four copies of each page and supporting documents must be submitted with this fornt. The grievance must be submitted 

to the Grievance Coordinator in accordance with the time limits of OP 03.02.130. -

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RESPONSE (Orievant Interviewed? D Yes No If No, give explanation. If resolved, explain resolution.) 

PeJeof�dt. � 

Respondent's Signature �-rPl-11 Date 

Respondent's Name /1.. (Print 't1'�k-r' WorkingTi� 

Date Returned to 

Grlevant: 8-31 -(

If resolved at Step I, Grievant sig11 here. 

Resolution must be descri'bcd abo�e. Onevant's Signature 

DISTRIBUTION: White, Green, Canazy, Pink-Process to Step One;' Goldenrod- Oricvant 

Date 

Exhibit 1 - Bownes' Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-2, PageID.7241 Filed 06/06/18 Page 1 of 5
2:14-cv-11691-LJM-MKM Doc# 246-9 Filed 05/04/18 Pg 7 of 7 Pg ID 7080 

Michignn Department of Correctlons 

GRIEVANCE REJECTION LETIER 

TO: BOWNES 171.328 

. FROM: Grievance Coordinator: K. Miller• 

SUBJECT: Receipt/Rejection/Denial for Step I Grievance 

. . 

Your Step I grievance regarding vague/illegible/extrnnous 

DATE: emho11 

LOCATION; RMI 

was received in this office on 8/29/2017 and was rajected due to the following reason: 

J-2-50

Your grievance is being rejected and returned to you for one of the following reasons, which are 

vague, illegible or ft contains multiple WI.related issues/extraneous information, or raises issues that 

nre duplicatiYe or those raised in another grievance/med by the griev:mt., Per .PD 03.02.130. 

Grievnnce is unclear as to ,yhat the maiu issue is or who you are grieving. Grievances need to be 

clear and concise, as to who, what, when, where, why and how. 

Any future references to this grievance should utilize this identifier: RMI / 2017 / 08 I 1833 I 28B 

. ti. 

Respondent Date 

Exhibit 1 - Bownes' Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-2, PageID.7242 Filed 06/06/18 Page 2 of 5
2:14-cv-11691-LJM-MKM Doc# 246-9 Filed 05/04/18 Pg 4 of 7 Pg ID 7077 

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MICHIGAN DEPARTMENT OF CORRECTIONS 

. PRISONER/PAROLEE GRIEVANC.E APPEAL FORM 

4835-4248 5/09 

CSJ-247B 

Date Received by Grievance Coordinator Grievance ldentlfier: u;I J!::::11�1'1.:i:ll;=..1.ol .;../1...I 1:..ilLO

��'-L,I _L,.;;1/...il.;::8;.i.1�S ..... 13_!..._.t.?-"'--,l;;lg::;.. • .i.;;!S_,I 

• at Step II: '/·"'l[--j 7

INSTRUCTIONS: THIS FORM IS ONLY TO BE USED TO APPEAL A STE b�IJ-l� 

The white copy of the Prisoner/Parolee Grievance Form CSJ-247A (or t e 1g'bld • - py ifl+.o@� e not been provided

with a Step I response in a timely manner) MUST be attached to the hlte copy of this form if yo appeal it at both Step 

II and Step III. 

· OCT O 8 2017

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

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

Name (Print first, last) Number Institution Lock Number Date of Incident Today's Date 

I J-d---

STEP II - Reason for Appeal :;n:.,a-:L ,e1:.spo.t1SL, .:Z:..S U'1;1l,E..li�l:,I � -1- �14,

0

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STEP II - Response 

Respondent's Name (Print) 

Date Received by 

Step II Respondent: 

Date Returned to 

Grlevant: 

q--,:)-17 

STEP III - Reason for Appeal PD--03.03.130(0) I am entitled to Health care , this Includes Dental Services conr.lstent

Ith contemporary standards of medfca/dental practice In the community. Said access shall be avalleble, accessllable and 

his ls.not based upon how much tl,me·grlevant has been lncarFerated. I am In constant pain from teeth that needs 11111ng

n more then one tooth. This month and month delays are only causing the teeth to decay. This rejection Is contrary to 

0-03.02.130, as there Is nothing vague about the Issue. The Issue Is point blank th&t I em being denied dental service

o have several ftlllng and/or removal of the teeth that has decayed beyond repair, The long that I wait the more damage 

hat ts developing. P0-04,06.150(L) provides tor an exception that allows for fl I ling and/or removal of decayed teeth.

NOTE: Only a copy of this appeal and the response will be retur1,1ed to you. 

STEP III - Director's Response is attached as a separate sheet. 

DISTRIBl)TION: White - Process to Step III; Green, Canary, Pink - Process to Step II; Goldenrod - Grlevant 

Exhibit 1 - Bownes' Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-2, PageID.7243 Filed 06/06/18 Page 3 of 5
2:14-cv-11691-LJM-MKM Doc# 246-9 Filed 05/04/18 Pg 5 of 7 Pg ID 7078

... 

Step II Grievance Appeal Response R.Ml-17-08-1833-28B 

Name: Bownes Number: 172328 Lock: J•2-50 

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

03.02. 130, "Prisoner/Parolee Grievances" and the rejection is upheld at Step II. 

Exhibit 1 - Bownes' Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-2, PageID.7244 Filed 06/06/18 Page 4 of 5
2:14-cv-11691-LJM-MKM Doc# 246-9 Filed 05/04/18 Pg 3 of 7 Pg ID 7076 

RICK SNYDER 

GO\nialUIOR 

ffe�

ST.-1.'l'l! 

�

OF MICHIG,\.N 

DEPARTMENT OF CORRECTIONS 

LANSlNO 

STEP Ill GRIEVANCE DECISION 

To Prisoner: 

Current Facility: 

Grievance ID #: 

Step Ill Received: 

Bown� #: 

7Lf'l'}J. 

RMI-17-08-1833-28B 

10/6/2017 

172328 

HEIDIE. WASHINGTON 

01R�OR 

93374 

28B 

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. 

THlS DECISION CANNOT BE APPEALED WlTIIIN THE DEPARTMENT. 

Richard D. Russell, Manager Grievance 

Section, Office of Legal Affairs 

cc: Warden, Filing Facility: tm.1 

Date Mailed: OCT 2 4 2017 

GRANDVIEW PLAZA• P.O,BOX 30003 • LANSING, MICHIGAN 48909 

Exhibit 1 - Bownes' Grievance

Case 2:14-cv-11691-LJM-MKM ECF No. 249-2, PageID.7245 Filed 06/06/18 Page 5 of 5