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' 3. Tl-IE ACCUSED REASONS AND/OR DEfENSES HAVE BEEN }' SYSTEMATICALLY INVESTIGATED AS FOLLOWS: LOGICALLY AND A, 

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# ~**0_t-c-~ Jvt.?-~**  """Jt 0 •• .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~·UNDER** STANDING 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 -------------.,-------·---**:~ ~~·** 

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### ·----- 

### ·-------------------- ·-------·-----------------· 

### --------------- CS-10.11A REVISED 10/02
Salazar' 437