Chairman:

Rissie Owens

Board Members:

Juanita Gonzalez

David Gutierrez

James LaFavers

Federico Rangel

Michelle Skyrme

Cynthia Tauss

State of Texas

Board of Pardons and Paroles

March 2,2015

Mr. Eloy Diaz Gonzalez

TDCJ-CID #1652026

Ramsey Unit

1100FM655

Rosharon, Texas 77583

Re: Full Pardon

Dear Mr. Gonzalez:

The Board ofPardons and Paroles, Clemency Section is in receipt ofthe submitted application for Full Pardon.

Please be advised that, based upon board rule 143,6, you are ineligible, for Full.Pardon consideration.

Sincerely,

Texas Board of Pardons and Paroles

Encl: Board Rules

FP 17 (staff reports)

. RECEIVED IN

COURT OF CRIMINAL APfC/.i:

APR 17 tm

AbelAcosia,ui@m

CLEMENCY SECTION

8610 Shoal Creek Blvd., Austin, Texas, 78757 Phone: (512)406-5852 Fax: (512)467-0945

Internet: bpp_clemency@tdcj.texas.gov
TEXAS BOARD OF PARDONS AND PAROLES RULES

Chapter 143. EXECUTIVE CLEMENCY

Subchapter A. FULL PARDON AND RESTORATION OF RIGHTS OF CITIZENSHIP

§143.1. Authority To Grant Pardons

Except in cases of treason or impeachment, after conviction, or successful completion of a term of deferred adjudication community

supervision, the governor may grant a full pardon upon the recommendationand advice of a majority ofthe board as authorized by the

Texas Constitution, Article IV, §11; and Texas Code of Criminal Procedure, Articles 48.01 and 48.03.

§143.2. Pardons for Innocence

(a) On the grounds of innocence of the offense for which convicted or successfully completed a term of deferred adjudication

community supervision, the board will consider applications for recommendation to the governor for a pardon for innocence upon

receipt of:

(1) a written recommendation of at least two of the current trial officials of the sentencing court, with one trial

official submitting documentary evidence of actual innocence; or

(2) a certified order or judgment of a court having jurisdiction accompanied by a certified copy of the findings of fact and

conclusions of law where the court recommends that the Court of Criminal Appeals grant state habeas relief on the grounds of

actual innocence.

(b) Evidence submitted under subsection (a)(1) of this section shall include the results and analysis of pre-trial and

post-trial DNA tests or other forensic tests, if any, and may also include affidavits of witnesses upon which the

recommendation of actual innocence is based.

§143.3. Twelve Months on Parole

Whenany offender has served 12months on parole for an offense committed on or beforeAugust 28, 1977,in a manneracceptableto

the board, upon request, the board may review the offender's record upon application therefore and make a determination whether to

recommend to the governor that the offender be pardoned and finally discharged from the sentence under which he is serving.

§143.4. Parolee Discharging Sentence

Whenever any offender who has been paroled for an offense committed on or before August 28, 1977, has complied with the rules and

conditionsgoverninghis paroleuntil the end of the term to whichhe/shewassentenced, and withouta revocationof his parole, the

board may report such fact to the governor prior to the issuance of the final order of discharge. The board may, at this time, recommend

to the governor a full pardon as authorized by the Texas Constitution, Article IV, §11 and Texas Government Code, Section 508.119.

§143.5. Discharged Prisoner

CLEMENCY SECTION

8610 Shoal Creek Blvd., Austin, Texas, 78757 Phone: (512)406-5852 Fax: (512)467-0945

Internet: bpp_clemency@tdcj.texas.gov
Upon request from a person who has discharged a felony sentence or successfully completed a term of deferred adjudication

community supervision, the board will consider recommending a full pardon. Applicant's name, TDCJ-CID or SID number, county of

conviction, offense, and length ofsentence shall be furnished for identification.

§143.6. Inmate in Texas Department ofCriminal Justice-Institutional Division

A full pardon will not be considered for an offender while in TDCJ-CID. except when exceptional circumstances exist. The burden of

showing such exceptional circumstances rests upon the applicant.

§143.7. Prior Out-of-State or Federal Convictions

Where there exists one or more convictions or successful completion of a punishment similar to a term of deferred adjudication

community supervision for offenses offelony grade, in other states or in federal court, prior to the last Texas conviction, the board will

consider recommending a pardon only if the applicant:

(1) provides a clearance by full pardon from the jurisdiction(s) ofthe previous conviction(s); or

(2) furnishes proof in writing that the other jurisdiction(s) will not act until a full pardon is granted by the Governor of

Texas. "*

§143.8. Suspended Sentence, Felony Conviction

Upon a written application from the applicant or person acting on their behalf, the board will consider recommending full pardon for a

suspended sentence. Applicant's name, SID number, the county of conviction, offense, and sentence shall be furnished when the

request is made.

§143.9. Sentence of Probation, Felony Conviction

The board will consider recommending a full pardon for a sentence of probation only upon a showing ofreceipt ofmaximum relief

available through the court of conviction, and then, only in an extreme or unusual circumstance which prevents the applicant from

gaining a livelihood or in the event ofloss of civil rights. The burden ofshowing such extreme or unusual circumstances rests upon the

applicant.

§143.10. Misdemeanor

The board will consider recommending a full pardon in misdemeanor cases only when exceptional, extreme, and unusual circumstances

exist. The burden ofshowing such exceptional, extreme, and unusual circumstances rests upon the applicant.

§143.11. Request of Governor

The board shall consider a recommendation for a full pardon or request for restoration offirearm rights in any case upon the request of

the governor as authorized by the Texas Government, Section 508.050.

§143.12. Restoration of Firearm Rights

(a) The board will consider recommending restoration of the right to receive, possess, bear, and transport in commerce a firearm only in

extreme and unusual circumstances which prevent the applicant from gaining a livelihood, and only if the applicant:

(1) provides either proof of clearance by a previously granted full pardon or a request for such express restoration in a pending

application for a full pardon from jurisdiction(s) ofthe relevant conviction(s) or successful completion of a punishment similar to a

term of deferred adjudication community supervision; and

(2) provides proof of application under the United States Code, Title 18, §925(c), for exemption, relief from disabilities to the Director

of Alcohol, Tobacco Firearms and Explosives, and furnishes copies of all relevant applications and responses thereto by the Director of

Alcohol, Tobacco, Firearms and Explosives including any final actions by said Director of Alcohol. Tobacco Firearms and Explosives.

(b) The burden ofshowing such extreme and unusual circumstance rests upon the applicant.

CLEMENCY SECTION

8610 Shoal Creek Blvd., Austin, Texas, 78757 Phone: (512) 406-5852 Fax: (512) 467-0945

Internet: bpp_clemency@tdcj.texas.gov
§143.13. Posthumous Pardon

Upon request from a person acting on behalf of a deceased person who was convicted of a felony offense, the board will consider

recommending a full pardon for the deceased person.

§143.14. Consideration of Request or Application

(a) The board will consider a written request or application for executive clemency submitted pursuant to Subchapter A ofthis chapter

(relating to Full Pardon and Restoration ofRights of Citizenship).

(b) When an application for executive clemency is denied by the governor or not recommended by the board, a person may submit a

subsequent written application for executive clemency on or after the second anniversary ofthe denial.

CLEMENCY SECTION

8610 Shoal Creek Blvd., Austin, Texas, 78757 Phone: (512)406-5852 Fax: (512)467-0945

Internet: bpp_clemency@tdcj.texas.gov
PARDON FOR INNOCENCE CHECKLIST

Before submitting your application, please ensure that you have complied with all application

instructions and have reviewed the checklist informationprovided on this page. Incomplete applications

will not beforwarded to the Texas Board ofPardons and Parolesfor voting consideration.

Eligibility

Did you review your eligibility for pardon for innocence consideration by reviewing board rules

governing pardon for innocence?

Completing the Pardon For Innocence Application Form

Did you complete the application form as instructed? Review to ensure that you have complied with all

instructions, including the following:

(1) Type or print legibly in black or blue ink;

(2) Do not alter the presentation of the application by reformatting or rewriting the form, and do not

bind or staple the application;

(3) Respond to all items, if necessary using "N/A, "Unknown," "None," or "Do not remember;"

(4) For each adult conviction for which you are requesting a pardon for innocence, complete

application pages titled "Criminal History Information" and "Subject's Version" as instructed, with

a complete and detailed Subject's Version of Offense with location, offense date, law enforcement

agency involved, events leading up to the offense and your extent ofinvolvement in the case;

(5) Sign with your full name the application form with a date ofsignature.

Certified Court Documentation

Did you provide appropriate certified court documentation (indictment/complaint/information, judgment

& sentence) or clerk statement (fine/restitution paid) for all convictions for which you are requesting a

commutation of sentence. Refer to application instruction Page 2 of 2, Procedures for Obtaining Court

Documentation, for detailed instructions.

Offense/Arrest Reports

Did you provide offense reports for all convictions for which you are requesting a pardon for innocence

from the appropriate law enforcement agency? For example, if you were arrested by the Austin Police

Department, you must request offense reports from that agency. If you were arrested by the Travis County

Sheriff's Department, you must contact that agency.

If you are unsure ofthe arresting agency, you may access public record information pertaining to criminal

convictions and deferred adjudications by accessing the Texas Department of Public Safety (DPS) Crime

Records Service website http://records.txdps.state.tx.us/; or you may contact DPS to request assistance in

acquiring criminal history information.

PFI-10 (Rev 01/11/2010) Page 1 of 2
PFI-10 (Rev 01/11/2010) Date: 7- 3 - 2.Q/£"

(Last Name, First and Middle Name)

Co^^a/b* £»az Glofr

SUBJECT'S VERSION

On this "Subject's Version" page you are providing additional information - your version Of events - about the offense that you

listed on the preceding "Criminal History Information" page. Describe in your own words the factual circumstances ofthe

offense.

Responses such as "N/A," "Unknown," or "None" are not acceptable for this section ofthe application. Ifyou do not remember

anyofthedetails about this offense youmay provide a statement tothateffect.

Criminal Offense: JaJI)8C€/JC-^ iv/C/-///& CoWMcjList the offense asitappears inthe court documentation. The offense should Match the wording on the corresponding Criminal History Hi Information page.

1

'^""y "v "V ~7- '• " r> >*>j>— A *•> A\ 2.

Offense date(s):

Law enforcement agency involved:

Location: C'&ff/t* CoVtffy Mc£lUL<?y ,~/Y, /«* ^A/#?

%'lia fJf.pa/dAiuM" r/fiVP -f/Mfo

State in detail events leading up to the offense and the extent of your involvement in this case:

Complete this page before attaching any additional page(s). Place any attachments immediately behind this page.

Court Documentation & Offense Reports

Place all courtdocuments and offense/arrest reports forthis offense after your Subject'sVersion page(s).

Refer to application instruction Page 2 of 2, Procedures for Obtaining Court Documentation, for

information on documents to provide with the application.
PROCEDURES FOR OBTAINING COURT DOCUMENTATION

All court documents must be CERTIFIED, whether they originate from the office of the District,

County, or Municipal Clerk. Acquire the proper documentation, accordingly:

IF convicted and the judgment, included a court ordered fine and or restitution, furnish a statement from

the appropriate clerk confirming the amount paid.

IF convicted and the sentence is probated or deferred, furnish the Complaint/Indictment or Information,

Judgment, Sentence and Dismissal.

IF convicted of a misdemeanor resulting in a fine and/orjail time, furnish the Complaint, Judgment and

Sentence.

IF arrested and the charge was dropped or dismissed, furnish the charging papers and the Dismissal. If

unobtainable, furnish a dismissal or "no formal chargemade" statement from the prosecuting attorney.

IF arrested for out-of-state, federal or foreign offense(s) prior to the last Texas conviction, furnish court

documentation. If convicted,provide clearance by Pardon For Innocence from the jurisdiction or show by

official source, preferably the court of conviction, that no civil rights were lost.

IF convicted of a felony probation and revoked to the Texas Department of Criminal Justice -

Correctional Institutions Division (TDCJ-CID), furnish the Indictment, Judgment and Sentence granting

probation and the revocation document(s), and a copy of the TDCJ discharge certificate.

IF convicted of a felony, sentenced to'TDCJ-CID and currently on parole or mandatory supervision or on

annual report status, or have discharged the sentence, furnish the Indictment, Judgment, Sentence and a

copy of the TDCJ discharge certificate. Contact the following office(s) to obtain the appropriate

certificate:

TDCJ-CID RECORDS OFFICE

P. O. BOX 99

HUNTSVILLE, TEXAS 77342

or

TDCJ PAROLE SUPERVISION

8610 SHOAL CREEK BLVD.

AUSTIN, TEXAS 78758

PROCEDURES FOR OBTAINING ARREST/OFFENSE REPORTS

For each criminal offense, acquire from the appropriate law enforcement arresting agency copies of the

arrest/offense reports. These copies of reports do not have to be certified. For offenses involving drugs,

please provide copies of laboratory reports.

PFI-10 (Rev 01/11/2010) Page 2 of 2
PFI-10 (Rev 01/11/2010)

(Last Name, First and Middle Name)

Date: f - 3 ~ 2Q'& Page 1 of 6

APPLICATION FOR PARDON FOR INNOCENCE

TO THE TEXAS BOARD OF PARDONS & PAROLES

TO THE BOARD OF PARDONS AND PAROLES OF TEXAS:

I hereby request theBoard ofPardons andParoles orits designated agent to fde this application for Clemency, to investigate the statements herein made under oath and, if the facts so justify, make a

favorable recommendation to the Governor of the State of Texas that a Pardon For Innocence, to

which I may be entitled under the laws of the State of Texas, be granted.

A. DEMOGRAPHIC INFORMATION

Current full name

Name(s) convicted under

Race and sex

Date and place of birth

Driver's license

Alias names (including maiden

name, name by former marriage

and nicknames), birth dates,

social security #'s, etc.

Current marital status

Children / support / alimony

Last Name • Jr. •m

• sr. Qrv

First Name

&5,i(*el/£Z. Z)/£*£ ..<2p/'

Full Middle Name

Race /hjrvj Gu OA: Sex Ma/?_

Date ofbirth /?-£>/- <s^ Place ofbirth G/6*

State •ix License Number Jt)<A

Married - Spouse's Name: $W i4'^ CuAcl/2A Q/A^k £

• Divorced KT Separated D Single

I have •children under the age of 18 years.

I am supporting the following named children under the age of 18 years:

-4V

I currently pay $

I currently pay $

/ month in child support.

/ month in alimony.
PARDON FOR INNOCENCE

INSTRUCTIONS & CHECKLIST

Mail completed applications to: TEXAS BOARD OF PARDONS AND PAROLES

ATTN: CLEMENCY SECTION

8610 SHOAL CREEK BLVD.

AUSTIN, TX 78757

1. Submit a completed application form in compliance with board rules governing pardons for

innocence. Please respond to all items. If necessary, use "N/A," "Unknown," "None," or "Do not

remember."

2. Applications must be typed or printed legibly in black or blue ink.

3. Certified court documentation (indictment, judgment and sentence) for each adult conviction for

which you are requesting a Pardon for Innocence. For complete instructions, refer to Page 2 of2.

4. Offense (arrest) reports for each adult conviction for which you are requesting a Pardon for •' --

Innocence. Obtain these documents from the arresting agency. The documents do not need to be

certified. For complete instructions, refer to Page 2 of 2.

5. A written recommendation of a majority of the current trial officials, with one trial official

submitting documentary evidence of actual innocence (the present prosecuting attorney, judge, and

sheriff/chief of police ofthe arresting agency from the county and court of offense, conviction and

release) and compliance with board rules governing Pardon for Innocence

6. Complete the attached application form as presented. You may submit attached documents as

instructed in the application. Do not alter the presentation ofthis application either through

reformatting or rewriting. Do not bind or staple the application with any other submitted material.

7. The application must be signed and dated by the applicant.

• Ifthe Board recommends Pardon For Innocence, the Governor makes the final decision. The

applicant will be notified in writing upon final action.

• Please let us know of any change of address or telephone number.

• On the Application Page A of 6, A. Demographic Information, where asked to provide the

applicant's current name, input the full name as it might appear on a Governor's proclamation.

GENERAL INFORMATION

Definition - A pardon based on actual innocence exonerates an individual ofthe crime and erases the

conviction. In order to consider a pardon for innocence, the Texas Board of Pardons and Paroles requires

either evidence of actual innocence from at least two trial officials; or the findings offact and conclusions

of law from the district judge in a state habeas action indicating actual innocence.

PF1-10 (Rev 01/11/2010) Page 1 of 2
TEXAS BOARD OF PARDONS AND PAROLES RULES

Chapter 143. EXECUTIVE CLEMENCY

Subchapter A. FULL PARDON AND RESTORATION OF RIGHTS OF CITIZENSHIP

§143.1. Authority To Grant Pardons

Except in cases oftreason or impeachment, after conviction, the governor may grant a full pardon upon

the recommendation and advice of a majority of the board(Texas Constitution, Article IV, §11;Texas

Code ofCriminal Procedure, Articles 48.01 and 48.03). • '

§143.2. Pardons for Innocence

(a) On the grounds ofinnocence ofthe offense for which convicted the board will consider applications

for recommendation to the governor for a pardon for innocence upon receipt of:

(1) a written recommendation of at least two ofthe current trial officials ofthe court of

conviction, with one trial official submitting documentary evidence of actual innocence; or

(2): a certified order or judgment of a court having jurisdiction accompanied by a certified copy

ofthe findings offact and conclusions of law where the court recommends that the Court of

Criminal Appeals grant state habeas relief on the grounds of actual innocence.

(b) Evidence submitted under subsection (a)(1) of this section shall include the results and analysis of

pre-trial and post-trial DNA tests or other forensic tests, if any, and may also include affidavits of

witnesses upon which the recommendation of actual innocence is based.

PFI-10 (Rev 01/11/2010) Page 2 of 2
PFI-10 (Rev 01/11/2010) Date: V~ 3 ~ 2&SS'

(Last Name, First and Middle Name)

&•

CRIMINAL HISTORY INFORMATION

Provide information on all adult criminal offenses (list one offense per page) and the disposition of each arrest. For these

purposes, adult is defined as all arrests committed when age 16 or older or when younger than age 16 but certified as an adult. All

blanks must be completed for each criminal offense. Included in this application are two (2) blank "Criminal History

Information" pages provided in the event that you have multiple arrests.

Photocopy as many of these blank pages as needed to list additional offenses.

Criminal Offense: 2A/G£c&VC/ \t//c&/££ £&ASTAc:7

List the offense as it appears in the courtdocumentation.

Are you requesting a Pardon ForInnocence forthis offense? |/\j Yes / | | No

Only Texasfelony convictions are eligible for Pardon For Innocence consideration.

Additional Information about the Criminal Offense

County: ChWu //c^/Wy */X State: J€XAS

Cause Number: Hf 2/9* 2Q2.&Q-CX/- fr £4

Court of Adjudication: 2^" Cp///lf Col/HiU Mcj(t'***£>/ /£%*<> Mark "N/A" if not adjudicated in a Court. /'

Disposition/Sentence Date: <-~ '£ ~ c?0O£> Dale of scnlcncingor other form of court adjudication. Mark "N/A" if nol adjudicated in a Court

Court Disposition/Sentence

Examples of possible response; that you may modify to reflect your circumstance;

5 years TDCJ

2 years State Jail Felony

2 years probation

Ccxjlt JhpLsce JDyeaA SupsA61*3/on Cou/twtf,

7yea£<s Joe/-at&

Fine ordered in theSentence? • Yes • No If "Yes", indicate the amount: $

Was the fine paid in full? • Yes • No

Restitution orderedin theSentence? • Yes O No If "Yes", indicate the amount: $

Was the restitution paid in full? • Yes • No

Final Disposition: 7/£<*2S 7&C7'- Cf& SgUIVKCZ Cc>*f/Dk "fed A^Oi

/——s f s fExamples of possible responses that you may modify to reflect your circumstance;

Jail sentence completed

Stale Jail Felony sentence completed Currently incarcerated in a State Jail facility

TDCJ-CID sentence completed Currently incarcerated in TDCJ-CID

Currently on parole
PFI-10 (Rev 01/11/2010) Date: 4r~3~-2.Q'5 Page 6of 6

(Last Name, First and Middle Name)

F. CERTIFICATION BY APPLICANT

Please readthefollowing statements carefully andindicate your understanding andacceptance

bysigning in the spaceprovided This application mustbe signed.

I hereby give mypermission to theBoard of Pardons and Paroles or its designated agent to make

any inquiry and receive anyinformation ofrecord thatit may deem proper in the investigation of

this application for clemency; and

I understand that compliance withthese requirements is sufficient for the Board's consideration of

this application, but compliance does notnecessarily mean thatfavorable action will result.

I hereby swear upon my oath that I am the subject herein named and the facts contained in this

application are true and correct.

Sty @«h Scu^/^ "ttev y£52&£

<&ppIicant's1Signature Applicant's Signature (Full Name)

V- 3- 20/5

Date
PFI-10 (Rev 01/11/2010)

(Last Name, First and Middle Name)

B. ADDRESSES

Date: 4° 3 -zo'G' Page 2 of 6

Current Mailing Address

Indicate your current mailing address. ..

ficy/usey c//7rr

Current Physical Address

Provide information even ij thephysical

and mailing addresses are the same.

CotHsey Otti/

Number and street Apartment Number andstreet ' Apartment

City . State Zip Code City State Zip Code

Home phone number [ JUQ ] /JCs • County ofresidence

Work phone number [ /Jb ] /Lf &

Email Address ASO AS&

Years resided atphysical residence CJ^i-J^

Previous Addresses

List all previous physical addresses since age 18. Do not use post office boxes. If you lived in an apartment

complex, list your apartment number. All timeperiods must be accounted for. Include complete dates (months and

years ofresidence), addresses, city, state and zip codes. Complete this page before attaching any additional page(s).

Place attachments behind this page.

From (month/year):

•4- /6-200@

Number and street Apartment

&4SA

To (month/year):

""P/ah* State

-/x

Zip Code

From(month/year): ^*f*

id- J>5-&0 Number and street Apartment

To (month/year): && State Zip Code

From (month/year):

DA

Number and street Apartment

To (month/year):

ASA

City

ajA

State Zip Code

From (month/year): Number and street

Ay A

Apartment

To (month/year):

4/4 a" jM Slate Zip Code
Date: 9" 3~ <20& Page 3 of 6 PFI-10 (Rev 01/11/2010)

(LastName, First and Middle Name)

T7 /.^ ^.v:/'v 7\Z

C. EMPLOYMENT

Please give a comprehensive adult (since age 18) employment history, beginning with your present employment and

working backwards. Include employer's name, address, your job position working title, description ofjob duties,

salary, dates employed, and reason for leaving. Complete this page before attaching any additional page(s). Place

attachments behind this page.

From (month/year): Employer name

To (month/year): Employer address ^^^

Job position (working title) Description of your work duties

Average monthly salary Reason for leaving -/^/'^ COC>£~? 2/? / X Mc/tt.V«^<S'f ~fX

From (month/year):

To (month/year):

$ AlA-ZcA

Job position (working title)

Average monthly salary

Employer name

/

Employer address

Description of your work duties

'(S*f«t.

Reason for teaving '///js CoOJZ 7 2/<7 /W McAi "**'£? f* *•

?,2QO ^7s*^TM% V«>^'^'Z y&44.

From (month/year):

AJO

Employer name

/OO

To (month/year): Employer address

Job position (working title) Description of your work duties

/JO

Average monthly salary Reason for leaving

From (month/year):

AJO

Employer name

To (month/year):

AJQ

Employer address

Job position (working title) Description of your work duties

4JD

Average monthly salary Reason for leaving

r6c
PFI-10 (Rev 01/11/2010) Date: V' ? " Z&'S

(Last Name, First and Middle Name)

CRIMINAL HISTORY INFORMATION

Provide information on all adult criminal offenses (list one offense per page) and the disposition of each arrest. For these

purposes, adult is defined as all arrests committed when age 16 or older or when younger than age 16 but certified as an adult. All

blanks must be completed for each criminal offense. Included in this application are two (2) blank "Criminal History

Information" pages provided in the event that you have multiple arrests.

Photocopy as many of these blank pages as needed to list additional offenses.

Criminal Offense: T//£)£C£HCY V/CA/U& C^pQ^UfLC

List the offense as it appears in the courtdocumentation.

Are you requesting a Pardon ForInnocence for this offense? Q\| Yes / | | No

Only Texasfelony convictions are eligible for Pardon For Innocence consideration.

Additional Information about the Criminal Offense

County: 'CoJ/'U ' A/c£''ttH&f VX state: Y&XAS

Cause Number: It/2/9* ?&2 &>~09- //Cf

rt ofAdjudication. 2/9- G>///U C&CtSTf ASc^/MUSy "/eXAS "N/A" if not adjudicated in a Court. \ '"

Court

Mark

Disposition/Sentence Date: Date of sentencing or other form of court adjudication. Mark "N/A" if not adjudicated in a Court.

2* /f- ZOOS

Court Disposition/Sentence: GdoA/'7(4pUC£. *i0 VStM SCjPeA&S*)!/ CbWOUt'//

Examples of possible responses that vou may modify 10reflect your circumstance: M poo^ Ooc/£^ £efo&*(Q

5 years TDCJ

2 years Slate Jail Felony

2 years probation

Fineorderedin the Sentence? CD Yes QNo If "Yes",indicate the amount: $_

Was the fine paid in full? • Yes • No

Restitution ordered in theSentence? d Yes CD No If "Yes", indicate the amount: $

Final Disposition:

y^ Was the restitution paid infull? O Yes O No

•fy&t/L'S

Examples of possible responses that vou may modify to reflect your circumstance:

Jail sentence completed

State Jail Felony sentence completed Currently incarcerated in a State Jail facility

TDCJ-CID sentence completed Currently incarceraied in TDCJ-CID

Currently on parole - t,
PFI-10 (Rev 01/11/2010) Date: ^"3 -.2&S&

(Last Name, First and Middle Name)

SUBJECT'S VERSION

On this "Subject's Version" page you are providing additional information - your version ofevents - about the offense that you

listed on the preceding "Criminal History Information" page. Describe in your own words the factual circumstances ofthe

offense.

Responses such as "N/A," "Unknown," or "None" are not acceptable for this section ofthe application. Ifyou do not remember

any ofthedetails about thisoffense youmayprovide a statement to thateffect.

Criminal Offense: Jl*Oe<C£>/UCs/ US/C////:/) C^vVfr^O^g List the offense as it appears in the court documentation. The offinse shouldfiatch the wording on the corresponding Criminal History Information page.

Offense date(s): OZZ/'o /s>F)Cl% ^

Law enforcement agency involved: fOlfC^ tZr'gprtA/Altffa 'l/AwD TA /j^llAS

State in detaDevents leading up to the offense arid the extent of your involvement in this case:

rrf /tie JZzAr/A a£&yf ,

Location

Complete this page before attaching any additional page(s). Place any attachments immediately behind this page.

Court Documentation & Offense Reports

Place all court documents and offense/arrestreports for this offense after your Subject's Version page(s).

Refer to application instruction Page 2 of 2, Procedures for Obtaining Court Documentation, for

information on documents to provide with the application.
PFI-10 (Rev 01/11/2010)

(Last Name, First and Middle Name)

Gizuaz/zz Cloy &t'ai

Date: <y-£- 20/$r Page 4 of 6

D. STATUS

Are you currentlyincarcerated in a Texas penal institution?

gAtusey 4 ot#f //o& W &$f &>$k*t£*

If"yes," list your (TDCJ-CID) identification number. *fX 7¥£%3

Were you everincarcerated in a Texas penal institution?

If "yes, "list all (TDCJ-CID) identification numbers.

Are you currently serving a term ofprobation?

If "yes ", identify thecounty of current residence, name andphonenumber of

your probation officer.

Are you currently on parole,annualreportstatus, orserving a termof

myOf^S^Au%OASt Mtvy ^O Hood** /* lW#

If "yes ", identify thecounty ofcurrent residence, name andphonenumber of

your parole officer.

Do you have any pending criminal charges?.

If "yes, "attach an explanation page. Place theattachment behindthispage.

Have you been incarcerated in a federal or non-Texas state

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location. f

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Doyou have anypriorfederal or out ofstate convictions resulting in a .

loss of civil rights that have not been cleared by a pardon?

If "yes, "attach anexplanation page. Place the attachment behind this page.

T^Yes • No

ID number: /652.C2. &

[Yes D No

Prior ID number: /65<&^&

Prior ID number:

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County: £p/.//«* MckTiAMey

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Name

Number: ( ) A/A

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County: /.^jY** ^X

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• Yes Wno

^Yes • No

ID Number: A'^^Z</^J

Institution: •tAc.fl't' /&$<z££%

Location: //cPOSl^U T^

• Yes Wno
PFI-10 (Rev 01/11/2010) Date: ^' «3~ 2&6 Page 5of 6

(Last Name, First and Middle Name)

wE. JUSTIFICATION FOR CLEMENCY CONSIDERATION

(1) State the reasons and circumstances for requesting a Pardon For Innocence.

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Complete this page before attaching any additional page(s). Place any attachments immediately behind this page.

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