1 24 11 047 Jones V Nash Holmes NVD 106 Page Complaint D.nev. - Null - Null - 0

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J.('1 2k x Lovelock Correctional Center p
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3 Lovelock
, Nevada 8941: .
Plaintiff In Pro Se -..
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CIVIL RIGHTS COMPLAINT
17 PURSUANT T0 42 U.S.C. 1983
18 A. JuRlsozcrzox
1 9 1) This complaint alleges that the civil rights of Plaintiff, (Print your
2 0 name:) -pp-qo 4 ?W -To4 :-% , who presently resides at Lovelock
Correctional Center, Pershing County, Nevada, were violated by the actions of 21
the below-named individuals which were directed against Plaintiff at 2 2
usoiruiztv.u 4'#'k'qr;' coe'zt 4--7 .'L '//:#'s J:#?'O; 'J. (
Institution where violation ( s ) occurred : ) ' . . - - ' ., s' '.-;s,7 f
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the f ollowing dates : Count I : > r''. o p-&.G ' -k na Count 11 : --' ? 4.z, . Q'ukF .4m,.avs4'j on
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and Count 111: (List additional counts and datesr if
25
applicable : ) . .- .
26
27
If you are naming more than five (5) defendants,
28 attach additional defendants pagets) hereto.
Case 3:11-cv-00047-LRH-WGC Document 1-2 Filed 01/24/11 Page 1 of 106
1 2 ) Defendant ( Full name of def endant : )
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2 resides at ( their address : ) J't/g- Koj'bu ot'rpr ,J4- n'z,pps-nmrrk). /r' .a/? rnv. ? r ?m,z' ni y'' ,
3 and is employed as (their title and position, if any:) 6F' . A
4 - This defendant is sued in his/her (check one or
both:) x' individual A official capacity. Explain how this defendant was 5
acting under color of law : f JQ I JJZO/'T txlr'' . vszv/i'- 6
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3) Def endant ( Full name of def endant : ) 'Qtv 4. ; & E'X ,
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resides at ( thei r addres s : ) x/o T /e 7s// ?...apu/ r
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and i s emp l oye d a s ( t he i r t i t l e and p o s i t i o n . i f a ny : ) * 0, f )' c J( . ;k'vuzr '' t.z .
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1 l botho < individual official capacity
. Explain how this defendant was
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l 2 acting under color of law:
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j 4 4 ) Def endant ( Full name of def endant : ) fojIQi.6) . D /.p/4.t-A#.) .-..s ,
r e s i de s a t. ( t h e i r a d d r e s s : ) . Gvou.z7> ' 'pr/.?zt/ v-7,-r-b-s ' R' J' ' /Cd7 yd ?C J'k'r . +, yrp 'v/J7. . / . K:J zz'r . ',(r- . <r7 , 1 5
and i s employed as ( their title and pos it ion , if any : ) ybu i6) '' y'Wlf'r.p f.s .a .(J . c, . b 1 6
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. This def endant is sued in his/her ( check one or
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bothI) V individual X official capacity. Explain how this defendant was
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act i ng unde r co lo r o f l aw : ik/gq I'M CFJJW +7r . 'J)/br JY.. A-<T /)&)-#- V .J7 .J . u . 1.
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5) Defendant (Full name of defendant:) JMR Z? 2 +3WfA JA) ,
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2 2 and is employed as (their title and position
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1 3 T2o- 4/.#m< . This defendant is aued in his/her (check one or
2 4 both:) x individual X official capacity. Explain how this defendant was
2 j acting under color of law: y . --z er A '/ - ' - . .J .. .
A.'f' 'ao?'z?zr rep. - JsLj-P &/Z.'7- Z..V ' b . L- ' L' . ) ' . 2 6
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6) Defendant (Fu11 name of defendanto -JFTVFV Ly' /MJz&JV , 27
re s i de s at ( the i r addre s s : ) . m l.ru
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and is employed as (their title and position, if any:) #Q< f/ r..
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information if you are naming more than five (5) defendants
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(defendant's position mzd title, if any)
k' individual A oflicial capacity. (Check one or both). Explain how this defendant was
acting
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d is em oyed as Q '. . - This fendantls sue in his/her
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< 'ndividua x o lcial ca city, (C ck on or both). Explain h w this efen t was
acting '
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44) Defendant L.-F' AI-R'T'Z- resides at uo'-rn/ltrw.r.z -n,...fr'z,?r' ccgw. /-:-7 4. ,
tfull name of first defendant) (address if tirst defendant)
and is employed as zuzrtri-i-wt.nm - . This defendant is sued in his/her
(defendant's position and title, if any)
<. individual .'x: official capacity. (Check one or both). Explain how this defendant was
acting
under color of law: n.. zvz f..z-e , ' ' x -- ' y.??.z f'
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tftlll name of tirst defendant) (address if tirst defendant)
and is employcd as -- . <.-,6-t? vl/x-zf-zv-'- . . This defendant is sued in his/her
(defendant's position and title, if anyl
x individual .x ofticial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: t.u.r.t k- z- vu ...z. -7/z:r V w'y- ''-' z /m J7 z-z>.r .:7 sno'/..'f
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information ifyou are naming more tbgn five (5) defendants
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(111 name of first defendant) (address if lirst defendant)
and is employed as <wxn.. zrw,caz-e ' z . n is defendant is sued in his/her
x' individual x' ofscial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: z.-z)/;z.
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(111 name of lirst defendant) (address if first defendant)
and is employed ms K'tn. t.f//.-lzryrz'rz/.(x? tftm'r' . -m . . n is defendant is sued in his/her
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< individual x official capacity. (Check one or both). Explain how this defendant was
acting
tmder color of law: z-.z.z'>:f TJ.z-7 r.D /?' .z6.&s . /' m z o /?zk'c7W .X .r wn/6w' .a!y,(7,-4
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(111 name of first defendant) (address if frst defendant)
and is employed ms J''Xn .b- / c) r-tr- .ow./ zlzarv.vzr ' . n is defendant is sued in his/her
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individual k official capacity. (Check one or both). Explain how tlds defendnnt was
acting
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(/11 n e of Iirst defendant) ' (address if first dcfendant)
aad is employed as r,'.n.%5;'v'-7.6.J.Y' ..a.z.n ,' ' J . zrrvy?zzp . n is defendant is sued in his/her
(defenflant's position and title, if anyl
X individual official capacity. (Check one or both). Explain how this defendant wms
acting
under coler of law: zr'z n f f z ,.z'/D zztvb zzi- hj--m z J / z'C XDJU'./ /7e1/,* / zrD ZyzrNb'pzvzzx. '
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(111 name of lirst defendant) (address if tirst defendant)
and is employed as w'vftrecsf . n is defendant is sued in his/her
xr individual x official capacity. (Check one or both). Explain how this defendant was
acting
under color of law : 1.1..'.st.5 zomp ' ,'rv-criiv'' .z.p'rz 'n 'm ,'r r+5 zp C c z)p - z-l v, -
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(111 name of lirst defendant) (address if lirst defendant)
and is employed as ' ' z F.::- ,=r' . p1'>7- . n is defendant is sued in his/her
(defendan s position amd title, if anyl
,x. individual .4 oflkial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: &' J /Y'f' r,s?.,/ Dtczm/ z':?7m rzy-z').7 z'- z,7.2f z..%-S' f A?i.JlT''* ,
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and is employed as rn<tcpr r-r/iczt/oc . - rzp.'r,'n/zffyJ . n is defendaat is sued in his/hor
>< individual -.k.
oftkial capacity. (Check one or both). Explain how this defendant was
agting
tmder color of law: tbzn c ze yA/ 'D P'/'C' Z Vq'' . ''-' z .' ,..v,. e/ . 'xw-- +J' ' rz.A?.'a. ' <, '
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(111 name of first deftndant) (address if first defendant)
and is employed as rnpvrwn zz;w m . - .<77'#)G.- . n is defendam is sued in his/her
ut individual .k official capacity. (Check one or both). Explain how this defendant was
acting
under color of law : c . -b . / - -,' - r yss's- - /?
) Defendant ffif,'J /7 R TWXLJX. ' resides at urxrp, ' ..zv,-?p''%>J t-o rfz-v-w' zzcakvqK c: -: /2 . ,
(111 name of first defendnnt) (address if Iirst defendant)
and is employed as zz7zt-zvzr/'p.d vsezze-'z;r-
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x individual ..k' ofticial capacity. (Check one or both). Explain how this defendant was
acting
tmder color of law: ,. z- (S,'.I 7,z-
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(111 name of first defendant) (address if frst defendant)
and is employed ms Aosnh ? z'z'r . . r-? n.g.-r% . n is defendant is sued in his/her
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k individual -t' official capacity. (Check one or both). Explain how this defendant was
acting
under color of law: sx,t:h (' z,1xz - z) z..c- . .,,/ . .'ve.v 'z-' /:,z ;<' z'K: z'l f-f/yzo/-1' .
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tfall name of first defendnnt) (address if first defendant)
and is employed a.s zirz/zterzir'ri'zpzv//i/.' /,7g0-7J:J'r4. . n is defendant is sued in his/her
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individual >: official capacity. (Check one or both). Explain how this defendant was
acting
under color of law: vsm ,.c z'' zzkz . rzgz' ' yerr -5 -/lezoz'' ,.7,..5* zw-f-
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information if you are naming more than 5ve (5) defendants
r?:) Defendant tZ' z- -n.&. n/rk-ron resides at. e'prrtw/mf.xl -rarr'zevn- J'rwzT'. t
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full name of tirst defendant) (address if first defendant) (
and is employed as zz-vvzarz-aczx? v >.c ryz y .47/zafx. . n is defendant is sued in his/her
xz individual .t' official capacity. (Check one or both). Explain how this defendant was
acting
under color of law: , . Jv'vv ?t7x/ m owv /?sr . v'rmc.ar ur'- o zzcr - wrvwt-:'
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Lwuyw v m, z .z3 ' rr/r-zrs' n'w?,e . zc- , :'? . vj#) Defene t
(111 nnme of first defendant) (address if first defendant)
and is employed ms ,'-'n-cm.r7''n2' c'',?Jz';r,L. ,':'' sf,.-' 'y/r'J:+' - . n is defendaat is sued in his/her
(defendant's position atld title, if =yl
x' individual + official capacity. (Check one or botb). Explain how this defendant was
acting
under color of law: A ze'r +,.w' J?7/.zTz? z'./% 'rzzza s' ,;g5 zmr -ufzkyzM.
d'4) Defendant CXA z.ap ' z7 z >- '-.' resides at .knorn-,,,2..q.nz loza-zryar nctrep s> ,..z s 7'
(111 name of lirst defendant) (address if lirst defendant)
and is employed as Kd),7J , zzm plrrzbzgrzzr . . z.-< +- -26w47 . n is defendant is sued in his/her
(defendant's position alld title, if any)
individual .t' ofticial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: svm - tfw tzyz,rr .apz m -'csz'z?.z7 x'r z'4 rc/mo-a-
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:7.4 :) Defendqnt - L-pku'r. m Eh.'rx.4'z/ ' resides at w-fcz.zfnuk'<w . iokl'T/J7-t>' rn'a c.v?'2 ,
(111 name of first defendant) (address if first defendant)
and is employed as . qs.10. 57,,r/77.
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:p'7* . This defendam is sued in his/her
(defendnnt's position and title, if any)
kuz individual z: ofticial capacity. (Check one or botb). Explain how tids defendnnt was
acting
under color of law: - . ' TA , * p''r-
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w? #) Defendant Fkr-txlzr y. ( (-. t-ap . L-nxic >ZT-Z resides at ..wo...n .. -.z<.'z,vazxz ...'zx;:r ' znr'xr . ' rmz-vn . z-vz'- z ,
and is employed as 'Tlotzzr'ctt
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v individual x official capacity. (Check one or bot). Explain how this defendant was
acting
under color of law : ' ' v'r./ .. ' ' <- , .-(- v
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p,% ) Defendant lBurn z57/' ) X f'?t'! /Yf resides at v.'.z,cr- ' , s..z,.n'ar.y xncsrtz- . - t'ow 'v . zlwrz .
(full name of first defendnnt) (address if first defendnnt)
and is employed as v or-r,.m . n is defendu t is sued in hivher
(defendut's position and title, if anyl
< individual .z official capacity. (Check one or both). Explain how this defendant was
acting
tmder color of law: zozz')a- zlzvz '7m-'-pJ av ?e m zcrtr' zz-z-- n 'L rcz . zzo-'r
).4j Defendant .D , t,uz , A/CVA,.Q . resides at A,hts- ,./ ' .pA b-vcm' -s'r' ? /cr ef v?.., . ml'f7J .
(111 name of 5rst defendant) (address if first defendant)
and is employed aq sxz'z-<''zoz'-,k/ . n is defendant is sued in his/her
k. individual y official capacity. (Check one or both). Explain how this defendant waq
acting
under color of law : (..m f z'?zu/ . 'rbvyr...e z?= '-znvn ' .w'- z'- zKl' -* ' ''z/zezz' r'.;n tvz../
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#) Defendant Jo-zstsxt,,e zS,z9J .6D resides at p/z' yz -/' -%' z.' (:,,* 7 ' v-w' swv'r- l5? zz )-ro,..) ,
tfull name of Grst defendant) (address if first defendant)
and is employed as .'? c%n' t: . teaptz/bwxb > . s'z/7zK.?'t!.,s4rz'/./-' f- . Tllis defendant is sued in his/her
u
individual .A official capacity. (Check one or both). Explain how tllis defendant was
acting
tmder color of law: vvm LA/ m tzrz.' zzz'f '-zrzrr zr-- ,,J,-'- ,.z?n?.,t>) . / ,:tpJ
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informatjon ifyou are naming more than five (5) defendants
) #) Defendant--q'/- .r >// ro-Lob.j resides at #/s .4 ozrrrrre'r- q-rmn'tr rtw2 kovU , 3
(111 nnme of tirst defendant) (address if first defendant)
and is employed as .'<'l'at.v lr.n'r' saxwazgx.l ,%' tr?/'a,',,../ - twob- , n is defendant is sued in his/her
(defendam's position and title, if anyl
& individual kr oftkial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: scz',,,y,r z-o w vrrt.z zzbr' . ,wrrn ' ,r- z'-/-
./' , , o z zw'l prp.zk/ -
A) Defendant -rp ' cz-- * &? resides at zz/zz',v Aza'zx-
.,.u . crn -, r gw zrs'../
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(S1ll nnme of first defendnnt) (address if lirst defendant)
and is employed aq z'z /A'f-<Nz&?:..z?v/&'A' z-mw'r, ' . n is defendant is sued in ids/her
(defendut's position and title, if anyl
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e' individual k' ofticial capacity. (Check one or both). Explain how this defendant wms
acting
under color of law: - rz'rzr-z.s.r.r yr'z z''!,r;u/ ,.5pm.-;'z- rf' -r'rw'- z.r? .'e v,.w,z.r t' u. - szp/rp z
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(full nsme of flrst defendant) (address if flrst detendant)
1 d as zt' m vcp ,, -.nzr pz>eJ /5&'wv , zm. z r g.'f' , * .>-' n is defendut is sued in his/her and is emp oye .
(defen' daat's position and title, if any)
.
k: individual .'k' ofticial capacity. (Check one or both). Explnin how this defendant was
acting
tmder color of law; z'zzz'sr . ) zcw? v'm, 'J zpxz ZIU'O-SP-J-Z?'PCt-' zt>y' rzzzp i<-..ow. zzzzpl-, . /sW
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&L/*) Defendant z, , resides at M zrw. k'nvzj'rf- r k-vz?,r,!'- /+. Jn:,.vl ,
(511 nnme of flrst defendant) (address if tirst defendnnt)
and is employed as zxzzrcn Oz'-m ' ' zz'.wz ze-%er'v' . z;:v zr-.r- . This defendaat is sued in his/her
(defendnnt's position and title, if any)
.
v individual A' ofticial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: p'z.zy-ctz !ch z'zrr . z' r.r,J z'ktrtm z'r '+kf-z>-r -'z'tzc
. 3.,c /.rir- Z' loz. cg' , i'tw/
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information ifrou are naming more than five (5) defendants
re:) Defendant /A'?. zpfz:ss - <- z ov' N./z'.A: resides at 'v/m//?wp. .. -Ttss'r'. t3r z 'r-ktwt-k . J-' . .i'/t:,,'..4-' ,
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(111 name of tirst defendant) (address if Iirst defendant)
! and is employed as -.'iN e-crv'o'x- zk/ D tllc . n is defendant is sued in his/her
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(defendant's position and title, if any) :
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g individual x' ofticial capacity. (Check one or both). Explain how this defendant was
acting
der color of law:
, a>z'r- . 'r D i',qwc' ''r '/-rz,7 z't-e' - , -y;'m, ,&-'' ,s7+ y nnz, zx<. />Y.K1 un

z- tc ides at zvzzozzeh,o zxryn . ' o,r z-mvzces-re/za,, C aK 4) Defendallt-r /bxrf gv. sx res
(111 name of first defendnnt) (address if first defendant)
alld is employed as J> fr ' z.<' - tyvr' m mr ,' zT,<r . This defendam is sued in hin er
(defendnnt's position mld title, if anyl
+ individual .kr oflicial capacity. (Check one or both). Explain how this defendant was
acting
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(111 name of Iirst defend=t) (address if flrst defendant)
and is employed as wn'r - x-' ' w'';''VZ' J . n is defendant is sued in hiser
..
k' individual .k oflicial capacity. (Check one or both). Explain how this defendant was
acting
under color of law: yJ' , .7 A . Lb ' C ' zna-zytfz' '' Jz- ,Z?.
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(&11 name of flrud defendnnt) (address if Grst defendant)
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.
K' individugl t' oflkial capacity. (Check one or beth). Explain how this defendant was
acting
under color of law: fz-e'?-r 62.%/ .z-7 o'v' z' l --Z/? X '-/xm zw. ' x'#r -
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M ake a copy of this page te provide the below
information ifyou are naming more than five (5) defend*nts
s7 :) Defendant /'- f - ..q- u -JY ''/-'?. H'pu/wf'/ %-<, resides at .e../2t ru ' ze,z- :.
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and is employed as c%i%JC- - '/ayeyx?/'z''/J . n is defendant is sued in his/her
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k. individual k' omcial capacity. (Check one or both). Explain how this defendant was
acting
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y p #) Defendant f'''rtr;..f -7W' - ..D P--v/y A.f-1- resides at zyv' cz>.. yo rz'o-e2-, . srp. Jr'r- x*'p',7 ,.'n.' o .>' .
(111 name of srst defendant) (address if tirst defendlmt)
and is employed as K'*/As-/ou.ztr.,'fze1t.''7</ ' - . n is defendnnt is sued in his/her
x individual .kf official capacity. (Check one or both). Explain how this defendant was
acting
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acting
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5) Defendant . .- resides at ,
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individual ofticial capacity. (Check one or both). Explain how this defendnnt was
acting
under color of law:
11
1 This defendant is sued in his/her (check one or
2 :0th: ) individual of f icial capacity
. Explain how this def endant was
3 acting under color of law:
4 '
7) Jurisdiction is invoked pursuant to 42 U . S . C. 5 1983 and Nev . Const . art . 6 , 5
s 6. (If you wish to assert jurisdiction under different o additional 6
provisions, list them hereo .u . 'sc 3 a 3'' ZL 3 I
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B. NATURE OF THE CASE
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riefly state the background of your case: zm/ yVVL. vzA's<N ppv)f& & v,6uQ ,
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C. CAUS/ OF ACTION 27
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ALLISON W . JOFFEE
A'ITORNEY AT LAWF
LICY SED IN NEVADA
Lav offlcw OJ
A ' W J MARIA NELSON, PLS Paralegal
1092 NORTH NEVADA STREET
CARSON CITY, NEVADA 89703.8828
PHONE:(775) 883-3300
FAX? (775) 883-3316 or 882-6737
E-mail address: aioffee@aol.corn
JO M CDONNELL
Bookkeeper
MARCIA C. HOPE, AtS
Recep Eo uk iLegal Secreta qy
June 28, 2004
RE: usf/tzze 6fNevada Iw. Steven Silva
To W hom lt M ay Concelm:
Regarding the above-m entioned case, please allow this letter to contirm that Jason
Jones testified in the above matterybr the Defense, not for the State of Nevadaa
ln this case, the Prosecutor required M r. Jones to take a polygraph test. He passed
the test with a State Polygrapher. The Prosecutor refused to atlow the evidence in. She
pressttred Jason into changing his story. Jason refused. He refused to be prcssured or
intimidated, He told the truth. My co-cotmsel, W illiam Rogers, and myself appreciated
his bravev.
lf I can be of further assistance, please eontact me.
Best regards,
A LISON J EE, ESQ.
AW J:mch
cc: Jason Jones
bcc: Janet Hagan
EFIZIT-J.--
ALLISON W . JOFFEE
State Bar //2258
7 I 2 E. M usser Street
Carson City, NV 89701
(775) 883-3300
Attorney for Defendant
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ALAN GLOVE
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IN THE FIRST JUDICIAL DISTRICT COURT OF 'FHE STATE OF NEVADA
I'N AND FOR CARSON CITY
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TIIE STATE OF NEVADA,
Plaintiff, Case No. 03-01 737C
Dept. No. 11 VS.
JASON M ARCU S JONES,
Defendant.
AIX DAVIT ltE: M OTION TO W ITHDRAW GUILTY PXEA
STATE OF NEVA DA
CARSON CITY
ALLISON W . J()i7lt F,E, F-sq. hereby affirms under penalty'ofperjury that the
assertions herein are true and correct'.
That I represented Tony Smith in his 2004 m urder case in Carson City
District Court.
That my tile was shredded as the records' retention date has passed.
That Jason Jones was a witness for 'l'ony Smith, the defendant. Jasort's
testim ony was very truthful and helpful. In this circum stance, Jason' s testimony was a big
#.<8M ?r zy ?'>'s. y zrpo ZJ
e - = Case 3:11-cv-00047-LRH-WGC Document 1-2 Filed 01/24/11 Page 22 of 106
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art of m y defense fbr Tony Smith. See my letter dated June 28, 2004, attached as Exhibit p
2
3
4. That W illiam Rogers was my co-counsel for Tony Smith's murder 4
s case. M r. Rogers filed a M otion to W ithdraw Guilty Plea on April l 5, 2004, but said M otion
6 was never processed
.
7
That M r. Roger's is now a District Court Judge in Yerington, Nevada and
8
cannot comm ent on cases.
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NEVADA DEPARTM ENT OF CORRECTIONS
INFORM AL GRIEVANCE
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GRIEVANCE COORDm ATOR APPROVXL: DATE:
INMATE AGREES INM ATE DISAGREES
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Original: To inmate when complete, or attached to formal grievance
Canaly: To Grievance Coordinator
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Gold'. Inmategs initial receipt
DOC 3091 (12 I 01)
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NEVADA DEPARTM ENT O F CO RRECTIO NS
ADM INISTM TIVE CLAIM FORM
THIS FORM M UST BE COM PLETED PER NRS 41.036, 41.0322,
209.243 ANll ADM INISTRATIVE REGULATION 740
1
DO NO T SEND DIRECR Y TO ATTORNEY GENERAL'S OFFICE,
BOARD OF E RS, OR DIRECTOR I
This form is to be attached to your grievance fonn for any injuries or any other
claim (except property) arising out of a tort alleged to have occurred during your
incarceration as a result of an act or omission of the Depm ment of Corredions or
any of its agents, former oflicers, employees or contractors
The following infonnation is necessary to fairly evaluate your claim. Please provide complete
information. If you need more space, attach a separate sheet of paper. You may submit
additional evidence ifavailable. Such additional evidence will be returned.
p
CLM M IN 'I1IE AM OIJNT OF S.J.V.L....O..CJ-Q.-....- Z. ?f ? is hereby made against the Department of
Corredionss based upon the following fads:
1. NAME OF CL tpleease print full namo) 2. I,D. # 3. INSTFIUTION
W ,t1z%j'4'/V ,4e.CzJQ5:*:z'S Jrcf/z Vt- 3 7t),
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4. AMOUNT OF CLAIM 5. DATE AND DAY OF OCCIJRRENCE 6. TIME (a.m. or p.m.)
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$ > . j u z'. v (y .
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8. Desci ibe here' , in colnplete detnil, exactly llow your claim loss or dalzuage occurred and why you believe
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he lstitution is responsible or liable: t
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your alleged loss; also, list any ilmnate who has actual knowledge of facts perthlent to your claim:
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10. Other pertinent iltfbnnation:
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I . .he'-sw t-s ffktu- .xu'a . Xt cv ': . do hereby swcar under penalty of perjury' that I alu thc
claimant named above, that I have read the foregoing clainl and know the contellts lhereoll 1I1a(
the same is true of lny own knowlcdge
, except those matters stated upon infbrm ation and belief.
and as to those mattcrs, l believe them tfa be tl-ue, and that THIS I S M Y ENTIRE CLAIM
AGAINST THE STATE OF NEVADA/DEPARTM ENT OF CORRECTIONS.
1 I'ULLY UNDERSTAND THAT I W ILL HAVE TO SIGN A GEN ERAL RELEASE OF AI-I
..
CLAIM S IN TIIE PRESENCE OF A NOTARY PUBLIC l7OR THE EXACT AM OUNT i AM
C'LA IM ING BEFORE ANY PAYM ENT W ILL BL' OFFERED TO M E
. TIllS GENERAL
RELEASE W ILL BECOM E Ei''I''ECTIVE ON LY UPON ACTUAL PAYM ENT OF THE
CLAIM BY THE STATE OF NEVADA.
i (- ''Jn
DATED this ''- u .' - ' day of tt f!,: - , 20 , c,
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Signature of Claimant
NOTICE
NEVADA REVISED STATUTE l 97. l60 provides that every person who know ingly presents a
false or fraudulent claim is guilty of a gross misdelneanor
. and is subjcct to criminal penalties of
imprisonment oI' up to one year, and a tine of up to $2
.000.00.
DOC - 3()95 ( l 2 '0 l )
Page 3 of 3
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l involved in methamphetamine
, of which I think it also has
2 led to some mental -hea1th problems
.
had Dr . Davis go up
3 nd speak to Mr
. Jones . He attempted to put him on some
4 ipolar medication . That was completed
.
In speaking to Mr . Jones af ter the medication Was
6 implemented
, he sounded much more cognizant
,
much more
7 lear . He ' s got problems that he needs to de
al with .
8 We recognize that he needs punishment in thi
s case ,
9 ut we 'd ask you to consider imposing the like sent
ence that
10 r . Johnson received; hcwever
, he is the one who is going to
o to prison .
12 I also have concerns regarding Mr
. Jcnes @ saf ety .
n the past he ' s been involved in testif ying in a murd
er
14 hat happened in the prison
.
I ' ve got two documents that I ' d like to have marked
16 nd admitted as a part of Nr
. Jones 1 record . One is a
etter f rom Mr . Jones ' girlf riend ' s f ather
, which indicates
18 hat there is still- -and it ' s highlighted in puxple
- -
con cern
19 hat the Aryan Warriors are still interested in g
etting
20 etribution f ou Mr
. Jones f or his testimony on that case
.
I also have a letter f rom Max Nunekez at the
22 epartment of Prisons
, which indicates that he will be
23 esponsible f or Mr
. Jones ' saf ety.
24 I ' d like to have these marked
.
4
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What I ' d also ask the Court to do in considering
2 entencing is to put a stamp cf okay that Mr
.
Jones , if
ossible , be transported to Calif ornia to do his time
.
4 He has a warrant out of Mono County in which he will
5 e f acing charges there
. If they impose a sentence there
,
6 e ' d ask there be no objection f rom this court that he do
is time in Calif ornia at the same time
. I believe the
8 tate i.s going to have no objection to that either
. We do
9 ecognize it is the prison ' s f inal decision as to how they
10 eel as to their ability to protect Mr
. Jones , how they can
11 rotect Mr . Jones
.
12 But we ' d ask you to consider 2 8 to 72
. That would
13 e f air as to what happened in this case regarding Sh
omaire
14 ohnson . Knowing that they both- -that they have to ru
n
15 onsecutive . And also that the Court make a f inding that it
16 as no objection to Mr . Jones doing time in Califarnia if
alif ornia decides to incarcerate Mr
. Jones .
18 In addition, I have Cynthia Hagan
, who is in the
19 ' ury box , Mr . Jones ' mother
, who would like to speak on his
2 0 ehalf . don ' t know if the State wants her to be sworn i
n
2 1 r not, but she ' s here to speak on his behalf
.
22 THE COURT : Thank you
.
23 bet I s have whoever needs to speak right now be
24 worn .
5
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Jason M arcus Jones #70541
C/O E1y State Prison
P.O. Box 1989
Ely, NV 89301
Dear Jason,
Enclosed you'll 5nd a copy of tlle letter dated June 1, 2001, from i:Pops''. Please
maintain this for your records.
Regarding the letter from the gentleman fzom the prison, I would go back to your
'
kanscript and request a copy of the letter from the court file. I believe it was m arked and
admitted so thcy should havc a copy of that.
If you have any questions feel free to call me. M y phone number is 775-337-4820, Good
luck with this, if l call be of any other assistance, please feel free to contact me.
Sinoerely,
Tobin E. Fuss
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NAM E: JASO N JO NES I.D. NUM BER: 70541
INSTITUTION: HDSP UNIT: 6C-37
GRIEVANCE LOG NUM BER: 2006-28-56012
RESPONSE: I reviewed your m edical record as well as your inform al and 1st level
03-18-2009 grievance. Your care has been wcll docum cnted as well as Dr
M um ford's contact with your neurosurgeon Dr Nelson w ho agreed a
follow up was not necessary.
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Report Name: NVRIGR page 2 of 2
Reference Nam e: NOTlS-RPT-OR-0080.1
Run Date: MAY-O4-O9 09:04 AM
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High Desed State Prison
P.0. Box 6so
Indian springs, NV 89oTo-06sO
(702) 879-6799
Fax (702) 879-6672
Date: 2-12-09
T0: Grievance Coordinator - SD CC
From : Jim H enson, Associate W arden of Program s
Subject: Forwarded Grievancets)
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This inm ates is currently housed at your facility. Please have the inm ate sign and I
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**DOC 309 1 was com posed to work V t.IA the NCIS which was prior to NOTIS. :
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H IGH DESERT STATE PRISON
P.O. Hox 650 * lndian Springs, NV 89070-0650
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DOC - 3097 (01/02)
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Southern Administration
7955 W.Russell Rdqy Las Vega y s NV 89 1 18
Phone; (702) 486.9991 @ Fax: (D2) 436.9*8
TO: Grievance Coordinator -HDSP
Date: June 1 , 2009
:
FROM: CHERYL BURSON, AW P
Grievance Coordinator - SDCC
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SUBJECT: Forwarded Grievancels) 20062859788 JONES, JASON #70541 E
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X This inmate is currently housed at your facility. Please have the inmate sign
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Depadm ent of Correction
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ISSUE ID# 20062859788
INMATE NAME NDOC ID ISSUE R PE ISSUE REASON
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JONESIJASON 70541 GRIEVANCE OTHER
LEVEL DATE RECEIVED DATE RETURNED FINDING ASSIGNED TO
j IF 02/12/2009 03/24/2009 DENIED HOWELL, JERRY : '
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kCE YOUR INJURY W/VXXX RTED YOU RTCKW b'/RZ/-/R-QTSIUXL-/YT/QYiXV''THE DELAY IN REPORTING i
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Repod Name: NVRIGR page 1 of 1
Reference Name: NOTIS-RPT-OR-0080.1
Run Date; MAR-24-09 12:32 PM
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Departm ent of correction
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ISSUE ID# 20062859788
ING N NAME . ' NDOC ID ISSUE W PE F. IO UE RM *ON
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LEVEL! DATE'REC IVO :DATE RETQRNEP FINDING G QIGNO TO
IF 7 02/12./2009 03/24/2009 DENIED HOW/LL, JERRY
'
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NCE YOUR INJURY WAS REPORTED YOU RECEIVED PROPER QEDICAL ATTENTION. THE DELAY IN REPORTING
HE INJURY AND THE NATURE OF THE INJURY WAS DUE TO YOUR FAILURE TO MAKE A TIMELY NOTIFICATION
GRIEVANCE RESPONDER
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JONES, JXSON 70541 GRIEVANCE OTHER
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1 02./12/2069 05/20/2009 DENIED DRESSJER, CHERYL
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OUR IIIJURY OCCURRED ON 12/22/08 WITH NURSING ASSJSSMENT AND PROPER MEDICAL ORDERS CARRIED
UT. ON 12/24/08 YOU W ERE TM NSFERRED TO VALLEY HOSPITAL W HERE FURTHER TESTING W AS DONE AND A
EPkESSED SKULL FMCTURE WAS DIAGNOSED FROM YOUR CAT SCAN YOU WERE TREATED AND RELEASED l
ROM VALLEY HOSPITAL ON 1/11/09 TO HDSP INFIRMARY FOR POST OP 6BSERATION. WHEN YOU WERE STABLE l
OU W ERE DISCHARGED FROM THE INFIRMARY ON 1/22/09 '
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CASEW ORKER SIGNATURE
Report Name: NVRIGR Page 1 of 1
Reference Name: NOT1S-RPT-OR-0080.1
Run Date: MAY-20-09 01:30 PM
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LEVEL DATE RECEIVED DATE RE'/tJKN*DJ FINDING MSIGNED TO j
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NDOC RESPONSE
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INMATE K'AME MO C ID ISSUE W PE IO UE REASOM
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YOUR INJURY OCCURRED ON 12/22/08 WITH NURSING AXCjtISZVVSYXN-F/CROPER MEDICAL ORDERS CARRIED
DUT. ON 12/24/08 YOU W ERE TRANSFERRED TOVALLEY HOSPITALW HERE FURTHER TESTING WAS DONE AND A
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GREVANiZ SEW/RONDEW - --
INMATE NAME NO C ID ISSUE 'IYP-K - ' ' '' ' FARON ISSUE R
JONES JASON ' ' - '''/'V'Z-- , GRIEVANCE OTHER
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1 2 02/12/2009 07/22/2009 ''' ' - ' btXi'i-I3-'--- --'- -' BANNISTSR, ROBERT
bt *ESROMSE
I agree with the re-sx nse giveiiat the fiiiflkil.--/tease continue to follow-up and communicate with Medical at HDSP for - ' '
our medical concerrks.
(V tVAN IR/,S/PONDE'A - '
Repoft Name: NVRIGR Page 1 of 1
Reference Name: NOTIS-RPT-OR-OO8O.I
Run Date: JUL-22-09 12:09 PM
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y , . , q. Board of Comm pyloner . Howard Skolnik
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3955 W. Ru- ll Rd. k-as Vegas NV 89118
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TO: Grievance Coordinator -HDSP
Date: May 4, 2009
CHERYL BURSON, AW P
Grievance Coordinator - SDCC
FROM:
SUBJECT: Forwarded Grievancets) 20062872351 JONES, JASON #70541
X This inmate is currently housed at your facility. Please have the inmate sign
and indicate agrees/disagrees. Return to SDCC when completed.
E) This issue occurred at your facility. Please address the issue and return to
SDCC when it is completed.
(Z1 Other
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TO : JONES, JASON 70541
FROM : C. Burson, A.W .P.
DATE : April 30, 2009
SUBJEG : Im proper Grievance 20062872351 IF
The attached grievance is being returned to you for the following reasonts) :
Z Non-Grievable Issue:
Ell State and Federal court decisions
E1 State, Federal, and local Iaws and regulations
IZ Parole Board decisions
(Z) Lacks Standing
Ul Untimely Submisslon.
Z No remedy noted.
Z Abuse of Inmate Grievance Procedure
EEI Any language, writing or illustration deemed to be obscene, profane, or derogatory.
!Z1 A threat of serlous bodily injury to a specific individual.
(7) Specific claims or incidents previously filed by the same inmate
EZI More than four (4) unfounded, frivolous or vexatious grievances per month.
Z Allegations proven to be false.
Z The grievance contains more than one incident, issue, etc.
H Other; Specify: GRIEVANCE NOT ACCEPTED. YOU MUST INCLUDE A PROPERR
CLAIM FORM, COPY OF YOUR INVENTORY SHEET AND PROOF OF OW NERSHIP.
- ALSO
YOU MUST USE PROPER FORMS NOT NOTEBOOK PAPER.
You may re-submit your grievance after corrqding the above deficiencies. Fail re to re-sdbmit E
the grievan hrough the prescribed tlmefrme shall cons ' ajandon ent. ' x..
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INM ATE PERSONAL PROPERTY CLAIM FORM
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Use typewriter or ink (ballpoint pen only). Please use additiqnal sheets if needed and head each sheet $: Claim for Loss or Damage of
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M ail to: W arden of lnstitution
Notice: Claim must be submitled to the Warden or Designee within forty-eight (48) hours after discovery of loss
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1. NAME OF CLAIMANT (Please Print full name) 2, I.D. # ..3. INSTITUTION
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(702) 879-6799
Fax (702) 819-6672
Date: 4-28-09
T0: Grievance Coordinator - SD CC
From : Jim Henson, Associate W arden of Program s
Subject: Forwarded Grievancels)
This inm ate is cuzrently housed at your facility
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HIGIM IW SERT STATE PRISON .
P.O. Box 650 # Indian Springs, NV 89070-0650 ' .' E
Phone (702) 879-6789 # Fax (702) 879-6618
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To : JosEs, JAso s 7os41
FROM : C. Burscn A.W .P.
DATE: April 3O, 2009
SUBJECT: Im proper Grievance 20062872351 IF
(71 State and Federal court decisions
!Z State, Federal, and Iocal Iaws and regulations
EZI Parole Board decisions
E1 Lacks Standing
Z Untlmely Subrnission.
Z No remedy noted.
EZ Abuse of Inmate Grievance Procedure
Eql Any Ianguage, writing or illustration deemed to be obscene, profane, or derogatory.
Z A threat of serious bodily injury to a specific Individual.
Z Specific claims or incidents previously fiied by the same inmate
Z More than four (4) unfounded, frivolous or vexatious grievances per month.
Z Other; Specify: GRIEVANCE NOT ACCEPTED. YOU MUST INCLUDE A PROPERW
CLAIM FORM, COPY OF YOUR INVENTORY SHEET AND PROOF O F OW NERSHIP. ALSO
YOU MUST USE PROPER FORMS NOT NOTEBOOK PAPER.
You m ay re-subm it your grievance afler correcting the above deficiencies. Failure to re-subm it
the grievance through the prescribed timeframe shall constitute abandonment.
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W itness Signature at Inm ate Signature Date
cc; Original- Inmate ' Cepy - Grievance File DOC 3098 (10/:3)
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SUBJECT: Im proper Grievance 20062872351
The attached grievance is being returned to you for the following reasonls) :
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G t v n u n U ten a ln t l l U r L U K K LU IAU R D
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JosEs. JAsos 70541
C. Burson . A.W .P.
April 26, 20 10
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E(11 No remedy noted.
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Z More than four (4) unfounded, frivolous or vexatious grievances per month.
Lll The qrievance contains more than one lncident, issue, etc.
Z Other; Specify: GRIEVANCE NOT ACCEPTED. YOU MUST INCLUDE A PROPERTY
CLAIM FORM, COPY OF YOUR INVENTORY SHEET AND PROOF OF OW NERSHIP. YOU
STILL HAVE NOT INCLUDED AN Y PROO F OF OW NERSHIP, INVENTORY SHEET AND YOU
UIAVE STILL USED PLAIN PAPER NOT PROPER FORMS SUCH AS CONTINUATION FORMS.
You m ay re-subm it your grievance after correcting the above deficiencies. Failure to re-subm it
the grievance through the prescribed timeframe shall constitute abandonm ent.
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W itness Signature at Inm ate Sigr
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KO : J-QNES, JASON 70541
FROM : C. Burson
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DATE: April 30, 2009
SUBJECT: Im proper Grievance 20062872351 IF
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Z Other; Specify: GRIEVANCE NOT ACCEPTED. YOU MUST INCLUDE A PROPERTY
CLAIM FORM , COPY OF YOUR INVENTORY SH- EET AND PROOF OF OW NERSHIP. ALSO
YOU MUST USE PRO PER FORMS NOT NOTEB
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You may re-submit your grievance after correcting the above deficiencies. Failure to re-subm it
the grievance through the prescribed timefram e shall con ' abandon .
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TO: JONES,JASON 70541
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FROM : C. Burson, A.W .P.
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DATE: Septem ber 21, 2009
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SUBJECT: Im proper Grievance 20062872351 2
i he attached grievance is being returned to you for the following reasonts) : : T
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IZ No remedy noted.
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(7l specific claims or incidents previously filed by the same inmate
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EZI More than four (4) unfounded, frivoious or vexatious grievances per month.
(Zq Allegations proven to be false.
E(((1 The grlevance contains more than one incident, issue, etc.
Z other; Specify: NOT ACCEPTED. ACCORDING TO THE COMPUTER YOUR
:
TIMEFM ME HAS NOT EXPIRED ON THE FIRST LEVEL, ALSO AR74O STATES W HEN AN
INMATE TRANSFERS THE TIMERAME O N GRIEVANCES DO NOT APPLY
You m ay re-subm it your grievance after correcting the above deficiencies. Fallure to re-subm it
the grievance through the prescribed tlmeframe shall constitute abandonment.
W itness Slgnature Date Inm ate Signature Date
cc: Original- Inmate Copy - GrEevance Fil ' . DOC 3098 (1Q/03)
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Original: To lnmate when oomplete, or attached lo formal grievance
Canal: To Grievance Coordinator
Pink: lnmate's receipl when formalgrievance filed
Gold: lnmate's initial receipt
DOC 3093 (1 2/01 )
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NEVADA DEPARTM ENT OF CO RRECTION S e-
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TO : GRIEVANCE COORDINATOR DATE: Feb. 17, 2010
H.D.S.P.
FROM : RENEE BAKEK A.W .P.
SUBJECT: JONES, JASON #70541
GRIEVANCE #2006-28-72351
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
Attached is a grievances from JONES, JA SON #70541 regarding incidents he states
took place at your facility.
He is now appealing to the l't
. Level.
T'hank you for assisting with this m atter and if 1 m ay be of further assistance, plcase call.
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VANNEFR TFIE ORIGINAU copy oF My aRIEViNCE ANo Auu suppoR-rlNo DOCUMENTATIYN Is AryAcHEo i
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SWORN DECLAR TION UNDE E AL F URY
INMATE SIGNATURE: DATEL 2-/
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W ARDEN'S SIGNATURE: TITLE: DATE:
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INMAT W INVATE D C' GREEE
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FAILURE TO SIGN CQNSTITUTES AM NDONMENT OF THE CLAIM,A SECOND LEVEL GRIEVANCE VAY BE
PURSUED IN THE EVENT THE INMATE DISA/REES
Original: To inmate when complete or attached to formal grievance
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Pink: lnmate's receipt whon formal grievanco filed
Gojd: Inmate's initial re eipt . .
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INSTITUTION: (4- . t3 S CD UNIT: o'l.llb ' G '/:
l REQUEST THE REVIEW OF THE GRIEVANCEI LOG NUMBER .2 GJ' Q. .2 ffp 7tucCl- ON THE
SECOND LEVEL. THE ORIGINAL COPY OF MY GRIEVANCE AND ALL SUPPORTING DOCUMENTATION
IS ATTACHED FOR REVIEW .
SW OBN DECLAR ION UND PENALTY PERJU '
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GRIEVANCE COORDINATOR SIGNATURE: DATE/ /'-V
SIGNATURE: TITLE: DATE:
GBIEVANCE COORDINATOR SIGNATURE: DATE:
INMATE SIGNATURE; - . DATE:
THIS ENDS THE FO RMAL GRIEVANCE PROCESS
Original: To inmate when complete or attached to formal grievanoe
Canary: To Grievance Coordinator w- . ''''''' ''':
Pink: Inmate's rKeipt when formal grievance filod ' @ ' .. D
Gold: lnmate's initial rm eipt
HIGH IIO EAT 8TAT: PIIION
GRIEVANCE COORDINATOR
DOC 3094 (12/01)
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IXVX CE GRIEVANCE RERQR T
ISSUE ID# 20062876005
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! IF 0671-8/20t% W/09/2t169 I i'ktl1- ACCEPXED WUEST
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The Law Llibrar/s operated in accoriance with AR tkL an-tj'lb 120. 'jvere s no requirement tv-i fli-e t-aw Llbrary
Supewisor or the Law Library Assistants have legal experience. The Supervisor is qot required to speak with you at your cell '
unless he/she is delivering requested materials to you. Those materials must be requested on a DOC 3012. If you rejuire 1
copy work you must submit a DOC 3064. The Law Library Supervisor is in the Segregation Units daily to deliver materlals '
and pick u uqs : ' Mqce denied.
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M EM ORANDUM
Jones, Jason //70541
FROM : Cole M on'ow AW P / Grievance Coordinatol
DATE: Novem ber l0, 2009
SUBJECT: Improper Grievanee # 2006-28-76005
e-rhe attached grievance is being returned to you for the follewing reasonts):
Non-grievable issue.
U-) State and federal court decision.
U-1 States federal and local laws and regulations.
U-i Parole Board decision.
U-1 Lacks standing.
Untimely submission.
No remedy noted.
Abuse of lnmate Cyrievance Procedure.
7-1 Any language, writing or illustration deemed to be obscene, profane or derogatory.
U'-I A threat of serious bodily injury to a specific individual.
U-1 Specific claims or incidents previously tiled by the same inmate.
More than four (4) unfounded, frivolous or vexatious grievances per month.
Allegations proven to be tklse.
The grievance contains m ore than one incident, issue, etc.
X Other: You cannot file another second level grievance on this same issue. Your first
second level grievance was received on 10/28/2009.
You may re-subm it your grievance at the inform al level after correcting the above deficiencies
.
Failure to re-submit the grievance through the prescribed timeframe shall constitute
abandomnent.
2 F /
W itness Sig atktre Date Inmate Signature Date
50c-3098 (10/03)
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D A D EPAR TM EN T O F CO C TIO N S
M EM OM NDUM
TO: JONES, JASON 70541
FROM : GRIEVANCE COORDINAT R
DATE: July 9, 2009
SUBJECT: lm ro er Grievance, 20062876005
T e attac e grlevance ls elng returne to you or e o owing reasonts):
Z Non-orievable issue.
l State and federal court decision.
E1 State, federal and local laws and regulations.
(71 Parole Board decision.
EEI Lacks standing.
Z Untimely submission
Z No remedy noted.
(Z1 Abuse of Inmate Grievance Procedure
EEI Any language, writing or illustration deemed to be obscene, profane or derogatory.
rl A tlzreat of serious bodily injttry to a specitic individual.
Ea Specific claims or incidents previously tiled by the same imnate
EI More than four (4) unfounded, frivolous or vexatious
grievances per month.
EI Allegatitms proven ta be false
U11 Other; specify:
You may re-submit your grievance after correcting the above deticiencies. Failure to re-
submit the grievance through the prescribed timeframe shall constitute abandomnent.
W itness Signature Date lmnate Signatttre Date
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BIIGH DESERTSTATE pajso. HIGH DESEIW STATE PRISON
Cc: Inmate GBIEVAU e
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8. The Training Mnnager is respmsible to develop and deliver tlxining on this
Administrative Regulation and the related O ce of the Inspector General - Guide for
Investigators.
340.01 EM PLOYEE M SCONDUCT COM PLAINT REPORTING
1. Complaints of employee misconduct qhall be accepted from any source, on any
medium, at any Department insdtution or facility by any employee.
A. It is most desirable that when available a supervisor; should be immediately
notised; will accept tht complaint on behalf of the Department; will complete
appropriate reports (NOTIS entry or Department Standardized Complaint form
(DOC-1064); and will conduct a prelilninary inquiry.
B. Complaints should be accepted bnqtx.d upon alleged acts ef com mission and/or
omission that constitute rnisconduct by employees.
C. Complaints should be accepted whenever the alleged ad of misconduct, if
sustainel could result in corrective/disciplinary action against the involved
employee.
D. Generally, issues dealing solely witb performance (i.e. skill deticiencies) do not
require an investigation to resolve. However, performance issues m ay be accepted
and treated as a complaint for the purpose of investigation when the performmlce
issue is first brouglzt forward as a complaint of employee misconduct (i.e. failure to
pedbrm duties).
E. W hen a complaint is determined to conern Depnrtrnent policy or procedure, no
employee m isconduct report is required.
a. If the em ployee receiving the policy or procedure cemplaint cnnnot explain the
matter to the reporting person's satisfaction, that person should be referred to the
appropriate division having jurisdiction over the subject in dispute.
2. Complain? of employee misconducq except those initiated by inm ates, + ould be
documented using NOTIS or the Depadment Standardizxd Complaint Form (DOC-
1064).
A. If an employee records or takes a omplaint from a source outside the
Department, who is not an inmate, the employee should complete a D0C-1064 arld if
pradicable provide the complainant with a copy when : complaint is made in person.
B. If an employee becom es aware of an allegation of employee m isconduct during
the course of an emergency situation, the receiving employee shall control the
emergency situationy notify a supew isor, and ensure appropriate reporting is
completed.
AR 340 Page 2 of 8
1 D eaEvzous LAWSUITS AND ADMINISTRATIVE RELIEF
2 1) Have you Eiled other actions in state or Eederal courts involving the same
3 or similar facts as involved in this action? Yes )( No. If your
4 answer is OYes'' describe each lawsuit, (If more than one? describe the
others on an additional page following the below outline). 5
a) Defendants: 6
b) Name of court and case number:
7
c) Disposition:
8
d) Issues raised:
9
e) Approximate date complaint was filed; E
10 :
f) Approximate date of disposition:
1 1 2) Have you attempted to resolve the dispute stated in this action by seeking
1 2 relief from the proper administrative officials
,
e.g., have you exhausted
13 available administrative grievance procedures per AR 7407 xbl Yes No.
j 4 If your answer is ''NoH did you not attempt administrative relief because the
dispute involved the validity of a: (1) disciplinary hearing; (2) 15
state or federal court decision; (3) state or federal law or regulation; 16
(4) parole board decision; or (5) other . 17
If your answer is ''Yes'' provide the following information: Grievance
18
number) uff;e JNy ., >'..
JA -$L ' ' . Date and institution where grievance was
19
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2 5 I believe that I am entitled to the following relief:
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I understand that a false atatement or answer to any question in
5
this complaint will stzbject me to penalties of perjury , I DECLARE 6
UNDER PENALTY OF FERJURY UNDER THE LAWS OF THE UNITED STATES
7
AMERICAN AND THE STATE OF NEVADA THAT THE FOREGOING IS TRUE AND
8
CORRECT, and is submitted without benefit notary pursuant to 28
9
U.S.C. j 18 U .S.C. 5 1621 and NRS 208.165.
10
Dated thia ? /P'? day of Pt''F,eAM J' <.
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