NUMBER: (hi DATE: March 23. 2006 SUBJECT: ADMINISTRATIVE REMEOY PROCEDURES FOR INMATES ATTACHMENT A INFORMAL RESOLUTION R??goY [39?8} . - a {Unit Caunselor! hawk q?r {Unit} 6 x. 1* Briefly state your Complaint. Include all details and facts which support yang-Meal; apt} the date an which the occurred3hr; 3w.- ?ms 4,3 - my: What action are you reque?ting to) -- -- in}! wirW?J-?giu?k' - {mi Su'- {?41 resolve yAu: complaint? ?Li; ivy gig?: j, thirty" Y?al?g Z?f?wi?; rue; rf?h?t'Jgj .L :r :4 "3 MW am wJ-?rzom _f 5. . . .15Ld-r- rim? mi 2 3. What; have you done and who have you spoken to regarding your cmlaint? #54} a- m. m; g. W. 31?; RM. Inmate Name Register 30.: Unit Emma RETURN THE COMPLETED FORM TO YOUR COUNSELOR DO 210? WRITE BELOW LINE RESPONSE m: s'rmi? MEMBER Date ReceiVe/i Fr? twaze 1 111 f? .0 14719411? ism-aw It 5151,, mm 02' I, y/ Responding Start Member Name/Title . Date Unit aim-sage: Signature Bate Reviewed (I Date Returned to Inmata 5" Administrative Remedy {89?9) Requested or Issued: Yes Nu