Document Mentions (3 shared documents)

EFTA00110601

2 mentions1 same-page

Page ?Same page

In the reason for placement Is to be noted m this section. If the reason for placement changes, the inmate must receive a copy of Cis form): Date of Next Review 0740-2019 Rented Name and Senature of aegis° Official or the Reviewing Authoaty and Date Signed. Record Copy • Central Ftie This form replaces B

NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNKNOWN 08-01-2018 1718 NYM SECOND RSP 54N USM NYS 54N NEW YORK, NY 08-01-2018 1718

EFTA00060708

2 mentions1 same-page

Page ?Same page

the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review. 07.23.2019 lion Review Official Or the Reviewing Authority and Date Signed. This form replaces BP-295(52) dated January 1988 Page I of 1 7/19/20

EFTA00046963_email_024

2 mentions1 same-page

Page ?Same page

n the reason for placement Is to be noted in this section. If the reason for placement changes. the inmate must receive a copy of this form) Date 01 Next Review 01.23-2019 Printed Name and Sign Segregation Renew Official or the Renewing Authority and Date Signed Record Copy - Central File This form repla