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THANK YOU.
ITEMS ALLOWED:
Regular Clothes
Safety Toothbrush
Newspaper/Magazine
Books (softcover only)
Safety Pen and Paper
_Toilet Paper
Legal Mail
Other
SW Blanket & SW Mattress must be used even on
Psych Observations.
' If nothing is checked with a silver marker, only a
Suicide Smock and Suicide Blanket are allowed.
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Name of Inmate On Suicide Watch or Psych Observation:
E pate n
Registration is: 193
5 t-1
DATE
BREAKFAST
V
LUNCH
DINNER jp.
OFFERED
SHOWER
RECEIVED
SHOWER
Please check the appropriate box if the person on
Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it,
but did not eat it.
Place a check in the "Liquids" box each time the person drinks.
Thank you.
EFTA00106352