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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.
A If nothing is checked with a silver marker, only a
Suicide Smock and Suicide Blanket are allowed.
EFTA00140490
Name of Inmate On Suicide Watch or Psych Observation:
Registration #: -)3q-O51-i
DATE
BREAKFAST
LUNCH
DINNER
LIQUIDS
774 at'
17
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.
EFTA00140491
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