Free Statement - District Court of Arizona - Arizona

I I
Case 2:04-cv-00323—FJIVIEI%t'A!rp!it0 I-IFiIed 10/13/2005 Page 1 013

I “ ARIZONA DEPARTMENT OF CORRECTIONS
INITIAL CLASSIFICATION SCORE SHEET .

Public Risk S ore Institutional Risk Score
1. Severity of Present Offense _ ·k (2..) 1. Prior Institutional Adjustment 3 ( ( )
2. Extent of Violence in-Current- Offense Q; (ZL) 2. Connnunity Stability - 'Zd (7,.)
3. Use of Weapon in Current Offense L (’$I·L) 3. Adjustment During Initial Classification _I_ ( { )
4. Escape History - {-I___-{_’( ‘L)_ 4. Probation/Parole Adjustment ·Q?._.-I2.)
5. Violence History l L (/I-A 5. Mental Health Adjustment . ____ _ A
~E. Confinement History M (L4) 6. Age __I_ (-I-tl
7. Estimated Length of Confinement Q_ ) 7. Security Threat Group Affiliation · _ ‘
B. Detainer Status I ($) B. Substance Abuse _I_ (L,.}
SCDRED PUBLIC RISK SCORE jg ( ) SCORED INSTITUTIONAL RISK SCORE -*-5 ( }
Verification Codes: V‘—I (DOC) V-2 (PSI/PDR) V-3 (Inmate/Not Verified) V-4 (Agency)
C U it- A.R.S. Title 13 5 13-EO4: {T Severity of Present Offense Score Reduction A plied: [ ]
IA II; . Override Requests:. [ ] Yes;:r'_¥] El;gi·11i'”I"1ty CIass__&I Date: CD _
S I Recommended Scores: -P/*' I M_ IIH} V H 2 "`-.%D;2> M R
S C Screening Score A.R.S. Tiltzle 13 13—45liIR_;_""‘~.-JL-`·`.‘-l ,1·‘;:i:pna+.a.·;;T`x.‘.n—..g..i ;.Re§qorm1end
I E I · ·.; _ :517 ;§_-{sgi;-· ‘·»_;__§i·i.;"i;_§. .
Rational e/Comments: / fl E **.5;*.%
1 ’ ‘ ‘ ‘ . .... ,..--...-..
C ' J, .. _- ~ ,.·" ‘ sg'} ‘-?’;?`=`?E;_ ;ii°`¥;:E`f-’;`;
A -..· » Li ,.=?.=:.¤a·¤;e .·,·=`
·o.- .;.. :F“*°"“‘;-.2* *:7:; _§§' M. .//“ `-.
O x.2=‘..·s; L -. Ala · ‘ ·‘ f ‘. 5
`~—" \\;___// `·——·’
N I -. ....r rerre »¤ »--— -n-A R .
Classification Officer: C I· _-_'L_/AI, _ Date:O
Date of Next Review: MO VR é Inmate Initials: JJ! Pd Agree; [ ] Disagree.
I A Recommendation: i4 Approved; [ ] Denied. _ Override Requests: [ ] Yes; [ ] o.
II D Reconnnended Scores: P 2 I2 I·I_;__ MH____ EQ [3 A/D E S____ R
S M
T I Institutional Assignment: Rationale/Conmnents:
V
1 N

T . . I
I Institutional Administrator: Date: 7
· 1 . 1 r
C C Institutional Administrator's commendapion '· 4 ov ny. Institutional ‘ g ,‘° t:
E ; Final Scores: P I M HH__._ E;3 V I II g A/D 3 S RL,__ 5
· ` . <::•
T 5 C¤¤rrnents= 3
R S
A _ A
L A In ' / I I >`
Central * f' 9 * ../In .._A",l¢.....4..V r_ i.44.....7/ I _ DatB= @ E
U IlI.§V'4£Z1I‘ J7 L!IeIeI!I||I:!|r.-{IIE.; €KI=§£7.•I|.iY=Y;Y : ‘ . - · . — ' >`
INITIAL CLASSIFICATIW "‘ ORE SHEET (ICSS) m
-.-_.-........ ¤.n.u-x u...·.a..» D.-...-...1 ml- IDI:-• \ n=:H{·uIInn¤I FII•=n IYGIICIWI ITIITIBIB GUPV I I Bp,1j1_E

IPJITIAL CLASSIFICATiON COMMENTS ‘
Mm. &@LÂ¥ Leg sys me gr $7/
Verilication: ,E·‘I'_/ET2 El 3 EI 4 - ‘

PSI Available: XX Yes No—Summary Admission Report Required
Sex Offender (QI 141) I gg Yes No
Sex Score: I
Justification:
EQ J2 [ cb YI gz·§*Q
Alcohol/Drug Treatment Score and Justification_;2> S¤ `
Kg; Mrzuagenient Precautions
I ` Esca e histo brief ex lanatio }?: _' A"Yes No
Histo of assaultiue/violent behavior?: - 1 #Yes No I
_ 1 '\ 5.. . .L..»...·l .,; m LLL -·14.L A4- ·- IA4 •i {-'.z.. _II ...4;·. .
. _ - ¤ ’ / F
A // / . · { {
Protecf e ev e atiun Issues ·
Q _ It ·
Does the inmate have roteetion issues?: J: Ye No
`_ .____
Personal Characteristics: A¤e: Race: Q I
Crime/Sentence and-Offense Behavior: I · I I
· __ I r? P I re-: -3) .. -.../..., -
· . t . Jil “
Comments: ., I _ _
;__ L "‘·c:, s Lévi QJ O 1
Signature IVIATT SHAFER C O IH I Date I
Case 2:04-cv—00323-FJIVI Document 70-10 Filed 10/13/2005 Pagé 3 0i 3 ·
Byerly 00065

Case 2:04-cv-00323-FJM

Document 70-10

Filed 10/13/2005

Page 1 of 3

Case 2:04-cv-00323-FJM

Document 70-10

Filed 10/13/2005

Page 2 of 3

Case 2:04-cv-00323-FJM

Document 70-10

Filed 10/13/2005

Page 3 of 3