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sessment for every one month interval thereafter? O Yes: O No if no. why not? Acts) taken on the above date by the Segregation Review Official or the Reviewing Authority: O Released from Special Housing: O Continue in Speaal Housing Did inmate in Adminisuative Detention receive a written copy of staffs decision and

HT..: 5 06 DNA NYm06201 WEIGHT..: 180 HAIR BLACK EYES BROWN CITIZENSHIP • CMC YES BIRTH P

sessment for every one month interval thereafter? K Yes: K No if no. why not? Acton taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing: K Conbnue vi Special Housing Did inmate In Administrative Detention recent a written copy of staffs decision and

RATION 11-23-2018 0955 NYM CASEWORKER UNT 7 A. BLACK EXT. 6494 11-24-2018 1415 NYM CUSTODY IN IN C

essment for every one month interval thereafter? K Yes: LI NO if no. why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing. K Continue m Special Housing Did inmate in Administrative Detention receive a written copy or staffs decision an

n space, often feels like a particularly chaotic Black Friday at Best Buy. After experiencing EFTA00047

for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing Did inmate in Administrative Detention receive a written copy of staffs decision a

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ment changes, the inmate must receive a copy of this form) Date of Next Review: 07.23.2019 Printed Name and Signal Segregation Review Official or the Reviewing Authority and Date Signed RICE, MARQUEA S Record Copy - Central File This form replaces BP-295(52) dated January 1988 Page 1 of 1 7/19/2019 EFTA00049864

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essment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing; ~ Continue In Special Housing Old inmate In Administrative Detention receive a written copy of staff's decision

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essment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing: ~ Continue In Special Housing Old inmate In Administrative Detention receive a written copy of staff's decision