Case 1 :04-cv-01542-GMS Document 5EI§i`yeQEg4/12/2006 Page 1 of¤.4GE EW 24
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oizmlw CORRECTIONAL CENTER
T0: Inmate Braghwgitievin I SBI# 00315294
FROM: Sggt. E&0Id§, Kirk ~
DATE: 10j10f2004 '
SUBJECT: . Administrative Transfer \
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The undersigned believes thai you warrant coninement to a more restrictive setting based upon
11pfor§é1•.`t.;•§1 presented.Conseq•,ientIy, pending review, you are hereby temporarily, administratively
ran to: `
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Protective Cu -
" . 200.108 Fgilgg` to Q3; gd Order
| 200,203 Qsgrgerlg god tenigg gghavior
I Pre—Heai-ing Detention 200,201 Assault ‘
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1, 5 Cv 72) Q
\ Signature of Shift orumaxtder _
Attach Supporting Dooume11ts'Fonusi.e.; 404,l537, UM statement, etc.
Copy to: Security Superintendent (original)
· Institutional. Investigator | . - .-
‘ Classiiioation ` _ _ ·· ·
MDT Chairperson
Transfer Office i
Temporary Housing Counselor · .
Classified Housing Counselor - · · .
File
H
Form #: 228-B (Rev 111*97)