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Name of Inmate On Suicide Watch or Psych Observation: r= 7” Registration #: 1£ —OX EATING/SHOWER CHART il lL a SHOWER SHOWER mie t+ tre ee a rae ae , a a ee eee 4); a on ae ae a Zn rs ee VA a ee a a ee eee ee a rs es rs eee ee es ee PE ee ee PE! ET as ee FOE ee: 2 A DOES ee SG EOE es ee eR) MAE Please check the appropriate box if the person on” Suicide Watch/Psych Observation actually éats his meal. Do not check the box if heyust r received it,. but did not eat it. Place a check in the “Liquids” box each time the person drinks. Thank you. CONFIDENTIAL | SONY 00008282 EFTA00033748

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