Inmate 30d? 'R?ceis? . . inmate Name: ADAM mm: of ?ir?u HUGHMM (lass: CARRWL Banking 3809013152 Jacket 43508 Date: Q-ngig Time: :3 Rescin me: (Kimmy or C?emcliariai Facility) I (Signature) I (Title) I (Agency) Dam: 'i?imc: {?cstinz?ioni Ream}: (Returned. To CENTER) i-?rmn: Reason: 'i?ime: 'i?x?imspun Of?cer: Agency: theiving-Of?ccr: Com i)i$position: humus Rudy ?R?caipi Jaii'fracker Repzm Primed C31: 94:92 Page 3 of I