PSYCH OBSERVATION LOG Eoskiy 163 ae 7 OBSERVATION ENDED: [10/19 / Am >. “i Ve PLEASE RETURN LOG TO PSYCHOLOGY AFTER “a “THE OBSERVATION HAS ENDED. can. GTHANK YOU. A Cabra 00 IN a Si Da Oe. tems auowen: lA : fs Regular Clothes ae ale Safety Toothbrush Vesey op 4 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. "7 If nothing is checked with a silver marker, only a “8 Suicide Smock and Suicide Blanket are allowed. SDNY_00009719 EFTA00033966

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Name of Inmate On Suicide Watch or Psych Observation: ERE PSHein Registration #: ~ DATE BREAKFAST | LUNCH EATING/SHOWER CHART OFFERED RECEIVED SHOWER SHOWER Please check the appropriate box if the person on Suicide Watch/Psych Observation actually éats 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. CONF | DENTIAL SDNY_00009720 EFTA00033967

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jue TN MALE LpSTELN IS UT ————- BM 049" INMATE EpsTecn £3. QUT) ——————9m 00% INMATE Epste IN ts: O/-- ————— - pM FNO OF SHTIF] + 89677 3-OFF pore a he 4 pe Flo Epes t 1B- Life — a wy & : S ae E72 Tle alu. TA THe Fle pate a" un LIF Hos Dit Na selene ory Las ag a CDR 414 G0 Fis Geer 2 one 7 are 1th. es, obeutth Ym BT Hon E flew aIT ant cx Leh Aly wpa | - dyer chvepss mr’ aah pe 6: 10 a oe Arodynutte! ype Ae hres beg WAH OMS Play Cael cel Tens Hobfens obfert tou — WY “tA Fondren $00. Llu Fpsbres on) Los Lilley bout erbebragy Ute! qe Th [tiles ohn GsLting bat O02 te CONFIDENTIAL SDNY_00009727 EFTA00033974

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