. '··: RBTURNTO:· .. TDCJ# · HOUSING __ _ 

: -. _Offen~er trust fund active/res4icted. Purchase supplie8:from comnussary 

_Allowed (5) personallet~rs/$2.45 ·Per month and (5) legal items 'per week . 

_J?id not demonstrate need for additional supplies/postage . . 

_._Pen/carbon ~.change ~qwredftiid not demonstra~ need fo~· ((arbon . . . 

~Djd not subniit requesytncomplete request . . · · · . · . . ,.., . .. 

· · ·· J(_Maillet~r(s), _:_perso~, ~legal to receive more supplies, L~t~$11Ulce date: bSOJ?tJ · : 

· . Pink ·slip required for offenders with active acct/no IP card · ·. 

. \ 

· 'Personal supplies issue.d once per montllllegal suppiies issued. once per week 

. _. _Use indigent supply ettveiope for requesting supplies/postage · · . . . 

__ Provide proof of purc~e for envelopes/paper not ~ssued thru indig~nt- supply·. · 

i ~~on :tiicligent offeride~~n1ay' receive siippi~es·aJfeY 1. cons·ecative dJj~ fockdow~ · 

. Contraband-riot allow.&! for mailing thru· indigent program . -.. -- . . . . 

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SI.ICE INVESTIGATION WORK Sl 

CASEI: 20110157273, TDCJ i 01442303, NAME: SAlAZAR,ROLAND 

2011/03/1 

' 12:0,31 1 

' 3. Tl-IE ACCUSED REASONS AND/OR DEfENSES HAVE BEEN 

}' SYSTEMATICALLY INVESTIGATED AS FOLLOWS: 

LOGICALLY AND 

A, cL\.-)\- I\ , REVIEWED' CASE .. · 

Ii .. ~.\!:_U, INTERVIEWED ACCUSE})~ ::.' C. NAt-1E:: OF l NTERPRETER LISED:.AJ}A ------'---· 

>; ': 

---------------.:...---. ______ __, 

---·--· -----·------------. 

-----

--·----·------

--:.. 

. <.i~ .. 

6. LIST THE PORTIONS OF THE INVES1"IGATION TH.;y::-APPE:AR TO SUPPORT HIE 

ACCUSED REASONS, AND/OR DEFENSES:--------------·-----'---

····---~ ·-----------·-- =~~=---==-~.eec~---,--- _·--=._-_-_-_--------------~·-=__-__ --_-__ -_ ...... 

-------·---· 

COUNSEL SUBSTITUTE PRINTED NAME:~~ 'i\An'\ 

COUNSEL SUBSTITUTE SIGNAT~REt __ D::t-h~~ . CS-10.11B, .. ~ 

----------·-

·-----·--

TITLE: J:'hS.._-:l.-_ 

_____ nATE :·:_.Q_=--(..t--=:.1~ 

REVISED 08/2005 

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••• Department of Criminal Juatl 

INSnTUTIONAL DIVISION ·~~ ,.;. 

Inter - Office Communications 

To: _D_IS_C_IP_U_N_A_AY_H_EA_A ...... IN_G_O_F_FI_C_EA __ 

From: ~ flAr.c:..c:Jitk~S 

TIME: Dcts9 

OFFICER:'-------------

INMATE:IOFFENDER: ~,..~tt>? a 

STATEMENT OF FA~TS BY WITNESS: 

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Date: . .Q J ' I \ \ '. 

SubJect:· WITNESS STATEMENT 

CASE# ~Q I I 0 1.5:1Q.:>3 

RANK: SHIFT/CARD ASSGN:.--=--

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.cs:()SP040 

ro·- ·roo7 ~ T.D.C.J. ~ 

S~ICE INVESTIGATION WORK SHIIW 

2011/02/1< 

12: 03:1~ 

CASE:t: 20110157273, TDCJ. t 01442303, NAME: SALIIZAR,ROLAND , 

CURRENT UNIT: TO, I-lOUSING: 12FB1 15 , CLASS1 L3, CUSTO"OY: 3A, TYPE:' H, 

OFFENSE DATE 1 020511, TIME: 06 : 43 Af-1, LOCATION: TO UOT 12 BLDEf OTHER , 

CHARGING bFFICER: CHURCHMAN, B. COV 1 SHIFT/CARD: 1/2, 

OFFENSE CODES: A) 03 . 5 I B) C) D> . I 

DESCRIPTORS: A> SA SP I B> I C) I D) 

'" ~ti:~ RCVD: 020~~(;SRV~P=~ DATE: 0307ti c: --SE;iyic~l DATE:""~~~ CS ASS! GNED: --·-----·--------------~ SE RVI CF. 1' UtE: ~ _ 

COUNSEL SUBSTITUTE HAS BEEN APPOINTED BECAUSE: 

~ACCUSED IN ANY fORM OF 

SEGREGATION 

B. EA BELOW 5.0 IQ BELOW 73 

C. LITERACY IS QUESTIONABLE 

D. ACCUSED HAS DIFFICULT~·UNDERSTANDING ENGLISH 

E. ACCUSED HilS REQUESTED COUNSEL 

SUBSTITUTE 

F·. ACCUSED HAS REQUESTED WITNESS WHQ 

0 CAN NOT ATTEND THE HEARING .· 

COMPLEXITY OF CASE WARRANTS COUNSEL 

SUBS·TITUTE 

.•==-=-=====·=====-======•:::.;::.;:::::::::::::::::::::=::.:::.::.::::==========:.:=====:..::::===::.::.:===:=:.::::r..:::::::u::::::::.::=~=:::.:::. 

A. OFFICER'S REPORT CLEARLY DESCRIBES THE INCIDENT IN QUESTION: YES_NO __ 

B. CHARGES LIST,ED WERE REVIEWED WITH REFERENCE TO TDCJ DISCIPLINARY ..._,/ . RULES AND PROCEDURES: YES __ NO. __ 

C, OFFENSE DESCRIPTION IN REPORT SUBSTANTIATES EACI-1 OF 'TI-lE ~; 

ALLEGED OFFENSES WERE VIfJLATtD: YES ___ NO ____ _ .. 

IF NO I EXPLAIN:·------'- -------------·--- ··---------------------------- 1, THE ACCUSED WAS tNFORf1ED OF THE FOLLOIJING RIGHTS: 

A. TO GALL AND QUESTION WITNESSES 

B. TO PRESENT DOCUMENTARY EVIDENCE 

C. TO BE REPRESENTED B't COUNSEL SUBSl"I·TlJTE 

D. TO CALL AND QUESTION THE CHARGING OFFICER AT THE HEARING 

E:, THE ACCUSED STATES HE/SHE UNDERSTANDS REPORT, CHARGES AND RIGHTS. 

F, THE ACCUSED STATES HE/SHE WISHES T~ ATTEND H1S/HER HEARING 

YES NO 

~--- ~--·-, 

·' ;::;:;::-----'- . 

~--

--:------· 

~ .. ---· =~===::.:=====~==:.:====~===========~========,.,==~==::.:=~==::.:~==:.:============~=========~ 

2, THE .ACCUSED REASONS AND/OR DEFENSE 1 -------------.,-------·--- :~ ~~· 

. :-------·-- d \) \ D c;L0; ~ ~o ------ ·---------- ... Q::t;.,,o ~ c~ ....... ~et"l"' 

·--------"-- --:--· ----------·-·------·--------·-

·----·-------

:s:-REQi:iEsTED DiJCUHENTARY EVIDENCE·-----=-~--------~~==~ ----------------------·--------~-----------------------------------~ ·----- ·-------------------- ·-------·-----------------· --------------- CS-10.11A REVISED 10/02 

Salazar' 437