Free Letter - District Court of Delaware - Delaware

Case 1:06-cv-00791-SLR Document 32 Filed 10/O2/2007 Page 1 of 3
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Case 1:06-cv-00791-SLR __Document, __ 2 _ Filed 10/O2/2007 Page 2 of 3 ,.
Departrne it of Correction
. " Bureau of Community Correction
& PLUMMER Communmr Counscnow CENTER lj WOMEN'S Wonx RELEAsE/TREATMENT Cswmz
‘ CLASSIFICATIQN REQUEST FORM
‘ " * DUE TO COU[;l§IELGR BY THURSDAY * * *
I. TO BECOMPLETED BY RESIDENT: / ,· ,- p
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Name:,;¤`-U ¢rrr..·JJ- 4 · {VL? L2 Mir} l Date; "~J¤" g`II·%II»*%7‘\é’9d? / O 7
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_ Early Work Release __ Increase in I-lhpurs of Work _ Program/Activity in the Community
_ Employment Out of State __ Phase Chang§I(to resume progression) _ Shopping Pass _
_ Flow Down . __ A Phase VI - lCElP at WA Other (specify):
___r Host Approval . I .
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_ For a visit or activity ofl grounds, include whom you want to visit (name, orgétgésttion, business, etc.), where (complete address) and telephone number. ` ~
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When do you want to schedule this visit? Date: " _ Time: y
Il. T EICOMPLETED BY C E UNSELOR, WOR’§{9l{OG COORDl,NATOR ANDfO CREST SLAFF: It _
‘ Re ende \/Not Re ommende, · · LII ’ fit;. A {1*}*)-
. -l-Q7} Name nd Title l
. ._ - RHtl0flEdé.. F = m SI1 IOII {S 'rc eason/s • supporting ·_0 Isu portin the olfe er's‘- uest stbep r` i · rior tos • ission to the
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lll TOBE COMPLETED BY HE MDT(use reverse side: n • d) _: _ _ I _ I E f U tl ,
_ ` Recommended x Not Recommended Other (see comments below) _ ot : -· ·“· ` ,
- Voting Members: ,, __. .I - ..I_. ,,_ e s., 1.. js, NON-VOIIFIB M€I1Ib€f5
Rationale for R€CQl)1mBhdHtl0h (Based on professional experience andjttdgment, not pe- onal feelings): I
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v. 3oEc1§iot»1; _ _ __ _ · `
_ ___ Approve? Not Ap Iroved ‘ _;_;_ Olhéf (see comments) _ Deterred (date): I `
Nana and Title: [ - ’ Date: ( J `> ’ O 5
Comments: ls “ E 1 I _ . .
DISTRIBUTION: Original: Offender Permanent File (Records Office) V Copies: Offender Secondary; Offender P.|.FORM_dE1U21 (2 PART NCR)

Case 1:06-cv-00791-SLR Document 32 Filed 10/O2&OO7 Page 3 of 3
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