M•adrin

M•adrin /Ma IMIMI• Sam Melia .•-eenr ass - jaeli f • '1/4A • ; yk 1; ir a a f tat- . • Al;r7: • ep„4 OBSERVATION STARTED: 7/?)19 0 a PA1 PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. 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. .d If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. 'Illader'Srelk • -;•41111ramp UUNHULN I IAL r L ev wci a "telt: Ai. :iv ) • ..- 44,,sewy, Ars k4 SDNY 00009558 EFTA00139365 Name of Inmate On Suicide Watch or Psych Observation: Registration #: 1(03 q-(1)5t/ EATING/SHOWER CHART Erk n DATE BREAKFAST LUNCH L., '" 46 DINNER LIQUID ` ' OFFERED SHOWER RECEIVED SHOWER Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats hi