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Inmates Name (Last, First, Middle) Inmates Registered Number Carter, David, Charles 190875 Date of Incident Time of Incident Location of Incident 01-24-2015 12:30 Dining Facility

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Inmates Name (Last, First, Middle) Inmates Registered Number Carter, David, Charles 190875 Date of Incident Time of Incident Location of Incident 01-24-2015 12:30 Dining Facility Inmates assignment at time of incident Housing Unit Eating lunch Al Incident Verbal Alteration Prohibited Act Code (s) Brief Description of incident: On 01-24-2015 at approximately 12:20 PM |, Officer Smith 1616C, was assigned to the dining facility to monitor inmates. It was during this time that | observed inmate David Carter (190709) walk over to inmate Gary Jackson (190875) who was eating alone at a table near the south wall. Once at the table Mr. Carter said something to Mr. Jackson and then using his right hand he slid Mr. Jackson''s tray of the table onto the floor. Mr. Carter then yelled \"what the fuck are you going to do about it?" at which time he clenched his fist an took a fighting stance across from Mr. Jackson while inviting him to fight by yelling \"Come on, you wanted this, now is your chance!\" i along with other Officers ran over too Mr. Carter and upon reaching him | ordered him to turn around and cuff up. Mr. Carter did not comply with my order. After | told Mr. Carter that | was going too pepper spray him if he did not comply he looked at me, dropped his hands to his side, and than turned around and allowed me to cuff him, M. Carter was taken to segregation an refuse to speak about the incident. Mr. Jackson denied knowing why Mr. Carter was angry with him. No further information. Name of Employee Reporting Incident (Last, First, Middle) Employee # Smith, Michael Robert 1616C Name of Employee/Witness Reporting Incident (Last, First, Middle) Employee or Inmate # Williams, Shawn, David 1890C Date Incident Reported to Above Employee Time Incident Reported to Above Employee 01-24-2015 12:30 PM Inmates Explanation to Committee Regarding Incident Inmate Jackson has been telling people he was going to get me for a week now and | was tired of looking over my shoulder. | decided to give him his chance The Committee did find that the inmate: 1. x_ Committed the Prohibited Act identified in Part | 2 Did not commit the Prohibited Act identified in Part | 3. Committed Prohibited Act Code (s) The Committee 1 is referring this to the Division of Investigations for possible criminal charges. 2. __x__ advised the inmate of its finding and of the right to file an appeal within 30 days. The Committee decision was based on the following evidence: Inmate Carter's admission to the incident as well as video surveillance from the dining facility. Date Committee Made Decision 01-27-2015 Committee Chairman Time Committee Made Decision 1:45 PM Signature Frank Lincoln Frand LHoneodn Committee Member Signature tt B R "{Dw Buiana Committee Member Signature Samuel Donaldson Samael Donaldson Investigator Name (Last, First, Middle) Investigator/Employee Carter, David, Charles 0349C Date Investigation Began Time Investigation Began 01-24-2015 12:30 Inmate advised of Right to Remain Silent: You are advised of your right to remain silent at all stages of the discipline process. Your silence may be used to draw an adverse inference against you at any stage of the discipline process. Your silence alone may not be used to support a finding that you have committed a prohibited act. Inmate advised of above right by: Lincoln, Frank, Michael Inmate Initials: DCC Inmate Statement Inmate Carter stated that he was upset over Inmate Gary Jackson's comments an it finally reached a boiling point and he reacted in a way he should not have. Inmate Carter takes full responsibly and understands that this incident will become part of his permanent record. Other Facts about the incident. Statements of other witnesses and possible evidence. Inmate Gary Jackson denied that he made any comments or threatened Inmate Carter in any way. No other witness were found to collaborate either inmates accusations about what happened prior to Inmate Carter confronting Inmate Jackson in the dining facility. Investigators Comments The incident in the dining facility was definitely in regards to comments Inmate Carter acclaims Inmate Jackson had said previously. No evidence could be found to support Inmate Carter's accusa- tions about Inmate Jackson's alleged comments. Disciplinary Action Taken Inmate Carter was paced into isolation following the incident for 24 hours. He was informed that the behavior in the dining facility would became part of his permanent record and that any similar future behavior could lead to new criminal charges. Date and Time Investigation Completed Date 01-24-2015 Time 4:30 PM Printed Name and Signature of Investigator Printed Name Signature Title Lincoln, Frank, Michael Frank Lincoln 0349C DOC Investigator

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