Carr, Thomas Raymond

-.

JOANNA STATON District Clerk BELL COUNTY, TEXAS BELL COUNTY JUSTICE COMPLEX 1201 Huey Road • P. 0. Box 909 • Belton, Texas 76513 (254) 933-5197 • Fax (254) 933-5199 Joanna. Staton@ co. bell. tx. us • www. bellcountydistrictclerk. org This document contains some pages that are of poor 4uality August 12, 2015 at the time of imaging.

ABEL ACOSTA CLERK OF CRIMINAL APPEALS

\RECE~VED ~ij\ij P.O. BOX 12308 AUSTIN, TX 78711 !COURT OF CRIMINAL APPEALS NO: 57558-D 61 I(~ 1 ') 2015

EX PARTE

THOMAS RAYMOND CARR

•.·.~ DEAR MR. ACOSTA:

ENCLOSED PLEASE FIND THE ORIGINAL TRANSCRIPT IN THE ABOVE ENTITLED AND NUMBERED CAUSE.

IF WE CAN BE OF FURTHERASSISTANCE, LET US KNOW.

SINCERELY,

~-••• ,:,o·

• • Postconviction Writ of Habeas Corpus

Cause No. 57558-D

.1 EX PARTE THOMAS RAYMOND CARR

In the Judicial Courts

VS Of

The State of Texas Bell County, Texas

Delivered to the Court of Criminal Appeals, Austin, Texas on the 12th day of August, 2015 .

• • Joanna Staton District Clerk Bell C unty, Texas

Filed in the Court of Criminal Appeals, Austin, Texas on the _ _ day of _ _ _ _ __ 2015 .

•

• • Ex Parte THOMAS RAYMOND CARR Application for Writ of Habeas Corpus

TRIAL COURT WRIT NO. FR 57558-D

CLERKS SUMMARY SHEET APPLICANTS NAME: THOMAS RAYMOND CARR (As reflected on the Judgment)

OFFENSE: AGGRAVATED SEXUAL ASSAULT (As reflected on the Judgment)

CAUSE NO: FR57558 (As reflected in Judgment)

SENTENCE: THIRTY (30) YEARS TDCJ;ID (As described on Judgment)

PLEA: (X) GUlLTY ( ) NOLO CONTENDERE ( ) NOT GUlLTY

• TRIAL DATE: 11/21/2006 (Date upon which sentence was imposed)

JUDGE'S NAME: HONORABLE JUDGE MARTHA J TRUDO (Judge Presiding at Trial)

APPEAL NO: N/A (If Applicable)

CITATION TO OPINION: N/A S.W.2d _ _ (If Applicable)

HEARING HELD: YES X NO (Pertaining to the Application for Writ)

FINDINGS & CONCLUSIONS FILED: _ __,X:...!___ _ YES _ _ _ _ NO (Pertaining to the Application for Writ)

RECOMMENDATION: GRANT_DENY__ NONE _x_DISMISS (Trial Court's recommendation regarding the Application)

JUDGE'S NAME: HONORABLE JUDGE MARTH J TRUDO (Judge Presiding at Habeas Proceeding)

•

No. 57558-D

• • EX PARTE

THOMAS RAYMOND CARR X

X

X IN THE 264TH DISTRICT COURT

JUDICIAL DISTRICT

BELLCOUNTY, TEXAS I

INDEX VOLUME PAGE

Clerk's Report.............. ;................................................................................................... I J Index .................... :........................................................................................... ~......... II

Applicant's Petition................................................................................................... 1

State's Answer........................................................................................................... 272

Motion to Enter Proposed Findings of Fact and Conclusions of Law....................... 274

Findings of Fact and Conclusions of Law of the Court............................................. 276

Clerk's Certificate that Record is True and Correct.................................................. 280 • •

FILED • COURT OF CRIMINAL APPEALS OF TEXAS APPLICATION FOR A WRIT OF HABEAS CORPUS ZD 15 SEEKING RELIEF FROM FINAL FELONY CONVICTION UNDER CODE OF CRIMINAL PROCEDURE, ARTICLE 11.07 AUG -4 AH II: 02

INSTRUCTIONS

1. You must use the complete form, which begins on the following page, t lie an application for a writ of habeas corpus seeking relief from a final felony conviction under Article 11.07 of the Code of Criminal Procedure. (This form t.s not for death- penalty cases, probated sentences which have not been revoked, or misdemeanors.)

2. The district clerk of the county in which you were convicted will make this form available to you, on request, without charge.

3. You must file the entire writ application form, including those sections that do not apply to you. If any pages are missing from the form, or if the questions have been renumbered or omitted, your entire application may be dismissed as non-compliant.

4. You must make a separate application on a separate form for each judgment of conviction you seek relief from. Even if the judgments were entered in the same court on the same day, you must make a separate application for each one.

• 5. Answer every item that applies to you on the form. Do not attach any additional pages for any item.

6. You must include all grounds for relief on the application form as provided by the instructions under item 17. You must also briefly summarize the facts of your claim on the application form as provided by the instructions under item 17. Each ground shall begin on a new page, and the recitation of tbe facts supporting the ground shall be no longer than the two pages provided for the claim in the form.

7. Legal citations and arguments may be made in a separate memorandum that complies with Texas Rule of Appellate Procedure 73 and does not exceed 15,000 words if computer-generated or 50 pages if not.

8. You must verify the application by signing either the Oath Before Notary Public or the Inmate's Declaration, which are at the end ofthis form on pages;ll and 12. You may be prosecuted and convicted for aggravated perjury if you make any false statement of a material fact in this application.

9. When the application is fully completed, mail the original to the district clerk of the county of conviction. Keep a copy of the application for your records.

10. You must notify the district clerk of the county of conviction of any change in address after you have filed your application .

•

FILED • Case No. _ _ _ _ _ __ (The Clerk of the convicting court wi 11 till this I ine in}O 15 AUG -4 AH II: 02

APPLICATION FOR A WRIT OF HABEAS CORPtfS-=,t-~~F SEEKING RELIEF FROM FINAL FELONY CONVICT! lJNDER CODE OF CRIMINAL PROCEDURE, ARTICLE 11.07

NAME: Thomas Raymond Carr

DATEOFBIRTH:~OS~/~14~/~19~6~7 ______________________________________

PLACE OF CONFINEMENT: Texas Department of Criminal Justice, Hughes Unit, Route 2 ~

Box 4400 Gatesville Texas 76528

TDCJ-CID NUMBER: -><-0.._14=0~59"-=3'-"-l________ SID NUMBER: ~03:!..:5~6~30~8~0~----

(1) · . This applicant concerns (check all that apply):

• 0 a conviction 0 parole

0 a sentence D mandatory supen·ision

D time credit 0 out-of-time appeal or petition for discretionary review

(2) What district court entered the judgment of the conviction you want relief from?

(Include the court number and county.)

264 1h District Court ofBell County, Texas

(3) What was the case number in the trial court?

57 558

(4) What was the name of the trial judge?

The Honorable Martha J. Trudo

• • 1 *2
• • (5) Were you represented by counsel? If yes, provide the attorney's name:

Court appointed counsel, John Robert Bingham, Teddy L. Potter, Esq,. since retired for

health/disciplinary reason (Ethics Decision Included in prior Application), and Charles

"Monty" Montgomery, Esq.

(6) What was the date that the judgment was entered?

November 21 2006

(7) For what offense were you convicted and what was the sentence?

Aggravated Sexual Assault- First Degree Felony: "Did ... cause a Dildo to ... penetrate the

anus of ... a child less than 17 years of age and ... operated in concert vJith Tammy Bishop

during the same criminal episode, and ... did ... administer a controlled substance to the

said J M ... " Sentence: Thirty {30) years

(8) If you were sentenced on more than one countofan indictment in the same court at

• • the same time, what counts were you convicted of and what was the sentence in each

court?

N/A

(9) What was the plea you entered? (check one)

0 guilty-open plea guilty-plea bargain

0 not guilty 0 nolo contendere/ no contest

If you entered different pleas count in a multi-count indictment, please explain:

(10) What kind of trial did you have?

0 no jury 0 jury for guilt and punishment 0 jury for guilt, judge for p~nishment

(11) Did you testify at trial? If yes, at what phase of trial did you testify?

• • Yes. Applicant's trial counsel called him to the stand to plea and at sentencing. *3
• • (12) Did you appeal from the judgment of conviction?

0 yes 0no

Jf you did appeal, answer the foJiowing questions:

(A) What court of appeals did you appeal t o ? - - - - - - - - - - - - - -

(B) What was the case number? - - - - - - - - - - - - - - - - - - -

(C)_ Were you represented by counsel on appeal? If yes, provide the attorney's name:

(D)_What was the decision and the date of the decision?-----------

(13) Did you file a petition for discretionary review in the Court of Criminal Appeals?

0 yes ~ no

If you did file a petition for discretionary review, answer the following questions:

• (A) What was the cause number?

(B)_ What was the decision and the date of the decision?

(14) Have you previously filed an application for a writ of habeas corpus under Article 11.07 of the Texas Code of Criminal Procedures challenging this conviction?

0 yes 0 no

If you answered yes, answer the following questions:

(A) What was the Court of Criminal Appeals' writ number? WR-79,620-02 ,WR-79,620-04,

and WR-79,620-06.

(B) What was the decision and the date of the decision? Dismissed for non- compliance. pro

se not signed, WR-79,620-02 on 09/11/2013. Denied the relief without written opinion on WR-

79,620-04 on 3/26/2014. Dismissed for non-compliance on WR- 79,620-06 on 7/08/15.

~Please identify the reason that the current claims were not presented and could not have been presented on your previous application.

• The medical records received from the TDCJ on June 24, 2014 did not have the Uniform Health

Status Update dated 12/26/06. The decision on WR-79,620-04 was prior to receiving the records. *4

• • Previously. The Bell County, Texas jail indicated that it had no records. The above mentioned

status update was not included in any records, previously. Habeas counsel met with Applicant on

October l, 2014. The Texas Uniform Health Status Update form was acquired from the records

Department at TDCJ prison system by happenstance. Applicant asked about a document listed as

''unavailable to him". A clerk in the prison brought the afilled out" Texas Uniform Health Update

dated 12/26/2006 to him. The "WAREHOUSE 337600" box- containing hundreds, if not

thousands, of pages of medical records did not contain the update. It was not included in the

response to the "Chapter 64" motion. though other medial information was. Competency was

discussed in the prior application for writ of habeas corpus, but did not show the probability that

the medication was given ABOVE the prescribed amount and ABOVE the FDA

recommended maximum dosage. The claim based on lack of voluntary and knowingly plea, as it

relates to competency at the time ofthe plea, was not presented earlier, because neither Applicant,

• • nor his attorney, was able to obtain from update form showing the medication dosage for

Applicant at or near the time of his plea.

A statement was recently obtained from Robert 0. "Buck" Harris. the attorney for Applicant's

wife. The statement clearly shows that there was a deal not to prosecute the wife except for one

drug charge. Applicant's medication and the prosecutoria! misconduct show coercion and a lack of

a knowing and voluntary plea.

Applicant's counsel made repeated attempts to contact Applicant's trial counsel since early 2013.

Applicant's habeas corpus counsel finally received a three ring binder of what purports to be trial

counsel's complete file and notes.

Applicant's counsel was unaware of the victims' medical records containing evidence of the lack of

blood tests and of J M 's use of a prescription amphetamine until the response by the State to a

Chapter 64 motion. Also, the victims' hospital records were not on the court's docket sheet. Counsel

• • learn that the records had been sealed, recently. The clerk's office indicated that a court order was *5
• • needed to see the records, but ultimately turned over the records. The above proves the claims for

incompetency, lack of a knowing and voluntary plea. coercion. and ineffective assistance of counsel.

(15) Do you currently have any petition or appeal pending in any other state or federal Court?

0 yes 0 no If you answered yes, please provide the name of the court and the case number:

(16) If you are presenting a claim for time credit, have you exhausted your administrative remedies by presenting your claim to the time credit resolution system of the Texas Department of Criminal Justice? (This requirement applies to any final felony conviction, including state jail felonies)

0 yes 0 no

If you answered yes, answer the following questions:

(A) What date did you present the claim?

• • (B) Did you receive a decision and, if yes, what was the date of the decision'!

If you answered no, please explain why you have not submitted your claim:

(17) Beginning on page 6, state concisely every legal ground for your claim that you are being unlawfully restrained, and then briefly summarize the facts supporting each ground. You must present each ground on the form application and a brief summary of the facts. If your grounds and brief summary of the facts have not been presented on the form application, the Court will not consider your grounds. If you have more than four grounds, use pages 14 and 15 of the form, which you may copy as many times as needed to give you a separate page for each ground, with each ground numbered in sequence. The recitation of the facts supporting each ground must be no longer than the two pages provided for the ground in the form.

You may include with the form a memorandum of law if you want to present legal authorities, but the Court will not consider grounds for relief set out in a memorandum of law that were not raised on the form. The citations and argument must be in a memorandum that complies with Texas Rule of Appellate Procedure 73 and does not exceed 15,000 words if computer-generated or 50 pages if not. If you are

• challenging the validity of your conviction, please include a summary of the facts pertaining to your offense and trial in your memorandum

• • GROUND ONE:

Applicant's plea was not voluntary and knowing and was coerced under the 6 1h

Amendment because the prosecutor lied about key facts involving circumstances about the

plea and issued threats of continued prosecution.

FACTS SUPPORTING GROUND ONE:

I. Tammy Bishop, Applicant's wife, actually committed the sexual assault on J M

by shoving a dildo in his anus after the two had a sexual relationship. Applicant had no

physical or sexual contact with anyone that claimed to be assaulted, as evident by the

statements recently obtained from responses to a chapter 64 motion. See Exhibit I.

2. Trial counsel, Charles Montgomery, made statements at a hearing to the effect that

Tammy Bishop was let totally off the hook, was in prison on a light sentence, and was

not being prosecuted at all for rape of juveniles. The prosecutor, Mark Kimball, as

• • an officer of the court, stated at that hearing, "That is a lie." He then stated "It's a

lie before the court." See. Exhibit 2.

3. The prosecutor, Mark Kimball, again, as an officer of the court, stated at Tammy

Bishop's plea hearing on November 30, 2005, "I will let the court know that there

are further charges that will be filed against Ms. Bishop. She is well aware of it."

He further says "This, by no means, is the end of cases against Ms. Bishop, and she

is well aware of it."

To this day, she has been convicted of only of one delivery of a controlled substance to

minor charge. See Exhibit 3.

4. At Applicant's bond hearing, Mr. Kimball stated "And every time he [Applicant] gets

closed to getting out of jail, "I'm going to file case after case after case. 1 have

seventeen different cases." See Exhibit 4 .

• • 6 .,
• • 5. Mr. Kimball asked the following question at Applicant's plea hearing on November 21,

2006, "One thing you mentioned yesterday ... what's going to happen to my wife and

you understand what happens to your wife is up to the State of Texas and the courts and

I absolutely refuse to answer that question" See Exhibit 5.

6. Applicant's counsel has now learned that Mr. Kimball and the wife's attorney,

Robert 0. "Buck" Harris. had an agreement to pursue only one delivery of a controlled

substance to a minor charge. Attached is a statement from Buck Harris saying "As part

of the plea, the prosecutor agreed to NOT PROCEED to indict Ms. Bishop on any

sexua.l assault charge or any other drug charge." He also says "The prosecutor never

madeany demand to plead guilty to any sexual assault charge." See Exhibit 6. This

evidence is completely at odds with prosecutor Kimball's dire and false statements on

the hearing records. Based on Applicant's clear concerns about his rapist wife's deal

and his medication over dosage, as shown below, his plea was not knowing and

voluntary and was coerced.

7. Based on Kimball's statements. Applicant believed that his wife, Tammy Bishop, was

being prosecuted for aggravated sexual assault just like he was. In reality, Tammy

Bishop was "off the hook" for anything other than on drug conviction. Mr. Kimball

sees how important the wife's plea is to Applicant yet still misleads Applicant at

Applicant's plea hearing by not disclosing the agreement.

• • 7
• • GROUND TWO:

The prosecutor lied about having "blood tests" showing that the alleged victims had

taken methamphetamines. The testing showed that, possibly only amphetamines, not

methamphetamines, were present.

FACTS SUPPORTING GROUND TWO:

1. The affidavit for Arrest and Complaint signed by Detective Mike Simmons was

filed on July 15, 2004 to arrest Applicant on the delivery of the controlled substance

methamphetamine. Detective Simmons states "I have been further informed by the

parents of all three juveniles that the children tested positive for methamphetamine."

The Bell County prosecutor, Mark Kimball, stated that "blood tests are in evidence,"

under the falsehood that the tests showed methamphetamines. See Exhibit 7 and 8

2. ln facts, no blood tests were performed. The alleged victims were tested only once at

Metroplex Hospital late in the evening on June 2 I, 2004 or possibly June 22, 2004.

Only standard urinalysis drug screen test were done, not blood tests as stated by Mark

Kimball. The tests were positive for amphetamines and THC. No tests indicated

methamphetamines. This is true, even though the victims were tested two days after the

incident date. The literature indicates that methamphetamines could show up in the

urine within that time period, if proper testing procedures were done. See Exhibit 9 and

Exhibit 10. Additionally, the Metroplex hospital records show that Je M was

taking a prescription drug, Concerta, an amphetamine. See Exhibit 9. This supported

the Applicant's allegations that the victims were crushing up pills and using them. Trial

counsel, Montgomery, should have reviewed the hospital records. The records would

have been available to him. He never discussed this with Applicant. This shows

ineffective assistance of counsel, lack of a knowing and voluntary plea, and coercion .

• • 8
• • GROUND THREE:

Applicant's trial counsel, Charles Montgomery, lied about researching the law and

explaining the law to Applicant. Trial counsel's representation of Applicant over the

entire representation shows ineffective assistance of counsel. Applicant now has tria I

counsel's notes after repeated requests.

FACTS SUPPORTING GROUND THREE:

I. The indictments and the amended indictment are so confusing that you cannot understand

them. Mr. Montgomery never explained the indictments or the aggravated sexual assault

allegations to Applicant. See Exhibit 11.

2. Mr. Montgomery was ordered by the trial court to tile a court-ordered affidavit.

Montgomery was to explain his research of the applicable law. He failed to answer any

important questions for the court. He goes into a rant about everything except the law of

aggravated sexual assault and of delivery of a controlled substance. If he could not even

explain the law to the trial court, then he certainly did not have the ability to explain it to

Applicant. See Exhibit 12.

3. Mr. Montgomery did not know the law. Mr. Montgomery eventually sent Applicant's

habeas corpus counsel his entire file in a three ring binder. The binder only had two-pages

of documents on the law. It consisted of portions of the U.S. and Texas Constitution and of

the severance of trial provisions of the Texas Code of Criminal Procedure. See Exhibit 13

and Exhibit 14.

4. Mr. Montgomery's file shows that he recommended filing an "interlocutory" appeal. He

based this appeal recommendation on supposedly errors at the 12re trial motion stage.

Mr. Montgomery stated in the court ordered affidavit that he was never going to tile an

appeal; however, Mr. Montgomery's own notes contradict this position. See Exhibit 15.

9 ll>

• • GROUND FOUR:

Applicant could not enter a voluntary and knowing plea due to his incompetence at the time

of his plea hearing. Applicant was being treated with 1200 rng of Seroquel at the time.

FACTS SUPPORTING GROUND FOUR:

I. At the time of Applicant's plea, an unnamed medical provider was dosing Applicant with

1200 mg daily of an antipsychotic drug, Seroquel. The Texas Uniform Health Status

Update shows that Applicant was prescribed 200 mgT g. am., which means one 200 mg

does before noon, and 200mg TTTTI q.h.s, which means five 200 mg doses at bedtime.

See Exhibit 16 and the list of medical abbreviations in Exhibit 17.

The prescribed amount far exceeds the 800 mg daily recommended maximum dosage in the

literature. The literature indicates that side effects of the drug could include dizziness,

drowsiness, altered mental status, confusion, and other potential complications. These

• • severe side effects are for the recommended dosage at a maximum of 800 mg daily.

Applicant was receiving 1200 mg daily. See Exhibit 16 and 17. _ _ _ _ _ _ _ __

2. Frank Pugliese, Ph.D, a forensic psychologist, appointed by the trial court a_QQarcntly on

Montgomery's request, determined Applicant incompetent. Dr. Pugliese found that

Applicant was delusional and hallucinating to the point that it resulted in impaired

judgment and ineffective communication with Montgomery. According to Pugliese,

competency restoration included adjusting his medication needs. The adjustment would be

appropriately addressed in a psychiatric facility. See Exhibit 18.

3. The trial court ordered Applicant to be committed to North Texas State Hospital. The

order included assessing whether he could be restored to competency and if he had a

mental illness. Joseph Black M.D. at the facility eventually sent a report indicating that

Applicant's competency was restored. Joseph Black M.D. See Exhibit 19 .

• • 10 IJ
• • Dr. Black's report does not indicate that he ever interviewed Applicant after the initial

admission. Instead, B. Thomas Gray, Ph.D., a psychologist, did the entire evaluation. He

found Applicant to be malingering. At the same time, he says that it is "quite

important" for Applicant to take his psychoactive medication. He also states that it is

unclear whether Applicant needs the medication to maintain trial competency. It was at

this facility that Dr. Black switched Applicant from a previous antipsychotic medication to

800 mg daily of Seroguel. See Exhibit 19 . •

• • 11 )8
• • GROUND FIVE:

Applicant could not have been found guilty under the aggravated sexual assault statute

because no "date rape" drug was administered.

FACTS SUPPORTING GROUND FIVE:

1. Applicant was indicated for aggravated sexual assault with one of the aggravating

factors being the administration of a "date rape" drug to the alleged victim. See Exhibit II

2. The legislative history of the statute makes it clear that Methamphetamines are not

included as an aggravating factor and are not defined as "date rape" drug. See

Memorandum of Law.

3. The Metroplex Hospital Records of the victims show that NO "date rape" drug was

found in their systems. Additionally, the statements ofthe victims and of Tammy

Bishop show that no one was administered a "date rape" drug. See Exhibit I and

• • Exhibit 9.

-----------------------------···--·-

• • 12
• • GROUND SIX:

Applicant could not have been found guilty under the aggravated sexual assault statute

because he did not "act in concert" with Tammy Bishop.

FACTS SUPPORTING GROUND SIX:

I. Applicant was indicted for aggravated sexual assault with one of the aggravating

factors being that he acted in concert with Tammy Bishop. The statute provides that

Applicant must I) cause the penetration of the anus ofthe victim and 2) act in concert

with another assailant who causes the penetration of the anus of the same victim. See

Exhibit II.

2. The legislative history of the statute indicates that this aggravating factor was added for

"gang rape" situations. The history shows that the intent was to stop multiple rapists

situations. See Memorandum of Law .

• • 3. After obtaining the statements of the alleged victims and of Tammy Bishop, it is clear

that there were not multiple rapists, here. The only rapist was Tammy Bishop. She was

the only person to have sex with any of the victims. She was the only person to have

actual physical contact with the victims by dildoing them in their anuses. See Exhibit __L

• • 13 *16
• • GROUND SEVEN:

Applicant was threatened with repeated prosecutions because he exercised a legal right.

FACTS SUPPORTING GROUND SEVEN:

I. Applicant was almost certainly loaded up with 1200mg of an extremely strong

medication.

2. The Prosecutor had an "under-the-table" deal with Tammy Bishop, the wife, to which

he would never admit, even to the point of lying to the trial court.

3. Applicant's attorney heavily pressed Applicant to plead guilty to the bizarrely written

indictment based on the threats of successive prosecutions against Applicant and,

falsely as it turned out, Applicant's wife. The successive prosecutions were never going

to take place.

4. The Prosecutor admitted Applicant was concerned about his wife during the

• • proceedings, but intentionally left the question about what would happen to

Applicant's wife unanswered. Mr. Kimball knew that would happen to the wife,

Tammy Bishop, but did not tell Applicant that she was not going to be prosecuted for

any sexual assault crimes .

• • 14 *15
• • WHEREFORE, APPLICANT PRAYS THAT THE COURT GRANT APPLICANT

RELIEF TO WHICH HE MAY BE ENTITLED IN THIS PROCEDDING.

VERIFICATION

This application must be verified or it will be dismissed for non-compliance. For verification purposes, an applicant is a person filing the application on his or her own behalf. A petitioner is a person filing the application on behalf of an applicant, for example, an applicant's attorney. An inmate is a person who is in custody.

The inmate applicant must sign either the "Oath Before Notary Public" before a notary public or the "inmate Declaration" without a notary public. If the inmate is represented by a licensed attorney, the attorney may sign the "oath Before a Notary Public" as petitioner and then complete "Petitioner's Information. A non-inmate applicant must sign the "Oath Before a Notary Public" before a notary public unless he is represented by a licensed attorney, in which case the attorney may sign the verification as petitioner.

A non-inmate non-attorney must sign the "Oath Before a Notary Public" before a

• • notary public and must also complete "Petitioner's lnfonnation. An inmate petitioner must sign either the "Oath Before a Notary Public" before a notary public or the "Inmate's Declaration" without a notary public and must also complete the appropriate "Petitioner's Information.

OATH BEFORE A NOTARY PUBLIC

STATE OF TEXAS

COUNTY OF COR YELL

~vft. ~; J- f , being duly sworn, under oath says "I am the applicant /~cfrcle one) in this action and know the contents of the above application for a writ of habeas corpus and, according to my belief, the facts stated in the application are true.

f-P SUBSCRIBED AND SWORN TO BEFORE ME THIS 3 DAY OF August 2015.

J~AM.a(~ • ,4:~.::::.~;;.. _ SfiAINA R. MEDFORD £~,.~_,.:.. % Notary Put> lie. Stole or Texas Signature ofNotary Publ1c \';.1-"....:;,'f My Comm1ssion Exp1res '•.::.:i·;::::.·•'' February 20, 2019

• • PETITIONER'S INFORMATION

Petitioner's printed name: .-.- J l ('{\Q4 fv\~ Tesch .,.J.)...I..~.LI.:l=-:o.0-'..:0~-------- State Bar Number, if appl icable:_lq.:...l.C(j..a. .

Address: ~· 0 .1::?at- ·:;t=S'5 Go-+tSVl \le, Tx lloCS 'Z 1\

Telephone: dC:Sl\- ~lo 5- 0~3)3 Fax: \- d "5L\~ J 3\- :?S?;Y

INMATE'S DECLARATION

[, _ _ _ _ _ _ _ _ _ _ _ _,am the applicant I petitioner (circle one) and

• • Being presently incarcerated i n - - - - - - - - - - - - - ' declare under penalty of

Per:jury that, according to my beliet~ the facts stated in the above application are true and correct.

Signed on _ _ _ _ _ _ _ _ , 20_

Signature of Applicant I Petitioner (circle one)

• • 16
• • PETITIONER'S INFORMATION

Petitioner's printed name:. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Address: - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Telephone: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Fax: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___

Signed on _ _ _ _ _ _ _ _ _ , 20 __

Signature of Petitioner •

• • ¹⁷

FILED • CAUSE NUMBERS 57,558-A and 57,557-A 2015AUG-4 AHIJ:03

EX PARTE § § § DISTRICT COURT § THOMAS RAYMOND § BELL COUNTY, CARR TEXAS

MEMORANDUM OF LAW CONCERNING COMPETENCY, INEFFECTIVE ASSISTANCE OF COUNSEL, KNOWING AND VOLUNTARY PLEA, CONSTITUTIONALITY OF STATUTE, AND OF ACTUAL INNOCENCE

Applicant presents this memorandum of law. He states that all facts alleged in this document and all legal authority cited are fully incorporated into the Application for Writ of Habeas Corpus. The Exhibits List, containing three pages and indicating twenty-five exhibits, is fully incorporated into this

• • memorandum of law and into the Application for Writ of Habeas Corpus . Pursuant to T.R.A.P. 73 the word count for this Memorandum of Law is 3,561 and for the Exhibits List is 738 words. The total word count is 4,299 words.

I. APPLICANT NEVER HAD A PROPER COMPETENCY HEARING BASED ON TEXAS LAW

ISSUE PRESENTED: If a defendant was heavily over-medicated, had been previously declared incompetent to stand trial, and was found competent solely on a hospital doctor's report- after said doctor never interviewed the defendant- in declaring defendant competent to stand trial, may defendant plead guilty to a crime?

I. Applicant can seek relief through habeas corpus if the court does not hold a proper competency hearing. Ex parte McKenzie, 582 S.W.2d 153, 154 (Tex. Crim. App. 1979). The appropriate remedy is a remand for a retrospective hearing if possible. Ex parte Ridley, 658 S.W.2d 177, 178 (Tex. Crim. App. 1983 ). Applicant is entitled to relief where he was (1) denied effective

•• Page 1 of 15

• • assistance of counsel at a competency hearing, (2) the competency hearing was improper for some reason, or (3) the trial court erroneously failed to hold a competency hearing. Ex Parte Garrett, No. WR-75,447- 01, 2011 WL 2382572 (Tex. Crim. App. June 8, 2011) cited because it lists cases holding that the proper relief is a retrospective competency hearing, if possible. Huff v. State, 807 S. W.2d 325 (Tex.Crim.App.l991 ); Hawkins v. State, 660 S.W.2d 65 (Tex.Crim.App.l983)(vacated on other grounds, 494 U.S. 1013; 110 S.Ct. 1313; 108 L.Ed.2d489; 1990)); Brandon v. State, 599 S. W.2d 567 (Tex.Crim.App.1980)(vacated on other grounds, 453 U.S. 902, 101 S.Ct. 3134,69 L.Ed.2d 988 (1981)); Garcia v. State, 595 S.W.2d 538 (Tex.Crim.App.1980); Callawayv. State, 594 S.W.2d440 (Tex.Crim.App.l980); Caballero v. State, 587 S.W.2d 741 (Tex.Crim.App.1979); Ex Parte Winfrey, 581 S. W.2d 698
• • · (Tex.Crim.App.l979).

a. Applicant's trial counsel, Montgomery, objected to a restoration to competency at what was entitled "Motion on Competency". It was heard on March 24, 2006. He objected to the North Texas State Hospital Report. See Exhibit 2. Transcript Vl P 95 through 99. However, Applicant's trial counsel failed to request a separate hearing, which could be in front of a Jury, if requested.

b. The Honorable Martha Trudo found Applicant competent based solely on the report from Dr. Black. See Exhibit 2. Transcript Vl- 97. Lines 7 through 11.

c. If a defendant objects to the finding of competency that is based solely on the report, then the issue shall be set for a hearing before

• • Page 2 of 15

• • the court, except if requested, it shall be before a jury. T.C.C.P. 46B.084.

d. Applicant would then have the opportunity to question the North Texas State Hospital doctors, Dr. Black and the psychologist, Dr. Gray, who authored most of the report. See Exhibit 19. Applicant could then present evidence of 1) the medication being prescribed and its effects on him, and 2) incompetence.

e. Despite Applicant taking large doses of medication and his prior incompetence, the trial court at the plea hearing simply asked applicant "Do you believe you are mentally competent to proceed to court today." See Exhibit 5. Plea and Sentencing Hearing Transcript Vl-8, Line 10 .

• • f. It is baffling that trial counsel had strongly objected to Dr. Black's report and the circumstances around it, and then states that Applicant was somehow competent at the plea hearing. In the court-ordered affidavit, Montgomery responded to Applicant's concern for psychiatric medication affecting his plea by "trashing" Applicant. Exhibit 12, page 6.

g. Here, despite Applicant taking large dosages of medication and Applicant being found competent based solely on the report from Dr. Black, the trial court simply asked applicant "Do you believe you are mentally competent to proceed to court today." See Exhibit 5. Plea and Sentencing Hearing Transcript Vl-8, Line 10.

h. The trial court was required to hold a trial on the issue of return to

• competency because 1) the trial court based its competency rut i ng .

Page 3 of 15

• • solely on the final report of Dr. Black , 2) trial counsel, Charles Montgomery, objected to the report, and 3) Montgomery failed to request a hearing.

2. In order to convict a defendant of a crime he must be competent to stand trial. A defendant catmot make a knowing and voluntary plea if he is on too much medication at his plea hearing. A defendant must be able to understand the indictments and the statutes related to the crimes for which he is charged. The standard for determining whether a defendant is incompetent to stand trial, states:

(a) A person is incompetent to stand trial if he does not have: ( 1) sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding; or

• • (2) a rational as well as factual understanding of the proceedings against him. (b)A defendant is presumed competent to stand trial and shall be found competent to stand trial unless proved incompetent by a preponderance ofthe evidence. TCCP sec. 46B.003. 3. In sum, based on the statutes and rules a defendant must be competent at the time of his plea to be sentenced. Casey v. State, 924 S.W.2d 946; 949 (Tex. Crim. App. -- 1996).

4. Applicant's trial counsel did not infonn Applicant of the charges and proceedings against him because: a) the indictments do not make any sense, when compared to the aggravated sexual assault statute, b) Montgomery did not research the applicable law or inform Applicant of the law, c) Montgomery does not even outline the Jaw as requested by the court and as

• • Page 4 of 15
• • requested in a June 14, 2014letter from habeas counsel. Instead, he rants about everything under the sun, except the applicable law, in the court ordered affidavit. In response to the June 14, 2014 letter, he provided a two- page document that contained only the double jeopardy provisions of the U.S. Constitution and Texas Constitution and the statute dealing with joinder of certain offenses. T.C.C.P. Art.21.24. Montgomery says that he kept no other research, and says he incorporated his research into his pretrial motions. However, no research on law was cited in the pretrial motions.

II. DEFENDANT WAS PROSECUTED UNDER A STATUTE THAT WAS CREATED FOR GANG-RAPE SITUATIONS INVOLVING SPECIFIC "DATE RAPE" DRUGS

• IssuE PRESENTED: If a defendant pleads guilty to conduct that was not meant to be covered by the criminal statute, is the defendant entitled to relief in post- conviction?

5. The following is a summary of the case law on aggravated sexual assault involving "acting in concert" in gang rape situations. (The legislative history is explained infra.)

a. In Miranda v. State, 391 S.W. 2d 302 (Tex. App.-Austin 2012, writ refused), Miranda actually sexual assaulted the victim as a principal actor. Other assailants sexually assaulted the victim, too. While the case goes into an explanation of"the law of the parties" and "'acting in concert", the defendant could have been convicted without the use of the "law of the parties."

• • Page 5 of 15
• • b. In Moreno v. State, 04-12-04456-CR (Tex. App.-San Antonio, August 21, 2013), the defendant could have been convicted on multiple theories without using the "law of parties."

c. In Arredondo v. State, 270 S.W. 2d 676 (Tex. App.- Eastland 2008, writ rerd), Arredondo pled guilty to sexual assault, but not guilty to aggravated sexual assault. The jury found him guilty of aggravated sexual assault, because another assailant testified as to pleading guilty himself to aggravated sexual assault. The court said that was proof of "acting in concert," because no objection was made by Arrendondo's trial counsel to the use of the other assailant's guilty plea to prove "acting in concert."

• • d. The court in Arredondo v. State, 270 S.W. 2d at 679 attempts to define "acting in concert" through the use of legal dictionary definitions. However, the definition of "law of the parties under" Texas Penal Code Sec. 7.02 is essentially the same conduct required for "acting in concert." This is double jeopardy.

e. If a double jeopardy claim is apparent on the face of the record, the court can review a double jeopardy claim in a habeas corpus proceeding. Ex Parte Denton, 399 S.W. 2d 540 (Tex. Crim. App. 20 13).

6. The Texas Aggravated Sexual Assault Statute, Tex. Penal Code Sec. 22.021 (1999) was intended to apply to "date rape" drugs only. Please seethe drugs

• • Page 6 of 15
• • defined in the statute. Also, the legislative history indicates that it applies to date rape drugs only. TXB.An., S.B. 1100, 5/13/99.

III. APPLICANT COULD NOT HAVE BEEN FOUND GUILTY OF DELIVERY OF A CONTROLLED SUBSTANCE WITHOUT THE COOERCED PLEA

ISSUE PRESENTED: Can a defendant plead guilty to a crime, while over-medicated, if the state could not have convicted the defendant in a criminal trial?

7. Based on the statements ofthe alleged victims and Tammy Bishop and on the Metroplex hospital records, the State could not convict Applicant on the delivery of a controlled substance charge. The State had no physical evidence taken from the scene ofthe crime. The state simple had

• uncorroborated statements of accomplices .

8. Absent any cmToborative evidence, possible statements from witnesses will not prove a drug is Methamphetamine. Steele v. State, 681 S.W.2d 129 (Tex.App.- Houston [141h District] 1984, pet. ref' d). Bright v.State, 556 S. W.2d 317 (Tex.Cr.App.1977). In Steele, the defendant admitted that the substance he sold to a police officer was cocaine. The chemist did not testifY that the substance was cocaine. The court held that without other evidence corroborating the police officer's testimony, such as a lab report, the State failed to prove a material element of the offense. Steele v. State, 681 S.W.2d at 131.

9. Here, Applicant was arrested at his home on July 9, 2004, twenty days after the alleged incident based upon a search warrant. At the time of arrest,

• • Page 7 of 15
• • Applicant denied "providing drugs to the boys" and "denied injecting any of them with Methamphetamine." At the same time, the police seized the items in Exhibit 8. See Exhibit 21. The Bell County District Attorney's office never provided Applicant's trial counsel or habeas corpus counsel with Applicant's denial statements. The information was provided as a response to a T.C.C.P.chapter 64 motion.

lO.According to the Bell County District Attorney's office, offense reports show that potential illegal drugs were seized on July 20, 2004. See Exhibit 25. The offense reports have never been provided.

11. The affidavit for arrest for the delivery charge states that the incident occurred on June 19, 2004. It states that statements were taken, a videotape was reviewed, and the juveniles' parents say their children tested positive for Methamphetamines. See Exhibit 7.

12.The affidavit for arrest on the aggravated sexual assault charge was filed over six months after the alleged incident and sworn to by Detective Mike Simmons. See Exhibit 21. He swears under oath to Judge Martha Trudo the following "I have reviewed the medical records of all three boys, which showed positive results for Methamphetamine." The accompanying sworn complaint was signed by Detective Simmons and by Bell County Assistant District Attorney, Mark KimbalL See Exhibit 21. They knew the Methamphetamine information was false based upon the Metroplex Hospital records. See Exhibit 9 .

• • Page 8 of 15
• • 13.Per Steele v. State, if you take away the statements of the accomplices, here, who were not even police officers as in Steele v. State, you have no corroborative evidence to prove delivery of a controlled substance. No drugs were recovered at the scene of the alleged crime. Only urine tests were done on the juveniles several days after June 19, 2004 at Metroplex Hospital. The tests were potentially positive for Amphetamines, not Methamphetamines. J M , to whom the Methamphetamine was allegedly delivered, was taking an Amphetamine, Concerta, at the time of the urine test. While it would not be corroborative evidence of delivery of Methamphetamine, the State did not even have lab tests done on the items seized at Applicant's home.

IV. TEXAS' AGGRAVATED SEXUAL ASSAULT STATUTE IS UNCONSTITIONAL AS APPLIED DUE TO IT BEING SUBSTANTIALLY OVERBROAD

lssuE PRESENTED: Can a defendant on huge amounts ofSeroquel plead guilty to conduct that was not intended to be covered by the aggravated sexual statute by the Texas legislature?

14.The Texas Penal Code has a confusing and tortured aggravated sexual assault statute. Tex. Penal Code Ann., sec. 22.021 (West 2003 ).

a. In this case, the facts center on the two aggravation provisions alleged by the Bell County, Texas District Attorney in the amended indictment as they relate to the statute.

b. First the State has to prove" [a) person intentionally or knowingly causes the penetration of the anus or sexual organ of a child by any means." Tex. Penal Code Ann., sec. 22.02l(a)(l)(B)(i) (West 2003).After

Page 9 of 15

Q1

• • proving these facts, the State has to prove the aggravating subsection of the statute.

c. The first applicable aggravating subsection involves " administer[ s] or provide[ s] ... rohypnol, gamma hydroxybutyrate, or ketamine to the victim of the offense with the intent of facilitating the commission of the offense." Tex. Penal Code Ann., sec. 22.02l(a)(l)(B)(i) and 2(A)(vi) (West 2003). Applicant found no case law on the provision. The legislative history of the subsection clearly indicates that the provision only involves administering "date rape" drugs to the victim with the intent of "facilitating" the commission of the offense. Crim. Justice, 8 ill Analysis, Tex. S.B. 1100, 761h Leg., R.S. ( 1999).

1. First, a defendant has to "rape" the child. Next, the defendant has to provide a "date rape" drug or a "mickey-if you will" to the child with the intent of making it easier to rape the child. The "mickey" has to be one of the defined drugs.

2. Based on the newly discovered statements of Tammy Bishop and the alleged victims, no "date rape" dmg was involved in this case. This aggravating subsection does not fit.

3. Clearly, in a "date rape'' drug scenario a defendant could be a pa11y to the offense, under the law of the parties, and fit within the statute. He could have provided a "date rape" drug or a "mickey-if you will", to the victim. In this scenario, he could commit ' aggravated sexual assault.

4. Charles Montgomery somehow had Applicant plead to this

• aggravating factor, when no "date rape dmg" was administered .

Page 10 of 15

• • d. The second applicable subsection involves 1) "act in concert" with another rapist who causes the penetration of the anus of a child "directed toward the same victim." Tex. Penal Code Ann., sec. 22.02l(a)(l )(B)(i) and 2(A)(v) (West 2003). The Texas Penal Code does not define act or acting in concert. The scant case law found attempts to use legal dictionaries to define act in concert. None of the dictionaries defined it. The cases turned to "concerted action" to interpret the '1:erm of art". Black's Law Dictionary, P.262 (5th ed. 1979); Black's Law Dictionary, concerted action (18c) (lOth ed. 2014).

1. Since the Texas Penal Code does not define "act[s] in concert", the courts try to give the words their ordinary meaning. Since the definition is not apparent after trying to give the words their ordinary meaning, courts turn to the legislative history behind the statute to determine legislative intent.

2. The "act in concert" provision was enacted in 1993 as part of a fairly extensive change in the Texas Penal Code. Tex. S.B. 1067, 73rd Leg., R.S. (1993). Tex.HB 77 had a Bill Analysis provision · giving a background of the bill that was incorporated into the final bill, Tex. S.B.l067. Comm. on Crim. Justice, Bill Analysis, Tex. HB 77, 73rd Leg., R.S.(I993). The legislative purpose ofthe bill was to "clarify sexual assault as aggravated sexual assault if more than one individual engages in conduct directed toward the same victim at the same time". Several high-profile cases of"gang rape" were part of the reason for the bill. For example, prior to the bill becoming law, a gang of men could each rape the same women. Each man could only be charged with sexual assault, unless she

• • Page 11 oflS
• • was threatened with serious bodily injury or some other factor, such as use of a weapon.

3. This interpretation is further bolstered by the statute using the words or terms "acts in concert with another [who engages in the rape of the child] directed toward same victim" ... Tex. Penal Code Ann., sec. 22.021 (a)(l )(B)(i) and 2(A)(v) (West 2003). The legislature chose to use the words "same victim" in the statute. The legislature inserted the words "same victim" in the statute.

15.Concerted action means "[a]n action ... agreed on by parties acting together ... , so that all involved are liable for the actions of one another.'' Black's Law Dictionary 18c ( 101h ed. 2014 ); Concerted action (or plan). "Action that has been ... agreed on and settled between parties acting together pursuant to some design or scheme". See Accomplice. Black's Law Dictionary 289 (6 1h ed. 1990)Why? If one leaves out the word same in "same victim", then the change would affect the meaning intended. That meaning is gang rape.

V. A DEFENDANT MUST MAKE A KNOWING AND VOLUNTARY WAIVER OF HIS POST CONVICTION REMEDIES AND GROSS INEFFECTIVE ASSISTANCE OF COUNSEL PREVENTS IT

ISSUE PRESENTED: Can a defendant on huge amounts of Seroquel waive his right to post-conviction remedies even if his counsel was grossly ineffective, especially in not obtaining discovery or putting minimal or no effort into a case with raised competency issues?

16. The Court of Criminal Appeals, in a waiver of post-conviction habeas corpus case, outlines knowing and intelligent waivers of post-conviction remedies. Ex Parte Reedy, 282 S.W.3d 492 (Tex. Crim. App. 2009). The

• • Page 12 of 15
• • court found that the ineffective assistance of counsel claim under the Sixth Amendment was of such a magnitude as to render the guilty plea involuntary. Ex Parte Reedy, 282 S. W.3d at 499. The trial counsel was alleged to have been unprepared to present any viable defense for the applicant. Ex Parte Reedy, 282 S.W.3d at 500. The court also discussed other claims that could affect a knowing and intelligent waiver of post- conviction rights such as actual innocence based on new evidence, the suppression of material, exculpatory evidence by the State, and ineffective assistance of counsel. These claims may be based upon facts not within the applicant's knowledge or comprehension despite due diligence and the assistance of counsel at the time of the plea and waiver. Ex Parte Reedy, 282 S. W.3d at 498.
• • 3. No drug evidence recovered from the scene; 4. No evidence to corroborate the statements of accomplices that Methamphetamines were delivered to J M and
• • explanation if possible as to why his claims should not be reviewed, especially in light of the newly obtained evidence.

Timo y Tesch SBN: 19808200 Tesch Law Firm P.O. Box 255 Gatesville, Texas 76528 254-865-0313 (ph) 254-731-2584(fax) teschlaw@gmail.com

• • Certificate of Compliance

1, Timothy Tesch, certify that this Memorandum of Law contains 3,561 words and the Exhibit List contains 738 words. words .

• • Page 15 of 15

Exhibits

• Incorporated By Reference Into the Application

Information and Facts Including 1) Trial Counsel's Notes and Documents Provided to Applicant, 2) Bell County, Texas D.A. Documents That Show Incorrect Sworn Affidavits and Exculpatory Evidence, and 3) Evidence of Mental Incompetency

1. Statement of Tammy Bishop dated July 9, 2004. Statement of J M dated July I, 2004 with November 4, 2005 crossed out and with initiaLs R.S. Statement of S G dated July 8, 2004. Statement of C V dated July 8, 2004. Note the statements of G and V say James M. Simmons notarizes them, but the numbers on pages do not match the notary information.

2. Part of Thomas Raymond Carr Motions (sic) on Competency heard on March 24, 2006.

3. Part of Tammy Michelle Bishop Plea of Guilty hearing heard on November

• 30, 2005 .

4. Part of Thomas Raymond Carr Motion to Reduce Bonds hearing heard on January 3, 2005.-

5. Part of Thomas Raymond Carr Plea and Sentencing hearing heard on November 21, 2006.

6. Statement ofRobert 0. "Buck" Harris, Tammy Bishop's attorney.

7. Affidavit for Arrest and Complaint filed July 15, 2004 by Detective Mike Simmons to arrest Thomas Raymond Carr for the June 19, 2004 delivery of Methamphetamines to a minor, J M .

8. Notarized Affidavit of Daniel C. De Leon as custodian of the evidence section for the Harker Heights Police Department dated July 17, 2014. An evidence log is attached to the affidavit. The section labeled "Lab Analysis Needed" is blank. This indicates no items were drug tested.

9. Business Records Affidavits from Metroplex Hospital dated November 1, 2006 for J M ,S G , and C V Some, but not

• • Page 1 of3

Exhibits Incorporated By Reference Into the Application

all, of the records are attached. The urine drug screen tests indicate positive findings for amphetamines and THC.

10. 16 pages of drug testing information for Methamphetamines and amphetamines.

ll.The indictment for aggravated sexual assault dated March 23, 2005. The amended indictment for aggravated sexual assault that was amended on March 24, 2006 by the trial court. Neither indictment tracks the statutory language of the aggravated sexual assault statute.

12. CoU1t Ordered Affidavit filed by Charles Montgomery, trial counsel, in Cause Numbers 57,557-A and 57,558-A on AprillO, 2013.

13.Acknowledgment of Receipt ofThomas Carr's File from Attorney Charles Montgomery received by Tesch Law Firm on June 26, 2014. The receipt is six pages. The documents sent by Charles Montgomery are attached in other exhibits.

• • 14.Two page Document from Charles Montgomery, trial counsel, showing only research in his file. It consists of U.S. Constitution, Amendment V, Texas Constitution Art.l.IO, and Texas Code of Criminal Procedure 21.13.

15 .Handwritten note from Charles Montgomery recommending the filing of an interlocutory appeal.

16.Texas Uniform Health Status Update (with handwritten number of #1403931). This document shows the current prescriptions being administered to Applicant. Note the dosage of Seroquel (one tablet (200 mg) before noon and five tablets (200 mg) before bedtime.

17.Rxlist, Medicinenet, and other literature. The medication that Thomas Carr was taking rendered him incompetent to make a plea. The class of drug, dosage, and side effects for Seroquel include an atypical antipsychotic and the Max. dosage per day at 800 mg. Common side effects - drowsiness and dizziness. Other side effect - altered mental state.

18.Report from court ordered examination with Dr. Frank A. Pugliese that was

• filed with the trial court on October 7, 2005 .

Page 2 of3

Exhibits

• Incorporated By Reference Into the Application

19.0ne page report from Joseph L. Black M.D. and five page report of B. Thomas Gray, Ph.D. Both reports were filed with the trial court on March 6, 2006.

²⁰. Affidavit for Arrest and Complaint filed July 15, 2004 by Detective Mike Simmons to arrest Tammy Bishop for the June 19, 2004 delivery of Methamphetamines to a minor, J M

21. Affidavit for Arrest and Compliant filed January 3, 2005 by Detective Mike Simmons to arrest Thomas Carr for aggravated sexual assault.

22. Complete docket information sheet for State of Texas v. Thomas Raymond Carr, Cause No. 57, 557, delivery of Methamphetamines to a minor, J M .

²³. Complete docket information sheet for State of Texas v. Thomas Raymond Carr, Cause No. 57, 558, aggravated sexual assault.

24.Copy of June 6, 2014 letter to Charles Montgomery and of release of file to

• • Charles Montgomery. The released asked for specific information . Montgomery has the original signed documents. The copies are not signed.

25.Part of response by the Bell County District Attorney to Applicant's Chapter 64 motion .

• • Page 3 of3

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· .5rVi't.ed a c..ja.1~He. 'tt~ &ikd .Jernd ~~r0 <lie !i ii

ck.Jfl:s/ct,~.s ~- J;;nd (bdte Jock ad ~lc/ 11ie 7'D i; j'O 0 M+ t.f. y;; ir:S -r -i;ld lk·«. .;/a/_J;dtd< :;. tJJiA -f If) il i

}Ju..l y; ev'VL1<~0f cld ?Jh£?11 S:sof ,at& Ae !Jc7A/dl!rvt '!! -:')t)[V{~ r1&Gd~ ~eA. 1

r Sikl a<td Cl. tits-/ 7df'V\._ ;Jed i:l )4t tYtdiL '~a 5f'£11 1 ;t{ei-/al 'I £J1;h;l. a I I. ; il I tj>~L-k ; :1 i : \!

I l ; 'I 'l .' !t

G ~~~­ ) State's Exhibit No · 3 ' page 1 of 5 lifJ'

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------ /()fl/l_ ,s~+ +Pt€ , ~e-f?L 1r1 tv~ ~ t{Jt-7;". '-/'\ qj9'[ r &~+ Orrv\. r was C1f.k-a tQI/ L-.. U() -ru ,.,), I·; t r/ _;:: t.J~+ !U.__:pt?lt, ro ~e &c:<cA .Y. --rbik~ -b .:krrcd_ S ~+ /o -fetl 31-<f!heA -1u slccu+ LLfJ -1-v. Jed- 1;,_-fo #-e_ ~c/lv-~()VVL Q~er'L~ YcJf uf· be/!jhJd__j Wl.d.

vJ~f CJu.fs(de Qr) cL IJ-e 6~u.Jd /Yie ._,LI-e 412sk. rAe ruask &Ja.s r~ 4 !Jiack. ~· / ,4-1~ 4rzd :5t-8(Jh~ 6~~ f}1aru'ua""te?. o~ of -Ae ;-Wos-11. We. ~+ J:vd:_ t:ZStCle Qttd ,x.Jf? 6/h:id kt Cl ;;/(tP ~ft.fe.· . v.)J..S /wt!:J /llRS5~ /le ~ fH-I'trtc~ r.rt-!

• • L~f(:S ctrld of<A/r P ,J/;l~k !;iru_ u'tdz-u ~ed S)ffte t)F Jt--. ·:::, ~(!Ods.-e he ~ d a 1/rda!J ca/I?C'("q s=:r- t-¢ !

M a fr~~. j;-f ~S ~czr!:_s ;Y/dlt1 r(j tJ-4~ toM qd d i.,~ !(;,., tv1.j .ja /d N_j had -lv lmve &e; 5-fe;:;lz.vt '+ Jerr, ·d -l:o0k 5 hdkl ifs . ..Je'<. d d mve us 6 dc.< r hdw.s~ I have read this statement consisting of ~ve.-yth;'J __3_ a e . contained herein is true and corno:ct ~ 7h~s~e;:~; ~ w~ch bears my signatu_re and I swear and affirm that 1 .. 1'1 years old, have completed 7 "~""::ys of 'o tam " rma I ed tlta\Jon y J do Myd name owlellge. ./.:.'--1-'.' fl' _, IS· C/]1'-'J...._,Lef "" (,e,. ._. :rutem~nt '~as completed iH [locatton) !I f/IJJ and rea anu wrrte the Engltsh language. This ot {lime)?. 3op>r"' on (dare) ·7-8 .(.)./ ''gn;nwe JvW. U~. Sworn to a~d~)ibed ~~f~re me. at (lf!c~tion) HH f.L) /'.', ~~~me) 7·~{)PfV\ on (date) ·/-g-o/ ~;·g~{UI clNotMy . 'JLi;yJ, ·~.- · ·, <:' tV .'. < i'im..lrf Puh.ltc In and for the State ofT:exas M Y conunrsston .· typed on of_ Notar·· f.ll:t( name e.xprres . .· .>Yr ( t.'-4--1-rt..

---- State's Exhibit No. 3, page 2 of 5

!!:....

.-. ;

j 0(/--otto/7 i 1-

HARKEk .ffiiGHTS POLICE DEPARTMEN-t. 1!· State Of Texas li! 1'1' 1' Voluntary Statement - (Not under arrest) p;

THE STAT[ OF TEXAS il. COUNT\' OF _gg"---'---"----- ll il11: \!,,, !lll !r! II· I!' who. after being bv 1 Iii ~ me 0 u Y sworn' deposes and says. ·~ ~ we cuLc/d ~se I -, ~ -to JeJrL~:l.s. ;je_ t-Ude / /./) I

r rz h '5 I

/2?dr1.-( , l/J· /_ / • II . ~ ~~~~ ~ MiJ Lit-e. wh~ _j C!L:d~ Cl/ld sc;/d ~--d?r:y II I I

!' u_)er-e Cd;vc,~ ~ _ ~en ~ t5cJI ~ere ~ I l ~ u_fJ ~ ~ arzd ?~ ~ #!~ I II S11-'teJk-e /HOle I :[

·-·1rL?ayt-e/ £r C4.- ~."I.e. ~r abJ- ~/ :i ! :j I

- lw/d dlPrkt/1 rt?!J. !f {!ailed Q/ld <-/A;;'fgL-1 IJe q :I I

. I :I ;fk; latnM_j 1 --1- Oaf 4_ $de ci:Jdt ;I :! -to hJd.~ (~ Gas£ ~~ td:Ls 6d'Yt~ ~ - 6h8-02i

a-!' /), ~~ huvt~-e aM. -14~ rr?b-1 of u_s. Nb'L---1 -t6 , ~ :!)-/ctcrJ ,~ a s-ifas~ r&M- ~~ ~e La:;k!:fdd. 4P tJ::l_c·-te; ~d~ a/ld ~fflPZ_J col/ad c?t/~ d/lCe" //; a 6.Yu ~ ~~:J see ,+ tf ~ ~ -fo :so ~ ~czl/_:j /7e?

• • State's Exl!ljbit No.3, page 3 of 5 . ii . ·';')

;I ; I

•

ti j!

i'>I I'

Exhibit 2 . ! I

' ';

• • •__,

1 ORIGINAL REPORTER'S RECORD VJ- . j 1i . j ~ ! i. !i i~ : ,, ! r

') '- VOLUME 1 OF 2 3 TRIAL COURT CAUSE NO. 57,557 and 57,558 4

5 THE STATE OF TEXAS IN THE loiSTRICT COURT~~ 6 vs. OF BELL COUNTY, TEXAS ~-~ ~ 7 THOi'1AS RAYMOND CARR 264TH JUDICIAL DISTRit 8 \l:1 ;j 9 :, ~ f 1~ i'J [ MOTIONS ON COMPETENCY 11 .,.. L.

•• ~

On the 24th day of March 1 2006, the "l .) -:> following proceedings came on to be heard 1n the 1 'l above-entitled and numbered cause before the Honorable 3_5 Martha J. Trudo, Judge presiding, held in Belcon, Be 1~,,.

16 County, Texas: •1 j. 7 Proceedings reporte d ·oy Lompu ~ t e rl· zeo· l'<13Chlne

~ ~ ). -· Shorthand Method. -~ s 20 ( :! 2l I ..-,~ l .!...!. I ..i \ 23 24 .., c I I I L. .J i

e Elizabeth A. Youngr CSR, RPR I I

: :r

\i' ··,-· -\' i.·I I: I:

•• 1 L'1R. MONTGOMERY: Th. at 1 s my wh o 1· e po1n1-\;; · i I! I;

\! . I I:

2 Your Honor. II i ·~ \~ i 3 THE COURT: Okay. M:r. Montgomery, st~p. 4 I'm finding him competen~L ba-sed on ·what _ I' ve rece.l· vetti·i ll. 5 ;::t ~:j :~::ons you have we'll deal wi thi i t later \l, 6 I m now finding him competent to proceed ·Iii 1

7 MR. MONTGOMERY: All right:, Your HonodV ji: !'' 8 At the conclusion of this hearing I'd like to make a il: •·I 9 bill of exception. l:.: '",;; 10 i] THE COUF.T: All right. Now v-1e'r.-e qo1ntjl,\o 1 J...L 1 to proceed with the motion to quash the subpoena. A1 Hi ~,, I>

•• 12 right. State. ll \t I ") ~) ~

MR. ODOM: Your Honor, for the Court's I' -,.l_~' ,. l information, yesterday I accepted service for J.S Mr. Garza's subpoena in this case. After meeting witl 1 - Mr. Montgomery, I was advised that he had intended to ~b

17 call Mr. Garza concerning office policy about the bac~ ' 18 of the indictment in this case, that is, that the -- ~~t

19 the charging portion cf the indictment but the back ot

20 it contains the words "of a child" after aggravated t

21 assault. M:r. Montgomery has complaine~ about that,

22 about including that.

23 I will s~ate to the Court right now we; h it's not pacn 24 agreed to redact those words even thoug

25 of the indictment itself from the back of that

• • Elizabeth A. Young, CSR, RPR

:I!

•. ---- 1 -'- apprising the juJ~Y of the vJhole aggravated conduct v l H2 y ; : l·'

d~~;. \,

: ..

2 the part of the defendant. The jury 1s going to he~t· 1 lt ~~d ") ..) all, Judge. So if the jury is going to hear it all l l I

4 sentence him for all of it, I want them bound by tha~· I ~ ·; 5 verdict. :i; ;. ~ II· 0' Your Honor should know perhaps 11: wilw 7 make a lot of this go a lot easier, if we address th~:! 8 ugly fact that the heart of this crime is that his w1~e ;; ,,,~ \

9 dildoed ·three juveniles over the age of 14. He had 1nb :it .lij,. lO hand in it except he filmed it. Now true, they can %. . ld !li ; 1 ,l.J_ him responsible under the law of parties for what shil l,i \'' _,_? ii::,,

---. 1 did. \H l3 They cannot as my motion to quash poJ.~~ts

'-'- Lj out without being in violation both of the Texas il ]_ 5 constitution, the United States constitution, double

l6 jeopardy clauses. They cannot then use the same fact"

1.7 which constitute him acting together with her under t e

18 la~ of parties to come along and say, oh, by the way,;

l9 that's also acting in concert and under the statute 11:.

.2 () · · e~evat:es t ne second 1 . d egree o fcense L ~o L t.cl· rst degree- ''

~· l <--

'"? ,::_,_ Tammy. They had a good first degree She was the one who did the dildoing · .Z\nd sij pee r ;; c, _...._.... ........ e # ac:; a i!! ~; s l: II ·wi s l ! he was filming it they could have argued that Tammy I 23

I a first degree offense. 24 prosecutable under for And they could have pr:osecuted Tarnmv t.,::: 25

• i i \

Elizabeth A. Young, CSR, RPR

i;

·- 1. ') <- a second degree offense of sexual assault. Wh a t h ave they done? They have let Tammy totally of~ ' But no. l {'I I; i; . : i i

I. I -:> j the hook. She doesn't get prosecuted at all for [he\;' I' ii 4 sexual assault for the rape of these juveniles. She~\$: 'i·: 5 in prison on a light sentence and they promised her !·'

6 quick release which is another matter I;ll get to. 7I MR. KIMBALL: Your Honor, I'm go1ng p u object. That 1s a lie. 9 MR. MONTGOMERY: She lS.

10 MR. KIMBALL: It's a lie before the 11 Court. 12 THE COURT: All right. Wait. One at

•• 13

J.L] time. I want to first deal with this consolidat1on a. ·

joinder and as I look a~ 302 why should not I order 15 since it is apparently and I think that I heard a bond

1.1.. 'C· or didn't -- I believe I heard something on this a lo~ 17 time ago. It seems that that --

18 JI'!R. MONTGOMERY: There was a high bond_:

... 0_, --~ THE COURT: I think I heard something o

20 Lhls a long time ago.

21 MR. MONTGOMERY: Yes, Y9U d id · Your

"~' ' ,_' ~ Honor saw the tape. THE COURT: And so why should I not ]O:h I 23 ~;, L ~J these for saving the Court's time and I

h e det-endant do~ MR. KIMBALL: Because t

• 25

Elizabeth A. Young, CSRI RPR

• • .L

2 that and then a summary and recommendations. Th.at ' s

what I am referring to and that's what I have reviewJb. i II ! .; !l

!\ 1

1 ~

\ • '

!I J - MR · MONTGOMERY: Exactly, Your Honor, !\I! tJ and -- and on the next to last page there or second ~~em 5 last page, you have him saying that the defendant see 1Ks ; ; 6 to enjoy trivia game and shows knowledg~ in many 7 subjects. Okay? "c- And in another part of his report he S< id I

9 that the defendant was observed making organized requdst lO of his family on the phone. Mommy, don't send me J.l cookies. Is that an organized request?· Telling his 12 mother that he can't have cookies at the hospital? Or

e ·; ~~ ~ that they can't send him razor blades. Is that an

14 organized report? This report is full of bull.

15 This doctor got tired of Tcim's staying 16 longer than the other patients stayed and wrote a repq t

17 that is full of bull. And we need the report that 18 should have been written by the attending psychiatr1st 1 () _,_::J who interviewed this defendant certainly before you cal r-, L. I' l,_: eradicate and \vipe off the chalk board the report by tr e 21 Ph.D. here in Bell County who had interviewed the

2.2 defendant and had found him incompetent. \ ~ L..) ") THE COURT: This is an updated d1agnos11 · · t ~rd t h a t 'ls "Ll per Joseph Black, M.D. attending psychlatrls d' ( !.. • ! j ,,~

• 25 the report.

Elizabeth A. Young, CSR, RPR •

Exhibit 3 •

•

I: I I:. \.

1 REPORTER'S RECORD VOLUME l OE' l \l: ..j 2 TRIAL NO. S8,703 \; i\ 3 H ll il \\: 4 THE STATE OF TEXAS IN THE DISTRICT C~URT il 5 OF BELL COUNTY, T~XAS \ I 6 DISl"rT \~' TAMMY MICHELL£ BISHOP 27TH JUDICIAL 7

8 PLEA OF GUILTY

9 l·~ 10 On the 30TH DAY of NOVEMBER, 2005, the followi~g

11 proceedings came on co be heard in the above-entitled and 12 numbered cause before the Honorable Joe Carroll, Judge 13 presiding, held in Bel~on, Bell County, Texas: 14 Proceedings reported by Computerized Machine Shorthand. 15 f''lethod. 16 17 18 19 20

21 I 22 GA YLA R MAY, CSR, RPR 27TH JUDICIAL DISTlUCT COURT 23 OFFICIAL REPORTER P 0 BOX 747 24 BELTON, TEXAS 76513 (254) 933-5270 'IC, L-..t FAX (254! 933-5977

GA~LA R. MAY, CSR, RPR ""'; _: :'.

: !IIZJ !l'l!tl!! EE.ffi. . . .M!!!!!! .&£ .. .&l!SS --h! a s

\: I: I l - \ I

• • ':. I t,, l

2 * * * A P P E A RANCE S * * * '· 3 ~

4 ( FOR THE STATE:

5 DISTRICT ATTORNEY'S OFFICE BY: Mr. Mark Kimball 6 Assistant District Attorney ..,, II SBOT No. 11418030 P. 0. Box 540 Belton, TX 7651.3 8 (254) 933-5215

10 FOS THE DEFENDAi·~T:

LAW OFFICE OF R. 0. HARRIS BY: t··'i:c. R. o. ~.suck) Harris SBOT No. 09098800 P. 0. Box 169 Kllleen, TX 76540 1.254) 690-4800

l :s l? _,\ ~ t; I l ., (;.I :.. _.1

= I l I __________:__L~: l-

• • 1

21 31 I the

IYlR. KilVJBJl.LL;

for all. p:.nposes. B1shop.

Your Honor, the State

defendant's con.ession f \' MR . HARRIS : N0 objection to State • 5 1 as '\\\: i\ \l,\ 5 tendered. 1\

THE COURT: St2te' s Exlubi ~'- No. 1 l· s a ddll.l t ~~d ii

agains:: 1•1s. Bishop. \ \· .•

(State's Sxhibi:- No. l admitted.) \i

Based on that I w1ll state that che evidence ,, '

sc>fficienc cc fino you "guilty." I will w1.thhold a bndcn~\\ Is -chere any further ev ide nee from the s ta ce o ::- l\i" a':ld ask: ~); \~.,.

• Defense on punishment 1ssues? Your Honor, I don' c think '-Ie teu KIMBALL: M8.. ,_, ~-U·-· Lff..· ~ c;

a PSI 1n light of the 9lea agreement. !\ furthe"C chargeS that Will be filed aga l IS r_

~!lOW that there are She is t.he major She is well aware of it. tJ\s. Bishop. or a maJOr in this case, witness against the co-defendant There will co-defendant 1n this case. ;.-Ji cness against t.he on have to appear probablY trials in which she will ~.8ver8l of c. felony offenses involving sexual abuse ' flrst-degree 1\ \\ :hild. Judge, :::-::: \ And the main reason we are doing thiS, safe c.c :.::..:.':.\ . : 1 is just not but it been in jail a long time, :-Las The State has reason to believe her

• • h.er on the streets.

I \I. I

• • ~sing

s, by no means, methamphet.arnine. We certainly don't want that

is the end of cases against Ms. Bi Sil i I 2.:\(~

i _o.J c• well aware of that. i~ . il.

Anything from the Defense·> \\I\ THE COURT: ~ 1 \l MR. HARRIS: Your Honor 1 Defense would corjfUr ,! ;)

rlr. Kimball's resuscitation. \\ Ms. Bishop, you agree to wa1ve a presentence :I~ 1nv~stigation report at this time. Is that correct? '·.1.

THE DEFENDANT: Yes, s1r. 1

['.jF'.. HARRIS: Thank you. \

Your Honor 1 I would further advise the Court tha

1\ • Bishop's sister-in-law and parents are present "' the ' ~:~=~room, and they have been made a part of the loop. and

~~e; have been made aware of the events we have test1fied ~~· THE CCURT: All right. That is obviously t~-

fa~~er back there. MR. Hl'.RRIS: Yes, sir, it lS·

THE COURT: Okay. All right, l"Js. BishoV I

.--.:..:...- find you "gui 1 ty, " assess your punishment at ej_qr: t yea:~"''

I will gj.ve you credj_C fer a!.l c.he l~s~:t~cional Division. - en c· e0 you t c the cc..unty jail an d senl.. -

23· t..r>E .:::':_ght-year term. ' h ened to you now?

• Do you uDderstan d wh at s app 1

(Indicating) THE DEFENDl>.NT: ----------------------------- CAYLA R. MAi, CSR, RPR . ',..- :.:. , /1 \ ~.-:: :- ;-~ 'I.-,(\

• • il

II·,, i~

Exhibit 4

I I • ~

I ! ii' t·

; l ! ---, I LJ

• !

I REPORTER'S RECORD L 2. p ,, c?.uss Nos. ·: \) 01,8478 Jl.ND STATE Of TEXAS 53,430 X I vc:.

I X X 5 T.:OMAS )(

8 7

I ~***-A·*****

HEl\.P.ING 9

1 ,, -u I MOTION TO REDUCE BONDS

***'*******

12 On the 3rd day of January, 2005, the p~oceedings

I following came

• on to be heard in ;:: ne above-entitled and numbered cause before the .l -~ Honor& b.!.' j Martha Jane 'frudc, Judge presidj_ng, held in Belcor:,

/8ell County, Texas. 16

I l :..: Proceedings reported by BETSY MOCK CLifTON b

machine shorthand and computer-aided transcription I ,;_ '::: I

I BETSY MOCK CLIFTON

CERTIFIED ShORTHAND REPORTER

2 :~ fl. Ci. Box 365

'1:~ L BELTON, TEXAS 76513

(254) 933-5790 24

IL • 2~

I

1 ..:... !i pnrA~:Lil·lcl:'c: T· M- r r.:.. r\, .. \J ... L.J ..... :

• I

2 ~ lvJAHK KIMBAL.L I 3 ASSISTANT DISTRICT ATTORNEY BELL COUNTY, TEXAS 4

5 FOP. THE STATE 6

8 I MR. TEO POTTER

9 ATTORNEY AT LAW BELTON, TEXAS 10

ll FOR THE DEFENDANT

:..2

• • -; ") ._,•

! ,., ~- -'

2 c·

22 ~. t:. ) .,

•

.~

i ---~-------

I

• l !; ~ :. State rests. 2 THE COURT: r· 3 I'I· I' Mr. Potter, j: 4 any other evidence? j!; 5 MR. !i',: . POTTER: 6 Your Honor, the i!'l=: only Other evidence we would ]-1 ave · · · h j'•i 7 I' no ass H s . Hi, Slmply tnat e ~2s~ ... ·I;, ~truck v.1as sold. Hs has no assets .:J'Cl' 8 I ali. He has to depend on his father "'ho's che cnh 'l l!li'

l:::h::qh::pc:::.::•:o·::.:i:::•~::l 9 fI

JO b::dhas no I

I I I I have nothing furcher. ..:..L

THE COURT:

• Mr. Kimball? I: :1 MR. KH1BALL: we 11 , numb e ;:- one .1: 1.4 the motion to reduce bail in the deferred adJudicac!a~ case, since that's entirely up to the Court -- and wa~ Court~]:)I lE filed this morning -- it was entirely up to the 7 hundce~ 1

what bail you set in that case. And I think a

:1! I thousanci 1s too low. I think it should be aboc;r '"c I million By law you have to reduce the :I I ba:~l. _l.. lo l1 I case. ;[l .H I But you can put as many restr~c:1ons ~~l'! 21 there as you <vJanc. to. ; 1j 1

I need to inform the Court that![( '!! ,I

23 sitting on my desk, vihlch wi.l.l be filed afternoon, :I! :1 1 15 24 another complaint. ' I This time of aggravated sexual :1!

• • 25

l assault of a child because, ur:der the la'l'ir t h'O :':!I I :il i

"~ I

i

,,

l .!. peoo. le are involved in se~ua.l . assau1'L- 01.c d- ~· · · C:t,llC,

• l: - tha~'s a first degree felony. ,(_ And I'm going tone I\ 3 bringing that up to the Court and asking the CoGrL ~d \"; <1 set two million dollar bail in that case. (:' lf:: 5 And every time he gets close ft~ 6 Il: getting out of j a i 1 , I 1 m going to f i 1 e case after. c "'\{3 e

7 after case after case. I have 17 different cases. ~ 'I.,l: 8 Like I said, delivery of methamphetamine to all thre'

9 of these kids, aggravated sexual assault, indecency "\ ~ .!. 1) with child, sexual performance by a child .

l l -- every time, Judge and that was my low count. 1 ') A..:.... I have seen thlS tape,

-3 unfortunately, twice before coday. .ll. n d 1 co u l d r·1 ' ::.

-iJ look at a lot of it. And I think you know why. -, ~ 5 The bail is too low in his

16 probation case. And I ask you to set the tlghtesc

" .l restricticns possible . He doesn't need to be w1cn1n

l8 three hundred foot of any child ever.

l9 And obviously, you !<nO'-'.- )ns

l · ~~ ·1 B· 'u'P.~l· lle 2:0 ~1fe, who's the actress 1n t11s ~eel -~'

g::.. 2 production has a vested lnterest in see1ng ' 22 She has a vested interest. \ t

I submit to the Court, if ycu :~ 22 ' ~ ~,;e, 11 never se-c; hirr. . ~i 24 let him out on bail, at. a:1y time, : l\ ~c

L -· a.ga.:L.n. .A.nd i t ' s real easy to sit there and say, welJ \;·V' ! . \ 1 1 ! •

--------------~-~ .--···--·--~

\Dtl: i

Ii --------------- l I YOU are to ·--------- • have no

I contact and 2' not use devices to those con:.:.act people. 5

s I contact With

those tn· at are these young

a ll Of course,

people shown eged to have been ycu are to

lll the 6 given drugs by you. 7

8 You will know -- and you~

II lawyer knows who those people are and the 9 those people and who's in these videos. 10 lI And, if you are to get out and l' 1 .l.

get back with your wife and live together, then thes 1.. ,:.~ rules apply the same. That you do not have any 23

any \-Jay.

16 people --

THE: DEFENDANT: I under:stano.

I 18 THE COURT: whatsoever. 19 Now, is she on bond? I

/ 2Y I I MR. f<IMBALL: No, Your Hono1·. 1--:·, / ·- ~ I I Shf:':. 5 in jaiL She's ::-c:presente d b Y· Mr. Harris. He (I 22 not see k1.ng a . bond reduction at this t i me beca 'J se I \ • "'' .c. J nave promised 17 indictments for her as well. should \ \24 \ I she seek a bond reduction.

• • 25 I

L~------------------~~ THE COURT: Okay. NO'd I

'·

• 'I i I !;

I. !> II ! i, It '~ li IIJ' !I,! II q II I

Exhibit 5 ,,I ti I

•

~I

I 1 \j l Al

• • l

2 REPORTER S RECORD 1

VOLUl.V!E 1 OF 1 \! \ i

!\: l·. 1\' I

·,I,: \1;; !t: lh ',

TRIAL COURT CAUSE NO 57,558 \i,. ': I·. 4 )~ i

5 THE STATE Of TEXAS IN THE DISTRICT COURT\\ I;

6 VS. OF BELL COUNTY, TEXAs\\, \ THOMAS RAYt-10ND CARR 264TH JUDICIAL DISTRI T 7

10 PLEA AND SENTENCING HEARING

ll On the 21st day of November, 2006, the

• 12 following proceedings came on to be heard in the 14 above-entitled and numbered cause before the Honorable\ 15 Martha J. Trudo, Judge presiding, held in Belton, Bell;

16 County, Texas: 17 Proceedings reported by Computenzed Mach1ce'

18 Shorthand Method.

19 ..... .,.,f'l

i ;\ 20 ~-.:t..... •

~..,....,...,.. I I

i 21 :"..Y~~.

! ~ ~ !

i \ .............. ! 22

I ....!

l 24

• • l ') L IA P P E A RA NC E S DISTRICT ATTORNEY'S OFFICE 3 MR. MARK KIMBALL 4 SBOT NO. 11418030 1201 Huey Road 5 P 0 Box 540 Belton, Texas 76513 6 Tel 254 933-5125 Attorney for the State --, I

MR. CHARLES "tvlONT:Y II MONTGOL'18RY 8 SBOT No. 14288000 9 4400 Seven Coves Rd Temple, Texas 76502-6551 Tel 254 986-2531

I lO Cell 254 541-4164 11 Attorney for the Defendant

• 12

l4 15

16 . I l I

19 20 21

22 I I 23 l 24 I • 25

/ Elizabeth A. Young, CSRI RPR

,. 1'.\

i ,·

• • l

2 A

Q Yes, sir. And so I informed you, did I not, that you I

\\ ~~~I I. \. 1,. \: .

\~-': 3 either take this or we just go to trial December 4 anw: v!.' you just get what you get? ·L\1

5 A Yes, sir. \\'

6 I also told you that this case wou1d not t't Q of the 7 \A/OUld not give you 30 years if the families 8 three boys 1'nvol•·ed v a·l·d not g1'\.re t h eir assent to that 0J 30 years, correct? 10 A Yes, sir. '

Q Well, you've got some thanking to do for sornEji ll people, right?

• 12 13 A Yes, sir. Q Not keeping you locked up for the rest of 14 lS your life. You understand the addendum that I prepare~ for your plea bargain that the judge mentioned 16 . f f .l . ~ 0 .cl_ wr l t

17 specif1cally prohibits you rom 1 1ng any Lype d 18 of habeas corpus or any time seeking any kind of i\ JUdicial review for either of these conv1ctions. . ~' 'I 19 ·'· ~

hl 20 \ i?eriod. \ I A Yes, sir. I• 'I ,_l"

l Q You're stuck- 22 l

\ A Yeah. 23 \I down and serve You go Nothing you can d o. 24 i Q your time. When you 1 re done, you're done.

• 25

Elizabeth JA. Young, CSR, RPR

\: \\ \JI\\IQ . -- 11<-· \\I, 1\ '. \\. ~~l

1 A Yes, slr. II \\ ., \ L Q If you seek judicial review, if you file ~.-;rltt 1 3 of habeas corpus, .f l. you try to file out of time_ aooe~Ol t- \Ll ~.' ·'

4 or anything like t~-t ta ' you understand that -vour ~·i' 5 confessions that you ' ve signed and sworn to will be \,, - admissible j_n any subsequent proceedings o . 6

7 A Right. All bets are off and I'm going to file as 8 Q - ma~v cases -~s I can and come at you with full force. 9 lO You understand that?

ll A Yes, slr. Q You had a little stint in Vernon's, correct,

• 12 we had an order restoring your insanity back in 13 vJhen August or restoring your competency back in August, 14 .\ - c:: l...J correct? \ A Yes, si:c . -! .L h \_J

Q And you told the judge you felt you were \ ~ i mentally competent. You understood everything that haS ; .\ 18 \ happened here today, the charges against you and your 19 \ ...--, j-\ I options and everything like that? !.. \J ! A Yes.

I 2"l 1 In fact, Mr. Montgomery didn t bring 1t up 22 Q tnany hours wi t.lt 'y'OU on has spent, rnany, ma.ny, I'< <--' I but he \ 7 2 ll, this case, has he not

• ·} <; Yeah . L- \ \. Elizabeth A. Young,

i\ li

\\ \,\ ' /[il'i1 \ . ._ T'\t.' i ...L \'\ ·, I I . 1 Ad \ of the man~,;~ : 1 Q n he's also I:m sure told uou .1 \\ ') t... many' many hours that he h as spent getting discoverv :,\ 1: 3 from me as well as talking with . witnesses and so fort~, - ;. • 4 A Ye s. ~:\\' \'

5 Q One thing you ·mentl·o ne d yesterday when in o ~

6 discussions was what's going t o happen to my wife and I

7 you understand wh a t h appens to your wife is up to the 0 ' L~he courLLS and I a b solutely refuse State of Texas ar~d u

9 to answer that question. 10 A "! ~ (~ 1- i.J. Q All right. ; ·' MR. KilVJBALL: Pass the witness .

• 12 I have a couple O"ft I, MR. MONTGOLV1ERY: '' :: 13 14 other questions, Your Honor, real quickly.

l :::: REDIRECT EXAMINATION ~.J

16 MONTGOMERY: BY MRQ.

~ Yesterday I told you I was given by the 17 l8 I prosecutor the State's witness list and notice of otnec crunes, extraneous offenses, et cetera, that might be .,\1 ',II

19 20 offered in evidence in its case in chief, plus the

21 medical records that we had r~quested and I won't name

22 those in court, you knovT what they were. You understood that the State has done ;~ 1

24 I everything that was necessary under the voluminous \

~ L----~--~~--------------~'1\ pretrial requests that we had in thiS case and that

• • 25

11'\ Elizabetl1 A.. -'{oung, CSR. RPR

•

Exhibit 6 •

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!! /: 'I '' /I I.r!

• • II il!I ,, II II

Sent via: <~mail MA 'r 20, 2015 I! i!· Comish Law Fu·m i;. 404 Nor1h Main Street Bellon, Texas 76513

i ATTN: Robert 0. "Buck" Harris I

R.r:. Statement Tammy Bishop Y. .State of rixas; Cause No. 5870.1 l ,r j i

I! I! Dear J'vlr. Harris: I( I\ ~:

A.s mentioned in our phone conversation, I am handling a habeas corpus marter for Thomas R. r Carr. You indicated that you would sign a statemenr regarding the handling.ofTammy Bishop's case. ,, 1· i!': !

• 1!\ 'I' Enclosed please find my proposed statement based on our conversation. Please re\'iew it. If there are any ch<tnges, please note ll~em on the statement and email i! back. 1 will make them and resenu the ;~ I~

Sliitcmcnt. If' there are not any changes, please fax or email the signed statemeru rome. Please mail m-: the original. Thank you. ! I I I l Sincerelv. ..---'.-·-· I .I --~ i'.r. .'/'I : I ~~4/ ~--- li,?f ,I I

•/ - Tirnot·fiy Tesch _./"

• • 1

••• • • v.Jvll ldH ~ 1rm P9 3! 4 ~517.0115 5:15pm

• .,.,,,,..., ...,::to. ................... "(..... 8 • ••

My ruune ia Robert 0. "auck" Ha:rrU. I Dlll a licerued auo~ in~ State ofTCXM. I p.ractlce cril:nhlallaw in .Befl Cxl.rlty~ r~.

TliOmly Bishop WQS a olicnt of miae in 2004 and 200.5. The State thtoua.h .&U County

inv~ijated alJeptioN tMt abo ®livered a eoutrolled subatauce IQ throe minor ma.iea A.D.d that

s.ht: BCxually a8111.lUUed thcfn, T)l.e inoident allegl)dly oooumd on or about June 18, 2004. She

was never in4iefed.

l Wl¥5 ~"Wat"O of Md roviewe(l a copy of a videotape pUI.JXIr:ting to ahow Ms. Bilibop

• • seXlJlllly ~g thret aUMt males. None

a wom.m, aUeaodly Tammy Bishop, b.av.lng sex with the minors. It also sb.owed a womw using

a dildo on the~ of the~ minors. 1 took the po.sition with the pwsecutor that I would try

any case involvina; aexua.l usault lfMs. Simop wu 1M1cted. The circum~CS. sutrOuudl.oi WM> Joss Ulan 14 yean; old. The vid.oots.pe showed

.:

til¢ tlJ.rw minor mllle5 hAving sex and having a dildo used on th.t~m aruilly would be oxtremc;ly

emba.t:rusio.g at a jury trial. fi.ventuaUy. the prolle<Mor chose to worl.: out an agreement to have::

Ms. Bishop plead guilty 1o one dru; chtlrge nrther thM p.IW«d to indictmenm on !Lny other

allegations. '

I remcnnber Thomaa Catr, t:Moownon law husband. ofTamm.y Bishop, b<sin3 represented

by Ted Potter and Cb.arlea •·Monty" Mout&Qroer)'. r did not discuss s.nythlog related to Ms. I I

\ Bi~hop's or M:r. Catr1 s criminW case with Mr. Carr's attOrn~ i

I \\ l \ i I

• Page 1 of2 1 !

1. f I

\

------- ··- .. - ·--.

__..,.r__~r~is@ /" 25H39-212i From: Tesch La"' Firm -----------···---------~~~~-r.\-··--· /·/,... _./ _/ Pg 4/ 4 05/20/15 5: 15 pm ' '· ~~-'/ i; !I

• j; - ....... ·---................ ·-···~- il'I

II il

.Bell County did not indict my clltmt The prosecutor Q£feed ro have Ms. Bishop pJCI4d I I fJUilty by infomtatioQ to one count of deli Vllry of a controlled substance, rnet.h.arnphotamine, to ~ Jenicl May, a child lC8S than 17 ~of age, In Cause No. 58703 she pled guilty on Novomber '

30, 2005 lllld was seatencod to elght (8) years in pri8oo. The prosecutor neve~t made any demand to Plead SUilty to any sexual ftSSaUlt cb.arge.

As part of the plea, the prosecutor Mgre¢(1 not to~ to indict Ms. Blshop Qn any sexual aauult o.harse or any other drug c.huge. The undoM4Ulclin& wu that Ms. Bishop would

complete her sen.teocc and not get into any other trouble. If she cornplled. then Bell Cotn11y

would not pursue ~~ny fUrther ehar~. While tho agrt~Cmcmt was not in writing, r would not have

recommended that Ms. .Bbhop <lo tho plea witho~.rt an u~ with Bell County not to

• • I

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I • 11 .i

• • P-agel of:Z
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I I

Exhibit 7 •

••

,., RACE _ __ SEX _ __ - ~~ :-:0' ' - - - - - - - - - - - - - - - - - - - - - - - - - 04-922 CHARGE __D_EL __I_VE_R_Y__O_F A CONTROLLED SUBSTANCE TO MINOR

GATE FILED Ol-13-Q4 FILING AGENCY: HRPD -· CAUSE NO: _ _ _ _ _ _ _ _ __

• • ·'LAINANTNI~TIM: STATE OF TEXAS ------------ J 47 OFFENSE N0:_0_4_-_0_l_B__ _--..;..._

CO·DEFENDANT(S): TAMMY BISHOP / I 6_-_l9-;0 DATE OF OFFENSE: _ __ 0 4

-l IN THE NAME AND BY THE AUTHORITY OF THE STATE OF TEXAS: !

BEFORE ME. the undersigned authority, on th~S..!.he 13TH __Y_ _ _ _ , A D., 20 0__4_~-- day of _ _ _ _ _JUL MIKE SIMMONS personally a p p e a r e d - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + - who. i after being by me duly sworn, on oath deposes and says: That I have good reason to believe that heretofore, to wit: on or ab1'ur the 19TH JUNE 04 I ____ day of , A.D., 20 , and before tl)e making and l11in~ of th1~

Compia1n\, 1n the County of Bell, the State of Texas I THOMAS RAYMOND CARR a;~~ did then and there knowingly deliver a controlled substance to wit: i Methamphetamine, to J , a child less than 18 years of age

·~I . '! \ ' ~ '~ . ;. ~- --~; -. I ;",:: :-_-~1 ~;)- I ' ' '

~LS, \ ;- ," 0~;,,,' 03>_ ~ .-:: /

aga1nst the peace and dignity of the State. I I

, SWORN TO AND SUBSCRIBED before me on the date first stated above

'.·_II/HIQIII¥111bi!JIPQ/fb 1 27th Judicial Distnct Bell County, Texas ey

.,

G

.- 1 I .. STATE OF TEXAS } COUNTY OF BELL } AFFTDI\ VIT FOR ARREST

COMES NOW TilE UNDERSJGNED AFFIANT, A PEACE OFFICER UNDER THE LAWS Of THE STATE Of TEXAS, AFTER HAVING BEEN DVLY SWORN ON OATH, WHO DEPOSES AND SAYS THAT I HAVE GOOD REASON TO BEUEVE AND DO BELIEVE THAT THOMAS RAYMOND CARR HAS COMMITTED THE OFFENSU OF DELIVERY OF A CONTROLLED SUBSTANCE TO A MINOR AS CHARGED IN THE COMPLAINT TO WHICH THIS AFFIDAVIT IS ATTACHED AND THAT MY BELJEF 1N TiiE FOREGOING IS BASED ON THE FOLLOWTNG iNFORMATION.

l AM A CERTIFIED POUCE OFFICER UNDER THE LAWS OF Tiffi STATE OF TEXAS CURRENTLY EMPLOYED BY THE HARKER HEIGHTS I'OUCE DEPARTMENT AS A DETECTIVE. PURSUANT TD MY DUTIES AS A DETECTIVE, I HAVE BEEN ASSIGNED TilE. lNVESTIOAnON OF A REPORT OF DELIVERY OF A CONTROLLED SUBSTANCE TO A MINOR fN WHICH THE SUSPECT'S l'!AME IS fi!OMAS RAYMOND CARR

I HAVE READ 1liE STATEMENT OF J M , WHO IS !6 YEARS OLD. HE REPORTS TiiAT THE SUSPECI'S, THOMAS CARR AND TAMMY BISHOP, CAME OVER TO HlS HOME IN HARKER HEIGlrrs, SELL COUNTY, TEXAS ON JUNE !9, 2004, WITH MARIHUANA AND METHAMPHETAMINE. JERFID AND HIS TWO 14 YEAR OLD FRIENDS WERE GrVEN ME11IAMPHETAM!NE, BY INJECTION, BY TiiOMAS CARR. l HAVE SPOKEN TO TAMMY BISHOP, WHO GAVE A VOLUNTARY STATEMENT IN WHICH SHE ADMITS TO INGESTING METHAMPRET AMINE WJTH TIIE THREE JUVENILES, WHICH SHE AND CARR BROUGHT TO THE RESIDENCE. I HAVE ALSO REVIEWED A VIDEOTAPE rN WHICH THE THREE JUVENILES, CARR AND BISHOP ALL REFER TO DRUG USE, AND IT tS APPARENT, BASED ON MY TRAINJ:NG AND EXPERIENCE AS A POLlC'E OFFICER, THAT ALL THREE JUVENILES ARE INTOXICATED. 1 HAVE BEEN MADE AWARE THROUGH MY INVESTIGATION "i TI!AT ONE OF TilE 14 YEAROLDS HAD A BAD REACTION TO THE DRUGS AND WAS TREATED AT A LOCAL ,,·' HOSPITAL. I HAVE BEEN FURTHER INFORMED l!Y THE PARENTS OF ALL THREE JUVENILES THAT THE CHILDREN TESTED POSITIVE FOR METHAMPHETAMINE.

WHEREFORE, PREMISES CONSIDERED, YOUR AFFIANT REQUESTS TIIAT A WARRANT OF ARREST iSSUE FOR THOMAS RAYMOND CARR FOR THE FELONY OFFENSE OF DELIVERY OF A CONTROLLEV SUBSTANCE TO A MINOR

~--·. -- , -..----~-- -----t .· -· - - -- IIUt ~-

Sworn to and subscribed before roe by the abo\'c named Affiant, a credible person, this the {3 day nf<:..J U. ~---J 2004- .

llllllllllllllllllll

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.--------~~ ,__ ------------~~--------~-----

•

Exhibit 8 •

•

II i l I . . IN Hie § JN THE 264TH JUDIClhL I I I . § DISTRICT COUHT OF\ I I TI-I:OMAS RAYMOND CARR § BELL COlJNTY, TEXAS

Affidavit :1

lkforc me, the undersigned authority, personally appeared Daniel C. De Leon, who. after by me b~ing : duly swom. deposed as follows:

"My name is Daniel C. De Leon. I am over the age of 21 years of age, of sound mind, capable of mak\i1g thJs i11 !Tidavit, and personally acquainted with the facts herein stated.

"1 am cun-emly employed as a detective with the Harker Heights Police Department ('HHPD') in Har4er Hc1ghts, Texas, and serve as the custodian of the evidence section. At the request of the Bell County Districl · Attorney's Office, I have searched our records in an effort to locate any evidence in our possession on 2G04 H8PD i Cas~ Number 04-01847. The date of offense in this case was June 18, 2004, the suspect was Thomas Raymond l I

I Ca_rr (DOB· 8-14-67), and the victims were: J M ,S G , and C rV , wbo, at that tjme f

J \\•ere all _1uvenJles res1ding in Harker Heights/Killeen area. I have attached the two page Evidence SubmiSSion· I W Repcm (·Report') to this affidavit as Exhibit "A," and it is included by reference for all purposes. The Report lists /I . i.j ill;rns that were seized and placed into evidence by the HHPD officers who investigated the case. Basically the;IJSl I il '" co[nposed of a computer and its peripherals, a camera, papers, and items containing suspected illegal drugs oi I II illegal drug residue. l tems 3, ll, and 14, which are various video recordings, are no longer in our custody beca~1se I ll' Lhey ~ver~ returned to the defendant's mother, at his request. In addition, not listed are three Metroplex Hospital I' I

I t·epot~s containing the blood t~st results of the three victims, which we do have in our custody. We have no other I II nems of evidence in this case, and do not now have, nor have we ever had, any biological evidence, or items I il thought. to contain such, in our possession relating to this case. II - ' 1 Further affiant saith not." / / / ____ ) / ,/1 ) /-.. ( /) 1 .?r I ( ~d!J/( . \I II j _,../ -·-----=--=--== \) Daniel C. De Leon, Affiant li I ·I i: SWORN TO AND SUBSCRIBED before me on this the --~l_..c..1;;_._day of July, 2014. 'tl \J\ y~£-~"- Uh~:::...--.tt_.;__'·------__ ~ }\_J l v NOTARY PUBLIC IN AND FOR II THE STATE OF TEXAS II li State's Exhibit No.7, page 1 of 1 i\ I,

CONTROL NUMBER: LOCATION:·-----.~; .-- ·: COMPLAINANT: ADDRESS: PHONE:---·--·--- ASSOCIATED BU--::S-IN~E-S_S_:- - - - - - - ------ PHONE: '' ------------------ (1! i'i NAME ADDRESS ('lACEJSEX/DOB SSN# CHARGE Fl~$0 ,, 1 /he- ']frtu/Y/fc ",_______ I!.!L u) ma&lr..-< i-:;~j 3-!d-/flp I 2 ;J.·r .L!i "hup, - )o,;Yl MJj If(.-/ (_J ,tL/11tk ~id1-;).jC/7c/ - - - - - 3 _ _ __

PBQfEBIY SUfiMiillQ. CODE DESCRIPTION . .. · LAB ANALYSIS NEEDED 11EMII QTY __}__ __j___ C _Sj{hazAX~ac~ 'i)j(t;J,£0)'C,~~£ _d:-_ _ - -I-~ £- (~~ tlfaa#c (/;14?) .W£&JO.J5..Qff_U, U · - - - - - - - _;_"___rr_ _.£__ /:{det2 ~{CL -----------------

__i__ __L___ £ krlcclz lfe'r'h/v~ ;Vt/m~Q.;?.!ijZ({7! · J·- __£__ /L;,irelcn~n<>~~ L-C"-.c=.~ce.:.It...;,v~·e-:&::::.ko_ _ _ __ ___£_ (- 7 ._//cJ. CJ?<uL /r4:.bi-------- L£ f)lf,,f;,/{Jv4r;. /l<tye& a(,i!/4: d,cneoaw7 cdr.,( ~- /lade {;llve4n£.f af w.Lie !"au,~ ceu-d&e

/ __z--=~ ~?2;:=-~A$u~e: CODES E=evidence F=faund property N=narcotics

. SUBMITIED'BY: ------~-------DATE: _ _ _ TIME:--- RECEIVED B Y : - - - - - - - DATE:---·- T/ME:~I,..._. - !, .

i ; i 1.· ' '

1.

Exhibit-A, page 1 of 2

• • y\ 1\. i ','

!TEiv\# ()T'{ CODE .I -!-/____ ~ -~-- ;:-- LAB ANALYSIS NEEDED

L1;::____ £ ___ ? __j__ _£__ ~-~--- ;0 ·f-'-- t'+D 1- -----~---~ -~--- -+--_-,- .L_ -1-- I £ __ I ----- It !_._,_<P_ __L___ ___ L__

--- -- ----- ,,ii j, i' ~: CUSTODY AND DISPOSITION 8.~CORD I ' FROM RECEIVED BY DATE TIME REMARKS

_!__) __

• • ------------ - -----~- ------------- . _ !_! _

_ r_r_ / - - - __/ __ ! __

___ !_I __ __! _ / _ --- ·---·-------

'

:~EM:=<RKS·-------~----~------ - - - - - -------\. i DISPOSiTIOti · - - - - - - - - - - - - - - - · - - - - - - ---------·------------

:.

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Exbibit-t-\, page 2 of 2 . i

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Exhibit 9 •

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~~

·, ·. l

• • AFFIDAVIT

personally appeared ' ; _ _ _ _ _:I :; ·.'

li I I: :t! ;

who being by me duly sworil i (FULL NAME) deposed as follows: l' I am of sound mind,:i capable of making this affidavit, and personally acquainted with the facts herein\ stated:

"' tt~~ custodian of the rec~rds of ('y"'Q_-~-h {) p /d- t-=ic& p il·(_,J f I am

,--),OQ l~_.(_\ ~-- Crt-cl ftc k-1 l\sRn -:l'hlb5~ i .~ (NAME OF FACILITY AND ADDRESS)) ·--'

Attached here are-3° (o pages of records from the medical records of - - - - ·!·~~i\\ .,, --- ~~ ----------~-----' hospital stay period: (NAME OF PAT!~)

• • \ \-\ q -oq ~V<;ie.ncy

The~e !2Do ~ + ~-o \-oy -to (ADMISSION AND DISCHARGE DATE) said pages of records are kept by said Hospital in the regular course of bus1ness, and it was the regular course of business of said Hospital for an employee or representative of said Hospital, with knowledge of the act, event, , {g-a.ro--uc.; ____ _

condition, opinion, or diagnosis, recorded to make the record or to transmit •, information thereof to be included in such record; and the record was made at or ~. ·, near the time or reasonable soon thereafter. The record attached hereto are the 1. original of exact duplicates of the original. " ;~ . : I~. \ ·':'•

' (SIGNATURE) ;)_ <..)0 (fl i

SWORN TO AND SUBSCRIBED before me on this \ day of NOCerf\ be.---- I9"9

'TI;oex---ko-o Notary Public in and for the STATE OF TEXAS ---- ;··. lj SG~ L~--\_c_q_S _____ ! :

SEAL (Printed Harne) · · r~ · a. -\I r"J·--' ~ My Comm 1 s s 1 on u~p 1 res: -~L~..,.!.._::\.~:::.-.~c..fi~~~. ,;'-{ -~--l j1•. 1 ~., .

~~ij

THE STATE OF TEXAS *~* SUBPOENA - Duces Tecum ***

• i Cause No. 57558 To The Sheriff, Constable, or any Peace Ofiicer of BELL County, said State, Greeting: You are hereby commanded to summon:

CUSTODIAN OF RECORDS METROPLEX HEALTH SYSTEM

I I I I I to be and appear • • • * • I N S T A NT E R • ' • • • bela~~ \ne 'r\onorable 264 District Court of Bell Countt.l Texas, to be held at the Courthou'<>e a\ said County in Belton, Texas, then and lhere to testify as witness in behaitJot

I tt\e- S'T ATE OF TEXAS in a climina! action pending in said Court, entitled and numbered on the Cnminal Docker ot1sa1d Court, THE STATE OF TEXAS vs. THOMAS RAYMOND CARR, No. 57558, and therein remain from day to day, from term \o term, until discharged by due course of law. < 9trd

::~~~~::,~:~~.N:n:R~ake ~ I! due return hereol, showing how you have executed the sarne. WHness my ollldil signature, at Belton, Texas, this 30th day ol October, A.D. 2006. ~~

ij

j i By: ________ Depuly. j: Attorney'_s_O-tr-,c-e-;pc,r,_io r::.._t_o_a_p_p_e_a_ra-n=c::...e_to-c-a""'vo==i=d~ 2 Please contact the District \ an unnecessary trip to court. 939-3521 or i-800-460-2355, ext. 52 1 5 ~

t f:

i·JOTE "11•5 an otfense lor a person .to intentiOnally influence or coer~e a Witness . t tes !'f',Y rI~rlsel account ,? oX or to elude legal of lhe process. service ll IS of rhe a! so aas a person ~ felony oHense 1o harm or threalen to har~ a witness or pr?spectJVe wJtnes~ Jn reta latJOn O !) .,.111ness or to prevent or delay the persons service as a Witness to a cnme. . i~ 1:,, ''lO'fiCIA· "Es delilo intunar u obligar a un lestlgo a declarar con falsedad o a evadJr el pr?c~~o~~ber declarado en juicio o con el alan de · · dicial Tam bien es delilo penal hew ~menazar con herir a un testigo. o a un testigo prospective, en r~presalia o a consecuenc1a 0 I', ~; .

unoed•r o demorar su comparecencia como testigo de un delito .

.. QIICCS TECUM TO BRING OR PRODUCE ANY & ALL MEDICAL RECOA~g~~~~~8ING M•r/& ALL' PSYCHIATRIC R_ECOR~S. OF cXAJviiN.6.Ti0f'J ,~ TREi1TMEJ'.JT OF JERID MAY F •vr · JERIDRMO~~JDU~~~ ~~ 6~~~H~~UGH 5 3 · PRESENT DATE ...

" by deliv,~rying a copy of::' 08 ~~~~~;F=--'-- '% ;:

tor the following reasons:

FEES .. sumrnoning Witnesses - $ Mileage------------ Tolal ----·-·-------- $_. _ _ _ __ By: llllllllllllllllllll!ll!l!!!ll

Oi 52 ;96~J&eJ r~,.,... :~. c,~,,• ~•''"', """"~' ""'~'''' " ""'"'''" ______..________ _ METROPLEX 1 1'1 A Yt JffiRID S HEALru SYSTEM DOS S!D/cB ()&//'\ EMERGENCY PHYSICIAN RECORD Psych Disorder, Suicide Attempt, Overdose (5) ll/! ':l/0 4: -~

DA Tff IM ELS""3:::Z--- ROOM: -~Arrfwll a I~----------------------------------,. ~C.l..LE..EACI~i,lduo.empJ.}· . ,. How d1d lngescionlother acu come to attention/ · :1't. ~RIAN: ~tienc _ipouse _paramedicl.-'-~---"-- I1- I

~ --,: _HX I EXAM UMITEO BY: VIS &'Pt/...f(1yP-LLL__ ;z~ T 91saa, __ _ I II ------------------------------1 ;! Ac·rived br.: _prl..,te car , . _police _ambulance (who o.lied!) pouenr spouse ____ ----------- I ; I ![ HPI chief complaintrst; ~ 1 -Recently 1 seen/treated by doctor ___________________ _ Su1c,dal ThoughLS Ag1t:ated Hallucinating --------------------------- l.: __ ·----~--~-----·---------- Intentional Drug Overdose Onse:t- --.-.... ROS N£URO & £YES Ac:cidencal Dr\Jg Ingestion ~P.Y&CVS ---·-~- _cough___ I Won~ned ~nee- _ _ __ _trouble breathl n : _chestpaio _____________ : Q-GU salferi:ry- _abdominal pain _ _ _ _ __ :nlld moderate severe When?-------- I -----1 nau.se.a_____ ·-~---- ---··-· ----------·-- ------1 - •om/Lin!:---------- I I - d,arr!lea....-~---··--·-··------·-- ----·--------------- I JrobJerns urrnac.ng. _ _ _ _ context: ·--------------- _;,wati~blems _____________ _ ----- - ------- ---- -- ---- SKiN & LrMPH & MS _ _ _ __

- related co. spou;e f par~nt/ ~on I daughter I significant other work I lose job! s(hool /leg:~l problems

·----·--·-------·-------- ==-=------------- --·------------ _skin rash 1 swelling _______ ~ 1 _jou1t pain _____

I ~-·------ -· 1

J." -----------------------~-- ··---··--- --------------------- --------- -··---------------·-· ------·--------- 0-.JI system> neg. e.><<ept u nurked ,··. ' current/associated complaints: PAST HISTORY zgativa r - - - - - - -- --- -- - -- \ __ d~d I angry i lrusv-aced I agitated I hostile I par:moid __prior suicide attempt 1 cardi•c diiease______ : ------~------1 -hyperten.sion _ _ _ _ _ _ _ 1 _Jllychiatric problem~-----: - NIOOM /lOOM------- d""r=ion 1 -lung di•easc - - - - - - - - - - · bipolar duorder _c~ halluunacing_ -... I -+HIVIAIOS _____ schizophre-nia or:he1 \ -----=-~-=-- J -· ·-------------- -------- -------------L=--"·=-------~-= ---- _o(fle,- problem~---------- -------------------- I· ·n~e i1s< below) ---------------- !u1ode orumpt """nted to ''e$Cape" awdemai w1ff not onswei

-------·- ---------------------- ,~;abraded wnst (fl. i l )_ _ _ _ _ _ _ _ _ _ _ _ -·-- \: ------------------·--- -------------, \: rusT-OFsuasfAi-lcESINGESTEOJ!f - - - - - - - - applII ca bl 8} l name stre~fnh ~taken when taKen I

1 acetAm<nophen y; N I I I I as?trH1 ':'IN I ! ' I .' ethanol YiN I r·-·- I ' r

• I ......,: : __ j_ ___ -- --------- ------I L,:----=:=-::-::;-..;:- __ - - - - -

~-Nurs1ng Assessment Reviewed 1:::1 ....../BP E . HR • no '~"· T emp revrewe · d PHYSICAL EXAM GENERAL APPEARANCE _6!ert ,., . 1'I eu.arg _anx1ous ·'- ·1c I obtunde<l 7_no0 •cu:.e di'tress mild I moderate I severe · =un(ooperative lor·~JQf1l-==-~- E I ENT ins pee cion ~•bnormal TM { R I L) ~h;u-ynx nml _dry mucosa.__ ___________ _ i[abj.~mckd: _£m1 gag reflex _gag renl!.l(ed diminished I absent_______ __ EXES _nyst-agmus ..A5up,ls <!qual, round _diJconjugaLC gne, _____ & reacr1ve to l•gnt _mydriasil I meiosis I anisocori...__ _ __ _6oM's Intact R Pupil _ _ mm L Pvpil _ _ _ mm

NEURO I PSYCH _slow f no response to commands _ _ __ mr;Atal status withdraws to pain no rcspoose co p.oin /moo<l/affeo nml _deprelsed aHett:---------- _teariul/ hostile I non-communicative,____ _suicidal ideation._ _ _ _ __

r-----------On dire-ct - qoery, -- 1 Ellu.ll~f.lJ:mRJ.S: - -- ~ patlent ADMETS I DENIES I r:ontinued coosider4tior~ of suicide as an option.

II~~~~~------------------------------------,-/II ...... -- orit;JH<Hiorl ---------------------' _uncooperative I cannot determine _ __ ----------------------------------------- _Ll'\ormal ~3 _disor-'iented, ____ r,----------------------- ---------- ·-- 1il l!.tiJ~ YYIIf:l OIHEB RESEOOSJS!..E.ADJ.llL 1[i to.: dcy-af-week day-<:J{-monlil month yMr ploce pefSOfl I Name: Rcknlansh•P: ------------ I r cranial ne!Yes IConsiders ongoing suicide risk; high law ull<:ertain . I '\ sepsory, motor Capable I OJm(orr.able with observing patient ot home? Yes No N/!1 I\;' -~N's ,ntact as test<>d _laci•i droop! CN a.bnorrnality _ _ ~-­ }MEDICAL CLEARANCE FOR PSYCHIATRIC R.EF£1\RAL (1f needed) i \1 Jml 111oto.r r~;:~ponse _ii,Otor/senscry defici'-------- I Bo<J<.-sJosh 10 fndk.ole <hot diofOOS~;. un~kely t>o,ed on HA.P ond. wh<n noe<kd. lob lestint 1 ':: ·. ~ml sefl!ory response -------~~----------------- 1·Toxic jPCP, Ampneurnln.,, Hal/vc,nog<n>. Aceomlnophen. ASA. ETOH. Other) I h:: _:_yni reflexes _abnormal gal>~----------- I •Infectious (Meningitl"- Enceph•li<..ll, Sepsis) ·; 1 ::o\-

L"mrxo,t I,M~tabollc (Thyroid, Hypofirc""'ia. Orvg Wtmdrawal. Hypo•emoa. El.nrolytc>) I ,.\

_cef"'. lymphadenopathy ( RI L )*_ __ '•CNS Vascular and Ochu (CVA TIA. Seizure. Trauma) 1 ,·: Nf,.CK I BACK j •O<N.r Un•table Comorbidltles Qcleared medic..a!l!'_fory:r~h .!~'::~'- 1 ·':1 L~rmal JnspectiOI'l _ thyromeg-aly I meningismus'----~ L - - - - - - _::_:::::;:::.:::::::::::::::;:;::::::::_-::::...::._- --:_ - - - - - - -I r-01~;;;,--;;dwlth Or. ,Lheck supple _wheezing__ _ _ _ _ - - - - - - - ,_ will se• patient irt: oflice I fD I hosp•tOJ . _CRIT CARE· 30-74 m•n : 75-10-4 mm _ _ _ n11n 1 RESPIRATORY 1 __Prior ra-:ord'i ontcc"ed i z':)P resp. distreS$ _r-ales I rhonchi ____ 1 Coun>eled p.cient I f1mlly regording: reviewed Lbrea.~h sour;d$ nmt 1 -lab rerultt d1agn<Ws need {or foilow-<tP Add•tionaJ /llstol')' /rom , ~=~ P-.,e~ -=-A;!~_or:_d.:_r:_ ~~:_n___ _Jr:_m:J_c~e_;_ol:_~ p_o:_o'.'_'~~ _ ~ ;,' __irregularly irregular rhythm _____ _ ~vlar rate. rhythm _ exrrasyscoles (occasional/ frequent ) CLINICAL IMPRESSION: Zhe•rt sounds normal _ldchycardia I bradycardia_______ --· _jYD ________ --- .... - - - - - Ethanollnroxlcation Psychosis Schi-zophrenia- acute "ac _Juarding._ ·------ ·-- _____ _ Depression Drug Overdose( in<en~onal/ aa,denr:all GI ,\ABDOMEN) :z?cn-te.nder _hepatomegaly I splenomegaly--··-- _ mo~ f.~';.k_ ~)~c.ide Attemptl ldeat.Jon {yni bowel Lno organomego1y sou~ds~ -- - - -- --. -- _..__ - -· ~---·--- -----

_cyanosis I diaphoresis ~ --- -- - --- ------·-- --- i pallor __________ _ OISPts~_,Ch-;,~·&~- -=~----- Time _ _ __ ' i

_,.~cr n.ml. no r>sh 0 unchange<Y(J improve<J 0 stable - - .. -i _sk.\n ruh _ .-----~----------- CONDITION·

-!."'arm, dry --- ------ ---------------· G r RESIOEN 1 PA 1 NP SJG!fA TURE

~ }atentJon___ .. EX)'REM!TIES ~orm:li ROM• __pedal edema_ ---~· .. - . - - - - · - [\TTENDING NOTE; . m•ned Resident/ PAl NP'> hi nO<)' n:!Vk!wed, patl<:l't •nc.ervl•w~d anC: eX> .-. ~0 s1gru of trqurr ----.--- - -- --~- .. ?no pe daJ ederna _ --::-_-.:-=.-.: -_:=-:.. -=-:.--=-=-=.--_-______ - 1 BneRy, pertinent HPIIs: My penoml e,y.am of patient rewa~-----~- ----;--------- J

'pf.locEouR'is~ - [fRescrainu I O Intubated I _by ED physician breath ;Q<Jnds equal na.sal /oral # _ _ET tube _ tube position ~onfirmed w CXR 1 l I Assessment and pbn rcvievr'ed with resident I midlev~l. 1..ab and 'uK•h<~.r)'

:~o~;,::::-~-.~;;,:;o~---------=~==---=~ J 1

I0 '0 Gastric Lavage _ptll (ragmen15 recovered Charcoa! __.gm gi~en . Sorbitol ____oz g1ven I 1 see resident I midkvd note nrevaewed.P2tient~llneed. _ _ .--~-- ~--­ for detaih

---~-------- ·. . .:.-=- =-=-~-=:-..;:_..------ - - - - - - - - - ~ ----=-·==-==-·::::-..;::=-_J

• \..'odcrll~ 1ncfteu1e.s Mhun ry-sic;n

I '" equr'vn.'er.·· or :nrmtrr111/l required for tJrgan J}'.Jte.m ex.arn

t)vmlose -52

• • ll/19/2004 ~5

:·;;:J·1:: H;i ::'S

i 00029422! LOC· ER Metroplex Hospital 220L S :lear Creek Road Ki.lleer.. TX 76549

ROOM: AGE: 16Y SEX: 1•1 NJ'f~"J R2SlJL 7 R2?QR7 PJ\GE l

!-lOS?. ID: MET ACCT l049766 DR: CASHON, MEDFO~ III,CODS: 01187

?:?5892 COLL: ll/19/2004 14:00 REC: ll./19/2004 15:14 PHYS: CASHON, MEDFORD III

Drug Screen, ~rine • 9osit.ive {NEG) ,. ;:

~mphecamines,Urine Baroltuates.Urine Negative {NEG] eenzodiazaplne,Urine Negative {NZG] Coca.l.ne,Ut'ine Negative {NEG] Opiates, Urine Negative (NEG] ~hencyclldine,Urine Negat.i.,Je [NEG] Negative [NEG) THC,!Jrine

\• '

•

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---- ~ -.. :::: - ~:::: ~------- ~ -- . 5/lJ/EEl JE.l\RIO s 'j._\_.J.,' '· ·..:t- l 0 '\ 9! ·_ ~

~IETROPLEX \\. '( OGG OHII'I. 1111'3/04 HEALTH SYSTEM •• ..so;-J.... -

_ . DISCHARGE !NST~UCTIONS I hese will. help you care for yourself after your visit to the Erergency Room. Please do not throw them away untJJ I:DU are better. If you have any questions abou these instructions or your care, please call the Emergency Room at {254) 519-8103 or (512) 556-3682 E:xt 275. -·~·:;. INSTRUCTION SHEETS CUTS & SCRAPES _.. Your Prescription: 0 AbdorTHnal paon · Keeo >Nouno clean & ary for next 24 'I 0 Anx.e!y. pan1c arracks. hypervi:!nttlai•On ''ours Le3ve oandage on for 1 day •cniess \Old dt1erent/y I 0 0 Back ana neck pam Bladder 111:ecttan. kodney stones · On tne second cay. use m110 soap &. I 0 Bums water or i1ycrogen peroxiae woth equal Ches\ pa1n, costoct-.ondn\Js 0 parts "'a:er :o keep wouno clean Clean Coniunctlvttis, c<:>rnea\ abrasion 0 woenever d1rl> ar,d let dty You should Fever (tylenollmolnn dosrng) 0 ~o lh•s even when you have slttches or 0 Fracture--------- :..lapleS. 0 Headaches · Tnf cieaner your stitcnes, the easier 11 Heaa tnjufles 0 woll be 10 ta<e tr\em ovl Impetigo, drapet rash • RETURN to be ra·ct\ec~ed j( you nave 0 Nose bleeds. s,nus 111led.tCn 0 more pain, swelling, redness, 0 Otitl! me01a/extema (ear '"fectionst streaking, or j::uo. Pelvoc pa•n a no tn!ection 0 ?o,s.on iYy, contact dermalttiS. ,ruves ·Your ~\itches or staple~ should be taken 0 Your medit.nes :nay cause you to leel Scabtes. crat:s. ~~n worms. l1ce ou( Hi --~·--- days 0 :;\eepy 00 NOT Orive or use any machines wh>le ta1<1119 th1S medtc1ne . 0 SiD Threatened mrscamage ~~-; SPRAINS &STRAINS 0 · Jse r>•t.ows to keep m1urea p;;rt above 0 II is flQ( sate to drink any alcohol wh<le takmg this medicine .. 0 VRI, sore throat. colds Vor11<11ng & di~rrhea ·,n acl'.lltS l~ve\ of !'ieart 0 0 vomtting & d•arrhea '" children · <Jse an ~~e pac\1 !or !rrsl 48 hours Tn<s You have been g<ven an\lb1otics You vn\1 :-p~\;::J re.jl'Ce ·:a1n 0 need to taile ltlem as d1recred unt1l they 0 Other ~-~- .. -·.----

• • 1t ;;r. .;ce w:ap was applied. 1t 11eeds to be are all gOl'\e 111 order lo get well ~;;ken::;~ .;r.d DLil back Di. ever)' 8 t10urs If you are lJiven a penrc<ilin oase<l FOLLOW UP CARE un\1' swe}l1r1~· and p;;1n 1S gone 0 antibiotic and are usu1g Mth conl;o( pills, 0 Make appo,ntrfienr wrth docror d no/ · Locs.en 1he ace rf you nave any you must use another form of b<rth JmproveCI 111 oays .1urnoness or lmg!Jng ano put bacK on You will be caUed il your cultures or control (condOl11S, foam) w1111e tak,ng the 0 :<-rays are nol norm~ I ANO you need rnare 1cose1y rr,edic.ine 111 ocder \O prevent pregnancy. You should no I drinl< Mer wh1te takrng more treatment or meaiclne Return to IM Emergency room '" ~­ SPLiNTS & CASTS peniCI»in. 0 days for recheck A tetanus shot may ca~ge rl!Qness, Return to llle E.mergency Room ,t you · ·,Jse pillows 10 l<eep ln)llfed pari above teve\ oi t'le-2:1. 0 swelling. sore arm, or lOW fever You 0 have more pain, hrgll rever: trcuDie . use an Jr.e pad< for 24 t>ours. may tal<e Tylenol t~ m~~a y~u teel bream 1ng reel faint. cougn<n9 up bl~ocJ. ·eel spllntiCdstiC aor dry for 48-?2 hOUrS belief. This .mmun1zal100 w10 protect are unable to step vomitin~ and ""n I you lor up to 5 years. take fluids or me<!icme. or If you feel ·Do not star.d or w~f/<. on sp(ont/cast. much worse ,n any way · Do no! res: cast on hard or sharp objects Always ask your pnarmacJSt to go over f::r f1rS\ .18 t1ou;s 0 your medic.nes wi\11 you when yo<> gel • Return to the Emergency Room 11 ll\ef\1l1t\ed ;: F1r.~ers :Jf toes are f\unC, •.·.;)gty, c:.j Never take any one else's :nedoone or j1ff~.cull :o n·.ovB 0 qive your child anot~,er chol<:fS rnedlctne c; t: ~-~ge:s or :oes are clue of p~le even ,f rhey are ~rom I he same farntly c~ Cosl 9e!s. ·..,ery ugt".! l'!'! se .... era. steady or greater pain

ACTIVITY •I FlUID INTAKE No restnd1ons ~: ur•n' &- ·, 2 lvli gta•ses of water a day 0 Up to bath roo~ on\~ . Clear il~uldS for 12-24 hnurs 0 Bed res\ lor _ _ cays . Sr.<n ;~kong small amounts of l1quods 0 No 111\l119 over~ pounds e,.ery 10 .' 5 mtnules toke~ from gett1ng 0 DO net drive Sl1'f type of ve~.lc\e \or ,;.cl\ \o your storr.ac.1 Of' tn1s ~or 1·2 0 no.;rs t: ·;ou :ee\ netter, tr.en yc'.J may .--days dror.l\ Ru.dg wr.en c;eeoe<l ro ~eep from

• ge(l<ng <:!etworateo

~900382

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s;;;vT,:;,-------,-------~~====-II·-;o:;:a::te s':','~ e --------------- - !-;:· J .. . -:-'5' 1

one of the r~;..,,c : . ~~· -·l '3;,1-B+l' ' post-Ojl Slloe (0 f2P. ling & C-Couar. taping anc . dressmg) o not use when reducing, •pl',ntrng or . . . -· __.. .... "'Xfi:l il: I acM 3 Personal HYQreneiBath~om Ass.st 2 - O.Ri..evltllTnageonly boo.~o-~ '··'

E · on11oong (Order ReqUired) 4 PostmonRm Cara 8 ER Le"~l 1 Follow-up I!JJ0.5), • ' • '·5 1 1

i ::===f ""' '"'" - ' 5 Restra.nl Man.1gemeni/Ccmb<JIT<e Patent ER Level 1 Bas•C (NG po•n«·.,;; 00

•oc~""' ntamn;atroo • Sm1ple 5 1 1

pro~ure) . ~C ~~9 ." ~i,.~ .'· 13 " " ' /j .\ F

1 ! OOA _n_-_c_o_m_p_re_x____ l-De::-::o-:·o_n_r"_"'_'n_•_tiO_· , 2 ER Level 2 (No pO<nts w'"' ___E_c_l Proce<lvr6 only .0 S ------------~ ~-"~ ~ _ -~.Se•zure ObsP.."va(roniCare" . ----------------·-·-----+-1Jr.c::::~:::::::::::~~;_ __~::_::J I I ER lever< ,i,JJ0.5JOSI 4 (t-2 poonls)

'll<i'iiialfta;:;i~~;:;:;--i;.:::-li~s..Jt-..::::::OE::::R:::L::e:::"=OI:::3=(3=-6=poo..·_n'_•_l_ __j_'_~_o_-s_<..e.;,l> creen/Cna•n •uq ol CusiO(Iy --,--- I !'· Ele Exarn fTray set up 2 Sexual Assault!R Kil ape 1.11 I·-~~~~~~~~~-----------------------+:<~~S~~::~:m::en~C~~~Ie~~~i~o~n~--~li~~~~~-~S~I~OO=I~.S=pu~1~um~E:1:c-t~~~~:=~~~::::~---t~~:j I (Not mcludmg draw•r>g.) · IJ/ood :•

~~;:~~~~~~~~~(~~~~~------i-~~S~u~Gb=·~o~n,~·n;g~~------------------~-1_:~~~~~~ :i ~)· 1 Emolronar Ca1e 4 .f:

~:;---------t:-1~=~:__---~-t~~~~~~E~ ! enema Aomlr.isHation.'RectaJ 1----- Surgery DiSl.Spacuon 3 Consul: :. I Trache<~l I iFetal Hear. Ton'l'S 2 Care \

f~ k;epac~ 1 at10ther Acute, Rehab. 8eM>110ral otal Points: 9 :li' T ra1lS e< !0 Hospital f Fr. 5 11

l loolalior. Care!Pre<:autiOfJS 4 TraM(&fiRelurn lo Nursmg Home"' Other o --,-- ~ :;•· '' ir------- b~ --_7 l \ j\.' ----------------·----------r--r------------------------------~~~- -~/i " ~ ~~ i'i- P•e'"'>l•ng Monitor Transponto Floor ER witn "5 - "- !',; 2 i !1

t--t------------------------_l~l-:_j--~ -~ -~.~:' i•j):~ 11 11 :. N •nseniOn · Uncomf)l•c.ateo 3 rranspon ro Floor by ER w<thout Mon.tor 3 ....., / •

. ~ US!CTIX-ray w1th Nurse AccompaMnent __. I-,.I.V I 1nsemon. Complrcatea _________________ ':

N~w"v-cxn _-.,~.a~rm:~e~r~.~e~rc~- ~- - 8: ~- ~ o_,-~ -"'os_ "'i9_1 a_"-l•~- s:~ ~ ~i~Jc_e_n_t-(J .+-2-11----------7-'-_2ffil~ d[Lrd / Neurc (h&I:Xs p or more) :l llrsaal Acurty Testrng 1

C.>re (con:l c.a·_._'_e- ---------------------\;+- _-. __o_,.. __"_'c__'_"a_._"_9___ o_r_m __ ;t ; O·~e· Enlry ( 1) lf'lCJV<ltr.g Meo orderS i' Vtlal s.gns - OrlhostaN: 1 I Order Er•try (:!) rflCiurl•ng Med orders Wound Dresslnq, C"'aning, & lmgation- Smple ------------~ -------------------------------------+--~(~~~o~\R~e~p~a~lr;~~)~~----~~~--~--~~2-l---~---------------------~ 2 1 Orner Entry (3) mcJud•ng Med orders 3 Wound Dressing, Cleaorng. & rrrigalion- Complex (N<>l Repaued) !

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~·'o~xv~a~e~o~o~v-,C~aanu~~Ja~o~r~M~a-s~k--------------------4-~~----------------------------------~--~--------------------------~ : Oro& Eon ley \4 •) •ndud<ng orders 4 l ThiS !orm l~ to t>e u~ed ro dete111"11ne tt'H!. "EO Serv(ce Level• afcare prov!Oed to the pat~nl. ------------------------·-.JI In a0Cl1I10r. :a tne =R Service Le'.l~ V•s•~ charge, aH procedures pert'ormeO oolfor the patient s.t\ou'-0 be chargecl

~----------------------------------------------------------------~--------~ episOde \ Only one ER S-er;.IC8 Level rs 10 1:1e ct-arged tor eacn of care \

\c·~l 1P~:•ents cnafl;le~. I --j have~ .,.,,~..:;!.·- no po1ots ano are ;he&<! :r.ar have no proceoute

~i e11her 1 level 2 o.wer.ls are rMse mal nave no pornls b<ll a1" procedure b•lled on tne ED charge •heet or thai as.,gne<l 1 · 2 p<>•nls 10 ococed<:re assrgo~the Le·;e15 (l:>llrcal Cere) pa11ents are c<Jplure guiae~>nes or lt><>se j oer•nitJon5 contS\f'tOd m \t<e charge lh<> dOcument Pornts are nor a•••gned \

<---~- pa11<e0ts ---------- .------------------~-------~--'1 ------------· • • ------~ - ~---- \\\\\\\\ \~\ \\\\\\\\fOLVCGWS 1\\\\\\ ~ ~\I\ \ \ ~\ \11\\\ MITROPLEX HEALTH SYSTEM ER LEVEL POINT SHEET MH ~tach ~ 900560

• MH 560 1\CI 02/0~' tj91(J.\

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METROPLEX HOSPITAL 2201 S. Clear Creek Road Killeen, TX 76549 (254) 526-7523

PSYCHIATRIC DISCHARGE SUMMARY IDENTIFYING INFORMATION: J is a 16-year-old white male admitted with a history of shooting himself ln t ve1ns with crystal amphetamines at a friend's home and havlng breathing e probl~ms .. The frie~d brought him to the emergency room. Refer to the psych1atr1c evaluatlon for details.

LABORATORY FINDI~GS: CBC with differential revealed low hematocrit ar: 41.7%-, (42 to 52), MCH at 29.9 P~ (30 to 34), segs at 38.1%, elevated eosinophils at 9.2%, and basophlles at 1.7%. Comprehensive metabolic panel revealed slightly low total prote1ns at 6.1 gm/dl (6.4 to 8.2) and elevated SGOT at 38 units/It (15 to 37) · Urine drug screen was positive for a~phetamines and THC. Urinalysis within normal limits. RPR nonreactive. Thyroid panel within normal limits.

HOSPITAL COURSE: Concer.ta was discontinued and no medications were given during his stay here. He said his parents told him that if he does not change he may end up in jail

• or be dead and had encouraged him not to use drugs but he ignored them. We reiterated the same issues and gave his packets of drug education as .i assignments. H~ had no remorse for his behaviors and no motiva~ion to changes. He ·.vas euthymic with a blunted affect. He denied suic1dal or· ":!.'

homic1dal ideation. We reviewed the after-care plans. His parents wanted him co be assessed at Shoreline for possible drug rehab admission there. He denied depressive feelings, moods swings, auditory or visual hallucinatlons or paranoid delusions and was discharged to his parents to be taken to Taft, Texas where he will be assessed by Shoreline Facility for admission to the drug rehab program.·

DISCHARGE DIAGNOSIS: AXIS I: 1 Stimulant induced psychosis. 2 S~imulant abuse. ~ Cannabis abuse. 4. Ar:tention deficir: hyperactivity disorder, combined type by history. s Oppositional defiant disorder. . . 6. Anxiety disorder not otherwise speclfled AXIS II: 'I None. AXIS III. i \ None. ''

i: '. Admit: 06/21/2.004 Patient Name: , J S 06/26/2004 MR # : 2 9 4 2 2 7 Ac c t If : l 0 0 8 4. 2. 3 Disch: Age: 16Y Dictating: Vijayababu Jampala, MD Sex. t~

• Pt Type: P Attending: JAMPALi'\., VIJAYABABU' l'lD Room: • i Page l of 2 ~ ' · •.

ORIGINAL : :I· l I.;:

qa i I i I PSYCHIATRIC DISCHARGlll SUMMA.RY

I •-,·

• • AXIS IV: METROPLEX HOSPITAL 2201 S. Clear Creek Road Killeen, TX 76549 {254) 526-7523

Severe problems school - problems andwith primary legal support system, peer relationship problems, problems. AXIS V: GAF SO.

RECOMMENDATIONS: 1. He is on no medications.

2. He is being discharged to the parents with recommendations to be assessed by the Texas Commission on Alcohol and Drug Abuse in Killeen, Texas for follow-up rehab programs. The parent were also given the name and the number for the Shoreline Drug Rehabilitation Program in Taft, Texas where the parents plan to take the patient for assessment for the inpatient drug rehabilitation program.

VJ/uw D: 07/26/2004 T: 07/27/2004 11:26:58 E.T. E: 07/27/2004 11:26:58 E.T./uw

• Job#: 163760 Doc #: 2327224 CC: C. T. = Central Time I E. T. :.: Easte~-n Time

i !:,.

Admit: 06/21/2004 Patl'ent Name: , J S Disch: 06/26/2004 MR.#: 2 94227 Acc t# : 1008423 Sex: M Age: 16Y Dictating: Vijayababu Jampala, MD

• Room: Pt Type: P Attending: JAlMPALA, VJJAYABABU, JV!D

ORIGINAL Page 2 of 2

PSYCHIATRIC DISCHARGE SUMMARY

\ I.

10 0 8 4 2 3 , M vJ ' , . v 00029 22.., JAMPALA s : I 900B I IJAYABABU 6/21/04

MEDICAL ISSUES SUMMARY

• • - --~-------~---~--------------~·,-,i--,-i ' '

!

METROPLEX P.AVILION MENTAL HE.t-\LTH

• NURSING ,tJ.SSESSMENT

,,

I -),----2:.cf_Z5 ;; \/ Pat1enl Name f+-·-- Last ·----=-=-.!~:._.==------ Date of Birth· _s_·__,_+j,__, __ ii •I First Middle -!! Age /(; y¥ 5._ Sex: ® F Race: __,_C=-_ _ Mar1tal Status~if o w n 1: (c 1rcle cnt) Type of Admission: -~ Voluntary Involuntary l!'

L :::

Pend1ng legal Charges. @Yes -----------------------------------------------~

h. /(..J 1 f 0 "T Date of Admission: Time: ll_o I !5 a.m c.t:=) Accompanied by: ""J.._....c._~~ :}-= f(<?-,J~ . :. . __ /'Yl.c::<__,/ Relationship to Patient )

t ''· I

--+--------!---~ ----r----~~-=~=--=~-;;==~l I - -----j---

r-f..-----------+--------1---------t------r---~- ----~~.,!;:~:----i I --·------+---- L ___ - · - - - __L_______ ··-·------ - -- ~· ·'i I';' J

01spos1t10n of Med:s Sent Home With Family _ _ Sent to Pharmacy None

Label

'I • 1008423 M W V 000294227 ' .

M J S JAMPALA, VIJAYABABU, MD 900B 6/21/04 016Y I 5!13/88 ~,....,

.:·•..

REVIEW OF SYSTEMS

• • VISION:

SPEECH: _ _l::::_Giasses _ _ Contacts ____ Pupils ____ Blurring -~WN L Comments

______ Speech Impairment _Pressured ______Cataracts _______ Eye Surge1y (When)

----------~--------

_ _ _ Slurring Glaucoma

____ Difficulty Expresstng _____ Dtplopia

____ Language I I'

1.: ~.

Ba~rier .

______£_ WN L Comments _ _ _ _ _ -----------------------------------+~--- !' HEARING: ____ Pain limited _ _ _Right _ _ _ Left ____ Hearing Aid _ _ _ Ear Infections ____ Tubes _ _ _ Tinnttus ____ Otscharg ----1-::- WNL C o m m e n t s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -----1--

RESPIRATORY: Pain Dyspnea _ _ Cough Sputum/Color Sinusitis _ _ _ Epistaxis Apnea _ _ _ Frequent Colds Shortness of Breath ____ Smoking Type Amount ~.sthma Breath Sounds (Describe) _ _ __ __£~WN L Comments _hu~~fJr fdc, -~y c:.___-.__~c_-,--r--c-:--;f.-+i~--- CARDIAC AND _ _ _ Chest Pain _ _ _ Hypertension _ _ _ Hypotension _ _ _ Congenital Hearl Disease : CIRCULATORY: _ _ _ Pacemaker (Date) _ _ _ Heart Disease ~l ____ Surgenes (Date & V\lhat) - - - - - - - - - i? _______ Heart Attack (Date) _ _ _ Numbness (Locat1on) ___________ _ Edema (Location & Measure) i••., _ ~~VVNL Comments - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 ' !'~ 1.; GAS TRO-

• • ,-H-a-rd_I_O_ts-\e_n_d~,, ~,:,l I !!i INTESTlNAL: _ _ _ Nausea _ _ _ Vomiting ____ Bowel Sounds La_s_t_BM____A_B_D-(Soft _ _ _ Laxative Usage Const1patton Diarrhea _ _ _Gerd Hemorrhoids ____ Eating Disorders ; -' ;1:-. WN L Comments _ _ _ _ __ j,'

URINARY: ' Incontinence Stress Incontinence _ _ _ Burnmg Color •• _ _ _ Odor,,; - - -Frequency _ -_-Nocturia ____ Hematuna Flank ra;r, - - - Htstory UTi's ,,, _ :f---VVNL Comments ___ - - - - - - - - - - - - - - - - - -,. --

NEUROLOGICAL: y--v Se1zures Paralys1s ______ P ares (h e s·a I _ __ Weakness - - - Sensory L11111(~IJOns ~Loss of Consctousness (Explain)_______ ;;;g,J Head InJury -71-- Headaches Tremors ____ Stroke Surgery~ --lf'--'-::o-='---- _ _ _ Dizziness Neurological Testtng YES I NO When/Where 1 •,-:-----

_____ WNL =: c=s;r=:J Co~~~-t~~t~Co· Cl\'t>=f cp... 5~:,'-~=:, -~~·.i.'~ PAIN: Prlmary Site ------~---:------ _________ How long? ·---- ----~-- ---.~, --- Relieved by OTC/Prescnbed Meds. _ _ _ _ _ ------------------:-··~--- .,~ow oJ'_)Pain Scale LOW Ta_k_e_n_?-----::---::---.--~c;--~~~;-=-~- Ofte_t_l_ 1 2 3 4 5 11 7 8 9::;:---11~0~-=_~E;X~T~R~E-M_E__ ------------.-. ~-- \) Comments _________________________ _ ' - - - - - - - - - - - - - - -,.,----;--- ' FUNCTIONAL Ltmtted ROM/ADL's Explain__________ Redness/Swelltng· ·; SCREEN: --·-Contractures (Location)_______ -----Bone/Joint Problems _______ Falls/Or ~!ls:ory _ _ _ Prosthests jt.c.-. -6 (/ Ga1t ' ------r- 17 _____ Assisllve Devtce Type New Weakness or Paralysts ---- 1 -=---=-=Newly Identified CVA or Head Trauma ------- --:-;--_

-. 'j= WNL Comments . 84 ~v v 00029422TJi~ -.JV' ~ est _ , !'1D 9008 6/21/04 016~ I SnJ;tJ.s.

REPRODUCTIVE FEMALE:

• REPRODUCTIVE _ __Drscharge MALE: Sexual Preference ~ Infection Birlh Control Male~ -=-=-_Sexually Aclr~Yes 1 No ____ Hrslory of STD's Comrnenls Yesi1rJo ---- ·----------~---- l\'

NUTRITIONAL: t f f f ddolescent Screening _Unintentional weight loss~ 5% of usual body weight within the last month V Admission Diagnosis including Anorexia, Bulimia, Malabsorption, Malnutrition (circle) Child Screening --~Uninten1ional weight loss :::. 5% of usual body werght within the last month :{ _ _ _ <10% percentile weight for height - .:!

Upon admission, if patient meets one or more of the above high-risk categories. request nutriltonal referral _____ Food Allergies (List) ____ Nutrrtional Referral -----------·-:- Yes I No _____WNL Comments .1.' --~---:;--

SKit~ ______ Color ______ Cysts _ _ _ lnflarnrnation ____ Needle Marks __ .__ DtaphoX~srs Rash Lesions EczemaPsoriasisScabies Lice _ _ _ R1ng V\Jorm : · ::=_--=o,aphoreilc~=-Turg~-:=c~; Farr 1 Poor ___ Dry Cool -==Warm CQ!d j; Comments---~--- ---~-+--

• WNL ----·

LEEP:

---~

If yes, did you require restraint/seclusion? E;.plam --~~- ' ------,---- AdUttWo~id you like family notified about restrai!ll/seciuslon? Yes f No

SUBSTANCE , AlcoholPrescription Meds _____ LSD _ _ _Marijuana _ _Methadone ' , · ' ~ -, ----H · PCP Stimulants _____ lnha!anl~ . . . .C..BUSE_ ")V\ ,., Co-._all,e erome ____ -,---- .- ,..1_.- .__,__,.y::{.:'::t.x_ !}"Y'-2--t-'._."-?,..:

1, 'J-~ _ .Wiobacco ____Caffeine -c-O.ther (v!hat?) ~r'"'-~-;F' 1 ':--r c.; :; ~ ,_~v'l-:--' .._,'>1-~ 2Ac-:~:Y --·.-0:~,~------:-'='cv_~ '.; l~~~, ·r _,__ _ -, .. t'Jiarn how long usage and how much < ; : '/--------

'\1 '~-" ")!-~. \r' ll!_U r,, t-;.)0\ -~.0 ;::____ pv·-~ •>7~~~.:w!.. l- r.~ · '·1 fu:-...LJ >fP '"'Y\ c.\"' Oa~tUs-e /~ · _~ _4-<--'-- ~~-:;t - ..,---:- Hrstory of Wrihdrawal e I No Descrrbe p:Jib "-Lt..~ ~ ; . '--"' !___ ~ (_., ;::;~~~6-· Family Hrstory of Drug Use ( o, What?) ~-b.---------- 11

"' \)

.t...BUS8NEGLECT _ _:_y;:;?__ History of Sexual Abuse HISTORY- --~- __ Hrstory of Physical Abuse -~H1story of Neglect ---~----·~ ' · Oescrrbe I

----------- --------·c·- -\ ------------------

• • LaDet

. ,. ·- .. \ \ J

r!JlENTAL STATUS EXAM

-~RSONAL Appropriate _ _ _ Well roomed _ _ _ Unkempt _ _ _ Older I Younger (that sta ----------------~-~------------------D PPEARANCE: Comments

_ _ _Dyspt10ria E Labile j... Anxious _ _ _ Irritable ____ Paranoid Appropriate ~ Anger (How do you handle anger. Explain) \...Omments ----------------------l-

ted Hyperactive _ _ _ Erect Posture a ted _ _ _ Un _ _ _ Slumped ____ Grimacesrrics Comments ----------------------------------------------------4-- A ECT: ____ onstricted ul _ _ _ Sad _ _ _Angry ___ _Appropria Comments ----------------------------------------------~~- e ace _ _ _ erson real ____ 111 _ _ _ Circumstantial Tangential _ _ _ Loose Associations ____ Flight of Ideas ___ Delusional Ideas of Reference Paranoid Ideation _____ Preoccupied _ _ _- Difficulty Concentrating Confused Grandiose Appropriate Cornments __________________________________________________ ~--

i-iALLUCINATIONS: _ _ _ Olfactory _ _ _ Command ____ Visual _ _ _ Tactile _ _ _Auditory Gustatory N9ne Cornments___,&~~~~~ct:::::A~I::1d.J:..t:;~~'l-6,:~~~b~.L__---------------------tt-

10MICIDALI 1. Past history of suicrde/homicidal attempt (by p!anl_.!LLW-----------'--------1---rt?/ • UICIDAL HISTORY: 2 3 Date of attempt )rvfJ Hrstory of surcide rn nuclear and/or extended family Y..... Yes No ?'d ,,g)

4. Self-inflicted burns I wounds present Yes No -r:- :=r=No 5 H1story of frequent accidents Yes Comment _ _ _ _ _ _ _ _:..___--------:-:----~~- 6 Hislorv of self-mutilation Yes -f--No 7 Histor-y of restraint usage YES I ®xplain: ------------·-------++- • ',1

PRESENT SUICIDAL POTENTIAL (Explain any checked items) No evidence of suicide/homicidal thought or history • I ~ I • ' •

'i :, Rumination 'i' --:::- Current express intent _ .:..£!?Other violence (i.e., cruelty to animals, fire-settrng, etc) Comments______________ ·1 ' ---~-------------------------~r-:-: t I 1 I

:· \. _ _ _Poor Long Term j; Intact MEMORY: _ _ _ Poor Short Term

Label I :\ . , I lOOB 423 M W V 000294227 : :\

M , : 'I

.- , : :I JAMPALA, VIJAYABABU, MD- I 1 ~ i I

90GB 6/21/04 016Y I 5/13/88

PSYCHOSOCIAL DATA

. - ICCUPATIONAL . Disabled Menial PI . I ., . STATUS F nT IP ---- 1yslca 1;1 : - - - u ln!e art T1rne Employment -(Where?) l': : ______Unemployed j-- Student ' · -----------------~iii_i_·_ Are_11~1ng arrangements satisfactory? · Yes 1 No :li · Religious Preference f Needs \;; . Comments - - - - - - - - - - - - - - - - - - - - - ---.:..;....:.__

PRENATAL _____Birth Traurna Comp'icat' . P AND Developmental Delay --- , Ions 0 unng regnancy CHILDHOOD learning Disability - - . _Mol or Speech Other.-~--- DEVELOPMENT: Immunization Status -~ . - J~ c.. r(\A..{N--A btl r) ----·l-'-

Cnildhood Illness ¥ ~ C:'--- w 1

---~-f=_WNL c;,om~m~en~ts~--------------------------=·--+--- EDUCATIONAL NEEDS: ___ Limited Education Background _ _ _ Speech I Language Barrier ducation

. ' HOBBIES & LEISURE ~~:?(A~ ~- ~r~----------------1-;+--\; • .~CTIVITIES: f,; j::

r='ATIENT'S IDENTIFIED STRENGTHS:

,, !! I. .

DISCHARGE DISCHARGE TO WHOM: SELF I PARENT I GUARDIAN I SIGNIFICANT OTHER :: i SUMMARY PLAN: ~ ~t&::~ =S' ~~~__<i_~iE:~";;;:J«--/---. _L 1: :; I I

1 Source of lnfcrma!Jon ~~ LLt0u..... -( c;..... J [&.~'-- Relationship to Patient /'r-cJ,/--->--1 cL <:...._ __'- ----:-:- ;)-~ .

':I Upon assessment. 1f the pa!lenl requ1res a referral, notify the appropriate depaliment:

Label

~} \ -'· ., ; ';

tjerroplex Pavilion Integrated Progress 1Yotes 1008423 M WV 0002.~227 , . J' JAMPALA, VIJAYABABU, •.MD DATFriME OF ENTRY- DOCUlv1ENT EACH SHIFT TO INCUJDE 900B 6/21/04 01 ~ I All signs/symptoms, interventions, evaluation 5!1 \\188

• • --.·-+-----

PPOGRESS RECORD MH 51~ 3 902065

METROPLEX HOSPITAL 2201 S. Clear Creek Road

• KilJeen, TX 76549 Dr. Phillip Day *Dr. Fayza Reheim Pathologists 0;:-dering t'hysic:ian.: JAfviPALA, VlJAYABA.BU, l\1D

Patient: M , Phys1cians: Location: 9A J~~PALA, VIJAYABABU, MD Case tl: 1008423 Med Recif: 000294227 Admit Date: 06/21/2004 Discharge Date: 05/26/2004

"*••••*••••••*•********************* Hematology i! ;; ~·EsT ·······*·•••••••*•············~~·-··· LJNITS · WBC RBC HGB HCT tvlCV MCH MCHC NPV •· xlO' 3/uL x10' 6/uL g/dL % fL g/dL t"L :1: 3/~4 LO-hi 4 0-12.0 4.7-6.1 14.0-18.0 42.0-52.0 80-94 32-36 ;\ - - - > - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - ~f2 ----- 06/22/04 {I' ')5lS 8.0 4. 83 14.4 :j 41. 7L 86.3 29.9L 34.6 9.4 i

Hematology TEST. PLT DTYPE 0 SEGS LYMPHS MONOS EOS BAS OS '5 x10'3/uL % % % % :i.l.S-13.5 140-450 40-75 15-50 1-12 0-5 0-1.5

06/22/04 ------------------------------------------ -------~----------------- .. ---~-------1 ~- ... --

0515 l3. 0 173 AUTO DIFF 38.1L 44.9

.... w"' ·- {l ., Free t4 I ;1de.:;<:. ug/dL

--------------------------------- -------------------------- Chemistry

-------------------- H il !:

-~t---- -~6/22/04 ~: ~~ ;'.• G':· l S J 10 .~ i~ . ~

r,•••••*•****•*********************** Chemistry ***************••·~············~ry-··· C l ivm : -:-Lt:ST· sodium Potassium. Chloride C02 Glucose BUN mg/dL Creat mgidL 0 c mg;'dL" ·: L:?-JI-:-~ mSq/L mEq/L mEq/L mEq/L ~~~~~0 7.0-22.0 0.6-1 2 8.5-10 l '.·.)- !--! T 135-146 3.5-5.3 98-108 _____________ ... ----------------- ------- 21-32 -~---- -------------- 1. ' 9.0 1.41 3 .a 104 29 78 14

==~=======~=~=~~~=====~=====:z====~== Chemistry SGPT T-3 T<l i'EST · Bilirubin Albumin Alk Phos SGOT Total (AST) (ALT) UpL.ake ~rotein U/L % 0 c;/dL mg/dL ldL g/dL U/L IU/L ::. 25.0-4.1.0 ,. s-t2.l ,.:;. ·· ri I 0 C-1.0 6 g, 4-8.2 3.4-5.0 50-136 15-37 30-65 - - -- - - --- - - ~: ....:: ~ ~- ~ - -- ___ .... ______ _ ---·-- ..... ------ -·~ ------ -------- . )•\

' 2? .·· •)'-! 35.2 ().7 6.1L 3.7 74 38H 52 0.7

i1 Y, DOB 0 5 ( 13/ l 3 8 S ll.GE: 16 Y Prl~ted 06/27/2004 SEX:M 07:00 INPATIENT MEDICAL RECORDS

1-· -, CONTINUED Page'! il.

,o. : ~

r1IETROPLEX: HOSPITAL 2201 S. Clear Creek Road K1lleen, TX 76549 Dr. Phillip Day * Dr. Fayza Reheim ?athologists

Orden ng Physician: .JP..MPALA, VIJAYi>.EABlJ, fvlD ':··

Patient• t ,J S Location: 9A Room: \ ~: 9~io,s. 04-A Physicians: Case#: 1008423 11 JAMPALA' VIJAYABABU I "ID ,. Med RecU: 000291227 I \. 'i Adrnit Date: 06/21/2004 Discharge Date: 06/26/2004 ·,)

TEST. "' :,~~~ ~"'""'" '""' """""""""""""'""'"' Chemistry ""'' . . . . . . . . ""'" , . . , , •• " ••• , . ·~• ••. , • UNITS \t ----------~------~--- -· -------------------- ~------------ --- ------ --- ~r----- \' ll•.:./2:?/04 ;1

riS 15 078

*~*~~******~~***************Drug Screen *~*~**~****~*~**~*****k**~*** ,, ?l 06/2~/04 ,. i l4SO Drug Screen, Urine I.

I Amphetamines, Urine * Positive [NEG] Barbituates,Urine Negative [NEG] Benzodiazapine,Urine Negat.ive [NEG] f Cocaine, Urine Negative [N.EG] I··

·- Opiates, U.rine Negat::ive [NEG] Phencyclidine,Urine Negative [NEG] THC,Urir1e * Positive [NEG]

Immunology THIE·

06/22/04 NORMJl.LS UNITS 0600 -·-------.-r--- --~--------------------·------------------------- -------------- --~----

i. Yellow ~= ·~· ~ :_-..r Clear 5.0-9 0 s.s 1.001-1 035 11l':J/d!~ >=' 1.030 NEG i\ '\ ::;!JeC ~ f 1 c Gra.v1.ty mg/dL ;· Negative NEG :.1 ucose rng/dL , I Negative NEG 61Lrubin /u.L Negative NEG

9 ~::2r.ones 1119/ ciL Negative NEG ·.:i lcoci mg/clL Negative 0 2-1.0 :;·;:c.::ei !l 0.2 _!;_-ob1:.: :log en ;· .\,, / 9A/ 9A0904-A \1 ;·r !l l

.~ .. l> Y, J S P<~ge:!l4! SEX:M CONTINUED I: uGB:DS/D/1988 AGE:l6Y INPATIENT MEDICAL RECORDS l

~rin:ed 06/27/2004 07:00

::.... I J

'~'

• • 1 111 1: J vi. ., e. ,I'v {(_ u· 4 IJ n-c' ~ _prz:j, /I I AFFIDAVIT

Before me, the undersigned authority, personally appeared ~ Ii . ;C6 v . t.J'---- ·---'~----~~~;-;:::-:::-:----:7"::-:-:::;-;---'--------- who being by me du 1y swo ~ . \

\\ I ·~ \

.

(FULLNAH£) :\ '!' deposed as follows: My name is ,111e/k\. /Jum-t s"5;)-zvk6·J!()·-- I am of sound mind ~i.,, I

,. capable of making this affidavit, and personal1y acquainted with the facts herei~i:

stated:

, am the custodian of the records or ms:n op I Eci. \:±o~pJ.i<'Z,.~ C\~0 I s .C lQ Qc (ye.e_j(_ lld- I(; l 00'1 rb J (o~ Sf 1 \ (NAME OF FACILITY AND ADO ESS) \ Attached here are \d-.L\ pages of records from the medical records of 1!,

• --or.--( (ADMISSION ANO DISCHARGE DATE) '\ These said pages of records are kept by said Hospital in the regular course of '\ business, and it was the regular course of business of said Hospital for an ', employee or representative of said Hospital, with knowledge of the act, even~, ;~ condition, opinion, or diagnosis, recorded to make the record or to transmlt , information thereof to be inc1uded in such record; and the record was made at or :': near the time or reasonable soon thereafter. The record attached hereto are the ·~'i: original of exact dup1 icates of the original.

S~ORN TO AND SUBSCRIBED before me 1 ' i :\

SEAL (Printed Name) 'l:

Q\ -l~ ~8 oO 1 \: i

Hy Commission Expires:

THE STATE OF TEXAS llllllllllll!llllll!lll!ll!lll!lll! I :COPY *** SUBPOENA - Duces Tecum "*"

• 5'7 5 58

Cause No. 57558 To The Sherilf. Constable, or any Peace Officer of BELL County, said State, Greeting: ~ cf L~/ d,~~~· p You are hereby commanded to summon: 1D-d~ ()Lj · I I ·- .... ;_;,_/d CUSTODIAN OF RECORDS METROPLEX HEALTH SYSTEM Or Serve At: :; . ·: RETURN TO DA'S OFFICE F_Q~_SER_YICE·~ ·;I :::.·I--'- o~r; - s/ i -----

' \ to be and appear • • • • • I N S T ANTE R • • • • • before the Honorable 264 Distnct Court of Beil Count~~ liexas. to be held at the Courthouse of said County, in Belton. Texas, then and there to testify as witness in behal bf t~e STATE OF TEXAS in a criminal action pending in said Court, entitled and numbered on the Criminal Docket o !sa;d qourt, THE STATE OF TEXAS vs. THOMAS RAYMOND CARR, No. 57558, and therein remain from day to day, fr.orn term to term. until discharged by due course of law. lro · Returnable INSTANTER. 1

; HEREIN FAIL NOT, and make due return hereof, showing how you have executed the sam~ Wrtness rn·t ott:cr.l srgnature. at Belton. Texas, this 30th day of October, A.D. 2006. ! r

Shel'ra F. Norman, Clerk, 264 District Court, Bell County

By {}~av~ Deputy

• Please contact the District Attorney's Office prior to appearance to an unnecessary trip to court. 939-3521 or 1-800-460·2355, ext. 5215.

NCDTE "It's an ottense for a person to intentionally influence or coerce a witness to testify falsely or to elude legal process. It 1s also a lelpny offense to harm or threaten to harm a witness or prospective witness in retaliation tor or on account of the serv1ce of the person as a w1tness or to prevent or delay the person's service as a witness to a crime."

~~QTtCit\ 'Es delrto intimar u obligar a un tesligo a declarar con falsedad o a evadir el proceso judicial. Tambien es delito penal hern o an!enazar con herir a un testigo, o a un testigo prospecUvo, en represalia c a consecuencia de haber dectarado en jUICro o con el ilfan de 1mpedir o demorar su comparecencia como tesligo de un dehto."

.. DUCES TECUM-TO BRINC3 OR PRODUCE ANY & ALL MEDICAL RECORDS,INCLUDING .<Oi-JY & ALL ,DSYCHI.O.TRIC i'\ECOROS,OF STEVEN GARCIA 008.02/2i/1990.CONCERNI i<G EXAMINATION f, TREATMENT OF STEVEN GARCIA FROM JUNE 19.2004 THROUGH l'AESENT DATE . '

Officer's Return Came to hand t11e ~ day of~rt' A.D. 2ofl(. atl@:J o'clock ~M. and executed bt delivery'n') a copv 0 ~f'l \nrs S,WB~"OENA to tc:hP 1n person a\ ~~ ~~ · • trw _~f-_"' 0_ _ day ot _Q:::.o.?B7t; 2rtM._. a~ o'clock CM N.ot executed as to the witness _ _ _ __ for the following reasons

-- -;~~~~~ily a~d~ecessanly traveled ____ mile' m th~~~bp "n~-y--------

• • >TES \ --Summonrng Witnesses-$ _ _ _ _ _ _ __ ·Mrleage ------------ Total ............... $, _ _ _ _ _ __ ------ 2u 111111111 !11111111 !IIIII !IIIII v?f:-==r

By: _ _ _ __ Sherrti/Conslable/Percr;: OHicer!Private Prcqlss

~--t~ Cou.nty, Te~as,

• • METROPLEX HOSPITAL 2201 S. Clear Creek Road Killeen, TX 76549 (251) 526-7523 i''iI vuI FlfJENTIA!L i

PSYCHIATRIC DISCHARGE SUMMARY

IDENTIFYING INFORMATION: S is a 14-year-old Hispanic male who was admitted with a history of USlng drug~ including methamphetamine, resulting in auditory and visual halluc~nat1ons and paranoid delusions on the night of admission. Refer to the psychiatric evaluation for details.

LABORATORY FINDINGS: Psychological testing on 6-25-04 by Eugene Waters, Plt.D., revealed a psychotrc disorder not otherwise specified and borderline personality traits. Refer tc his report for further details.

CBC with differential revealed inc.reased monocytes. Comprehensive metabolic panel revealed elevated alkaline phosphatase and bilirubin at 1.3 mg/dl (0 to l). TSH vJithin normal limits. Urine drug screen positive for THC and amphetamines. RPR nonreactive. Urinalysis revealed a small amount of bilirubin, trace ketones and protein with 2-5 red blood cells. EEG revealed normal sinus rhythm.

HOSPITA.L COURSE: He was maintained on no medications during his short stay here, as it was felt chat his psychosis was the result of the drug abuse. He was alert, awake and more appropriate as the treatment progressed. Family therapy went well. He admitted to low esteem and depressive feelings. The guy who gave h1m drugs had reportedly threatened to kill him if he told anyone about who gave him the dr'-lgs. No cravings for drugs were seen. His lip abrasion was treated with peroxide. He needed nutrition supplements. He denies suicidal or homicidal ::hcug!1ts. urges or plans or florid psychotic symptoms. He admitted that using diugs is wrong and that he would not repeat such a mistake again. We processed how drugs can be detrimental to his health and how they can cause r;:enta~ status changes. At birth l1e had anoxia secondary to aspirations. He said he felt supported. He denied suicidal or homicidal thoughts, urges or ;:llans c.nd \·las discharged :i.n stable condition to his mother. We gave him a drug package which he worked on in his therapy sessions.

DISCHARGE DIAGNOSIS: AXIS I: l Psychotic disorder not otherwise specified. 2. Dysthymic disorder. 3 St:.;.mulant abuse, episodic- .1\XIS II· Borderline personality traits. A..X 1 5 I I .I : None.

ll.dmj_ t : 06/22/2004 Patient Name: G , S Disch: 06/28/2004 MR#: Z94254 Acct#: 1008534 Sex: i'-'l Age: 14 Y Dictating: Vijayababu Jampala, MD

• P.oom . Pt Ty'"Pe: P Attending: JAJvlP.Zl..LA, VIJAY!>.BABU, MD

ORIGIN.l\.L Page 1 of 2

PSYCHIATRIC DISCHARGE SUMMARY

• • METROPLEX HOSPITAL 2201 S. Clear Creek Road Killeen. TX 76549 (254) 526-7523 l ' ~ I l-.J ; ~ ! ;__

,_I l' ·• •• I ' '

l s 1 \) : i.>.~,

Severe - problems with primary support system, peer relationship problems. f:..XIS V: GAF 50.

RECOMMENDATIONS: 1. Consider antipsychotic medication in the future if he regresses to any 't . psychosis, but at this point he does not need any medications. 2 He will be seeing Dr. Daheim on 7-6-04 for follow-up individual and family therapy ..

VJ/uw D 07/26/2004 ..,. o1 / 27 ! 2 oo,; 10:18.34 E:. T. -· . <)7/27/2001 10:18:34 E.r./uw Job ii : 163746 Doc jj: 2326622 cc: c T .. Cencral T1me I E.T. = Eastern 'rime

\'

I :~

! >

i.

i. '. ; . ; • ; . I t

'I '·. '' ~ l . !

.r,drc.lt 06/22/'2004 Patient Name: 'i MR#: 294254 Acct#: 1008534 . ' D.isCh 06/28/2004

·- SE:X: fv\ Age·. 14 Y Dictating: Vijayababu Jampala. MD Pt Type· P Attending: JAM?F1LA, VIJAYABABU, MD r<oom. i '

ORIGINAl, Page 2 of 2

PSYCHIATRIC DISCHARGE SUMMARY

MET~OPLEX aOSPITAL 2201 S. Clear Creek Road Killeen, TX 76549 (254) 526-7523

PSYCHIATRIC EVALUATION

IDENTIFYING IHFORMATION: I I

S is a 14-year-old Hispanic male in 8th grade at Liberty Hill M1ddle I. I Scheel. He lives with his mom, stepdad and 2 sisters 17 and 5. There is another 2 ~old girl in the home. 'l' HISTORY OF PRESENT ILLNESS; The patient reportedly used drugs on the night of admission inc.luding methamphetamine, resulting in auditory and visual hallucinations and parano}d delusions. He has been biting his lip and has an abrasion on his lower lip. He has had behavioral changes in the last 2 weeks and the parent blame a couple of friends. He has also been ha·ving strange body movements, talking ::o h1mself "ith animation and has been telling recent happening about his lifestyle in bits and pieces. He has also been making corrunents like, "Take my l1fe, drowsy, hypocrite,u etc., which has been getting worse. The mom is being reminded of the biological dad when she looks at him.

This admission 1"as necessitated as the patient injected methampheta•Tcine over the.weekend and became psychotic with paranoid delusions, auditory and visual hallucinations, biting his lip and saying that he was in a fight. He was hallucinating and talking to the walls and boxes. No previous behavioral

• • problems are reported. He claims he is seeing someone who has a mask and he cannot see her face.

PAST PSYCHIATRIC HISTORY: tJone.

FAMILY PSYCHIATRIC HISTORY: The mom is 7 months pregnant and feels that she cannot handle him and is scareo for che safety of herself and the unborn infant. The stepfather of 10 years works at McLane. The biological father has been in prison for murder in California. The biological dad reportedly committed the crime while he was under the influence of drugs. The patient's last saw his biological father at age 5.

DEVELOPMENT HISTORY: ! ' He is the product of a normal pregnancy and had meconium with labor 45 m1.nute long. He weight 10 pounds 8 ounces. He was slow in talking in sentences and walking and toilet training.

H'F.DICJ..L HISTORY: He is allergic to cats. He has never been hospitalized. He has seasonal asthma. No staring spells, no epilepsy, no headaches.

MENTAL STATUS EXAMINATION: He 1s casually dressed, appearing his stated age. He is sleeping and is

Admit: 06/22/2004 Patient Name: G , S DlSCh: MR#: 294254 Acct#: 1008534

• Sex: t"->1 fl.ge: l4Y Dictating: Vijayababu Jampala, MD Room: 0902 Pt Type: P Attending: JAMPALA, VI,JAYABABU, f"iO \l ORIGINAL Page l of 2 '

PSYCHIATRIC EVALUATION tch

••• ~TRO~L2~ 2201 S. Clear Creek Road killeen, TX 76549 (25<1) d1ff1cult tu awaken. He answered monosyllabically, nodding or answerino in 1 EOSPITAL

526-7523

word (h~ reportedly had Geodon and Ativan shots last night). His 3 wis~es are to be r1ch, to have a good life and for his family to have a good life. He denies current suicidal or homicidal ideation. His career plan is to be an artist. He is sad, blunted in affect, unarousable. He is oriented to place . only with poor judgement operationally, nc insight and no remorse for h.is drug :i. abuse.

DIAGNOSES: AXIS I: .1. Stimulant induced psychosis. 2. Rule out major depression. '! l i I i · 1 Dysthymia. .: 4. Oppositional defiant disorder. il AXIS II: 1.·.

None. ;:..xrs III: None. !l.X IS IV: Severe - problems with primary support system, peer relationship problems . .n.XIS V: G!l.f JO.

Severity - severe. Prognosis guarded.

RECOMMENDATIONS: l. Admit to acute inpatient treatment with close observations, structured milieu behavioral management, individual, family, grcup and acrlvity therapy and specialized educational services. 2. Will not start any medications at this point. Although Geodon was ordered, will discontinued at this point to watch his baseline behaviors and need for an~ipsychotic medication. I believe this lS a st1mula~t use psychosis if there is no previous history of psychosis. 3. Drug educa~ion, and referral to outpatient rehab services will be made.

IJJ/L;w D: 06/22/2004 T: 15:04:13 s. r. 06/22/2004 E: 06/22/2004 15:04:13 E. T./ uw Job 4 : 152028 Doc #: 2165402 cc: c 'r ; Central TlnH? I £. T. = Eas~ern T1me

i:q 'I !, ~ :

P.dJr.l t-;-- 0 6 /2 2 / 2 0 0 4 Pat i e nt_N_a_r,{e;- ·-G-,;-.- [i Disch: 1008534 'I 'i

·-· Se~;: i"i Age: l4Y Di.ctati!lg: Vij~yababu Jampala, MD Room: 0902 Pt Type: P Att'O!nd.ing: ,.JP~'1PALI:\, IJIJAYABABU, !"lD

ORIGINAL Page 2 of 2

PSYCHIAl'RIC ZVA.l,UATION

• ·---·· METROPLEX HOSPITAL 2201 S. Clear Creek Road Killeen, TX 76549 (254) 526-7523 CONF\ OENTIAL, ·

PSYCHOLOGICAL EVALUATION

DOB: 2-21-90 age 14 DATE OF EVALUATION: 6-25-04

REASON FOR REFERRAL: ..' :tephen. is.referred for psychological evaluation by Dr. Jampala, as part of n1s adm1ss1on to Metroplex Pavilion. The request is for assistance with differential diagnosis, personality dynamics, and treatment planning.

ASSESSMENT TECHNIQUES: Diagnostic Interview Review of Hospital Records Test of Non-Verbal Intelligence (TONI 2) W1de Range Achievement Test (WRAT-3) House-Tree-Person (Projective Drawings) Bender Gestalt Projective Drawings Rorschach Inkblot Test

BACKGROUND INFORMATION: S says he was admitted to the hospital because ~r did drugs and I was

• halluclnating," adding that he did "the shot kind" of drug, unable to recall the name, and that his only prior drug use was "the pipe kind." for a detailed history, the reader is referred to the psychiatric evaluation done by Dr. Jampala, as well as the psychosocial evaluation.

ASSESSMENT RESULTS: presents as passive, cooperative, somewhat lethargic and slow. \ Efforts at drawing are detailed and careful, and her participates without incident. He sc6res at third grade level in both Reading and Spelling, and at I' 1: fourth grade level in Math, with probable significant deficits in all three I(. areas chat would require remedial intervention. Standard scores are 71, 76, I and 75, respectively. I. I

His Bender suggests conflict and tension in his relationships with both parents and in his role in his interpersonal world, where he appears to feel \ :solated, and there also appear to be ego-integrity problems in hi~ relationship with his mother. Overall inner tension is suggested by the pressure exerted in his drawings. His very artistic drawings suggest and active (out of control?) fantasy life, a possible traumatic event early in h1s childhood, and a sense of alienation within the family constellation. with unresolved oral dependency needs.

His Rorschach indicates that S n readily distorts reality, with no apparent concern for the incongruous nature of some of her percepts and fluid boundaries, making it difficult for him to interpret events accurately. Self- concept is distorted, as is his view of others, and his passive behavioral sL~le makes h1m vulnerable to being used or manipulated by others He has

Adm.i t: 06/22/2004 Patient Name: G , S Disch 06/28/2004 MR#: 294254 Acct#: 1008534

• SeX · ~~ Age: J.1Y Dictating: EUGENE C. WATERS, Ph.D. Room: Pt Type: P Attending: J~~PALA, VIJAYABABU, MD \= •'I Page 1 of 2

\c:A ORIGINAL

PSYCHOLOGICAL EVALUATION

• • METROPLEX HOSPITAL 2201s. Clear Creek Road Killeen, TX 76549 (254) 526-7523

withdrawn from age-appropriate competitiveness, with lowered aspirational level, probably due to his lowered self-esteem, and lack of self-confidence, and he keeps others at a safe and superficial distance in order to avoid compromise, not expecting to have positive interactions. Oral dependency needs are unresolved, and he easily feels challenged, due to his fragile sense of integrity. One metamorphosis response suggests that personality is organized a.t a borderline level, and he appears to be extremely ambivalent, unable to clear define his boundaries.

DIAGNOSTIC IMPRESSION:

AXIS I: Psychotic disorder, not otherwise specified. AXIS II: Borderline personality traits. AXIS III: Deferred to physician.

RECOMMENDATIONS: An i!ntipsychotic medication appearsappropriate, and psychot:he~apy may have co explore family dynamics as part of intervention as well as selt-esteem and self-concepts issues.

EW/uw D: 07/2·6/2004 EUGENE C. WATERS, Clinical Psychology Ph D. I T: 07/26/2004 15:24:49 E.T. E: 07/26/2004 15:24:49 E.T./UW Job#. 163734 Doc #: 2323163 \ CC: l· c. T Central Time I E. T. ~ Eastern Time I'. i i.

i; Admit: 06/22/2004 Patient Name: G , S ) I I i 06/28/2004 MR#: 294254 Acct#: 1008534 i. Disch· ;: Age: 14Y Dictating: EUGENE C. WATERS, Ph.D. Sex· M Attending: JAMPALA, VIJAYABABU, MD

ub Room: Pt Type: P Page 2 of 2 ORIGINAIJ PSYCHOLOGICAL EVALUATION

.~tie!roplex Pavilion Integrated Progress Notes 1 4 000294254 --~.-----------------------------------------GA S DATF~frlME OF ENTRY- DOCUMENT EACH SHIFT TO !NCLLJDE JAMPALA, VIJAYABABU, fv!D : AllsJgns/symptorns,tnterventions,evaluation · 902A 6/22/04 014Y p 2/21/90

FROGRESS RECORD MH 5193 :>J2065

tJfett[op!ex Pavilion Integrated Progress Notes M H D 0002942~~~ - I I VIJAYABJl..Btl, :p; DATE/TlivlE OF ENTRY- DOCUMENT EACH SHIFT TO lNCLUDE JAM p ALA I I 04 I] 14 y " \All signs/symptoms, interventions, evaluation 902A 6/ 22 2/21/9~

ROGRE RECORO MH 51'33 102065

' ;

. -~•

• JAMPALA, VIJAYABABU,' MD 902A 6/22/04 Ol4Y p 2/2J/9c PSYCHOSOCIAL ASSESSMENT

I. ill ENTIFYlNG Ii'l.FORMA TION

NAJVIE. DOB and AGE:

DATE~~ASESSMENT: FTHN1C: 6 :!1. of I ~~()I) / (I , ill 'IA'J,~. J:NFO M; TS: I ~ ).{~VL.d e-;z.., 37, ADDRESS: .c:/ 4 /o l~ 7£-?~\ ! 1')~- _,Vt_ o - \. . ; --- n.. SPECIFIC REASONS FOR ADMISSION (Include referral source)

What precipitated the admission to the Pav~lio~? C?~" ""7\7- ·~ 1 • a C/ .~o n ~ r-'~-~~~ ~ .~-1~ JJJ~ -:;;r~- 'f/,Nt Cf:i·~ L 1 · \- thl ~c>~ .~ .!L.u rt-vJJ (rvJ---- ~ :'/ (f"t--<. ~~ . ·- I~~ -.J!-:7~, J . U "v• ~ U ~

Who brought the pt in? Voluntary or Involuntary?

• • A!V Hallucinations? Content ofhallucin?tions? Any command A.HI VH? ~J.Ju~\; p~~ -- SJ!HJ? Any plans, intent, past gestures and dates? Any access to weapons? \ \

\ \I· I

History of Present Illness? When was the onset of symptoms?

• i\ ny previous treatment?

i\

,,~

1008534 fv] !-. ) 0002~tll254 G , S

•• JAMPALA 1 VIJAYABABU, MD ill. SOCIAL HISTORY 902A 6/22/04 Ol4;Y i P 2/21/90 A BIRTH AND CillLDHOOD DEVJ?LDPI\ }IT: Was pt fu\l term? / ORg~? ~aginal d liver: or C-~ec~on?

Was C-Section planned oremergVncy?r- ftcJf.A-.<.J OJ...)'._M(.,~ ;;:~ __

Any complications during pregnancy, delivery · or~~ "- r 1 ut.-~}·, -· ~ 1

. . Any ETOH or drug use by mom during p~anc~ I ~~-?~ ~/--f ·! /~~~; --e ~~ . . !YJ]l ~~1$0 ._...,Developmental mde~t~ne~ Vv'NL? An;; developmental delaysJ.ln what areas?, r1 (\- - !J. ·1 : l~u;< !t Q;_,.~~~ wtt~ ~ [).._~ ? VVL I'LJ - .:)~<..-~ t-'../A.. vc~tf '\..~ :1~ ~~~;!_~ Any significant health problems or surgeries or hospitalliatlons as-a chjld? Age? I o---JMJ:t -~ \-~) "\.)J' '·J A 1 Vi · c)'~ :/~ Any head injuries? LOC? How long? Age?

k&\o ·1 :~·;";f - c\11V _J Where was pt bam? Multiple moves? J ·~ 3 lVI - --C J.-6 -- @>:-- J..Lu XJ_r; !J ~ F""-. ~ )_,'--<_;~/~ --. I ·If -o (~~";~t,JJ-'~ -0 \;7 ~ "- t<- ~"-- l~ ~~~. ~- Fv' -;:;· i- 1 t:;, I );

. ~\.v-v'~~ 'f'A''-' B EDUCATION JO '-l/1 ~~'-L -~ t~~-z_. .~ / F ( '· : ('·Ct., : r- -

-}~ What grade is pt in?

resa rce, cont;<,nt ~a~ery)~ (i.p;;j. What type of classes? Name of school?

Asy ber special ed. Servt~, -t4-4~--..., I !

)IJ~J fv~ ~ .. ~~v tfl- ,M-;~ ~Vl~ P \(, ru~· n . dF . Wl--(.v? .$lbilities. l · Is English the \ . language? . ~ ~~ ,. ~Jo 4 Was the t ever retained or advanced a grade? When? A ~-' LA.-_,4 U/J:p,U: · . b - FcrJ.-W '7 1~ ~)..:.£!) :;;tl.J- '71. I ./1-<

Any beh 10ral difficulties in c ass? Detentions? Suspensions? Expulsions? L--0t--1-Z-~ vp-.~ For what reasons? I !: J•,

~7-h / . I! i', I

C F M;DL y CON~TELLATl_Ot~t~-RELATIONSHIP~(Include dis~ipline):/(~ill+""c-J~: !VV<Jtl""~ 17 lfL~ ·\J.V') -t~Cr- 41DnM~ItvLt!. ){t' ~eJ pe 2 ,-£ . AO' i. Who lives in the cuil-ent ho~sehold? (first antf~;;;es, ages, relauoostip) ' 7!!J:.r A+~, Siblings (half, full or step)?~-T1, -f/c,u")} Lo /l \ 1--1. 'e_ -/7'f! /J: ~.A.~ A..?..._J~\-V /~j, tJ . ? A'~~~ JL.t ~C. ~e_ l~ J-.(Jr;r_· -.2 ~ ~ .~va /([.,1 ) j·( :; ; 1 ~.3par1tJ'!en ira1 1er. ):; ('' ~ ~4~ , \ 1-.A-11 >11XJ-j~ ~ ---A'Lo fr.e~- i[)~,M.... d'-~1-- . --+~~ P!. -~- •• ~_) l . 'd ?.]_ -v_..v..,.r- Fl/' ~. tJo . Any ot'her siblin7;:1iving ou~e home?l{:names and a~es and where they,hvg?), ·Ll. . =~..r.o-'-- ' 0-- ~\.J\&L r- . 5t.YJ A ' it- tA_.L. ~ .v'--~-: I cr~

. . . . /V'-f'. Any b1o-parent hvmg oulslde the home. wliere - 1' ~ ~ LAA..~ b ""{) ., ' - ..v-v--< .· 1 , I •

P • 1

~i-~ o G-u-P e:...\__ 0--. . - l':h .f?~.n-, /r~~l () r r:-~ 1 -·t--&w\~1 -t\Y" 10 -- Does the pt h~ any contact w1th that parent?/ How frequentlf/ C(;_.tJ.-rV>Yf -~ :: . 1 "\ f!·--rr; 'h J A ;, -1I t\ ~"v~ XLXJ-Nvt ;;- 'Q&-vd.__ r--0-V~ ; I \ --

'·~ @t ~.tv~\_ Pc.~..- ~, (j}) (1J-~ ·l o- 9 J. ;\..~I· 1\).."r'"k..(!.·~\..(,.J- fl . f::~L CA.. ....:._ . ;...., ~ W...- ~-- J ~ ttGlt ~7 I ~ ").>I/·~ ~ (t__ (! . . vii vrv-- I"-"'· ~j·" •• , ~ fh IML< · ' L· 4N .' ·

' .)

• • Describe pL's relationship with absent parent?

Describe pt's relationship with household members/ 1008534

JAMDl'l u ~~"·LA, 902A M

VIJAYAB H

. .c.. 6/22/04 ABU, 00029'12541

Ol4Y 2/21/90 fvJD pi : ~ Who is primary disciplinarian?

W,hat form of discipline is used?

Is disciplining effective?

D. MARITAL: . ; :I

A;\, ·~u'"'---' 1 How many times have parents been married? Common Jaw or legal? r? ~ u + l=-?=, ;( V\..1. ~h" , %. Yt-ftV' . -~ ·.I -0/~r Give names of spouses and approximate dates of each marriage) union? L-£9_;.~ ( :, I

~ Fyt (;hW Any children from these reiationships? 1 i 1;_t~f Brief1y describe each relationship. Any physical abuse? T;;-Jw-p F··-- <J(.f;_'--'-"-'-..__,__) :: /'Jv, ~ ~ \v"V-'"""'-~: ~1 0 o--t-tL \_; G.._~._.__,_ i; /".t; ..J,L---v-J rz,.._ ls (Are) parent(s) currently marri~d, Jiving with or dating anyone? i\,:.

• • ·( .!/..,j ~ "'' ft9/:...r-L-- :;;J-t.t.t:;~ . li. {· ----Ji &'( traength oftJme? · 1: ·N' ' Pl!i."v~ < L . . . ~ ;.._ (,.r I { : ' j v, _,:_.l._x::e; j

~·1 (I w"'"L<.. ,, J ·. i'E WORKJFlNANCli\L (Include military history): \ ·

'£~ (I ~-J),i;;vv~ 1/);V"'-' Where are parents working? (Include bio and ~e~pwent~. How lon9?.J __.. . . .-, ·f~" . _I? " \ )~~. vt·'IL-t f ·{b v 1 AA-t) .-- t.,v~l vJ- CoY-AY v...-U 0 CLM--v\. ~(' ~ ! ·r.)>VV.lio~ ~Describe job. ~~ ~-- ~ :?tJih 6 5_J? k /L-1~vv1+-~ ·+ · (>1. t Y [18.Q r , _ p~ ~ w~ :v /JJ.<-r?L __ Any past work or military history? Length of time~ -- C:J u 1':..~t~f- .

p \ J"3 J::.:-: 1

/.~ c~ij!Pff \. / Any other source ofincome7 (SSJ/SSD, child support, housing, food stamps, TANF, '\' etc) How much? \,. Does anyone else contrio.ute to the household? l \

What type of insurance does pt have?

Any financial stressors? () /'<.._ Does family have access to transportation?

. --.., 1008534 M H P00294.254 . .

• JAMPALA, VIJAYABABU 'MD 902A 6/22/04 Ol4Y. D F. SPIRITUAL/RELIGION: 2/21/9\0 ;

Does pt or family have any religimJS at1iliation? Current belief system? What church do they attend? C\~\.it- tfn.--c} : \9 r~., ~ ls pt involved in any church activities? ~~"'0 ~ Q~' ~ 7--t-rr · Dpes pt enjoy attending church:Z ~\ l') t· i

Was pt baptized? Does pt or family consider spiritual beliefs a large part of their life? " '\{\._i) - G. PHYSICAL/SEXUAL ABUSE:

Is there any hx of physical or sexual abuse with pt or family member? When, Where, What, Who~ and by whom?

Age of abuse? Age of perpetrator, if known? ~

Was·a report made? To Whom?

• Is CPS currently involved with family? CPS worker's name and#? ~'0 Age pt achieved menarche? Any difficulties?

ls pt currently SeX11ally active qr has hx of being sexually active? ~ Sexual orientation?

Sexual preference?

Any hx of S11)?

.tv-Jy pregnancies?

Does pt us~ birth control? ·Type?

H. SOCIAL R.ELATlONSHJPS:

Does pt have any friends? Any best friends?

Is pt nble to make friends and maintain long term relationships?

• Does pt socialize more with males or females? ; ''

''"

!! ' ' I I • 5 I ! Is pt able to share? i: I t i Who does pt consider a support system? I [: What does pt do for fun? !I~ -b- 0 (rJ'-Lv~ . I~ I ' I:J [ Cf[) "?+- ~~ ~LJ_._ \' Any involvement in _extracurrictdt!f activitje&' o other leisure activittt=s?, . 7 l. ' t~- b~~ t~ b~A.- (?~ aU_~ L.r~/'-''J L 1

~ ;;;.__Jfj ~!.en..-._ l I i

'\LCOHOUDRUGH!STORY /-:~ C{;;{. 0"{ --; fc~~ ~~ Does pt drink or use drugs? What kind? Frequency? J r~. I: How rnuch? /vvk~ '('g ~-'--! " ! ' f ---- I' When did pt start using? .;< _~~ -...() 1 I. I Does pt feel he/she has a problem with drugs!ETOH? 1: 1:

How ·much does pt spend on drugs or ETOH? 1 t

• Has pt ever been to rehab? Where? When? How long? Was it successful? (/\;~

Does pt attend any support groups?

Any legal problems due to drugs/alcohol?

Any fami~ hx of abuse? (Give details) n!"'i. /) ~/\)-' 01'~ , ~; ?r~ / J. LEGA.L: VI~., Has pt ever been arrested? Why, When, Where, How long, Whar reason?

rs pt currently on probation or parole? Why?

Any charges or warrants filed against them? Why?

Any other Jeg~l issues? (custody, divorce, restraining orders, DWI'S, etc)

• • Any family history oflegal involvement? Who, Why, When ... ?
• • 1V. PERTINENT MEDICAIJPSYC.EIIA TRJC HISTORY

Has the pt ever been hospitalized before for any psychiatric problems? Where'/ When? Why? (Include diagnoses and meds, if known)

I I

Any P.ast suicide attempts or gestures? (Include elates and nature of attempt) \ \

Js pt on any meds for a medical copdition?

v.

Appearance

Eye Contact. ,r} ns-1 i I

t.\--~~~\' ; I ' i'v1ood

AJTect GiY~r Thought Process: v\v"-- Speech: \.>.~v"' - What is pt 's/family's expectation ffom treatment?

• I' iI i I ! ' ~ \ ~ \

nt

• VJ. DIAGNOSTIC SOCIAL ASSESSMENT SUlV11VlA.RY

STRENGTHS ~ c~do64? 4~ A

_ B WEAKNESSES:

C GOALS

VIT. DIAGNOSTIC SUMMARY

Summary ofwhy patient is admitted. Diagnoses ' !:

• • What are the patient's current needs?

Assessment of the case. .

:I ''

' Goals oftreatment. ''

'. :~ . ! 'vllJ. SOCIAL DISCHARGE PLAN • j

I Where will pt be discharged to? I

I .1\fiercare arrangements? j j '

Any identified services needed? •

• • ~TRO~~ ijQSP!T~ 2201 S. Clear Creek Road Killeen, TX 76549 (254) 526-7523

HISTORY AND l?HYSICA.L CHIEF COMl?LAI'i~'l': Adm1ss10n to Metroplex Pavilion

HISTORY OF PRESENT ILLNESS: The patlent's mother has been reporting changes in his behavior for abcut 2 weeks now. He got in with a group of kids that were doing drugs. The mother d1d not know that he had been smoking marijuana for probably over 2 years H.:s fc.ther is in prison for murder in California. The pat1ent ,.,as 5 years old the last tlQe he saw his father. He has been talking to h1mself and hav1ng hallucinations according to the mother. Over the weekend, he was apparently Wlth some friends and they did marijuana and crystal meth. He chewed on his lower lip during this time under the influence.

PAST MEDICAJ~ HISTORY: He was delivered normally after a normal pregnancy. Birth weight was 10 ~ pcunds. There is no history of birth injuries or breathing difficulties. He had ~o problems while in the Nursery or Eor the first month of life. There 1s r,o h~story of him being hospitalized previously, and tller.e have been no chronlc illnesses, except for seasonal allergies .

• • .ALL-ERGIES: No ~nowr.

lJI1MUN'IZATIONS: medical allergies according to the chart. He is allergic to cats"

Seated tc ae up to date.

FAMILY lUSl'ORY: I ,. There> is a family history of asthma and school dysfunction.

REVIEW OF SYSTEMS: I·iegatlve.

PHYSICAL

GEN7.RAL: He lS a tall, thin boy. He climbed on the table and 1mrned1ately laid down. He could not open his eyes well fer the exam. His eyes were Pl'<r>::nnt •.·1hen I finally could look at them. He was very wobbly 1n h1s ga1t · I ; ' ~le ~pparently got some Ativan and Vistaril last niaht because of the reactlon .: i :! cc ~he crystal meth injection and he is still unde; the influence of that at ; I i : r~ 1 s t } :r~e . vi'l'A.L 5IGI'!S: r~oced and are ·wiU)in normal l:units. HEENT: Nose, mouth, pharynx, eyes, and ears are normal. His lower llp on che r1ght side has been chewed considerably ins1de and out. It does not lo0!<. :ir:f;;cted. It is sw·ollen, and there are abrasions. r<E.C:K: Supple and normal. CHJ!:ST: Normal.

Adm.ir_: 06/22/2004 Patient Name: S

• Dlsch: MR~: 294254 Acct#: 1008534 Sex: MAge: _lqy Dictatlng: : Pamela Hornbeck, APNP Room: 0902 Pc Type: P Attending: ; JAMPALA, VIJAYABABU, MD

ORIGINAL !?age 1 of 2

HISTORY .l\ND PHYSICAl-

• • B~ART; ~~TROPLEX ~OSPITAL 2201 S. Clea~ Creek Road Killeen, TX 76549 (2541 526-7523

Sl and 52 are normal. Regular rate and rhythm. No murmur. LU"NGS: Clear to auscultation. P.BDCMEN: Soft. No hepatosplenomegaly. Nontender. rJo masses. EXTREMITIES: Withi~ ~ormal limits. BAC1<: Within normal limits. SKIN: Within normal limits. NEUROLOGICAL: At this time, he is under the influence of Ativan and Vistac~J from what the nurse told me. His examination was within normal limits, e~cept for the fact that he kept falling asleep and could not stand up stra1ght, Just from the drug effect.

ADMITTING DIAGNOSIS: l. OYS'THMIA, OI?I?OSITIONAL DE:FIANT DISORDER, RULE OUT MAJOR DEPRESSION. 2. NORMAL NEUROLOGICAL EXAM. 3. NORt'-1.1\L PHYSICAL EXAM.

PLAN: Psychiatric evaluation and treatment as per the Psychiatric Team at Metroplex Pavilion. 2 Cleared medically for admission to the Pavilion. 3. Normal neurological exam, with the exception mentions. neurological consultation is wdrranted unless indicated -ourse

• and/or information . -ccP_a_m_e+-lbL·-.!~~--,--.,p::-::-,p:-:N-::o-? - - - ·----

For Omar PH/so D: C6/22/2004 T: C6/22/2004 16:06:30 £.T. E: 06/22/2004 16:06:30 E.T./sb Job#: 152051 Doc #: 2165836 sc; C 1 ~Central T~me I E.T. ; Eastern Time

•i ·I

Admit· 06/22/2004 Patient Name: G S Discil: MRI'i: 294254 AcctU: 1008534 Sex: 1'1 Age: 14Y Dictating: Pamela Hornbeck, APNP ., Room: 0902 Pt Type: P Attending: JAMPALA, VIJAYABABU, MD :·

CRXGINAL Page 2 of 2

HISTORY AND PHYSICAL

• • i r.rl1'1 t

i-~------- ! I 110 (________ ~~ l'

rr1:1ge I 1 ; 1 ~~~ - j '\

i•Jecirc <~Hnn/<.

nc.lS.'it"SSrnr!il

11 , Tt:llC - "'P o

! Nurs,ny Note5 (Include lrme, notes, lnltiai/SignJture) Bl3 C-Collar

1'111>~.-- RR --

1• 1e,np

j 1' PO f!,,J;

--- _ T1n1e _ _ _ _ BP --- Puis~ T1rne _ _ _ BP ____ ?ulse--=-_ -A"Vl /1 .J-.1 _ . , , !.. I , JJ-- Ri< T•~rn;:, - - - · , K~--=.:-- T~mv =~-~'"--~------·-\ ,. · •

i r--"-------·-----------~~FaC'-~ 1 :L.---: 1

1. ..-·,'-------- ·------ -,-. I -:~---- ; --, I I- -----~-~- . -----:. -.

NOTICE: TO ALL PATIENTS OR PATIENT REPRESENTATIV( : i (' piJ.~·s,c;,,;n,s on duty in th1s Emergency Room. Th~t physician is nor nn employee or agent ofMetroplex HospJt;JI Yo11 ,n,,_,jral]"· '' w be seen b;· vour tam i ly phys 1c i2n or you may choose 10 be seen by the physician on duty in the Emergency R CIC•,r. ! . . AVISO A NUESTROS I'ACI£NTES r

i 1-:~: un 111ed•co de lurno aqui en esta sale de emergcncia. Ese medico noes empleado ni ag,ente del J\.letroole-... f-losp,i:li Uol~~:~""'k p~d'r C]lle s•J tne<lico personal tu atiencta a usted aqui ousted puede vera/medico de turno. ' ·

• • ll~.t.:'H: No ~bnorm<lilries no1ed Font;Jnt>l: Bulging \lp·IS Forn1 J80 IOIQ2 Rn ~/OJ #900380 poor Visual acuity w/o correcti"~ lens. R Visual 11Cllity wtco,.ertive kns: R

,~

: \LETRCH c..X HEALTH SY~ A~M \_ 'f i E\lf-RGENCY DEPARTJVfFNT 0002~42tl4 1008534 1 j PHYS!ClANORDEHS \ G ~ 1 1 2 1 1 9a f"l 1 4---.UL.. _ _ _ _ I -\LL--"-r--J{-G-.1-E_S_:- . - 1 · 1 ;-0 4 '] \_ _. ~·-r-~---::--------------------------------,---,----=----.--7:-C..----- ~ursc S1~t\:1tu1-i,: I i)-ITE 1 Tll\tE ORDERS '--~.+- I LA BSffEST: I Onlcrcd 13y/ , ;v!OSignarure ~.• •. I 1

0 ABG 0 Accucheck 0 Amylase ' ', ! I 0 BS 0 Blood Alcohol Level 0 B -::~1et 0 C - Met i i I 0 CBC 0 CPK 0 CKMB 0 Tropon.in 0 Carboxy Hgb 1 i · 0 Cultures/Sensitivity: 0 Blood X O'i:'urine 0 Throat 0 Wmmd I Acetar~inoph·~'o I I 0 Dn.Jg Level D ASA 0 o~nobarb D Valproic Acid/ Ocpakote 0 Otht-TS Digoxin 0 DiiMtin J

I I 0~ i DPT/PTT ·~:

0 SHCG: 0 Qu,'ll1t CM) 0 Quali 0 Sed Rate 1 0 STD Work-up: 0 GC 0 Wet Prep 0 Chlamydia 0 Cervical CIS 1. 0 T3 T4 0 TSH ~ _ s~~~ ::::::,Ulll[S D Type and Screen /£;z_ \~~ ~Drug Scree0 1

l-\A.DlOLOCY/IMAGfNG: ,,! I 0 CXR Po11 2V 0 AAS 0 C Spine: Xll_/ LTD 0 KUB ! ' i' l. J DXRay(State): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ I 0 Skull L TO ', \ j !0 CT- Head w/ contrast I wfo contrast 0 Al3D ,

0 Others: --------------- -------~==:=====;============-!----·--+~---- 1 [ , 1

~ ;,;_~ ,-r--r- [ : 0 U!S. I • ! ! 0 "trdwo mm!to' 0 "'''" Ox!mdty 0 B'" hogget

4 71lJ if~ f ,1~- ·JZcJ ?1--!bJ /~~ . I ---+--'--'--------------------·--------t-~---------1-------- ~--~' ~----'----=-c--:L___------:--:----------~-----------t---:::0:-r-;-tlc._r.c~u-B_y_l-1-=Ti-n--,c--,(:iven By, 1j ( ·'-'letlicaL1uns fl V Order-s/ Addilional Onlers ,_ Si'noIlature Given : :J 1 10 r---T----,-----------------t~IY~·~;;·~~~~---.j

~---+~t-------------+----1-:-~~, l--"~: ---+i!_________.____~----t----~-~r------r-~1 ------------r-----·-1- "l

~--=~-~~·t~---~--~-~:!~~---~--~---~~------~~--=-=-=-=--=--===-=-===·--------------------t-------~tb-~--.~~ 1 -- :·.- I ~-r~·--~------------------------ --------------~-----~-s··~0~~~·~-s~-·~~P·~~~t-----~:: I.---·r--------~-------------------~- - ,~ . .-:'<; ~· ~ rY"'?c ~-'""' : v•Y ,lf2_'<:'- -'\\<)-;- v•- r\;(; "'0' j _i · --:j

1~-~·-1+-1.· -+-----~--------- - )-~~~.~&\ hr==-1.~. cV' ll /. // 't'/ v ~ ;!I . Disrk•rge Onlers i--- i P<Jtient Disposition- Discharge--A-clr_n_it·--=.=-rr_ilJ_lS--;:-fer / ' I {_n· erR:, ·_ ~! it' To: Home OR JCU L&D sos lnpt. Unit: RJn ~~--~ j l Receiving Facility: - - - - - - - - - - - ~ 1

L __L_ I ___L ' \Ill~ Nursing Home. ---------·--- Other: -~--- ------~---- h>r•n '5'! 11\:02 Rn 2103 ===========---_1_____ . __ (/;" .f/ ?--.

L ~ ·j ,!\~ ~;..J

C. /1.~-'~g Information.

:; er~--------------------------~----~

\·; : !' I ------------------------------------------------------------1 l: 1-----------------------------------------------------------------------~!i~ I: ''

\' !

:F Anticipated Problems (optional).

.!

• • I Cq>mpleted By:

' ·---·Date:

'·

• ~ • ..::::!1• ~ :=o:s :5\L_ _

METROPLEX HE}\LTH SYSTEM 1008534 M H D 00029~254 G , S !

f'Jurs1119 :AdmiSSIOil Summary Jru~PALA, VIJAYA8ABU, MD 902A 6/22/04 014\~ P 2 /21:y9o AOORESStlJbr:Ac'H ~~11EDI ~ AL ISSUES SUMMARY

1::-o:noieted by

... '\ \ ,, I I ' I

METROPLEX PAVILION MENTAL HEALTH NURSING ASSESSMENT .!!,, jl t: ') . .-_-__:cf.....-=-=-..:...{_-__:/'--U---~~i! l~ Patteni Name G :\ : Last I First Mtdd!e

Sex: G F Race: II -rf Marital Status: S M 0 W (wcle onE]~ I

T~pe of Admiss1on i ·V Voluntary Involuntary

P~nding Legal Charges·~es _ __ J; '

c~ te of Ad missto n: --~--->...:[d-'---J.-......:_0_'-\-'--- Time: CD fS: ___::c___ _ _ _ a.m. p.m.

1 • }\': mvrf\J A~companted b y: ----=~~__;:____;__.:...;,_ _ _ _ _ _ __ Relationship to P a t i e n t : - - - - - - - - - - + - - ~-1

• • l'·- J,~(fu-~ ~I {, - •• I\

~-) . ~~I i 11~ ::& • . ·-# 4 @of; ~~ .

I~-- ;current Medications Dosage - · Route Times Classification ,., I L_ i (tnclude OTC ,::

~-~----~----+------t-------r----·------~---11 L Pi ..:..___ _ _ _ ~-------1------f------+---------r:r-----~ [~~~-;:~-M~~r4...::::__j_~~h.....J!ill+fli=h=-~~~~~~~~==--r------·- \; J~ ·!

--L-------J----U-l.L__:::.__+Y------r--~--:-----~----:r-1I

__ 11

= : ==~ J _________L _______L __ _~~-------~~ ;!

None

10 ~ 8534 M H D 000294254 SF- ~~a~-~.... ~~ G I

JAI'~?ALJI., VIJAYABABU, MD il 902 A 6/22/04 014Y 2/21/90 P _ -<"1--{- \ !6(){.._ S )!

• • ~ ~-~'6_/ il ~-~~~~~ '

~~~ f -· ~- ~- k -t J ~cl-'V'O_') ·~~ . , ;~ /,,),...). ._,1; MPr~''e'' 1/03 f.i..._ _ I '.,. \\, f\ t 1 ,_.ju" \X~~r() i;l_ rllt,lr" _ fl;,,._r;" lrl'l<"'' ~ - 'I'/" -4 -,- --·

,, ·' i I I j c\sJ~r-r--1~ REVIEW OF SYSTEMS ,.I ', __,_Glasses ____ Contacts • - VISION: _____ Pupils _ _ _ Biumng ------Cataracts ----Glaucoma ~---OipiopJa _ _ _Eye Surgery ( W h e n ) - - - - - - - - - - ______ WN L Comments -------- SREECH: _ _ _ Speech Impairment ___ Slurring ____Difficulty Expressing _ _ _ language Barr er _ _iPressured I ___ V_WNL Comments \

HE;ARING: _____ Pain _ _ _ Limited --~-Right Left _ _ _Tmnitus -~--Discharge. ----;/i- Hearing Aid _ _ _ Ear Infections · Tubes i ~WNL Comments ---- !

RqSPIRATORY: _._ _ Pain _ _ _ Dyspnea _ _ Cough Sputum/Color Sinusitis _ Epistaxis Apnea Frequent Colds Shortness of Breath -~L_Smoking Type Amount __i_}Asthma Breath Sounds (Describe) ----------,-- __V_WN L Comments s~-.6-.I;~:C:tr--0. ~ ~~ LV~:li CARDIAC _ _ _ Chest Pain Hypertension _ _ _ Hypotension _ _ _ Congenital Heart Disease \ iAND _ _ _ Pacemaker (Date)____ ~_ _ Heart Disease CIRCULATORY: _ _ _ Surgeries (Date & What) ----...--.,-----,--:-----.~-------+1 -·_ _ Heart Attack (Date) _ _ _ Numbness (Location)_____ - - - ~dema (Location & Measure) - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - i '' - - +- 'r-- _Y_'Wi\NL Comments_____ !: ·.' ~--Bowel Sounds !l • G~STRO­ ____ Nausea Vomiting Last BM INTESTINAL: _____ Laxative Usage . ConstipatiOn _____ Diarrhea ____ABO (Soft I Hard I 01stend~pl ___ ford ~--Hemorrhoids Eating Disorders f '. ___ V_WWNL Comments _______________________________--frr~ '' URINARY: _ _ _ Incontinence ~--Stress Incontinence ----,--Burning Color ___ Odor;.\ ________fo{equency _ _ _Nocturia Hematuria F,.-a-n-:-k--=p=-a7i n History UTI's --- --- .\ ! \ V_WNL Comments-------------------

NtUROLOGICAL: _ _ _ Seizures _ _ _ Paralysis ____ Paresthesia - - - Weakness Loss of Consciousness (Explain)----------=--------

-=-___ ---Headaches Dizziness Tremors Stroke Surgery ____ Head lnrury Neurological Testing YES I NO When/Where? --~~-------------- - - - WN L Comments:.__________ ______ ____,____ ,

PAIN: Primary Site,...,.,--,--::--- How Long? - - · Relieved by OTC/Prescribed Meds Vv'haUHow Often Taken? __________________________ _;__;--

Pain Scale ix' LOW 2 3 4 5 6 7 8 9 10 EXTREME Comment~-------------------------------------------~~ F~NCTIONAL _ _ _ Limited ROM/ADL's Explain _______________________ SCREEN: Contractures (Locallon) _ _ _ RednessiSwelllng ---Bone/Joint Problems _____ Faits/Or History ,____ ProstheSIS ____ Galt - - -Ass1SI1Ve Device Type ____ ~ewly Identified CVA_o_rH_e_a_d_T-=-r-au-ma ~--__ New Weakness or ParalySIS i ___ WN L Comments I. f ~ ; ·,present, request rehab screen i.' . 1008534 f'.1 H D 000294254 , J~I~ALA, VIJAYABABU, MD ;,;f? ':J:..:.::.A 6/22/04 014 y p

.... __

REPRODUCTIVE FEMALE:

• REP~ODUCTIVE ___ Discharge .,. Lesions Infection Birth Control . ~

M.ALE: Sexual Preference Male I Female Sexually Active Yes~ _ _ _ H1story of STD's Yes I No Comments C/ -~~~k\-K ~~~-V-v-t ~ ·f NUTRITIONAL: Adult/Adolescent Screening : _ _ _ Unintentional weight loss ~ 5% of usuat body weight within the last month _ __.:Admission Diagnosis including Anorexia. Bulimia, Malabsorption. Malnutrttion (circle) Child Screening .! - ___ Unintentional weight loss : : . 5% of usual body we1ght within the last month i\ _ _ _ <1 0% percentile weight for height I, n Upon admission, if patient meets one or more of the above high-risk categories, request nutritional referral J:. _ _ _ Food Allergies (L•st).____________________________-n-

----Nutritional Referral Yes f No I'

Comments - - - - - - - - - - - - - - - - - - - - - - - - - - - · · · - - - II: I' _ _ _ Wt~L

SKIN:

_EEP: v DGA · MNA EMA Insomnia · Hypersomnia ___ Nightmares _ _ Na~~ Number of Hours of Sleep/Night Sleep Aids (Name) · -4--- Recent Changes _ _ _No Problems :. :, Comments _______________________________~------------------ :I ::! !-lOSRIT ALilA TION _____,...._.'---Hospitalizations/Surgeries (dates &reason): - - - - - - - - - - - - - - - - - ~ • I AND: -?'Q""---=-.,--,-:-:-~~--:-:-~--;-;-----.:--;-::-:-:-:-:~=-=:::-;:=::u::::.~~n~~-:----~------~ SURGERIES: -~c..._ Psychiatric Hospitalization __ If yes, did you require restrainVseclusion? Explain: - - - - - - - ; - : - -

Adult Would you like family notified about restrainUseclusion? Yes f No r J/,'f'.J- G f.f: rcR . -;: I SUBSTANCE Alcohol ____ Prescription Meds LSD __CMarijuani?' ____ Methadone ABUSE:

-------.- .-----------·-----------t-1 bate-orCas\ Ose 1 _ : . i_ History of Withdrawal Yes 1 No Describe:+ .--------M Q-~IZ~ID~'- Family History of Drug Use (Who. What?)_ ~o F , _m , . .t..BUSEINEGLECT History of Sexual Abuse I --- HiSTORY: ____ History of Physical Abuse l i _ _ _ History of Neglect 1

Describe: --------------------------===·\ ., M -: D 000294254 .<l08534 M H ~- .!. A ~ tl\0 . ~-A J;>J-'lf'r ..L' VIJAY ' 0-14Y p ' ! /2?j'04 6· 'jO)J\ - 2/21/90

' ')

MENTAL STATUS EXAM

• • ERSONAL ---~--Appropriate ---;c;,PPEARANCE: Comments ___ Well Groomed _ _ _ Older I Younger (lila! staleqiage) I

--------------------- 'lt1000 _ ____;Dysphoria Euphoria Labile -=--·lrr1table ------1. alrn _ _ _ Paranoid Appropriate 1

_ _ _.Anger (How do you handle anger. Explainj - - - - - - - - - - - - - - - - - - - - - 4 - - - - - . ' . _ Comments _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _' - - - - - - - - ! - ; _ _ _ '

PSYCHOMOTOR _ _ _ Coordinated _ _ _.Hyperactive BEHAVIOR: _ _ _ Slumped _ _ _ GrimacesfTics _ _ _E.rect Posture ___ u~litated ______ uncoordixted

Comrne11ts

AFF,ECT: ____Constricted __ v Flat _ _ _Tearful _Sad _ _ _ Angry _ _ _ Appropri~\e Comments _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ---fT~ ]:

THGUGHT _ _ _ Orientation _Time Place Perso'n Logical lllcg'd~l PROCESS: _ _ _ Circumstantial Tangential --____ Loose Associations____ Fl1ght Of Ideas it:r;~:ex ____ Delusional Ideas of Reference Paranoid l~eation _ _ _ Preoccup1ed ~Q)./:) _ _ _ Difficulty Concentrating ____ Confused ____ Grandtose Appropnate ~ Comments ' i i / I~,

HALLUCINATIONS: ~--Visual · -'Auditory _ _ _ Tactile ___ l/ _ _ _ Olfactory _ _ _ Command I' ! ' i ·. Gustatory None \ ~ Comments - - - - : i,

e i0r¥JICIDAL/ SUI:CIDAL ' I ·-·---:-- HISTORY: 2 Date of attempt--------~-----:-:-:------;-;----:::;'--::-;-::---;-;;;;::-::-;:;---- J HJstory of suicide in nuclear and/or extended family Yes 7 < No Who?--------~-,-~- Self-inflicted burns I wounds present Yes ---c:7' No If yes. wJ:ere? ___ __;_ __ 4 History of frequent accidents Yes ~-No Comment ~ / v

I 6 H1story of self-mutilation Yes No H1story of restraint usage YES I pla1n - - - - - - - ,_ _______________ PRESENT SUICIDAL POTENTIAL (Explain any checked items) .l !J ·n ·· No evidence of suicide/homicidal thought or history lo.:,l.b-vx IV (l(,.Vr·V._ . : '!J Rumination J Jt ~~ ~~+11 !LJ.J :,_j\.vrv\'2',_: - - - Current express intent . ==Other v·lolence (i.e., cruelly to animals, fire-set11ng, etc.) ~ j_ ~~~> • t i\ ~\_ (j~J\.Q D Comments __________________________________________ ~-V---- -------------'--; · ------------------- ·.I

_ _ _ Poor Long Term Intact tv1EIYIORY: Poor Short Term

~008534 M H D 000294254

.Jl'.~PALA, VIJAYABABU, ~D 902A 6/22/04 Ol~{ p - 2/21/90

• • ~ i I

·i

..., \ !

PSYCHOSOCIAL OAT A

' PRENATAL Birilt Trauma Complications During Pregnancy AND; Developmental Delay. _ _ _ Motor Speech _ _ _ Other CHIL'oHOOD Learning Disability , DEVELOPMENT: lmmun~~nStatus--~---~~~·~:~-~~~~=-~--~-~-----~-===;~- Chilqh~a Illness ~ ---~l/- ·wNL C~om~m-e-nt-s~--~~~~~---------------------------------

EDU~ATIONAL Primary Language -----"=""'-\.1'----=~~~- ---~Limited Education Background :li1 NEE8S: ___ Reading or Writing Problems -~-Speech I Language Barrier ;I11 _ _ --MOtivated Learner Special Education !! ___ !:2WNL Comrnenls ____________~---~~---~~--------~-+···-··---

RECENT LOSSES: ~~--Health _____ Job _ _ _ Disruption in Lifestyle _ _ _ D1vorce Other: _ _ _ Death of Loved One ~ p~ l; , Comments pc. ·~~~/ -_-~-_jj ~ HOBBIES & '. ';

LEISURE ·---~-----------------------·--------+-C...- .<\C~IVITIES: 1' ------ri PATIENT'S IDENTIFIED STRENGTHS:

PATIENT'S GO~LS OF ------~~-tJ~· . --------~-J-~-~--------· TREATMENT: ·--------~-- ; ' i ' DISlcHARGE DISCHARGE TO WHOM: SELF I PARENT I GUARDIAN I SIGNIFICANT OTHER ' I : ' SUMMARY PLAN: ~~~~~~~----~---- ---------=------=---~~----------~ : : _, _ : ' ________ Relationship to Patient - -------------·-:--'---- . I

upqn aS5essmen\. 1f \he palienl requires a referral, notify \he appropriate department: I l i.

I, I,

1008534 M H D 000294254

Jl\MPALP.., gQ2A VIJAYABABU, 6/22/04 ·" 014Y 1.-.. ·• MD /...-."" P \~

METl~OF i. HOSPITAL 2201 S. Clc~r Creek Road

• Ki1leen. TX 76549 Dr. Phillip Day * Dr. Fayza Reheim Pathologists

Ocdenng Physiciun: JAJ''IPALA, VIJAYABABU, t'ID

?,at:.ien:::: Location: 9A Room: ; 9MJ901-,C, Rhysicians: Case If: 1008534 :~ . JAMPALA, VIJAYABABU, MD Med Rec#: 000296254 Adffii~ Date: 06/22/2004

Hematology TE:ST WBC RBC HGB HCT MCV MCH MCHC :_;(') l :s: :><10' 3/uL xl0'6/uL g/dL % fL pg g/dL EL LO-Hl: 4.0-1/..0 4.7-6.1 14.0-18.0 42.0-52.0 80-94 30-34 32-36 ------------- ... ---- ... ---------··----~------ ... ------------------------------------- 06/22~04 0530 8.2 5.17 14.9 43.6 84.7. 28. 7L 34 '1 8.2

' ~========~===~=~~~~==========~~~~==~ Hematology ~========~====;~===~==:~~=~~~~~f~~~=~ '!EST. ROW PL'l' ,; DTYPE SEGS LYMPHS MONOS EOS BASOS J U~..JT'TS: % xl0'3/uL :,o- ili ' 11.5-13.5 140-4504o\s 1s\o 1\2 o\ o-~.s \: ----------------------------------------------------------- .. ------------------ -j----- ~1 G /2 2/ 0'! i: os.:;o 12. 0 229 AUTO DIFF <!6.9 35.9 12.38 3.9 ]. . 0 I i' i; ~ :.

·••••••••••••••*************••••••••• Chemiscry ***********•••••••••••••••••··~~····• Free t4 Index A-rs; :.1g/dL W;lr: - - - - - - .. - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -~- ~- - - - - 06/:<.2/04 0530 3.80

Chemistry * * 1t * "" * '*" * * * * * * * ~ w -11 * ~ 1r tt tt ~ • * * * ~ . - * "';r ' II' ; Jlo tc * Sodium Po~assium Chloride C02 Glucose BUN Cr. eat Calcium : m.Sq/L mEq/L mEq/L mEq/L mg/dL mg/dL mg/dL mg/dL . c. o- ~1 r: 135-146 3.5--5.3 98-108 21-32 70-110 7.0-22.0 O.G-1.2 8 . 5-1 0 . 1: --.---- ~---- ~-------------------------------------------------- .. ------- .. -----. -;- 'j 6/2 2 I o4 0 s ~l 0 14 0 4.1 104 25 69L 21 0.9 9 0

================z===•=•==•=========== Chemistry ===•===========•===•======K==~==~~-~~ TSST· Bilirubin Total Albumin Alk Phos SGOT SGPT T- 3 T4 Protein {AST) {ALT) Uptake :_:t..Jl JS: :ng/dL g/dL g/dL U/JJ U/L IU/L % ug/dL 3.4-5.0 50-136 15-37 30-65 25.0-41.0 4.5-17. 1 : LO- H f ·: 0.0-1.0 6.4-8.2 - .• - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ·- - - - - - - - - .. - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - !.. - i- --- C:5JO 1.321: 6.6 4.1 2ii1H 35 31 37.5 10.0

9 • WCXA' ST!<':lP.H!E:N 9A/.......gA0901-A bos:02/2l/1990 AGE:14Y SEX:M CHART COPY CUMULATIVE SUM CONTINUED Page! i Printed 06/25/2004 07:15

,~,

METRO ~ HOSPITAL 7.201 S. Clcdr Creek Road

• Killeen, TX 76549 Dr. Phillip Day * Dr. Payza Reheim Pathologists

0Fde·cing Physician: JAMPALA, VIJAYABABU, MD

?acient: G~CI~,STEP~EN Location: 9A Room: P~ysicians: Case#: 1008534 _jfl.MPALA, VIJAYABABU MD Med Rec#: 00029~25~ .'I.Gimit Date: 06/22/2004 '

TSH Che:nistry ........................ ,,······t····· :_.>; f!S ·. ·.1 I0/L i LO-MI ~------------------- -----------------------------------------------------------~----· i I; Clt/22/04 0530 2.54

< 1 6/~:l/'04 2.0:10 Drug Screen, Urine Amphetamines, Urine ;) Positive (NEG] Barbituates,Urine Negative (NEG] Benzodiazapine,Urine Negative [NEG] Cocaine, Urine Negative [NEG) Opiates, Ur-ine Negative [NEG) • I Phencyclidlne,Urine Negative (NEG] 'l ~-Hc:,ur·ine » Positive [NEG]

;

Immunology ******~******~*~********~•·•*~·t~*·~~ \

1:..A.'?E: 06/22/04 T If,iE · 0530 NORMALS UNITS ' - - - - - - - - - - - .. - - - - - - - - ~ - - - - - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - ,.. - - - - - - - - - - - - - - - - - - - - - - - - - 7' -~ - - - -

NON REACTIVE NR

06/21/04 2010 NORMALS UNITS ---------- -· .• --------------------------------- -·-- ... ------------------------------ ~ -~----

':.clor Yellow .~~.~dr iC.'/ Clear ' ! 5.5 5.0-9.0 ~.t; 1.030 1.001-1.035 SpE=lflc Gravity >~

Negative NEG mg/dL Cl-·....:·.:ose

9 NEG mg/dL ell i t:.;Ji:nn Sxn&ll u Trace ,., NEG m<j/ dl. :<e.t.o:-1es I •

Negative NEG _:UL.. <:llooc! r..g;dL Trlllce " NEG :) r·o:.ei n 0.2-1 .0 mg/dL i~' n::h1 il1 neg en 0.2

• G.i\RClA, STEPH!e:N 9A/ 9AQ901-A 006:02/21/1990 AGE:l4Y SEX:M CONTINUED ?age 1 2 Printed nG/25/2001 07:15 CHART COPY CtJMU1JATIVE SUM

\~ !

METRO X HOSPITAL 2201 S. C1~ar Creek Road

• Killeen, TX 76549 Dr. Phillip Day * Dr. Payza Reheim Pathologists

:crde::-ing Physician: ,JAMPALA, VIJAYABABU, MD

;Patient: G\AllCI.li,,ST:ll:PHEN' Location: 9A Room: :Physicians: Case It: 1008534 ' . JAMPALA, VIJAYABABU, t"'D Med Rec#: 00029~25~ 'Admit Date : 0 6 I 2 2/2 0 0 4

•••••••••••••••••••••••••••••••••~•• Urinalysis •••••••••••••••••••••••••••••4•••••••

CJATE:; 06/21/04 . \ TIME :l

u ~ t r i•te Let:kdcyte esterase -------------------- ~~~~~~~~---------------------- . -------- ~~~:~~------~~~~~-I----- . - Negative NEG /uL ! ~·JBC I 0-2 0-2 /:-Jpf ! RBC 2-5 0-2 /hpf ~acte!ria Few :. o i t hie 11 a l Few ~,..-;:JCUS) Many

00,122:/04 0213 CANCELLED: Urinalysis,auto,w Micr !~ REASON: Lab Cancelled. i\ SEE ACC M9204 DONE IN ER :r ji q ., }\ I

GAHCI.A,STEPH)a;i~ 9A/ 9A090l-A boB:U2/2l/l990 AGE:14Y SEX:M ?l'inted 06/25/2004 07:15 CHART COPY CUMillATIVE SUM END Of HEPORT

• AFFIDAVIT

Before me, the undersi9ned authority, personally appeared

--~Lf~LIL /~Je)j) I u0.nn-e n (j - ~-z;.r-}:AJ L0 J (FULL NAME) who being by me duly swor~ :I

deposed as follows: ~I .\ :. ~l

I am of sound mind,:~ !i·

c a Pa b l e o f ma k i n g t h i s a f f i dav 1• t ' an d personally acquainted with the facts hereinl\'i stated: j: I'·

I am the custodian of the records of cer-e± ro Q 1-e-;b ±±oSp 1 t-ci\fr r~C}.O \ S . CJ -en r CM?-clL l2--d \~ ~ I \ ~ ~~'b. llo S y C1 ·: , (NAME OF FACILITY AND ADDRESS) \ \ ·. Attached here are ~~ pages of records from the medical records of ____ \ /

_\_.r_,__:r--.:.....i~~+o~"-~=p~he_,~~V~~::;:::~e=~\J~e__:::..:l~e_:::_2_~:__----• hos pi ta 1 stay period: ; ', (NAME OF PATIENT) ~- l \ -c)5 f__.rv\e_f{ten C'-'( ~l'ri ?. lo--d.I-G--{ Errr-ertj·fxO-(~~>, (A~ISSION AND DISCHARGE DATE) ,! The~e said pages of records are kept by said Hospital in the r~gular course of bus1ness, and it was the regular course of business of said Hospital for an empl~y~e or representative of said Hospital, with knowledge of the act, even~, ~ond1t1on, opinion, or diagnosis, recorded to make the record or to transm1t ! i· I lnformation thereof to be included in such record; and the record was made at or near the time or reasonable soon thereafter. The record attached hereto are the original of exact duplicates of the original.

,. \<

SWORN TO AND SUBSCRIBED before me

SEAL

• • My Commission Expires: ; '

COPY THE STATE OF TEXAS ""* SUBPOEGJA - Duces Tecum "~" llllll!lllllllllll\!llll!I\!1!!\W \ 5 ., 5~.~

Cause f\Jo. 57558 To The Sherif! f'onst bl _, ~ , ~ I a e, or any Peace Officer o! BELL County said State r: t. .D 0' ;---, '6 o .. , , uree rng: ·r ou ?.re :,ereby communded to summon· 1.. '----' c;:,_ f: ') . ~-I I -cJ ...) 'f5 rL-- cusrootAN OF RECORDS ,-;::::~-., ,--;:-::._·-. r--::---:,:·· : ;·· lu_ _ ~ (- O c 1 \C A METROPLEX HEALTH SYSTEJ. ( ;~.: r, I}\':::;',)\>/ Or Serve AI: 0 "-i ..!- \LJ '-':._"::__. \...::_-,!/ u L; RETURN TO DA'S OFFICE FOR SERVICE ' I

to be and appear • • , • • I N S T A J,:; T . NTER ' '. ' ' ' b efore the Honorable 264 Ois!nct Court of Bell Coun . exas. to be held at the Counhouse of · I.

the STATE OF TEXAS Ill a criminal acrid Cou0ty, .In Belton, Texas,.then and there to testify as witness in behalft\Ot Coun, THE STli.TE OF TEXAS vs. THO~~~e~~~~~1~ Said Court, entitle~ and numbered on the Criminal Docket onsard from terrn to \erm unt1l discharged by due f NO CARR, No. 57o58, and there1n remain trorn day to day ~1-,d · course o 1aw. · ;: 1 Returnable INSTANTER. Hi

HEREif\l FAIL NOT a d k d i\ l srgnature at Belton Te' xans tmh a 3e0 hued retur!n hereof, showrng how you have executed the same. Wilness my olf1cii! • , , IS t ay o October, A. D. 2006.

Shelia F. Norman, Clerk, I'. i· 264 District Court, Bel County

By: _ __ Please contact the District Attorney's Otfice prior to appearance an unnecessary trip to court. 939-3521 or 1-800-460-2355, ext. 5215.

:·rc>'_::O ··li •S an oHense ior_a person to Intentionally rnfltJence or coerce a witness to testitv falsely or to etude legal process. lt•s nlso a ,.;,Jor.y vftens€ IQ ilarm or threaten to harm a witness or prospeclive wrtness in retaliation (or or on account of the servrce of the person as" ,, 11~ess 01 ro prevenl or delay tile person's service as a witness to a crime."

r·,OTICIP. 'Es del1t0 H)tlmar u obllgar a un testigo a declarer con talsedad o a evadir el proceso judicial. Tarnbien es .ctelilo penal hem 0 •: ar;1enazar con he•u a un testigo. o a un lastigo prospective, en represalia o a consecuencia de heber declarado en JUrCIO o con el a fan de .mpec11 o oemorar su r.omparecencia como testigo de un delilo."

.. uUCC:S TECUtV1TO BRING OR PRODUCE ANY & ALL MEDICAL RECORDS,INCLUOING '-ifi & ALL FSYCHIATRiC RECORDS OF C LEE V FROM JUNE :s 20')<> THROUGH PRESENT DATE ...

Officer's Return

Ci:l~8 iO hand !he .,1-] r-} ~~· _A.D. 21J-"'_,ati-J day of~ ....<l(} _ ~_ oci~M·;;;4f;x; . ~@r(, r M nq_exec~t7d ?Y deliv~ryHlQ iJ copy ol • - - - - · o« : 1 ·,r,, 5 ~GF'OEf'JA :o --~ ~- ~ 111 person at~, :, :r.e ..b---6 day ol _Qc;g--;~20 6>6, at z...fsO'clock T-_M. ·

f'.Jot e>-ecuted as to tt1e wi\ness - - - - - - - - - - - - - - - tor the following reasons· t I

• • FEES ·Summontng VV1lnesses- $ _ _ _ _ _ __ J·,.;lle::Jge ------------ ,.oiul ............... $ 111111111111111\l\\1111111\111 5[1~0 By: _ _ _ _ _ _ __

/) ~/ 11 vv/ HALLUC:lHA noNS: -----~~~~~~~--------------------------

SPEECH: &1--: AFFECT:-----

TIKXJGHT CONTENT!PERCEE'TION: _ _-,.--_...;../_t.U:if'Z-t=-4-..LJ .L.~a:~(------------- :\Pf>ROPRLo\ TE CONCENTRA.TION lz E.ASLL Y DiSTRACTE.D - - - POOR JUOOMEI'·ff ---'--/-~- REVTEW OF SYMPTOM: MAJOR DEPRESSJOH (MtET J.aT DSM lY DiAGNOSllC CRf11'JUAl - - - 1'\)()R. ~ SJGNTfiCAJ'.{T wmGHT LOSS __ ----·I~ lA OR HY!'£R,SOMNlA . - - - - - PS'YQ\(JM(Jl"OOI. AGIT A TIOH OR Jl$f AKDATIOO --·---LOSS Of EN:EJ\OY FEELlNO OR f/'..TI<lUE SE.U'-F.El'ROAOI OR EXCESSNE OR INAI'f'R()!>IUATC GU0.T Of W041. THLE-<:SNESS --~ --~OR REC\.A{R.ENT THOlJOHTS Of oM TH, SUICIDAL IDEAnoN. WJSHES TO 86 D€..AD OSl SUI OPE A'JTEMPT EYtDENCE Of Di.MINISKEO ABUJTY TO TIIIHK. (X)NC'ENTRATC (SI.X:H AS SLOWER TH!NKIN<J lNl)€0SIVFJ-J£5 s NOT . - - - ASSOCl.A TED WITH MhRKEO L()()SENlNO Of ....sso<:lADONS) OR !NCOHER.El~f-

• • l.,'' A:>:-;~Mt:Nr ur· Ll:THA.LlTY FOR DANGER TO SELF OR OlliE~: i ''

-~·IDEAS ~.~----.:~----------L.:~f~=:.,.L-----------~ T~An _________________________ -+----------------------------- GF..STURES: --------------------~------------------- .-I

PLANS: Ii r·: ';· ,:I

ATIEMPTS: ---------------------~~--------------------------- ASSESSMENT OF lHREAT TO SELF AND/OR OTI!ERS: NONE MOD SEVERE

DISPOSITION:

--~- ~"YCHlA TR.IST NOTIFIED UPON CO.MPLETION OF PRE-EVAWATION DR- TIME NOTIFIED TIME REsPoNDED----- ____ v...,...J)ISCHARGED BY ER PHYSICIAN TO ~.;::-~WHEN MEDICALLY §;fABlE ___7_ REFERRED FOR OUTPT. FOLLOW-UP Wffii: ~dtJCJ- 'f~ Er:: _ _ _ _ INSURANCE VERIFJED ) u _ _ _ ADMIT TO MBTR.OPLEX HOSPITAL _ _ _ HOLD FOR 23!-lOURS OBSER.VATION TO METROPLE.X PA VIIJON ADMIT TO METROPLEX PAVI:LJON INYT. UNIT* -~--PATIENTS' SilL OF RIGHTS.~IGNATURB OBTAINED - - - CONSENT FOR TRRA'lNffiNT FORM SIGNED _ _ _ DIRECTOR, MENTAL HEALlli.SERVlCES NOl1FliiD Of A.DMJ.SSION REQUEST - - - ADV ANCEJMENTAL HEALTH DIRECTIVE FORM SIGNED

e ATICriD.ING ER PHYS>CW-l:. _ _ _ _ ___!{/~.,:...f_U.}_!!_v.J_d4=t:=::...__---------- A.DMITT1}Ki P H Y S I C I A N : . : . _ · - - - - - - - - - - - - - - - - - - - - - - - - - - ; - - - -

PHYSiCIAN'S ADMITTING D i A G N O S I S : - - - - - - - - - - - - - - - - - - - - - -

C- J-J:-oi-- oATE

TIED: (l) EMERGENCY MBNT AL- • NOTE: TilE fOU,OWING ITEMS SHOULD ~CCOMPANY PATIENTS BEING ADMl swB CARD AND HEALTH EVALUATION, (2) EMERGENCY ROOMEVALUATIONIFACESl-IEET, (3) (4) SlGNEDP.ATlENTS' BJJ..l.OPR1GfffSCOVE.R SHEET.

ii I I i 1': i' :;

• • ··-· .·:·.

2201 SOUTH CLEAR CREEK AD. PHONE (254) 526-752 EXT 8103 EMERGENCY D KILLEE

O

~ea'---------------------------------------- Age·----We~-----Oata - - - - - - - - - - ,, . ' j'i' \

v ·, (_ . _, d .'., (!_ (r'-'0 )

T iT j.J. ' f"' 0 'r ft ;r·- j!4 1-rr o--'

rJ. ~ ~ -:if- h,.) ( T ______._ ;.. , )

_----.!J..Q~Q~----:--------M.D. l...<f',.....L/ Signature Physician OEA No.-----==:::;::===:==:::;::::;===::;- - f>tlafll\6C:)I Usa Only ,-- Refill _ _ _ _ Timas

D<li'IO\ Rafin - - - -

; i I: ; !

ii I~ l' \I i. :!

• i' '' \I

·: I' ' I\ \ ,~cr

i. . 1\tl£TRO~XHEALTHSY .. • M IV · ~. •A; '!" ..r..,·~~8'1ill!I!Ml .. ., . . ~. ""' , ... "~"'>pn --n.·~I!i·~! EI\1ERGENCY. DEl)A.RTl'vffiNT ,.., ·- .. '·\ PHYSIOAN ORDER~ OOOlOOO.BG l00863B )

l.MG~L-~E~R~Gffi~S:---------------~--~--~----~~r~·r~~~·7~cr LLEL_E____~I·~ DATE :;;;u,. -ill'm·i:>C. DOS 9/21/89 014/t: ::

I t---t-'1'"""--t'-"-rv~- ·~rm;.....~"';;;:;:--------------_j__~,'rt~Q_D~Siena~rus~yr/eL_""r~-s_r_:,-ig-nn_tu_~_J ~ LABS'TEST: 0 ABO 0 Accucheck 0 Amylase 0 BS 0 Blood AlcohoJ Level 0 8 - Met 0 C - Me~ 0 CBC 0 CPK 0 CKMB 0 Troponin 0 Carboxy Hgb I 0 Cuirure.s/Sensirivity: 0 Blood X 0 Urine 0 11Jroat 0 Wound 0 Drug Level: 0 ASA 0 Acetaminophen 0 Digo/(i.n 0 Dilantin 0 Phenobarb 0 YaJproic Acid/ Depakotc 0 Ortiers _ -----·- ~ 0 ?T / P'IT 0 SHCG: 0 Quant (M) 0 Quali 0 Sed Rate 0 SID Work-up: 0 GC 0 We1. Prep 0 Chlamydia 0 Cervical CIS 0 T3 T4 0 TSH ! ~N:J~e & Crossm~ \\ \-., lmits 0 Type and Screen I I ~ me~~m I I l; lOLOCYflMAGI~ V 0 CXR Port 2 V 0 AAS , 0 C Spine: XTL I LT'D 0 KUB I 1 ! 0 X Ray (Srate): _ _ _ _!_.'- - - - - - - - - · - - - - - .·. 0 Skull LTD :~ ~ I 0 cr- Head IV/ contrast; w/o CI,)Jl[ras( 0 ABO i.

i I 0 U/S: 0 Others: --------- - - - - - - - - - - '

e i i r 0 cardiac monitor 0 Pulse Oximetry

i 0

!1-le<licauon..~ tlV Orders/Additiooa.l Order-3 -Ti· Given 6)' Given

r '! :.

: II ! :

'' ' t •. i' l i

: ' - I ;

I - \!

-"'' oo ,.·--·~ v \; . ' Oi~rge Oroe Patient Dlsposnioo 15isCharge To: Home OR fCU L&D Admit SDS Transfer lnpt Unit: Rm # 7 I /~~~ _,:,~c:.~;c+'w,-=: uea•· ~\~:f..;,:··~~/ 177""" ~ ·"' n -

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HEALTH SY.M EMERGENCY· DEPARTMENT  PHYS1C1AN ORDER) 00 000. xxxxxxxxxxxxx xxxxxxxxxxxxx LA.BSff£ST: 0 ABO 0 Ao::ucheck 0 Amylase 0 BS 0 Blood Alcohol Level 0 B • Met 0 C • 0Ha 0 CBC 0 CPK 0 CKMB 0 Troponin 0 Carboxy Hgb 0 Cultures/Sensitivity: 0 Blood X 0 Urine 0 Throat 0 Wound 0 Drug Level: 0 ASA 0 Acetaminophen 0 Digo)iin 0 Dil!lJltin 0 Phenobarb 0 Valproic Acid/ Depakote 0 Otiiers _- - - - - a 0 PT / )YfT 0 SHCG: 0 Quant (M) 0 Quaii 0 Sed Rate 0 STD Work-up: 0 GC 0 Wer. Prep 0 Chlamydia 0 Cervical CJS OD T4 OTSH 0 Type and Screen

lOL(X;YflMAGIN : 0 CXR Pon2Y 0 MS OKUB 0 X Ray (Scate): _ _ _ _,!.__ _ _ _ _ _ _ _ _ _ _ 0 Skull LTD 0 cr- Head w/ contrast I wlo contrast 0 ABO 0 Others:----- 0 U/S:

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06/21/2004 Metroplex Hospital AUTO.RESULT 20:52 2201 S Clear Creek Road Killeen, TX 76549

NAME: V ,C Hij 000100086 LOC: ER ROOM: AGE: 14Y SEX: M HOSP. ID: MET ACCT: 1008539 DR: PIPER, JOSEPH N., DOCODE: 00301

1'-1924 0 COLL: 06/21/2004 20:30 REC: 06/21/2004 20:36 PHYS: PIPER, JOSEPH N., D

Drug Screen, Urine Amphecamines,Urine * Positive (NEG] Barbituates,Urine Negative [NEG) Benzodiazapine,Urine Negative [NEG) Cocaine, Urine Negative {NEG] Opiaces,Urine Negative [NEG] Negative (NEG} Phencyclidine,Urine • Positive (NEG) Urine THC.

• • •

06/21;2004 Metroplex Hospital Av'"TO RESULT 20:58 2201 S Clear Creek Road Killeen, TX 76549

NAME: V C Hi:i 000100086 : ER ROOM: AGE: l4Y SEX: 1>1 HOSP. ID: MET ACCT: 1008538 DR: PIPER, JOSEPH N., DOCOD£, 00301

M9240 COLL: 06/21/2004 20:30 REC: 06/21/2004 20:36 PHYS: PIPER, JOSEPH N .. D

Urinalysis,auco,~ Micr Color Yellow Cla:::ity Clear pH 5.5 15.0-9.0) 1. 030 [1.001-1.035} Specific Gravity :>= Negative (NEG) mg/dL Glucose Bilirubin " Small [NEG] mg/dL Negative lNEGl mg/dL Ketones Negative (NEG] /uL Blood (NEG] mg/dL E'ro~:ein • 30 l.O ro.2-1.ol mg/dL Urobilinogen (NEG) Nitrites Negative Negative [NEG) /uL Leukocyte esterase (0 -21 /hpf W8C, Urine 2-5 [ 0-21 /hpf RBC, Urine 10-15 Bacteria Few Epithelial Few Crystals Moderate Amorph urate

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Stin-tulant ADHD 1\!ledications; Methyl_phenidate (B1d Arnph.etarnines Stimulant medications including amphetamines (e.g., AdderallJ and How Are Prescription Stimulants Used? methylphenidate (e.g., Ritalin and ConcertaJ are often prescribed to treat Prescription stimulants have a calming children, adolescents, or adults diagnosed and "focusing" effect on individuals with attention-deficit hyperactivity

• disorder (ADHDJ. with ADHD. They are prescribed to patients for daily use, and come in the form of tablets or capsules ofva1ying i People with ADHD persistently have more '· dosages. Treatment of AD HD with . I

dtfficu.!ty paying attention or are more I stimulants, often in conjunction with hyperactive or impulsive than od1er i i psychotherapy, helps to improve AD H D people the same age. This pattern of symptoms along with the patient's self- behavior usually becomes evident when a esteem, thinking ability, and social and child is in preschool or the first grades of family interactions. elementary school; the average age of onset of ADHD symptoms is 7 years. Many people's ADHD symptoms improve during Prescription stimulants are sometimes i' adolescence or as they grow older, but the abused however-that is, taken in I

1 disorder can persist into adulthood. higher quantities or in a different ' manner than prescribed, or taken by ADHD diagnoses are increasing. those without a prescription. Because According to the U.S. Centers for Disease they suppress appetite, increase Control and Prevention, as of2011, 11 wakefulness, and increase focus and percent of people ages 4-17 have been attention, they are frequently abused diagnosed with ADHD. for purposes of weight loss or performance enhancement (e.g., to help study or boost grades in school; see I .\ box). i '

• - Stimulant ADHD Medications • January 2014 • Page 1 i \ i

1~'

Because they may produce euphoria, When taken in doses and via routes th.ese drugs are also frequently other than those prescribed,

• • abused !or recreational purposes (i.e., to get h.1gh]. Euphoria from stimulants IS generally produced when pills are crushed and then snorted or mixed with water and injected. prescription stirn ulants can increase brain dopamine in a rapid and highly arnpllfied manner (similar to other drugs of abuse such as methamphetamine}, thereby disrupting normal communication betvveen brain cells and producing euphoria and, as a Do Prescription Sthnulat"its result, increasing the risk of addiction. 1\Jle~ks You Smarter'? I A grow~ng number of teenagers and What Are the Other Health Effects of y~ung adults are abusing prescription Prescription Stimulants? \\! smnulants to boost their study performance in an effort to improve Stimulants can increase blood pressure, 1: r their grades in schoot and there is a heart rate, and body temperature and decrease sleep and appetite. When they j\ :: widespread helief that these drugs can improve a person 1 s ability to learn are abused, they can lead to malnutrition and its consequences. 1 I I (cognitive en hance.ment''). ;'I Repeated abuse of stimulants can lead

Prescription stirnu!ants do promote to feelings of hostility and paranoia. At \l,. wake-fulness, but studies have found high doses, they can lead to serious '·\i. cardiovascular complications, inc! uding \I that they do not €-nhance te.arning or i'.! stroke. thinking ability when taken by people :I 'I

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• who do not actually have ADHD. Also, Addiction to stimulants is also a very , I research h<'fs shown that students real consideration for anyone taking who abuse prescription stimulants them without medical supervision. actually have !ower GPAs In high Addiction most likely occurs because school and college than those who stimulants, when taken in doses and \ don't. routes other than those prescribed by a doctor, can induce a rapid rise in : \

How Do Prescription Stimulants dopamine in the brain. Furthermore, if stimulants are abused chronically, ·II,! withdrawal symptoms-including Affect the Brain? fatigue, depression, and disturbed sleep 'I II I patterns-can result when a person All stimulants work by increasing ,\ stops taking them. Additional dopamine levels in the brain- complications from abusing stimulants \ dopamine is a neurotransmitter associated with pleasure, movement, and attention. The therapeutic effect can arise when pills are crushed and injected: Insoluble fillers in the tablets II can block small blood vessels. of stimulants is achieved by slow and \ i steady increases of dopamine, which are similar to the way dopamine is \ naturally produced in the brain. The \ doses prescribed by physicians start low and increase gradually until a \ therapeutic effect is reached. l 1

Stimulant ADHD Medications ·January 2014 • Page 2

f)o Preos:.criptkl~i Stimulants Learn More

•• Affect a ?-atietlt7 S Ris!t of Substance t\buse? Concerns have been raised that stimulants prescribed to treat a child's For more information on prescription stimulants, visit WW\~rugapuse.goy/pubhcation~ or adolescent's ADHD could affect an rt~ rch -reports hu:..c:scr IP-f.I 011: drugs/director. individvai' s vuinerabilfty to developing later drug problems- either by increasing the risk or b-y providing a degree of protection. The studies conducted sa far have found no differences in later substance use for children with ADHO who received treatment and those that did not. This suggests treatment with ADHD medication appears not to affect (either negatively or positively) an individual's risk for developing a substance use disorder.

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.~. . Stimulant ADHD · · · · Medica..;ons. January 2014. Page 3 L{

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R tali n [Ependence --Signs of R tat in ftbuse, Tolerance Ritalin is the trade name for kt f\bN Get He! p T<Xiay o IN1HIS methylphenidate, a .ARnCLE \1 '··! stimulant that is most i~ Don't worry, we hate :j commonly used to treat Is Rita I in Addictive? spam attention-det cit Understanding Ritalin \\ 'I hyperactivity disorder Dependency and (AOHD) in children and Tolerance -------- I'm seeking treatment iJr., \\

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most rommon abusers of Ritalin are teenagers and young RJpul ar Treatment Centers . \. adults who use the drug for its euphoric effects, to stay \~ ,f 7

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• • drug include taking it to lose weight or enhance pertormance.

Is Atafin Mdictive? Studies indicate that Ritalin is not addictive when taken orally and used exactly as prescribed; however, it is addictive when abused. How addictive is ~tal in? It is highly addictive when misused and can result in severe psychological dependence (http:// www.dependency.net/learn/ drug~ and~ alcohol ~tolerance~v~dependence/ ). Basically, ~tal in abusers seek to turn the drug into a substitute for cocaine Click here (/treatment- and experience the same addictive dangers. center/) to contact a treatment center advisor, In addition to taking Ritalin in excessive dosages, Ritalin or review a facility below abusers often crush the pills and snort the powder or mix the powder with water and inject it. This type of abuse produces resu Its that are almost exact Iy the same as cocaine use. Abusers who use Rita I in to stay awake typically take the drug • orally, while abusers who are interested in getting "high" snort or inject it. Ms Residential CEnter Understanding Rtalin CEpendency :I Indian V\ells CA922'0 and Tolerance . '·

Axis Residential A person who abuses Ritalin Treatment Center is a can develop a psychological full-service, private dependence on the drug. and safe treatment Likevvise, the person can facility with develop a physical tolerance to professional, caring staff providing 24 I . the drug that requires an increased dosage to attain the same results. Ritalin hours a day, 7 days a week support. d \ I

dependence can lead to drug cravings and panic attacks if BrONSe Nti cl es the drug is not available. These

• • Ffesaiption riugs panic attacks can cause psychotic episodes and heart •

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where continual use over the course of days without slee~ Ambien .\ re~lts In a lapse into a coma-like state of heavy sleeping. If (http:// www.dependency.ne& this sounds very much like cocaine abuse, it is because the /learn/ ambient) ' tolerance and dependency dangers are almost identical. Amphetamine \ dependency.ne nel) ressant \ dependency.ne, depressant/) \1

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/learn/ barbiturate/) . . Be nzo d 1azepme \1 (http://www.dependency.net \\

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important to be able to recognize the symptoms of an /learn/ benzodiazepine/) :\ 11 overdose in friends and loved ones so you can arrange Cl onazepam !. \ immediate treatment. A ~tal in overdose can cause (http:// www.dependency.net i i psychosis, agitation, lethargy, and seizures. If you suspect an /learn/ clonazepam/) \I \I overdose, contact a poison control center. A Ritalin overdose Codeine 'l has the potential to cause an onset of sudden death, {http://www.dependency.net 11 especially in people with underlying heart conditions, so immediate medical attention is advisable.

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• Short-Term fff Ed s of At ali n /learn/ dexedrine/) Diazepam . \: Rita! in abuse produces a stimulant-like effect. The (http://www.dependency.n it Ritalin high induces euphoria, wakeful ness, and /learn/ diazepam/) increased focus and awareness. The intensity of the high Dilaudid depends on the delivery method. Taking the drug orally (http:// www.dependency.n produces I itt I e euphoric effect, unless it is taken in /learn/ dilaudid/) larges dosages. Snorting or injecting the drug greatly Fentanyl · heightens the experience. The side effects of abusing (http:// www.dependency.ne Ritalin can include an increase in blood pressure, heart /learn/fentanyl/) rate, and body temperature. ~talin can also cause Fioricet nervousness, dizziness, vomiting, stomach pain, (http:// www.dependency.ne,~\ diarrhea, shortness of breath, chest pain, hallucinations, /I earnJ t ori cet/) \ itching, rashes, fainting, and seizures. Coming down Hydrocodone 1 ! from Rita I in can induce withdrawal symptoms, (http:// www.dependency.ne~.~~ especially if the person is psychologically dependent. /learn/ hydrocodone/) I! I These symptoms can include panic, depression, mood Klonopin i\ (http:/ I www.dependency.netj changes, and psychotic episodes. /learn/ klonopin/)

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(http:/ 1pubs.niaaa.nih.gov/publications/ arh22-1 (http1 I www.dependency.\e-61 /44-46.pdf) inpatient or outpatient servi<;eS should consider

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• • Methamphetamine Urine Toxicology: An In-depth Review

By Michael DeGeorge, Jr., PhannD Uauthor/11339/degeorge-jr) and John Weber(/author/llJ<fO/weber) S+l 4 Like (12] When a patient's urine drug screen tests positive for methamphetamine by mass spectrometry, the result has serious implication for the patient and the provider. Determining the source of the methamphetamine is an important next step and is not always as straightforward as it appears. I Background 1 Methamphetamine increases synaptic dopamine, primarily by stimulating presynaptic release rather than by blocking reuptake. I Small doses have central stimulant effects without significant peripheral actions. Methamphetamine produces subjective effects that are similar to those of cocaine, and it is for this reason that it is often a medication of abuse.1In 2011, 133,000 persons aged I 1.2 years or older abused methamphetamine for the first time and the overall number of past-month methamphetamine abusers ~~~ was 439,000.2 Methamphetamine abuse carries significant morbidity. According to the Drug Abuse Waming Network, 6.6% of emergency department visits involving illicit drugs in 2009 were due to methamphetamine.3 1 In the United States, methamphetamine is a schedule li drug and is approved for treating both attention deficit hyperactivity ~~ 1 disorder and obesity under the brand name Desoxyn. In addition, benzphetamine (Didrex) is a schedule III medication approved ior treatment of obesity. Didrex is metabolized to methamphetamine. Besides prescription sources, methamphetamine (ie, "crystal meth") can also be produced in small, clandestine laboratories using ephedrine or pseudoephedrine as a key ingredient. I This has prompted restrictions on the distribution ofthese over-the-counter (OTC) medications. I Toxicology 1

• . ,J I 15 Methamphetamine has 2 isomers, d-methamphetamine and !-methamphetamine. Prescription methamphetamine (Desoxyn)4 / 1

composed entirely of the d isomer. D-methamphetamine increases a1ertness, concentration, energy, and .in high doses,.can induce~ \ pntenu•l 'I~ 10 '"ph"''· '"h.o"" "Jf-e"oem, '" d ;n """ hbidn., The" ''"" m•ke d-meth•mphetamine ""' '""'"'" '

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. - -- ......... ""'un:: IOXICOiogy: An In-depth R... I, htt •// . ! i p~ www. practlcalpai nmanagement. comMeat me I: .. On the other hand, ]-methamphetamine affects the S>1l1pathetic nerv . . \ i

• system, so it is not thought to possess dd' . - . a us system but has lJttJe activity in the central nervo,•s i ; . . an a tct1on potentw.l anywhere near that of th d . . \i few phystologtcal effects is vasoconstriction, which mak . e -methamphetamme ISomer. A.lnon¥, iq. es lt useful for nasal decongestion.! !I

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/llnagecache/liglttbox·large/ltllages/<OJ2/ 11 f 2 9f 11 og_o.png) I The challenge for the laboratory is to differentiate between the d and the isomer forms of methamphetamine. The clmictan needt l j

this ctitica\ information because without the d:l-isomer ratio, the clinician is unable to narrow down the potential sources of the methamphetamine. A positive methamphetamine test could be caused by use of an OTC product, a prescription drug, or illicit use I ·

(Table l).s-8 The laboratory may run up to 3 distinct tests to produce a complete amphetamine profile. The first test is an 1 unmu n oassay (lA) screening test for the amphetamine class of medications, which includes both amphetamines and \ methamphetamines. If the screening test is positive (a reaction greater than the cutoff), then a mass spectrometi)' (MS) \ confirmatwn test 1s perfomted to determine which specific compounds, amphetamine and/or methamphetamine, are present. \ Once methamphetamine is confirmed positive by MS, a third test may be performed to ascertain the ratio between the 2 isomers of methamphetamine. The d,l-isomertest also is performed by MS. Understanding each of the 3 testing steps is essential to clinical decision making related to patient care. As noted, the first test is the lA screening test. This step is nonspecific in that the reaction can be caused not only by amphetamines but also by other compounds with a similar molecular structure, phentermine being a classic example. If the lA test is negative, no further testing is required and the amphetamines are considered negative. If the LA test is positive, the sample 1s analyzed by MS to determine whether it was ao amphetamine that caused the reaction. I I, The MS confirmation test can come back with 4 possible results: 1) no amphetamines detected; 2_} amphetamine only detected~ J) ~ methamphetamine only detected; and 4) both amphetamine and methamphetamme detected (F1gure l). [f no amphetamines are \ i detected, then the amphetamine result is negative and no further testing is needed. If only amphetamine is detected, once aga:n II no futther testing is needed. A finding of amphetamine-only positive by MS can be caused by prescription drugs (Adderall and \\ · · · b · h th th h t rnine (whatever the source) i vanous am phetarnme salts) or as a result of methamphetamme meta ohsm, w ere e me amp e a 1.

has been converted to amphetamine. When methamphetamine is detected or both amphetamine and methamphe~amin~ arc 'l \ 1 detected, then the lab can run a d,l-isomer test to try and narrow the source of the positive methamphetamine findmg (Figure ). · ·

. I~ 6/3/2015 11:4!4 AM of 5

,------...... .., unne roxicology: An In-depth R ... http://www. practicalpainmanagement. com/' eat me ..

\ i' T~e ~ird and fmal test is the methamphetamine d,l-isomer test by ~r (Ftgute 2). Based on a 1991 Department of Health and Human Ser.'i~es • Technical Advisory, ad-methamphetamine level that is >20% of the\\ total is c~nsidered ~nclicative of a source other than an OTC product qt a metabolite of seleg1lme.9 These sources could include a prescription\ i medication or illegally .m~nufactured methamphetamine. If the patie\jt does not have a prescnptwn for a drug that would result in > 20% 'I d-methamphetamine, illicit use of a diverted prescription product or \: " street methamphetamine should be considered as a source. ~ A recent study by Esposito et al published in the Journal of Analytical\ (http f fwww practicalpaaunanagement.com/sites{default{files Toxicology showed that d-methamphetamine percentages often were 'unagecache/hghtbox-1Drgejimages(zo 12 t 11 / 2916755019 _ 1_opt.jpeg) few percentage points above or below the expected value based on the standard solutions they were testing.g This was due to impu nties m ~·' some of the denvatizing agents used. When interpreting test results, a clinician should consider that the result might never be \ roo% d or l1somer due to these impurities. Esposito concluded that the >20% d-methamphetamine guideline is still relevant an : I appropnate based on theirfindings.g 1\; Sununary lllicit methamphetamine availability and use poses a serious health risk in the United States today. If abuse is suspected, urine ·~~ drug tests are available to help clinicians detect its presence and intervene in order to optimize patieot outcomes. There are a few \ distinct sources of methamphetamine. Using current methodology for urine toxicology testing will allow clioicians to narrow do~i tl-:e possible source of a positive result and assist them in managing their patients accordingly. \' ,I VJew Sources [/treatments/ pl:armacological/ non-opioids/ methamphetamine-urine-tax icology -depth· rev iew#fieldset)

• j r

F1rst published on: November 1, 2012 ' i'

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··· -·-•••••(•"~""• .... ••••.,...., VI U6 L'-",H • l't"lt;;U:)\_...tlctl http://www.medschat.conV JJJscuss/ Will- L-pass-a-methamphetam me-

Will I Pass A Methamphetamine Drug Test

• 88 Replies Updated Wed. Apr 29 '15, 5 31 AM

Home Drugs: M > Methamphetamine > Discussions

Conversation Starter

Angela Says: Sun. Aug 21 '11, 3 39 PM

For the last two weeks ive been smoking meth, nomore then two grams throughout that time. Havent touched it since yesterday aug, 20th. I have to see my probation officer on sept, 2nd and will be getting drugged tested. Here's another thing lm prescribed Adderali 20mg and never had a problem passing test, now that I have been using methamphetamine this month, will 1t trigger me to have a positive drug test even if the meth is already out of my system? Whats the longest time meth has stayed in someones system? What can I do in 13 days?? Please help!

Showing Replies 1 ~ 20 of 88

~.-. Verwon Says: ~ Thu, Aug 2!i '11, 11·15 AM

Though it can vary from person to person, depend·1ng on their own individualizing factors, Methamphetamine is generally detectable for approximately 5 days, after use in a standard urine test

However. as to the longest time it's been detected, the answer is a lifetime. There is no explanation for it, but traces tend to linger in some people, even with just one use.

As to the Adderall, the Amphetamine salts in it can caus~_,9.fal~ positive for ___ .. ---- Methamphetamine_,__ ____ ._____ ..-----· ... . ------ .. - http:i/www.medscllat.com/wiki/Adderalll

http://www.medschat.com/wiki/Methamphetamine/

___Are there any other questions or comments? _, ../

""} Frank Linn Says· ,;/,.. Thu, Aug 25 '11, 1·22 PM

Meth will not show up on the piss test after 13 days. , . they will see the meds that you have a script for, as long as you have proof you re 1n the clear. Allthough, if anybody does a hair test on you you'd be toast... unless you shave your head.

":t Angela Says:

• v· Fn. Aug 26 '11. 6 10 PM

2 of 7 •

Exhibit 11 •

-· --·--·--·- - - - - - --tt------

IN THE NAME AND BY AUTHORITY OF THE STATE OF TEXAS: \

• \ ii THE GRAND JURY, for the County of Bell, State of Texas, duly selected, empaneled, sworn, cbarged; and\\ " . ll organized as such al the January Term, A.D. 2005 of the 27th Judicial District Court for said O:Junty, upoo their oatW i! present in and to saic;l co_urt at said term that \:d

TBOMAS RA¥MOMD CABR "li r hereinafter styled Defendant, on or about the 18th day of June A.D. 2004, and before the presentment of this lndictnfnt, i in the County and State aforesaid, i I did then and there cause an object, to wit: a "dildo" to contact and penetrate the anus of J ~ ,a child less thau 17 years of age and not the spouse of the said Thomas Raymond Carr, and the satd Thomas Raymond Carr operated in concert with Tammy Bishop during the same criminal ~isode,_ and II the defendant did provide to and administer a controlled substance to the said J d M Wlth the wtc:nt \I of administering said offense I~ i',I i~ 'I !I

against the peace and dignity of the State.

• District Attorney 27th Judicial District ofTCUS

·- ----~--~-· ... ~.··-"'·"-'.!'·~=-=·--""'·""-''..~.""'-'''-"""~·- - - - - - - - - - - · .

'I, ! ,, THE STATE OF TExAs 1, _________________________________________ ~·--

CoUNTY OF HELL li •I ~

• ii I of the District Court of Bell County, Texas, do hereby certify tha the withln~d foregoing is a u-ue and correct copy of the original Bill of lndlctmcnl, t'Ued in s:tid Coun on the ',, day of A.D., 20 ___ , ln cause No. , style<i Tile State ofTjr· II i Given under my hand and the 5e:al of said Court, at office I n - - - - - - - - - - - - - - - - - - - - - = - \his _ _ _ _ _ _ _ _ _ _ _ _ dayof - - - - - - - - - - - - - - - - - · A.D.,:ZO

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IN TH£ NAME AND BY AJTf{ORITY OF THE STATE 0.~: TEXAS: II I

THE GRAN'D JURY, for the County of Bell, State of Texas, duly selected, empaneled, sworn, charged, ila~

• • organize~ as such at the January Term, A.D. 2005 of the 27th Judicial D1strict Court for sa1d County, upon their present i!1 and to said court at said term that o1hs 1:,, ,\ i~

r! THOMAS RAYMOND CARR \\ !I

hereinafter styled Defendant, on or about the 18th day of June A.D. 2004, and before the presentment of this l.ndic~ent, 1:

rn the County and State aforesaid, I't·; '

did then and there cause an object, to wit: a "dildo" to contact and penetrate the anus of JerTid May, a child less than 17 years of age and not the spouse of the said Thomas Raymond Carr, and the said Thomas Raymond Carr operated in concert with Tammy Bishop during the same criminal episode, and the defendant did provide to and administer a controlled substance to the said Jemd May with the mtent ~~t~ring said offense lt ~G. ..: ; ;, ·r" r<- (·t:-·"m fl1 ;.,. s , (J........ tF 'I\ -J,M-ryf -~ /:;. <f Jo ~

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agalnst the peace and digJ.uty of the State_

Foreman of the Grand Jury Dismct Attomey 27th Judicial District of Texas

SCAN

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THE STATE OF TEXAS.. ;: i; ,, i\ • COUNTY OF BELL l, --~-----~--------------·-·---i:---- " ·'

,, '!! tile of ti1e w I• hI n afl d foe< goIng I; ' "ue and coccw copy of <he ocl gl n ;•I Bl II of lnd inmem, filed In ;,ld Co" n on "" li District Court of Bell Coumy, Texas, do hereby certif)' l(iat

Jay of A.D., 2 0 _ , in c::1use No. , styled The State of Tex~s.,, vs ---------------------------------------------------- ,, I• l Given under my hand and the seal of said Court, at office in --------------------------T ' th1s ~----------------day of A.O . 20+--

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Exhibit ~2 '

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• ~ ,-- - . = ~\~)~ c...> :til> -o ;JQ Jl[ STATE OF TEXAS § 0 r1 COUNTY OF BELL § -o :X m,l :I

N D'i COURT:9RDERED AFFIDAVIT (in Cause Numbers 57,557-A and 57,558-A) ...... -< N C1' i )

Before me, the undersigned notary, personally appeared th.is day AffLant Cha~Jes ("Mo~nty") Montgomery J r·., who, after being identified. by Driver Lice~se aRld du~llJ by me du!y sworn~ deposed upon his oath and stated as follows:

"I, attorney Charles ('Monty') Montgomery Jr. (State Bar 1114288000), give this

AffidaviL in response lo and compliance with the January 23rd, 2013 'Designation of

issues and Order Expanding the Record' in Cause Numbers 57,557-1\. and 57,558-A of

the 2 7rJJ Judicial District Court of Bell County, Texas; and l have ei.ther good reason to

believe or personal knowledge of all facts herein set out and swear to the truth of same.

• • "As regartis the Court's designated factu~ issue NUMBER 1 (one), as u"ial

COLUlsel, I di.d investigate the facts of the cases and the law applicable to said facts, and

did discuss both, as well as possible defenses, with Applicant, Thomas Raymond Carr.

Wi(n~ss the following 'plea colloquy' I question and answer exchange between myself •!: •;i and Appli~~t: '·l ·. ;'t

-~~l·-~l6: .·;

. .. . -~: . ~ow.-1-~;n, ·h~ve you altt! dissatisfaction whatsoever with my representation '' :! of you? A: No. '. Q; l~ there anvthin~ that l have (ailed to explore by way of investigating and ' 1_1: •' preparing anv defensive issues or witnesses? A: No. :: ' I '•I : All rlo-ht And it is true is it not, that I obtained and interviewed -~d [got] an •! Q ,it.. o . . . . itt] Outten who ... e.arns Jus lt~tng_ as a . assessment by Bob [ : 0 4 · . . t'mooy in mitlgauon ot drug and alcohol counselor and was gowg to g.tve rest Affidavit~ Page 1 of 22

• • r (· . ·, 'i ·.. . 1 -.' ~
• • punis~ent apprising the jury of the role that d your mmd and your intent[ ] and . h. · rugs nughl have played on '

as all of the other testimo~y tha~:~; d::~all of t~at. in th~ b~hmce., as well witnesses that vou told me ~.......... 1 __ oped, 10 !ntervleWltl~ all Q{lh.e 'U-'~V><-b PJUS some others tJr.aJ J de t ed

I I

Q: .All ri.ght. . As a maner o f f:act over the weekend I made contact with and tntemewed t/te.lllst r~nin_Jf_witness that you wanted me to talk to and gave you a l;eJJ,~l't back on his !J!l.Wlllm~ess to testify and what that testimony ' Ir would have been had I compelled tt by subpoena, correct? ~; A: Yes. /., I'I :I

'i 1.. ,,,ii' .:l

A: Yes.

Q: All right. And again weighing that in the balance (,1 you decided to take the 'I

State's offer rather than go to trial? A: Yes.

Q: And also yesterday in our meeting with Detectives Jerry Dugger and Mike Simmons, you »;ere provided acct§s to your com.outer. were you not? A: Yes. Q: We were unhappy with the fact that we had been unable to obtain an expert to do a computer analysis for the $500 that the Court bad been able to authorize[,] and Jerry J)ug-cer wh,£ is a police o((~eer and not obligated in any way whatsoever to assist us· nevertheless accessed everything on yow c;.omeuter i that you thQ.JJKht w.ould be to {sic) of qyail in £OUr defense; is that correct? II ! A: Yes. Q; And he promised to deveiop for you and print up for you and, if necessary, give testimony to aU defensive matters that were raised on your computer, correct? A: Yes. ·1 i

Q= And he also pointed out some things that did not forebode good, again that they showed sites lhat fllllt4"'1ifiJiJ.] you had accessed on your Affidavit-Page 2 of 22

• • I(J'l

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I comp~ter. . Alld _he expressed the opinion that based upon bis years 0 f ex.penence m w0rking these types of c · saw no basis what ~> ases, pornography cases, etcetera, he soever Lrom thQ.se computer record h !! h d on your c~mputer on the hard drive jn the unallocated s~ac:t ct~c:er fo~nd saw JUJ evitk.nce whatsoever rtlz · . ' a, -! cril~U!£, did he not? or an u er t.nvestz ation o an other A: Yes, sir.

Q: · 4 "i "!' he 5 he would testify to thm and that was one of the detectives who wor ed this case, correct? A; Yes, sir.

Q: !s there ano/·complaint tha1t:ou've got regarding mv (aiiu.re to do a.nvthirtg m pr~mu.ation o(any possible defense in tltis CCJ§e~? A: No, srr.

This 'plea colloquy' between n~yself jllld Applicant~ addresses (RR V 1-pp J6-17)

my development of the 8j)o1i~able LAW, regarding which the following explanation

should - better than mere quotation of the plea colloquy - i.llustrate my effons thereon:

In addition. to s.uc£essfully getting STRICKEN from the CAPTION of the Indictment (i.n. Cause No. 57558) the 'nwiester'-branding aJJegatkJI:t '(Aggravated Sexu~l Assault] OfA C'hild~ and ALSO forcing AMENDMENT of that Indictment's allegation of specific intent, I HAD ADDITIONALLY ATTEM;PJ;ED TO QUASH SAID INDICTMENT yls a vis a contentiop that .the law of parties would have to be relied upon to hQld Ag,Qlignt criminally responsible for (his common law wife) TA.MMY BISHOP's an.aJ dildo- penetration of the l.ntt!pt;/} 16 year old) victim (tmd two J4 year old extraneous victims) - my client's ruain defensive claim being that he did not personally dildo the victims and only FILMED it). Tllh."N (so my argument ran), this 'Parties-Prosecution' of a lnd degree offense would be boot-strapped into a 1st degree 'Operating-.In-Concert' case W 1THOUT THE REQ[/ISJTE factor of any ADDITIONAL conduct. I advised my client, Applicant Thomas Carr, Affidavit-Page 3 of 22

• • fl

,,p

i:

• • that 1 had done my best to build reversible error into the Record TRIAL foJiowed by an app l b ha - ... th - In .e f event o a li ' '

TAMMY' - ea - ut t t, ag Thomas himse}f kept complaining, . . . s NOT HAVING BEF~N INDICTED FOR A SEX OFFENSE (or as a C()-defendaot) would probably doom any appeal or collateral attack based upon sajd issue; AND TRA 'f - as I put on the Record m . the ptea coUoquy

(RR-Vl, pg 17)- AppJjcant' s judicia} confession to the gpzpyi¢ indictment, aHegiug th1M Jl,Ji administered the drug to the victim with the inteut of 'facilitati·1U! COif'l.mission of the penetration of the aiUI.S ()j [the victim}' ~l would D.li~E4.1' ~ny appellate contention that there bad been reversible error in t·be trial court's denial of said motion to quash. fi'Nl = ~&!~ il~P.dmen,t substituting the phrase 'facilitating commission of the penetration of the anus of [the named victim]' for the original allegation 'with the intent of administering said offense', g~ew out of another attack by my motion to Q.«&jh.

There were many otber issues, factual and legal, that I dealt with, constantly (when Applicant wasn't either at the Vernon State Hospital on competency comt::llitment or elsewhere, at the San Antonio Dominguez Unit, etc.) over the 2J.nwn!h duration of my

representing Ap.pl1cant, a jew of which will be touched upon hereinafter. Suffice it to say that, when he was at the Bell County Jail, I was NOT visiting Thomas for the purpose he would have the Court believe (that of getting him to enlist cellmates as my clientele), but, rather, because I was constantly addressing his problems and needs, attending to his medical issues (infn~.) AND to the problems of his parents and chi.ldreu (infra) growi.ng out of his and Tammy's incarceration. While this might seem irrelevam to the manner in which I discharged my criminal-case representation responsibilities, the point is that J\pplicant has fabricated a picture tbat 1 'never counseled' him, ~never did anything to represent' him, and 'just sat ther.e and got [him] to sign a plea, with broken promises (I]

would appeal [his1 case' (infra). For example, Thomas viewed the yideo 1'\VlC::&;.- not just immediately before signing up for a guilty plea, but, also, months before that; and on bo(b Qfthose twO Affidavit~ Page 4 of 22

•

• • occasiotJ~ he .heard H!MSELF . GIVING · DiRECTIONS · AND I SSUING THREATS, as, for example, that lfthe juveniles resisted the anal penetration that he wanted to film, then they would have to perform Fellatio upon him.

. Aild as (or his como,lai,nJ tlwt I never showed him Tammv Bishoo's alleged .. ..stateme-nt. well wntten · • NEIT.f-T'GR . · uu. had "'ed '7' Potter- . • for thirty years the kingpin of the centraJ Texas criminal defense b;u- and APPLICANT'S PREVIOUS ATTORNEY (whom I had substituted in for)- been able to get tlu Stgte to give it up_; it wa.m 't suuuwrily disco.ver.ub,le • (Tammu;r NOT bang · a. co-rJe·f. ..1~ 11 :,~enuant1. I had. moreover, gpne to tbe jail to intcryien; he~ - and she decided not to di,fcuss anvthing with me (although my stated agenda was merely discussion of their children's visitation with Applicant ·s parents/ the children's grandparents). As for his boast of having gotten 'quite a few people to fire their lawyer and hire [me]', that grew out of his and his cellmates monitoring the block-long walk from my off1ce to the jail; 1 do not deny benefiting from the earned reputation of a lawyer who

rer:ular-lv visits his cLients. As for the State threatening Applicant with' 17 {seventeen} indictments' AND my supposedly ~nat responding', I bad previously told Thomas that by MY COUNT, ; 1

:' there were indeed FIFTEEN, bnt not seventeen, possible total charges, SOME OF WIDCR- if not ALL of which- he should EXPECT to receive stacked I consecutive IN THE FINAl, ANALYSJS, THIS- and !!:fl1. the bleak prospects sentences for! of .an Appeal, Q! anytbing else- was why I advised Applicant to w.aive trial, waiye direct appeaJ a.s well as collateral attack, and plead guilty. I would have loved to 'i ! : nave tried that ca.'3e, as winning it wou1d have been. a big feather in my cap; but 1 owed it

to roy dient to make him see reality- that we wouldn't win 17 (or even JS) times; and that any jury who might buy the State's argument that Tammy's cooperation as a witness should condone Thomas taking aH me blame, tbat would be a jury that WOULD 'MAX' I .

HIM and aiso recommend consecutive sentenci.ng. AND TI-lAT 1S WHY 'fHOMAS l' I' ACCEPTED THE STATE'S OFFER. After a.U, it had taken me 23 months to get it do·-'lll ! i ! ' I

1.0 thirty years; and it wasn't going to get anything but worse\ \ \ i : i ; Affidavit-Pagi! 5 of 21 I 11 1

\ \

,,~

• • Fmally, as for Applicant's claim of having been on 'psychiatric medicati n [ d] scared' and supposedly not allowed to talk to his family before JM Jri,.,~ a d . . t o an ... tl . . ·~ ectslon o accept 1e offer or reJect lt., well, simply put, neither was th"' case. ... He knew beforehand wluu the offer was and that I could not. et beuer one - and ad the assembled Jhree ju,venil~ .AN}) their Parents, letting them know that in any trial I would be altcmpti.ng to litigate the juveniles' previous drugging and boozing - AND ASKlNG THE JURORS 'Where were the PAREN'lS?' As for the psychiatric medication, that was the I result of Applicant overplaying his hand at Vernon State Hospital, refusing to particip te in ,.I 11 r intervie.ws by the d~agnosin{f.'!!!'. doctor (actually calling him an insulting oame whicb he i~ fr stupidly joked about. in a leng distance MONITORED phone cal.l to me), AND being observed !I: ~ !.i i! demonstrating hidden cognitive abilities AND consequently classified as a malingerer who n should be rttumed to Bell County with medications for 'Ps_ycho£k Disorde:r'. Truro was, il Tn.o.mas was constantly mlUJ.ipulating, bul.in complete control; witness the unusual consistency of his very dear, cursive sig.narure on the plea papers.

FNl: I even tried to f.!llJJSJ1. bis discharge and return to competency, by arguing that the psychiatric reports had not been authored by a doctor who had PERSONALLY imer.:vi~..ed this 'Malingering ... Personality Disorder' pati.ent. :I '1 , I

, I ln closing, I must comment further on something onty touched upon hereinbefore. :i Applicant knew that 1 had gr<!at respect for the jury-persuasion skilL~ of lead prosecutor·, MARK KIMBALL; but I had also informed Applicant that health problems (the bade of a Veteran who walks with a cane) were rumored to be bringing about Mark's early retirement. And in that meeting wbi<::h pr.ooed.ed execution of the plea papers (the description of which ! ; meeting is highlighted and set out on pages 2-3 hereinbefore), Mark brought this matter up, then I' ; ~

Lntroduced his side-kick, presecurcr MIKE WALDMAN, telling Applicant that the ~oJJ.!!ger

Waidmn..n would. be ar.o.utJ.d.to car;cy through 011 Mark's promise to return additional i.ndict.ments and ST~CK Thqroosf Applicant if he refused ttle offer it bad taken me 23months ! : t to get. And l toJd Thomas - out of Kimball and Waldman's presence - that one of ! i Ted Potter's ~last jury~trial clients had paid dearly for the @f-pun.ishment verdict Ted I I I ' :I got a jury to give in the DWI-crash Manslaughter death of a three year old chlld; true I I iI I, said M.qn sJau<>nter i · to his 'threat' to return addiuonal · · mdit.tments an d s'T'ACJ{ ~" defendant i{ I .t.n. I! Affidavit-Page 6 of 22 I! IIi : I ! i i I t

\~~ '

• • he wem to Lrial, WALDMAN DID INDEED OBTAIN A SECOND INDICTMENT and try thaJ case to another jury, with the result that the defendant who had only three years to do after the {irsz trial WOUND Uf STACKED, with twentv-three years to do after tbe second trial.

FN3: Th~c; revelation was significant to Appucant, as well as myself, because said auorney Ted Potter had represented Applicant prior to my being retained. !n shon., it was my considered judgment- aud adviee to Thomas Raymond Carr- that he take the State's offer of a thirty year punishment recommendation, waive appeal a.nd NEVER breach his pl.~a ba.r:g.ain by attempting to get habeas relief. Apparently (?),my former 'Client.& Rr.-U;nd' (as his letters refer to himself) h!1now for~otten the TWO 'DISCLOSURE 01<' flLEA RECQMMEND:\TION' orovisio!!1 - WIDCH APPUCANT S[GN£U AfTER I HAl) SIGNED THEM AND MADE SURE THAT HE UNDERSTOOD THEM - that if he eYer 'attacks the judgment and sentence in this C3Se (57,55§.1' Q/1 'tries,jn any way, to collaterally attack the judgment aDd sentence in this cause (57 ,S51J ',

tile Stat~l is no lo,nger;, . bo.u1.1d . by its promise not to f!le additional charges!

"~ [ rega-r.ds.the.Coullt's.desi&nated factual iss~e NUMBER 2 (two), to w1t, . ~ . I

. ' i: whether rlrequested and received complete discovery from the State AND shared that i: : ! [nformati9n - • · with my client, I must Lmtial!y · note that upon my entry mto tl•e case I was : I ' met with ~bat my predecessors, Ted Potter and John Bigham, had faced - a ~mined ' ' I

: i . I

i Mark Kirhba11 who was prepared to retum seventeen ·m d'1ctmeots of Applicant, Thomas ! '

.' C . D fi d Carr would not take a ' arr AND GO TO TRIAL if Applicant I then e en ant- ;

Raymon.d !

v; .... ball initially stonewalled me, then orally assured me tlla.t ftftY. (50): year plea offer. ~,_.,

l would gel\ everything I was entitled to ifi executed a' W ruver · f . EQrmal Discovery'· o . ~ f record ; I I . . . I did sign ! t On Januty 27'\ 2005, shortly after my subsbtutlon mas counse o ' . in that it got Kimball talking co me about the that waiJ~r and do believe that it paid oft~ i

• Affidavit-Page 7 of 22

• • case AND EVENTlJAU y LED TO

juvenile victims AND th · a group meeting between h' . · myself and the three

(RR-V/-~;/arents., w JCh meettng (as hereinafter explained) resulted in Qarentai permi~sion"'being given to Kimball to COME DOWN (t' fr r.H-.. · 1rsr omllt1.E years to

thirtJ;-five., and- after 23 months offlghting me- from thirty-five to the thirtv year offer

that Applicant decided to take).

Mean.whik,, however, disagreements between myself and Kimball regarding wha1.

1 sbould be considered 'entitled to' (i.e., differing views regarding what 1 contended to be

Brady-Discovery) caused me, on September 20m, 2005, to file my •Affid8vit Supponjng jl il ~~ Applic:uion .For Deposition Testimony' and the thereto attached 'Defendant's 'i'! •i !: Amended Omnib.ns..Riie-Trial Motion', seeking, inter alia, joint/er of prosecutions, 'i :; .f ', quashing of the indictment, expert witness funding, compelled trial testimony of the I ! ! '. '. indictment-named victim. a copy of the video I Defendant's recorded statement,

~ : notice of extraneous offense evidence, a list of the State's c.ase-in-chi.ef witnesses ., ; ;

AND of it's expert witnesses, various other routine Discovery requests (crim,joa! 1:

histories, etc.), a.nd quite a few requests that were TAILQft.ED to discovering 'I j'

. I' ' evidence corroborating mv client's .ttory tlua, imer aliu, the three juveniles got I

themselves high..o.n.pills they'd h.een crushing - which pills supposedly came from : f ! .

the prescription drug stash of the father of the indictment-named victim (contrary to i : : i ; '

said father's contentio~ · at the above ment1one d JOmt · · meetll1g, · that n one of his pills had ' ; 'l been at his house where and when the subject criminal assaults took place); together ' I·

with a 'Motion In Limine' AND an 'Application ... For Degositiop Testimooy' (of

/by SAID.father) . •

,,,:

• • .1S REGARDS whether I g.Q! that 'complete discovery' addressed by the

Court's Designated Factual Issue Numher Two, I must say in aJJ candor that 1 told

my client I Applicant tlu.u !felt the Court had erred in denial of~ of my requests '

BUT tb41 any prejudice thereby occasioned would N01' likely generate a REVERSAL

of conviction up.on appeal (INFRA, regarding appellate engagement and advice).

At any rate, I did share with Applicant all Discovery obtained; and th.e (previously herein described) meeting with Jerry Dugger~ fuiJy explored -

and dashed- aU ho~.e. th·at ex-onerating evidence wo11ld be found on tbe defendant's

coqwuter, so that (by v-irtue of the described hiw-enforcement-computer-assistance)

~ve got more t#s.t;o.v.ery t.kqn what we were sta:tutorilv entitl~d tl)} FN4: Please refer back to pages 2-3 hereof, where the quoted 'plea colloquy' between myself and Applicant reflects his confirmation ofthe valuable assistance of Detective Jerry Dugger in examining Applicant's computer in search of exonerating evidence.

"As r.ega:r.:Q_s.!pe.Co.ua) designated factual issye @M:.BE.R 3 (three), as trial

counsel, I did consult witth AppJjcant to prepare for trial. As explained oo pages 5-7

hereof, Applicant and 1 basically spC'!nt 23 months constantly rehashing what we could

do with the evidence- and what we'd be stuck with. Generally, Applicant's proposed

witnesses wouid ~ have done anythlng more than show the juveniles to be typical . Dt-h It d"d 't teenagers, except that Tommy's S~st.er, Sonya~ op- w o 2....11- w n a {to testify- ~ C.OIJ.ld have

corroboraied thai Tammy said she was going to leave. Tom for a Rl.CH eighteen year old who

was jus! back from Ku.wail., UIJd,._,.. ~corJ· ..g the contention that the indictment-named victim ..

LED THOMAS AND TAMM¥ TO BELIEVE HE AND HIS PALS WERE AJJULTS; this to

• AffidJJ,vit-Page 9 of 22

• • be coupled with computer eyjdence tbat the couple (Thomas and Tammy) had sought out

ADULT- rather than juvenile - websites. Another witness that Applicam had me

mterview was a neighbor that would supposedly testify ( l) he'd been told by r AMM"Y

that the (the indictment-named 16-year old) juvenile said neighbor had seen visiting

Tom's house was an ad#Jt "rich guy from Kuwait' she was going to leave Tom for; and

(2) was into dru.gs; said witness told me tbat his testimony would 'Not belp' Applicant.

Her.ew;itb-s.ybmittcd ~ ~~ is a three-page write-up (one of

several Applicant furnished me in our preparatioru for a jury trial) of the defense (in

addition to the claim that his sole role was the mere filming of Tqmmy 's actions) that

Thomas wanted to_pr.es.ent, Lhe Court's reading ofwh.ich wi.J.J illustrate why I

• • previously herein stressed that drug and alcohol counselor BOB OUTTEN was prepared

to give testimony (that I would have trie_d to get in oo Guilt-Innocence rather than just on

punishment) as to the effe£ts of d~ugs - particularly drugs mixed with alcohol - on .. I. !•',

i' Ir

- - -- - - - - ---- ------- -- - HAs regar.ds t·b~ CQ.UJ.fs design~ted factual ~sye NUMBER 4 (four), as trial ! ; i: ' counsel, r did Hf)_T fail to contact any al.ibi witnesses. There were NO alibi witnesses,

a:; Applicant hints~lf '!l!J!ears . m momentanly . 1us . own· Vl·d eo, weann · g a hideous negligee- i l I ! type 'gown'. And as Applicant acknowledges in the plea co1loquy, I contacted ALL

of his so-called •witnesses'; and they generally (supra) would not testify to what Thomas

d" whom I recall being able to coofi.rm wanted with another exception, his mother, Ger ...,

• ' Affidavit-Page 10 of 22

i· '.

I J.

• • that-- prior to Tom's and Tammy's arrest for the su~j~t offenses- Tammy wa.s sneaking \i i·i I' I!

l! iii; :j out of the house at night to supposedly rendezvous with the indictment-named juvenile ~: .• victim. Th · ·a1· f h. e tnv1 uy o t IS tyPe of'd.efense' was in keeping with Applicant's

approach to everything: whatever the problem, it was always someone else's fault,

as evidenced by ~-i'.WO (Appljcan.t's .fi.ve·page 'Overview MTR [Motion To

Re k ]' ~ · · · vo e wnte-up done to enable my preparauon for the then-upcoming hearing oo

revocation of his felony probation), wherein, on the second page thereof, the second !\ li "'I fl paragraph of said page shows Applicant attributing to his probation officer, Mr. (Joseph) i\ !t!'I Perez NOT liA VING AN UNDeRSTANDING OF HIS JOB REQUIREMENTS; just as,

two pages later, he talks about the indicunent-named victirn BEING A 'PUNIC

• a punk that 'GOT EXACTLY WilAf II§A.SKEJJFOR'I

I•'N5: The memos Tom generated were always discJUsed at my next iuil visir. : iI when - be now contends - I w.as, assertedly, NOT counseling him and instead .

I supposedly focusing on which of hts cell mates might become my clientele. In point of fact, tb.e complaint raised on the :first page of this particular memo (about having been put on '1 0 years [probation] immediately) was resolved with the decision that he should get started serving time on that case while I continued Dghtiag his new cases, and thereafter consider appropriate habeas relief. :l ! I 'i :' : i

"A~ r§ga.r.ds .the C.o.urt's d~i&nated factual issue NJJMBER 5 (:five), as trial

counsel, I did timely co.rnm.unicate all plea offers from the State to Applicant. As is

. recited by two of prosecutor Mark KunbalJ ' s letters (EXHlB.ITS. TJlR..EE: . ..sm-110~) .. -· I I• 1' w 'lED POTTER, whom I bad replaced, KipJJall offered {!1C. initjaJJv, tk-£ WM fi.ff;y

(50) years that he'dQf(ered both Poaer AND PotterJs predecessor, JOHN BIGHAM.

telling us all there w.ould b§ NO FURTHER NEGOTIA. TION! A.ffidal'iJ-Page ll of 22 I

•

• • Nevertheless, l gradually got the offer down tu tbiny-five years, and finally •I

(after 23 11Wntns fighting forT om), down to the .!!.!i_m year offer which Tom elected to

take rather then running the risk that Kirnball!Waldman would carry through on their

promise of additional indictments I stacked sentences. Each time I had a better offer I

immediately went to the jail to report jt, but Thomas never understood why HE should

get ANY time; it was all the fault of Tammy -- AND OF THE VICTiM (Exhibit Two,

supra, wherein Th.omas says 'The punk got exactlv what he asked (or').J<.WfJ

FN6; The next sentence, referring to 'his [tbe pseudonym-named victim's] 35 year old girlfriend in Kl.lwait', is a reference to the girlfriend about whom Exh.#J shows Thomas quoting said victim's brags that she used to dildo him be9ause he liked it; in Tllomas's mind, neither he !1f2L Tammy should be punished for giving said juvenile- and the two younger ones- what the older juvenile liked.

"As r.ega.r.ds the Court's desianated factual issue NUMBER 6 (six), as trial

counsel, I did agree to prosecute an appeal IF Thomas pleaded 'Not Guilty', went to uial

AND was convicted. I made very dear that to get the benefit of a plea-bargained j i : . ~ :

punishment recQmiJlendation, his 'Guilty' plea would have to be coupled with .a I: j 1

l WAIVER of both direct ap_peal and collateral attack. I explained what was meant

by those terms, and I emphasized that if Thomas~ tried to overturn his Guilty plea I

. conviction., he would then havereleased RR· VI-I iiB h State from .tts pronu.se not to rerum t e

additional indictments; and io that event he would probably face multiple trials and

sracked sentences. Finally, I explained to Thomas rhat, yes, he could plead 'Gullt( ~ !

withOUT benefit of a plea bargained punishment recommendation and STU.L APPEAL I'. any t£ led upon, BUT that there was -liule of our pre-trial motions that had been adverse ru i

,,q Affidavit-Page 12 of 22

• • 'i I
• • iikelibood that an appellate court would find reversible error, AND that 9:f!E:. such

a 'Bench T•·ial' Q!! the sole issue of punishment, the Sentencing-verdict would be. ttifficult to overlurn! A.ND WHEN TOM AND lMUTllAUY SIGNED THE PLEA PAPERS, l FASTII>EOVSLY WENT OVi:"R IiVERYTHJNG'AGAIN, MAKING SURE THAT

APPLiCANT, THOMAS R.4 YMONJ) CARR VNDERSTOOJJ - AND TOLD M.f:.' THAT He

UNDETtS1'001J - EVERYTHING THAT liE WAS SIGNIN&:

While my request for compensation addi.tional to the initial fee WAS based on

my COD ti:Jll.U.,in..g efforts to (1) lower the State's "Plea Offer while (2) bu.itding whatever defense was available AND (3) attempting to inject reversible error into tht.:

case, i1 Wt.L.\' JU!:Iler _staJ&tj hv me, OR u~od h\! either Tho'WJS or his fnJher ~~. I that there would be an. appeal" irresp-ective of whether the defendant might tli I·

plead 'Guilty'! n It was always understood that I was working to generate the BA.SJS l! tor an appeal sho~ld one become necessary; and wben Thomas W A.IVED both direct !i :I i~ appeaJ and collateral attack in ol'der to get the benefit of the thirty-year punishmen1 ~\ " recommendation, NEITHER he NOR his father Lowry tbougllt that I would be

faiiug .<01y appeal OR refunding any fee, for l~d done everything 1 bad agreed to do!

And subsequent to Sentencing, /::!{£ VER did Thomas or Lowry write or call in.qu.i.r~g o.ftk.rt s.t~tus t~L anr . @. - aeeeal Witness

~ 5:-& SA., where(n Thomas, writi~g me from the (Abilene) Middleton Unit, . i ~..a· speaks of his aJways-ongoiug (in f ra ) mc::uaca J L'lSUts • AND being 'ready to move to

Gatesville soon' -BUT SAYSNOTHJNGAJ30UT EXPECTATION OF APPEAL

' Ev-r::rTDIT., 1:. .:A.: LD .. 7 ?·A&:7B revolving around the singu.Utr issue of S ee a~so ~- " "' "'q.,_ lllP.t .,. . ' ' I: ;:!! Lowry) s djfficulty with having to travel far to see Thomas. In SUJU, 1 did NOT I •

iI ! :

• . I :. Affukvit-Page. JJ of 21 i. II . I i_!

• • fail to do anything that I had been paid to do·, an d for comparison purposes 1 refer ,, I' the Court to EXHUltfS .EIGll'.tAND NINE, wh.lCh bespc::a.k the determination of ·! \: "II •I

"il pn>secuior Kimball not to lower his plea offer (particularly to the point th.at I a.lone il q finally got him to}, Kimball's intent to return l7 indictments I seek Stacked 'I !I .sentences, AND my never-ceasing ~ efforts on Thomas's behalf. 7 1 FN7: Getting hi~ 15 rather than 20 years in the 2"d degree case facilitated a possible parole after servmg only hal[ of his time on the 3 fJ..vear sentence (RR- Vt-22)~

"As regards .tb.eCourt's designated factual issue NUMBER 7 (seven), other

facts pertinent to resolution of Applicant's PetiLion are as follows: I spent manv hours

(confirmed by the plea coiloquy betweeo prosecutor Kimbg]l & ApplicantRR-Vl-lSct ~q.) :\ tending not only to Applicant's personal issues, but alsQ- at Applicartt's request- to l1 .,:I those of his parents !!!;!!l children, issues growing out of Thomas's and Tammy's .. il ;!

incarceration (infra). More<lver, Thomas bad constant medical complajnts

r·egardiug which be expected me to intercede: one of many such examples is when

on March 1Oth of '05, I placed a phone call to said Bell County Jail doctor, SHELLEY

ROWEL's commer:oial office (he only visited thejail once per week)- a call which he

had to tater return- regarding Tom's complain~ that the doctor was refusing to give him

· Serquill' and had merely increased his former medication (Effexor FNS) dosage, and that

Tum hadn't had a promised bowel examination (his bowel was bleeding and the pain of

his movements hadn't diminished); and I was supposed to pass on lO Dr. Bowel that Tom ··oar was 'uncomfortable- but not excruciatingly so', AND fNQU!RE ABOUT A r

Affidavit-Page 14 of 21 •

• • SOAK! Th d e octDr took the comnlaint professionally - not at all like Applicant's

reported (supra@Exhibit Five) Middleton-Unit doctor's response ( hi h, ~~ 1 - , w c U•uorturune y, I hLghlighted F.N9 · U m ye ow upon my lanu.ary of '07 receipt of that letter, not realizing T

would one day have to file the letter as an exhibit) and explained to me his cou~ of 'treatment' for my client; and I. thereafter - after unsuccessful attempts to get

Rowel to respond to other inquiries - lod-eeg Thomas's compLaints with the Jail

Administrator AID NtuliSing Staff, AND did research on I obtained a federal pamphlet on the lia:bilities incurred by medical neglect .of jail/ prison inmates. F'N8: Cellmate Nick Hildner's complaint that Tom beat him with a disassembeled piece ·' ·'1: of shower apparatus was both DENIED by Tom and EXPLAINED vis a vis the I' ,;

remembrance chat 'we asked for new psych meds {for Serquilll f!J~:d insteaif f!f 'i

chant;e them they increased the dosage jojE.ffexorj'. See~~-:lfA

• • .•a~f.i@ (Tom's LETTER of denial, the ENVELOPE it came in, 4Jil) his father LOWRY'S lEITER cautioning him about getting into more trouble, and advising him to shut his mouth because I~my still had 'the letter' (which ]'_g,m had !Qk/,__me he wrot~, before his incarceration, in a period of POST-HDEO suicidal reflection about what they'd done)! '' .' ; !

FN9: It should be menti.oned that the reason I highlighted the subject portion of Exhibit Fi\le was that it was a precursor of how hard it was going to be to get Tom a requested assignment to the Gatesville Unit I or any location close to Lowry; inmates w.itlt met!ical I ps.vcbiatric i,ssues do not easily gee relocaLed.

Moreover (as mentioned previously in connection with rny attempt to talk with i i

Tammy), l sp~nt many hours consulting with Thomas's fa~her, LOWRY, and mother,

GERDA (they were separated); and tb.ere were rua.uy gh9ne ealls in regards not only

- a sear ch of Gerda's & Tom's I as to eroperfv seizedlw lwe enloo;ement (upon execuung

Tammy's home} buta.l§o as to b.oth Lowry's and Gerda's desire for visitation with

Thomas's !Dd Iammy's cbijdrsn, Lowry primarily wanting visitatioo with the then

. wantmg thirteen year old Michael and Gerda primarily · ht and weekend visitation . ovem1g Affidavit-Page 15 of 22

;

\<i'~

• • with then tive year old Al~ montb) at Gerda>s residence Cfrom six P.M. Friday to four P.M. Sunday, lwice a ·hi b CPS · - - w c · was saymg was 'a crime scene' and had some

waH damage (which .Skip was in the act of repairing). And tllis role as intem1ediacy

between the CARR and BISHOP fami.lies had me also dealing w.ith Potter QJ:.Lowry' s

fanner CU$tody attorney (Lowry wanted me Jo get a REFUND from Potier, a11d I !li!!)

and with Potter's then-associate, DAN LIC.rHT, from whom I obtained such ofPott~'s criminal-case file material as ~-;~~ (informing Thomas that it wa:; not a

defense that he, Thomas, had wrongly believed the indictment-named victim to be an

ADULT); a.nd Thomas was meanwhile sending me letters, from where he was elsewhere

incarcerated. regarding a Bar grievance against Potter (whose written advice to him T'd

• • Lbought qu.ite S<iU.!ui, supra@ Exhibit Eleven).

~·~ is a 'Message' Memo by my secretary (now deceased) KAY (\VHITE) JONES advjsing me that Lowry I 'Skip' wanted me to call him back 1j ,, f.'i

,,·' !' regarding an asserted!y false claim by Potter that the desired civil-fee refund had already

been made. AU of these were the sort of non-criminal matters I generally refuse to get

involved in, but nevertheless was expected to by Thomas and Lowry I Gerda. And in

the last phone contact I ever had with Lowry, l remember explaining that Thomas - . I . '

in order to get the benefit of the 30 year plea-bargained punishment recommendation-

had WAIVED both direct appeal AND subsequent I coUatera.l attack; AND, while ;I I.

Low

out to Low case Thomas

would probably be subjecting himself to further prosecutioo aod stacked senteuces AffldaJ•it-Page 16 ~f 22

• • :i

\~

• • sh ·d h ouJ ~ e ever attempt to oyerturn his Guilty plea I conviction.

FNIO: There was mnre .~ to rhis h . ~ '.' case 1 an JUst the despicable facts behind tile Indictments I the filthy debauchery of the VIDEO d d. . . . . an rsgustmg stght of Tammy VVlpmg oifthe dildo apparently unbothered by getting the boys' FECES on her

hands; more than just the look of prun on the f~ of one of the boys who was threatened with having to perfonn Fellatio if he didn't submit to being dildoed - -· a threat I tried to keep out of evidence by complaining ~·~

of NOT being afforded EITHER a TRANSCRlPTJQN OF or tbe videoed

RECOlMU~,G of Tom's alleged utterance of the threat. "': T?w had been toJd that O/!.e of the boys' fatber rou a member o( tbc Pr.esl~l'ent's Cr.a.wfgrq, l'exas security team. I had no confrrmation of that; but, still, I ~o,'ed. down my o:llice after it was BURGLAR.IZED by someone WtQ T..CJ.OK NOTHING and merely picked tbe hidden locks - without damaging them -of my desk AND LEFI' THE DR.AWERS

• • ST.ANDlNG WIDE OPEN, pulled fully {)Ut!

And when~ Carr- charges that I thereafter was 'no wbere to be found',

he forgets that 1 conrinjled to fight for Tom for ANOIH£R YEAR & FOUR MONTHS. i! ''' '' :

and fmally got Kimball to give me that thirty year otTer I Moreover, Lowry and

l bad many phone conversations AFTER the c.losiug of my commercial office; and

he knew that I W..@~ offit!ing-.o)!t of PlY home, @ERE both liB and GE!WA. wote me .:

(supra, Exhibits 6, 6A & 6B, 7, 7A &7 B) and see EXJilBi.D-~F.~~.,

containing a newspfWer clipping that Gerda waHied rne (() see. And Lowry should

know that SUBSEQUENT to Tom's departut'e from Bell County, I accepled a .! cQlle(;l phone call from Thomas (in TDCJ) inquiring NOT ABOUT ANY APPEAL ''

BUT SOLELY WHETHER I COULD GET HL\1 TRANSFERRED TO A UNif

Affidavit-Page 17 of 22

• !

,i4

• • I distinctly recall that last phone conversation with i '' 'i[I I I

I' i I • I I

Tom, het:ause he t·old me tbaL 'I can tt believe I took thirty years' _ but said NOT I' [.I !I ,, I"' ONE WORD ABOUT ANY APPEAL; then stiU having a fresh recall of Kimball's i/

Sentencjng-admonitions (supra and RR-VI-19 et seq.) about the consequences of II !I il !I ;•any type of writ . · · or ... judicial review", Thomas mereJy wanted me to try getting i;il hilll incarcerated close to ltis father Lowry. And glances back at Tom's fetter ~

from the Middleton Unit (supra, Exhibit Five) AND Lowry's notes to me (supra,

Exhibits Six and Seven) accompanying the letters (supra, E.xllibits 6A and 7A) f:rom

do(;tors Braun and Rebecca (attesting to Lowry's health problems with having to

travel far), ALL FAIL TO EVINCE ANY HOPES OF OVERTURNING THE

• • GUILTY PLEAS I CONVICTIONS.

E.umination of my large file bas not pr·oduced any notes of whom T

contacted in regards to Tom's and Lowry's hope that 1 could accomplish a nearby

incarceration; and I loathe the thought that perhaps the time-demands of m.y

practice kept me fr-.om adequately following up on their request; nevertheless, the

point is that from the correspondence l received, NONE o{the Carr's (Mither Tom

nor Lo~ry nor Ger,da) eyer eeeressed any desire for or expectation o{an APPEAL I' ' i ' ; Finally, I wo11ld reiterate that I was also .required to handle for Tom hoth. a

misdemeanor and the hereinbefore briefly mentioned felony probation revocation

in Ca-use #54340 (wherein he had been placed on probation for au Apn.• 25th ' 2002 -

Possession of Marijuana Over Four .. · ·) ; an d pursuan t to which• after it became i. . d"1ctmeuts qua shed and tbat be was i obvAous that J wasn,t going to get the new m i I Affidavit-Page 18 of 22

• • I:

,i6

• • probably going to have to- in lieu of what a.jury might do- take at least some

(concurrent} TDCJ time, Thomas entered $elective pleas of 'True'.

ADDEN.DUM in re # 57,S51A: .! I

AS REGARDS APPLICANT'S COMPLAJNTTHATHENEVER SAW ANY II [I li 'EVIDENCE of' Delivezy' of a controlled substance to a minor, the initial observation i ,[

must be that, nevertheless, he signed the Judicial Confession thereto and pleaded Guilty :r

AND in the course thereof confirmed (RR-VI-9 & 10) to the Court that he had not been · !I ~!

coerced in doing so; he thus bears a heavy burden of overcoming the admissions of the

plea colloquy AND, further, of explaining away his sworn testimony (supra, page one):

Q· .Now, Tom, have you qnv dissatisfaction whatsoever with my representation of you?

• • A: No. Q: Is there aJty.thirzg that 1 have failed io explore by way of investigating and preparing A: No. any iiet:etisive issues or witnesses?

Moreover, the advice that I gave Applicant, plior to said Plea, was sound advice, I l I.

i\ 'I il •!

to wit, (l) forensics ey.iden.ce is NOT ueces~arY• upon appeal. lSl support a conviction

based upon any Fact Finder's (reasonable) decision regarding whom to believe; and (2)

my joint me.e~i~~-:w:ith,the · . (one of whom inparticular was vulnerable tbr.ee MINORS

in appearance) a.w! t·b~ir (!!·V.en.~ ·~onfirmed tb.at t here wonld indeed be VICTIM I I ~ t

testimony as to . ha~m~ . M h f.CC@!¥edeLamP b et a mine from Appliqmt, as was expected I'! '.

~'"'J~,!M~B§S::Ol!RAMJTE;ED[L!bnv~tUb!.!e:..Jt~es~t~im!&!o~nl.lv...!o!.!f..-T~AMMY~~"'-"'-; and (3} by Applicant himself to be !;ORR

· that hid eou s 'Ted(b: once a i-!-10' s~tw Applicant parading around in his video weanng

. who was prote stiI!C. that be could Bear n~ligee' and t~lling the jul•emle TAKE JT Affidavit-Page 19 of 22

• i ~ I: ! '

\~

• • (bec;ause she /Tall'Ully did it to Applicant all the time) Qll PERFORM FELJ.ATIO upon

4fmticant, then he, Applicant, would have lost all credibility; a~d there w~· not going lo be any jury nurcy upon Applicant, for he would e_et the MAXl.MUM second degree

felony punislunent !ll.tw.entr Jlean RAfll,ER THAN THE FIFTEE,N YEAR.2 THAT

THE STATE f:KA~' A{JBE.b1NG TO RECOMMEND in order to accommotkJJe the possibili~y of an early Parole Olt the .first degree case (eligibility to be derived from . having served half qfthe thirty years thot the State was recommending in said.firsl

degree case).

A'i for the conz_en.~e.d lack of (forensic) evidence that Thomas 'did ... knowingly

deliver ... Methamph.eta·mine~ to the indictment-named (16 year old) victim. Thomas

• • is hung up on the INCORRECT belief that the State would have had to prove an

l..i\[JECTION; and such is not the case, as it would have sufficed for tbejury to find

from tb.e testimonJ that it w.asH.E who SU[!.pligd w the boys the pills that they were i; 'i 'I

ii \)> ! : (by Tom's own story) 'eating AND crushing up and snoning'. Whence the Se[!t. 19 . i :'

(2006) fllin.g of my 'Motion For ContiJJuance' setting out the following:

1. The St1l;te had-.faih~d to comply with the Court's pre-trial ruling requiring th·at Defend.ant be g.tven a list of case-in-chief wi~n~ses 'M l~ter than four-teen d-ays ·pr-ior to [our scheduled OctoberJtrtal - hampenng our ability to timely confer .... ; . 2. The State had concomitantly failed to honor a prom1se to the Co~rt. to ; l

provide Defendant- twenty days prior to trial- specifi~ ~rescnpuon recor-ds oftbepreviously herein mention.edfatb.er ofthe mdlctroent-111UJ1ed victim. . . REVERSIBLE ERROR into the Record Hence, I had again done my best to lllJCCt .

!!J the event_ that we be put to trial without the requested continuance and DISCOVERy;

• AffuW.vit-Page 10 of 22

I :.

\1f1 I

• • and this was explained to A: l' b . ~p Jcant efore he decided : to enter a Gu 'lt ~ l Y pea. iI '' :.! i I, '' i

i

A roser:ulor (AFTE . · R mme and Applicant's meeting with Detectives Dugger and Sinunoos, then with

prosecutors Kimball and Waldman) !!{'the. medical records that that we bad req.u.ested'!

Finally, it is also on the Record (RR.-VI-27) that there was NO Lab Re,gon;

and confirmation as to the 'Methamphetamine' classification of the controlled substance

came fi·om 'the victim's blood', Regarding wh:ich I would observe tha~ it js hu.rdip ..f. r1. ineffective assjsla!,l,c.e tg..fa.iJ lo.~e.t di~coy.ery of that which never exist!?(!. And it :·1 :l was a strategic decision on my part- a decision proven sound by obtau)ing a fifteen l,, II :i·' year (rather than tw.enty yea.r) recommendation on the second degree case- NOT to :j ,., l~ 'I ': ran kJe the prosecutor by insistence on seeing tbe medicaUy documented blond-work. ! ~

.: .'

; I I, In dosing, l did everything I promised to do- and much more than what tbe

Carr fainiJv would have obtained from most attorneys; and it is because of my

sLeadfast efforts on behalf of Applicant, Thomas Raymond Carr that he obcained

the prospect of being paroled after ONLY FIFTEEN (rather than twenty) years - a . a prospect that I lwpe he has not forfeited by this improvident Writ appiicatwn. " ___ ,.

FIA.NT, h , "M ontgomery J r·. C.ERTIFlE,O COPY SBOT 1428800 Tel. 25 4-98 6- 2531 DOCUMENT ATTACHED IS A TRUE & CORRECT COPY ~400 Seven Coves Rd., Temple, TX 7 6502 - 65 ~ 1 I

• Of THE ORIGINAL ON FILE A.ffidu:vit-Page 21 of 22 ~ .~ I i APR 11 2013 SHELIA F. NQRMAN \1rl. ! !

® DISt..RJ.CT CLE BY.&.::wv , B~Ll ~ TX 't'.o~UTY

I. I ' ' I

• • b SUBSCRI:B·ED AND SWORN TO , before me, the undersi n d N Y the above rulmed Affi ,tf 4~l~t g e otary, (as knnwn H> me or identified by Driver Li~ense), this

the / (/ day of ' • '2013.r

DEBRA KAY STURTEVANT My Commlnlon ~lll~s July 25, 2013

~ I· h t'. r

; i ; \ I j

i : ' . ' CERTIFICATE OF SERVICE

Tb~ is to certify that •• this th~~My of April, 2013, a true and correct

copy of .tbe for"lloing •coun-G<de.ed A-ffidavit (in Cause Numbers 57,557 -A aud

57 ,55;&-A)" w-as served, ' .Attorney. i ' !I

I'

I \

• • \~ I ·~

•

Exhibit 13 •

•

ACKNOWLEDGMENT OF RECEIPT OF THOMAS CARR's FILE FROM ATTORNEY CHARLES MONTGOMERY

The undersigned, SHAINA MEDFORD (celt phone# 254-493-2447), on behalf of her employer, AttomW'IMOTHY TESCH (office# 254-865-0313), acknowledges her receipt this :J(, of June, 2014, of Attorney Charles Montgomery's original file (i,e., exclusive ofpost-conviction/collateral reliefproceedings), subject to inspection by Mr. Tesch, who has agreed to hereafter provide Mr. Montgomery his, Mr. Tesch's, own/personally signed receipt for EACH of the below listed items/documents (tendered in a 3-inch ring-binder notebook and in the following sequence*): *: Mr. Tesch will co-sign and date this very same receipt and NOT constmct a differently itemized receipt. Should Mr. Tesch contend a herein-listed document to be missing, he shall merely line-through same on this very same receipt. Meanwhile, NO document shall be removed from or rearranged in the tendered notebool{; and should these terms NOT be acceptable, then Mr. Montgomery shall withhold delivery until :Mr. Tesch can personally receive I acknowledge receipt of these documents/this file.

l. Judgment of Conviction By Court in Cause# 57558 (Aggravated Sexual Assault) 2. Judgment of Conviction By Court in Cause# 57557 (Del. C./Substance to a M.inor) A,_'-r.;r:.·,t ~ 3. Seven (7) "Judges Docket" sheets (for said 57558 and 57557).

-~ ___... 4. The Sixteen (16) page "Plea Packet" for putative "co-Defendant" T Alv11V1Y tviTCHELLE BISHOP in Cause# 58,703. ! ·.P 5. Twenty (20) Dist Ct. Coordinator "setting notices", beginning with a 3-23-0~ / notice of indictment, scheduled Arraignment and Pre-Trial in Cause 57,551 (only); V'l' ~,. . ~ and ending with the 9-22-06 notice of a 12-4-06 Jury Trial setting, at the bottom of ~! ·! .,. t· v~- which notice I recorded "Case Closed by Guilty Plea (Tue. 11-21-06) to (Plea Bargained] 30 years before Trudo (Jdg) (with) Kimball as prosecutor (and then also ""J0 recorded] (alter this I put Defendant on the stand for additional oral judicial confession, etc.)" - which notations I've noted here just to help you (Mr Tesch) understand my shorthand.

\/ 6. Thirteen (13) pages of Bell Co Law Enforcement Center Medical Request Forms, inclusive of Defendant's requested "criminal record". 7. Thomas Carr's PERSONAL WRITINGS (letters, notes & memorandums I instructions to me, "Monty" Montgomery), interspersed with NEWSPAPER ARTICLES (therein referred to by Defendant) AND !~IRD PARTY LETTERS (to Defendant), all as below itemized: (1) A 10-02-01letter (a copy ofwhlch I later obtained from Defendant) headed "Dear Family, (Carr's & Bishop)". (2) A 10-25-04 letter-formatted document headed "Dear Lord Jesus"

Receipt-Page 1 of 6

• • \0\.l

A i -4-05 Temple news clipping on "Heights man held on sexual assault of minor", displaying a mug-shot (?) of "Thomas R. Carr" -this article mentioning that "one ~f the 14-year-olds is a special-education stu. dent"! /...,!/ .2. ·"' . , A 1-9-0~ (Introductory) letter to me, headed "Dear Monty". V\.:! r{. f'l ,; e. -r· V''•( ,, '

A l-15-05 ode-formatted document entitled "I Am Methamphetamine" and labeled on it's left margin "Thomas Carr Bell County Jail #328" (6) Defendant's one~e "Witnesses" list (as given me, Monty Montgomery) together with two pages ofDef's notes regarding said witnesses. ~(7) Fiv~ ga~,tstapled together, the first two pages headed "First Meeting" (with indictment-named victim Jerrid May {referred to as "Gerad"} ), the next two pages headed "Danny Purkey", and the last page being a 6-17-06 news clipping regarding "Danny Calvin Purkey" and headed "Man gets probation for drug possession, fleeing police". ,..? f' ,, Sc_ ";. .-- (8) A 4-23-06 "In-House Mail" Jetter from Danny Purkey (cell #202) to ---- ~ Defendant in cell #302. e.. V'\.J~I of_._ h o.\- .,.._,(\__.,...-\ · (9) A 1-28-05 letter headed "Dear Monty", and setting out Tom's defense, to wit: Tammy and he "were not ourselves, we were on Meth. It's a very controlling drug that makes a person think 'Meth's' way"- hence our hiring of long-time drug and alcohol counselor Bob Outten to interview Torn and prepare jury testimony on Tom's behalf A 3-l-05 "To whom it may concern" letter (withdrawing his "grievance" against attorney "Teddy L. Potter"). ·e v. ..;~\ 0 61 ~- \""--:>·+ IN-~-·· -J, 1J 1-t \ . (ll) A 4-3-0Sletter headed "Dear 'Monty'".-~ h., \ ~ \ , ;1..-·l-__s ? f::'" I"' •./ ~) lfi •·\;.:~> (12) A 3-24-05 Killeen riews clipping headlined "Heights man indicted on charges of drugging, raping 16-year-old". (13) A 3-25-05 Temple clipping headlined "Harker .Heights man may face life in prison for meth, sexual assault" and picturing DefendfoR.t's mug-shot. ( 14) A 4-16-05 letter headed "Dear Monty". e 'f'.J ~ \ "'P(. ( ( 15) A 4-23-05 letter headed "Dear Monty". tltvu t{~ pr c.sr .· D r. a· ,....,/ \r. y·:v (l6)A5-l2-05letterheaded"'Monty'". Qr-,;-~.·?_ ~ v·r ·-,'):.: .<"

(17) A May 28 '05 fax from Ft Hood number 254-288-2065, labeled "Ask !);· -- Monty (for] Thomas Can''. (18) An LUldated Letteradd.re~ed" Dear 'Monty'" and signed "Your Client & Friend'' --t.r..Jt-~f,f.J._ , ( 19) A December of '05 envelope and Killeen news clipping, headlined ·. . ". "Heights woman given 8 years for giving meth tO children", and mailed to f . . : f ;ll... . '-~ } me by Gerda Can (Thomas's mother). r· (20) A 4-20-06 (the four looks like a nine) letter I memo addressed "Monty", ~together with two pages of sn·ategy I inst:J.uctions for r.et:rieving files ~ ';.

'\. ( c

. .. \.r '· .£rom Tom's computer ( al that time in the hands of Harker He1ghts P. D.). .......... -~ ~

.. .. '~ i I 't• Receipt-Page 2 of 6

.~ ..

• • (21) F om ( 4) pages stapled together and labeled by Tom at the top thereof, respectively, as "Computer Forensics", "How were we to know", "My [Tom's] closing argument [for his anticipated jwyr, and "Gerad's story". (22) Five pages stapled together, containing undated further insuuctions for me and headed, respectively, "Questions to ask a computer expert", "Back date the computer. .. ", "To copy files we will need ... "*, "Things to take pictures of. .. ", and a one page map. *: At the bottom of said page is !!!.Y subsequently recorded "Post- Plea Memo: "All of the stuff Tom wanted was accessed by [H.H.P.D Detective] Jeny Dugger for Defendant at om jail meetmg (where we got on Tom's computer and viewed the original cam-corder tape) tluu the cam-corder which (with the computer) Dugger & [Detective] Mike Simmons brought to the jail". (23) An undated (postma.rke~ 8-3-06) and un-addressed letter to me (i.e., without salutation) regru:ding "Tmth and justice ... " and swearing to tell tbe truth. (24) An undated letter (no envelope) beginning" 'Hay [sic] Tom'" and signed e·- "Joe Starks", and apparently quoting in red ink a reader's letter-to-the- editor about Tammy having been given 8 yeru·s for Delive1y to "boys" while escaping indictment ("no charges") for the "sexual molestation" . ,................-s. Sixteen *(16) pages stapled together and constituting my I Monty 7_0 .:.-- Montgomery's) personal notes I work product, of which, while keeping my L.-' I"" I ;': '

c v originals, I've given you color copies so as to enable you to discern red ink from blue or black ink, and thereby better follow my notations. *: The sixteen will actually number eighteen, because one page is copied two different ways (i.e., with two extra half-page {top and bottom} copies, ensuring that nothing was lost in the copying process. 9. Seventeen (17) pages (NOT stapled together), containing various letters I other writings by Lowry Thomas Carr (Defendant's father), Duane Miller, Ted L. Potter, R. 0. "Bucky" Harris, and a note from my secretary, Kay Jones. 10. Various documents comprising the file history for Cause numbers 57,558 /) and 57,557, in the following orde1·: / (1) the Complaint for Del. C/Sub. To a :Minor (2) the Complaint for Agg. Sexual Assault (3) a 1121/05 printout ofDefs criminal history, along with Affidavits For Arrest of 51 both Thomas Carr AND Tammy Bishop on the Delivery charge. (Tammy's 1 "Affidavit" is nothing more than a screwed-up Complaint form; and Tom's contains two Complaints with no Affidavit in this particular packet.)

• Receipt-Page 3 of6

• • (4) my Motion To Substitute Counsel in Cause# 1847. (5) " " " " " " " # 1847B (6) Waiver Of Arraignment in 57,557 and 57,558 (7) Motion For Continuance in 1847. (8) " " ~' in 1847B (9) Defendant's Election As To Punishment in 57,557 & 57,558. (10) Complaint & Affidavit For Arrest in 1847 (Aggravated Sexual Assault). (11) Two-page Waiver OfRight To Formal Discovery And Request For Infor·mal Discovery -which Waiver I later abandoned (with Kimball's agreement). (12) Indictment in 57558 (with my observations regarding its defects) (13) " "57557 (14) my rough-out of a bench warranf(to get Tom back from the San Antonio Dominguez Unit (15) my type-writer prepared bench warrant (which never was filed). (16) Kimball's (filed) Bench Warrant. (17) Photostats ofUS. & Texas' constitutional Double Jeopardy provisions (the only research I kept, as all else would have been incorporated into pretrial motions) (18) Defendant's [15 page] Omnibus Pre-Trial Motion as filed 8-17-05 (J9) " [18 page] Amended Omnibus Pre-Trial Motion as filed 9-20-05, this copy of which contains my Hearing notations.

•• (20) The Clerk's copy of said motion, with the Court's (Hearing) notations. (21) The March 6w., 2006 report of the Vernon Campus Texas Dept. of State & Health Services ChiefPsychiatrist, Dr. Joseph Black, M.D., finding Thomas CO:tv.!PETENT to stand trial, sening out the medications he was on, diagnosing him as "Malingering" and explaining - as verified by Thomas' writings (supra) - that the patient was "feigning ... mental illness" (see Paragraph 3 on page 4 of the five page report). (22) the March gth 2006 Bench Warrant of Thomas back from Vernon. (23) my "Defendant's Court-Directed Motion For A Sening On A Previously Unheard [actually un-ruled upon] Pre-Trial Motion", as filed 9-19-06. (24) my application for a subpoena of District Attorney Henry Garza (along with notation of my agreement to quashing said subpoena in exchange for the State's agreement to deletion of the scarlet words "Of A Child" from the Caption of the Indictment), stapled together with the State's Motion To Quash Subpoena. (25) the bench warrant for Tammy Bishop, issued 9-27-06 (26) Motion For Continuance in Cause Numbers 57557 & 57558 (complaining of non-compliance by the State with prior court rulings). (27) a l 0-24-05 (belatedly furnished) print-out of Kevin May's cholesterol-prescription (Tom's identification of the pills he said the kids were crushing up and snorting, to wit, "methylphenidate" - see above item #7 (2l)'s "How were we tO know" page - might indicate that Mr. Mays had an ADHD condition/prescription; but Tom's "AZO 36" observation would have to have been incorrect.) Receipt-Page 4 of 6

•

·-- (28) the "Notice Ofintent To Use (hospital blood records*] to prove that the boys had been given Methamphetamine. *: Those records- filed with the Court Clerk- augmen~ t~e A~davit For Arrest ("the children 'tested positive for meth .... "). (29) the State s Not1ce Of Other Crimes, Wrongs or Acts". (30) the State's Witness List (for case-in-chief).

(31) a 2-8-05 Transmission Verification Report reO.ecting mv having sent Bob Outten (the Beeville, Texas alcohol & drug counselor who I hired to interview Thomas and prepare Bob's jury-defense~testimony, SUPRA) twenty one (21) pages o( [actual background on cause #s 57557 & 57558.

(32) a large envelope dated Mar. 14, 2005, repeatedly stamped "Privileged", addressed to Mr. Thomas Carr in cell #304 I changed by Jail personnel to cell 328, and containing a lengthy letter (with exhibits) TO State Bar Senior Investigator J.M.Richards and FROM Ted Potter's grievance attorney, Austin's Jerry Zunker

(3 3) a 3-7-05 Adjudication of Guilt; Sentence To State Jail Dlv, TDCJ in Cause #53430, wherein Tom had previously been probated on a 4-25-02 Possess[on of Marijuana Over Four Ounces and Less Than five Pounds, and now (3-4-05) was pleading True only to the "tested positive" allegations of a "Second !Viotion To

·- Adjudicate", with the State abandoning all other allegations (i.e., those relating to the offenses set out in 57557 & 57558). (34) the above mentioned (1-31-05) "Second Motion To Adjudicate". (3 5) Various (together stapled) Cause #53430 setting notices, respectively dated l-21-05, l-27-05, 2-22-05 and 3-1-05 (on which latter notice I recorded that on 3-4-05 Defendant pled True to paragraphs D, E, & F {of said 2"d MIA}, 1-11ith paragraphs A. B. C & G be;ng abandonecj) (36) the (8-17-04) First Amended Motion To Adjudicate in 53430. (3 7) my ( 1-20-05) Motion To Substitute Counsel in 53430.

(38) the County Attorney's ''Motion To Dismiss" & County Court at Law Judge's 3-16-05 Order dismissing Cause No. 2C04,-05521, stapled together with three (3) preceding Agreed Motion(s) For Continuance (39) the County Attorney Office's l-18-05 two-page DISCOVERY for said 2C04-0552l (40) County Attorney Richard Miller's Cause #2C04-0552llNFORMATION charging Thomas Carr with Marihuana Possession Less Than 2 (two) Ounces, stapled together with Harker Heights P.D. Detective Jerry Dogger's sworn Complaint and probable cause affidavit AND ten additional pages of supporting Incident I Investigation Report(s), Magistrate's Warning, AND Supplememal Reports(s) - all together establishing that only marihuana was found upon execution of the search warrant at Thomas's (Gerda's) residence, and that there never was any seizure of methamphetamine, hence nothing to submit to a lab.

Receipt-Page 5 of 6 ---·. e

(41) my 1-18-05 Motion To Substitute Counsel in said Cause 2C04-0552I

(42) a 35 page ACLU "Prison & Jail Accountability Project" 2003-2004 Prisoner Resource Guide that Thomas Carr wanted me to consult in regards to taking legal action about his medical complaints

ADDENDUM: The foregoing documents are what currently comprises my file on Thomas Raymond Carr and are additional to those filed with my April 1ot~>, 2013 "Court-Ordered Affidavit .... ". For example, I apparently filed therein the original - keeping no copy - of Thomas's 12-31-061etter (therein denominated "Exhibit Five"); and there may be other such instances. As for the accuracy of those comments herein whereby I did you the courtesy of alluding to the significance to me of any given document herewith provided, it must be borne in mind that the case is nine years old, my memory may be wr·ong due to the passage of time; and your (Timothy Tesch's) signature hereon will NOT be taken as indicating agreement with my conclusions. You are merely confirming receipt of each of the foregoing documents .

•• Receipt of the Foregoing is hereby acknowledged by signatures of the undersigned.

EXECUTED June~h, 2014 by ~ !7&£::~ MEDFO ~Agenr or SHAIN A and subject to inspection by Timothy Tesch

EXECUTED June_, 2014 by ATTORNEY, TIMOTHY TESCH (SBOT # 19808200) Attorney for Thomas Raymond Carr

Receipt-Page 6 of 6

NOTHING HERE. FOLLOWS

•

Exhibit 14 •

VVUULC JCV,....AKU)'

Bill of Rights

No person shall be held to answer for a capital, or otherwise infamous crime, unless on a presentment or indictment of a grand jury, except in cases arising in the land or naval forces, or in the militia, when in actual service in time of war or public danger;

nor shall any person be subject for the same offense to be twice put in jeopardy of life or limb;

nor shall be compelled in any criminal case to be a witness against himself, nor be deprived of life, liberty, or property, without due process of taw;

nor shall private property be taken for public use, without just compensation.

The BILL OF RIGHTS

-DOUBLE JEOPARDY No person, for the same offense, shall be twice put injeopardy of life or liberty, nor shall a person be again put upon trial for the same offense, after a verdict of not guilty in a court of

• • ·urisd· ·

No per.soA' for the same offense. shall be twice put in jeopardy of life or liberty; nor shall a person be again put upon trial for the same offense, after a verdict of not guilty in a court of competent jurisdiction

Art. 1.10. [8) [9] Jeopardy

No person for the same offense shall be twice put in jeopardy of life or liberty; nor shall a person be again put upon trial for the same offense, after a verdict of not guilty in a court of competent jurisdiction.

Acts 1965, 59th Leg., vol. 2, p. 317, ch. 722.

\ Art. 21.13. [407] [463) [451) Act with intent to commit an offense

An indictment for an act done with intent to commit some other offense may charge in general terms the commission of such act with I intent to commit such other offense. I

~' Acts 1965, 59th Leg., p. 317, ch. 722, Sec. 1, eff. Jan: 1, 1966

Art. 21.24. (417; 408a] (481] [4691 Joinder of certain offenses

_ _ _ ---~~~ v.L.Lc:u::>t:::> may oe JOlned in a single indictment,

information, or complaint, with each offense stated in a separate count, if the offenses arise out of the same criminal episode, as defined in Chapter 3 of the Penal Code.

(b) A count may contain as many separate paragraphs charging the sarne offense as necessary, but no paragraph may charge more than one offense.

(c) A count is sufficient if any one of its paragraphs is sufficient. An indictment, information, or complaint is sufficient if any one of its counts is sufficient.

Acts 1965, 59th Leg., p. 317, ch. 722, Sec. 1, eff. Jan. 1, 1966. Amended by Acts 1973, 63rd Leg., p. 968, ch. 399, Sec. 2(A), eff. Jan. L 1974.

• • l ,qq

••

·Exhibit 15 •

BELL COUNTY District Court Coordinator 1~~~ lllllllllnlllmllllllUl

• 57557

Post Office Box 324 Belton, Texas 76513-0324 (254) 933-5246 Fax: (254) 933·5990 1·800-460·2355 ext. 5246

March 24, 2006

CHARLES MONTY MONTGOMERY 4400 SEVEN COVES ROAD TEMPLE, TX 76502

Re; 57557 -1- !1 7 s-s- ~ (ft'~,..;; 'fd ;u,..;.,~}"' f<t-Ic.~ c<-T IT (/" State of Texas Vs. Thomas Raymond Carr

The above case has been scheduled for a~~-~~~,.;~~~; at 9:00a.m. Docket Call will be Aprll28, 2006, at 9:00 a.m. ·. .· L+- ~ ~tetw ~.;:r.Q~Y-:1-j You and your client must be present for Docket Call or the bond will be forfeited. tln?J' p /1#;.xt ~ c:;l1 y--- (Urn /:311 fl.4! :7- J..l.f- 0 !7 -~-~- ..· ~

Paul~~ -~~~ .. j.,.-zf Court Coo'Fdinator ~ ..li'f!!t · . . ;/ .

Notices to:

CHARLES MONTY MONTGOMERY 4400 SEVEN COVES ROAD TEMPLE, TX 76502

MARK D. KIMBALL BOX 540 BELTON, TX 76513

Jlt>l 11mm ~IIIIUI ~~~~~ mtm l~llltllllllll I30CJ!Jl'ITL

Exhibit 16 •

c:\users\a~nugnes\local settrngs\temp\76868993.tif printed by mi'iap. (Page 1 of 2) _ -·· DIII-I L .Scanned by ALBERTS ANDREA l jn fac111tv MIPDLETON on 02/02/2007 08:51 PJ 1·-flz_

• • --,.--HAM~~;;;-:---- 7"~:;,;;--~-- 7(. ~ STATE 101 TEXAS UNiFORM HEALTH STATUS UPDATE

~

~fTDCJI_i.j.I...J/t....X,_'f...~..:.··.~o..c{)::.,___ _ _ _ _ _ _ _ ~ RACE:Wbde f oos:oL&IMAce~ (L./0 ~) ) v SJ:X; Male6;._ Female _ _ WT: ~' :HT: s:..1.:,'' II. CURRENT/CHRONIC HEAlTH PROBLEMS A. Health Problems · Ut .SPECIAL ,.EEDS. CCheck aU that apply) A. Housh~.S Restrictions _ 1. Nona _ 2. Asthma -41.None _2. Stilled NuniAg Facility _ 3. Pregnancy _. 3, Extended C.,. Fadllty _ 4. Dental Prlortty _4. Paycha.tric lnp~~tlent FacJIIty - 5. Dfabebts _5. ~ Jaoll!tfon _ 6. DrvgAbUH _ I . Other: _7.Aicohollem _ 8. Orthopedic Problems B. Tra~tJon _ 9. Cardiovascular/Heart Trouble 1. R~tlne _10. SulcldaJ • CrutchM/Cane 11. Mental Retardation - 3. Ambulance ::,[12. Mentalllln~tSS (Specify diagnosis)·--- - 4. WheelchaJnWheek:hair Van Dt~)ltN _13. Recent urgery -5. ProstheS!.: - - - - - - 14. Seizures C. Pendblg Spe~ Clinic Appolr•tment -15. Dialysis X 16. Hypertension Non•. --A- Typ. - - - - - - _17. CARE System YIN 0. ALLERGIES---------- ~OTE: WIHtn screening subStance abuse facility. clhmts, please cont.tct the TDCJ-IC> Health S81Vices Uaison et ~KA (131)437-3SIJ9 for cltent:a with •ny chroniC disease ~:.._..._ _ _ _ _ _ _ _ _ __ S)'JftPfOnts deemed unstable.

• • B. PrevantJva Madlcina X 1. T~uloels Status H J~ (!.... NM IJ3'""ksf- -c.~ Skin T~: Date Gtven: !J.Jl!J..I.i£ D<rte Read: IJ,..t}/J_I6 Results X-R,IIy: Date: _ / _ / _ Normal_ Abnonnat_• _. 2.~:A_B_C_ Other. _ 3. HIV Antibody: Test Date:_/_/_ Resufbi: Neg Poe _ 4. Syphlfts: Date:-'~- Type:_ Treatment Completed:_Yes_. No ~ mm' Anti-TB Treatm"4fii?'No _Yes_.

CD4: _ _ Date _1_1 _

•NOTE: It any treatment has been ~mended, the X-R.y WN abnormal, or skJn faSt Jndlcatos lnff1Ction pleBse st1ach tuberculosis record.

C. Oth..- Health Care Problems: - - - - - - - - - - - - - - - - - - - - IV. CURRENT PRESCRIBED MEDICATIONS None

D.osaga Freq~eney

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Medication Do& age Frequency

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Indication Initial Dose and Titration Recommended Dose Maximum Dose Schizophrenia-Adults Day 1: 25 mg twice daily. Increase in increments 150-750 mg/day 750 mg/day of 25 mg-50 mg divided two or three times on Days 2 and 3 to range of 300-400 mg by Day 4. Further adiustments can be made in increments of 25- 50 mg twice a day, in intervals of not less than 2 days. Schizophrenia- Day 1: 25 mg twice daily. 400-800 mg/day BOO mg/day Adolescents (13-17 Day 2: Twice daily dosing totaling 100 mg. years) Day 3: Twice daily dosing totaling 200 mg. Day 4: Twice daily dosing totaling 300 mg. Day 5: Twice daily dosing totaling 400 mg. Further adjustments should be in increments no greater than 100 mg/day within the recommended dose range of 400-800 mg/day. Based on response and tolerability, may be administered three times daily. Schizophrenia- 400- BOO mglday 800 mg/day N/A1 Maintenance Bipolar Mania-Adults Day 1: Twice daily dosing totaling 100 mg. 400- 800 mg/day 800 mg/day Monotherapy or as an Day 2: Twice daily dosing totaling 200 mg. adjunct to lithium or Day 3: Twice daily dosing totaling 300 mg. ! diva\proex Day 4: Twice daily dosing totaling 400 mg. I

i Further dosage adjustments up to 800 mg/day by Day 6 should be in increments of no greater than 200 mg/day. Bipolar Mania-Children Day 1: 25 mg twice daily. 400-600 mg/day 600 mg/day and Adolescents (1 0 to Day 2: Twice daily dosing totaling 100 mg. 17 years), Day 3: Twice daily dosing totaling 200 mg. Monotherapy Day 4: Twice daily dosing totaling 300 mg.

Seroquel (Quetiapine Fumarate) Drug Information: ... http://www.rxlist.com/script/main/rxlist.asp?articl ..

• • Rxlist The Internet Drug lnde11 close window
• • Patient Information

Indications Dosage How Supplied

INDICATIONS Schizophrenia

SEROQUEL is indicated for the treatment of schizophrenia. The efficacy of SEROQUEL in schizophrenia was established in three 6-week trials in adults and one 6-week trial in adolescents (13-17 years). The effectiveness of SEROQUEL for the maintenance treatment of schizophrenia has not been systematically evaluated in controlled clinical trials (see Clinical Studies].

• Bipolar Disorder

SEROQUEL is indicated for the acute treatment of manic episodes associated with bipolar I disorder, both as monotherapy and as an adjunct to lithium or divalproex. Efficacy was established in two 12-week monotherapy trials in adults, in one 3-week adjunctive trial in adults, and in one 3-week monotherapy trial in pediatric patients (10-17 years) (see Clinical Studies].

SEROQUEL is indicated as monotherapy for the acute treatment of depressive episodes associated with bipolar disorder. Efficacy was established in two 8-week monotherapy trials in adult patients with bipolar I and bipolar II disorder (see Clinical Studies].

SEROQUEL is indicated for the maintenance treatment of bipolar I disorder, as an adjunct to lithium or divalproex. Efficacy was established in two maintenance trials in adults. The effectiveness of SEROQUEL as monotherapy for the maintenance treatment of bipolar disorder has not been systematically evaluated in controlled clinical trials [see Clinical Studies].

Special Considerations in Treating Pediatric Schizophrenia and Bipolar I Disorder

Pediatric schizophrenia and bipolar I disorder are serious mental disorders, however, diagnosis can be challenging. For pediatric schizophrenia, symptom profiles can be variable, and for bipolar I disorder, patients may have variable patterns of periodicity of manic or mixed symptoms. It is recommended that medication therapy for pediatric schizophrenia and bipolar I disorder be initiated only after a thorough diagnostic evaluation has been performed and careful consideration given to the risks associated with medication treatment. Medication treatment for both pediatric schizophrenia and bipolar I disorder is indicated as part of a total treatment program that often includes psychological, educational and social interventions.

DOSAGE AND ADMINISTRATION

~ .. , u'4ue• t \.luetiapine Fumarate) Drug Information: ... http:/fwww.rxllst.comlscript/main/rxlist.asp?articl ..

• Important Administration Instructions SEROQUEL can be taken with or without food.

Recommended Dosing

The recommended initial dose. titration, dose range and maximum SEROQUEL dose for each approved indication is displayed in Table 1. After initial dosing, adjustments can be made upwards or downwards, if necessary, depending upon the clinical response and tolerability of the patient [see C!inical Studies].

Table 1: Recommended Dosing for SEROQUEL

Indication Initial Dose and Titration Recommended Dose Maximum Dose Schizophrenia-Adults Day 1: 25 mg twice daily. Increase in 150-750 mg/day 750 mg/day increments of 25 mg-50 mg divided two or three times on Days 2 and 3 to range of 300-400 mg by Day 4. Further adjustments can be made in increments of 25- 50 mg twice a day, in intervals of not less than 2 days. Schizophrenia- Day 1: 25 mg twice daily. 400-800 mg/day 800 mg/day Adolescents ( 13-17 Day 2: Twice daily dosing totaling 100 mg. years) Day 3: Twice daily dosing totaling 200 mg. Day 4: Twice daily dosing totaling 300 mg. Day 5: Twice daily dosing totaling 400 mg. Further adjustments should be in increments no greater than 100 mg/day within the recommended dose range of 400-800 mg/day. Based on response and tolerability, may be administered three times daily. 400- 800 mg/day 800 mgtday Schizophren·la- NIA1 Maintenance Day 1: Twice daily dosing totaling 1DO mg. 400- 800 mg/day 800 mg/day Bipolar Mania-Adults Monotherapy or as Day 2: Twice dally dosing totaling 200 mg. an adjunct to lithium Day 3: Twice daily dosing totaling 300 mg. or divalproex Day 4: Twice daily dosing totaling 400 mg. Further dosage adjustments up to 800 mg/day by Day 6 should be in increments of no greater than 200 mg/day. 400-600 mg/day 600 mg/day Bipolar Mania- Day 1: 25 mg twice daily. Children and Day 2: Twice daily dosing totaling 100 mg. Adolescents ( 10 to Day 3: Twice daily dosing totaling 200 mg. 17 years). Day 4: Twice daily dosing totaling 300 mg. Monotherapy Day 5: Twice daily dosing totaling 400 mg. Further adjustments should be in increments no greater than 1 00 mg/day within the recommended dose range of 400-600 mg/day. Based on response and tolerability, may be administered three times daily. 300 mg/day 300 mg/day Bipolar Depression- Administer onCe daily at bedtime. _,.--.,

e Adults Day 1: 50 mg Day 2: 100 mg

~ Day 3: 200 mg Day 4: 300 mg

,f 5 ;:,eroquel (Quetiapine Fumarate) Drug Information: ... http:/twww.rxlist.com/script/main/rxlist.asp?articl ..

Bipolar 1 Disorder Administer twice daily totaling 400-800

• 400-800 mg/day 800 mg/day Maintenance mg/day as adjunct to lithium or divalproex. Therapy-Adults Generally, in the maintenance phase, · patients continued on the same dose on which they were stabilized. 1. NJA Not applicable

Maintenance Treatment for Schizophrenia and Bipolar I Disorder ·

Maintenance Treatment- Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatment [see Clinical Studies].

Dose Modifications in Elderly Patients

Consideration should be given to a slower rate of dose titration and a lower target dose in the elderly and in patients who are debilitated or who have a predisposition to hypotensive reactions [see CLINICAL PHARMACOLOGY]. When indicated, dose escalation should be performed with caution in these patients.

Elderly patiet~ts should be started on SEROQUEL 50 mg/day and the dose can be increased in increments of 50 mg/day depending on the clinical response and tolerability of the individual patient.

Dose Modifications in Hepatically Impaired Patients e Patients with hepatic impairment should be started on 25 mg/day. The dose should be increased daily in ir.crements of 25 mg/day -50 mg/day to an effective dose, depending on the clinical response and tolerability of the patient.

Dose Modifications when used with CYP3A4 Inhibitors

SEROQUEL dose should be reduced to one sixth of original dose when co-medicated with a potent CYP3A4 inhibitor (e.g., ketoconazole, itraconazole, indinavir, ritonavir, nefazodone, etc.). When the CYP3A4 inhibitor is discontinued, the dose of SEROQUEL should be increased by 6 fold [see CLINICAL PHARMACOLOGY and DRUG INTERACTIONS).

Dose Modifications when used with CYP3A4 Inducers SEROQUEL dose should be increased up to 5 fold of the original dose when used in combination with a chronic treatment (e.g., greater than 7-14 days) of a potent CYP3A4 inducer (e.g., pherytoin, carbamazepine, rifampin, avasimibe, St. John's wort etc.). The dose should be titrated. based on the clinical response and tolerability of the individual patient. When the CYP3A4 inducer 1s discontinued the dose of SEROQUEL should be reduced to the original level within 7-14 days [see ' CLINICAL PHARMACOLOGY and DRUG INTERACTIONS}.

Reinitiation of Treatment in Patients Previously Discontinued Although there are no data to specifically address re-initiation of treatment, it is recommended that when restarting therapy of patients who have been off SEROQUEL for more than one week, the initial dosing schedule should be followed. When restarting patients who have been off SEROQUEL for less than one week. gradual dose escalation may not be required and the maintenance dose

of 5 .,eroquel (Quetiapine Fumarate) Drug Information: ... http://www.rxlist.com/script/main/rxlist.asp?articl ..

may be reinitiated.

• • Switching from Antipsychotics The_re are no systematically collected data to specifically address switching patients with schizophrenia from antipsychotics to SEROQUEL, or concerning concomitant administration with antipsychotics. While immediate discontinuation of the previous antipsychotic treatment may be acceptable for some patients with schizophrenia, more gradual discontinuation may be most appropriate for others. In all cases, the period of overlapping antipsychotic administration should be minimized. When switching patients with schizophrenia from depot antipsychotics. if medically appropriate, initiate SEROQUEL therapy in place of the next scheduled injection. The need for continuing existing EPS medication should be re-evaluated periodically.

HOW SUPPLIED Dosage Forms And Strengths • 25 mg tablets are peach, round, biconvex, film coated tablets, identified with 'SEROQUEL' and '25' on one side and plain on the other side, • 50 mg tablets are white, round, biconvex, film coated tablets, identified with 'SEROOUEL' and '50' on one side and plain on the other side · • 100 mg tablets are yellow, round, biconvex film coated tablets, identified with 'SEROQUEL' and '1 00' on one side and plain on the other side • 200 mg tablets are white, round, biconvex, film coated tablets, identified with 'SEROQUEL' and '200' on one side and plain on the other side • 300 mg tablets are white, capsule-shaped, biconvex, film coated tablets, intagliated with 'SEROQUEL' on one side and '300' on the other side • 400 mg tablets are yellow, capsule-shaped, biconvex, film coated tablets, intagliated with 'SEROQUEL' on one side and '400' on the other side

Storage And Handling 25 mg Tablets (NDC 0310-0275) peach, round, biconvex, film coated tablets, identified with 'SEROQUEL' and '25' on one side and plain on the other side, are supplied in bottles of 100 tablets and hospital unit dose packages of 100 tablets.

50 mg Tablets (NDC 0310-0278) white, round, biconvex, film coated tablets, identified with 'SEROQUEL' and '50' on one side and plain on the other side, are supplied in bottles of 100 tablets and hospital unit dose packages of 100 tablets.

100 mg Tablets {NDC 0310-0271) yellow, round, biconvex film coated tablets, identified with 'SEROQUEL' and '100' on one side and plain on the other side, are supplied in bottles of 100 tablets, and hospital unit dose packages of 100 tablets.

200. mg Tablets (NDC 0310-0272) white, round, biconvex, film coated tablets, identified with 'SEROOUEL' and '200' on one side and plain on the other side, are supplied in bottles of 100 tablets, and hospital unit dose packages of 100 tablets.

300 mg Tablets (NDC 0310-0274) white, capsule-shaped, biconvex, film coated tablets, intagliated with 'SEROOUEL' on one side and '300' on the other side, are supplied in bottles of 60 tablets, and hospital unit dose packages of 100 tablets.

• • 400 mg Tablets (NDC 0310-0279) yellow, capsule-shaped, biconvex, film coated tablets, intagliated with 'SEROQUEL' on one side and '400' on the other side, are supplied in bottles of 100 tablets, and hospital unit dose packages of 100 tablets.

of 5 Seroquel (Quetiapine Fumarate) Drug Information: ... http://www.rxlist.comfscriptfmain/rxlist.asp?.articl ..

Store at 25°C (7JOF); excursions permitted to 15-30"C (59-86"F) lSee USP).

• • Distributed by: AstraZeneca Pharmaceuticals LP Wilmington, DE 19850. Revised: October 2013

Last reviewed on RxList: 111812013 This monograph has been modified to include the generic and brand name in many instances. Indications Dosage How Supplied

2015 Rxlist, Inc. All rights reserved. Rxlist does not provide medical advice, diagnosis or treatment. See additional information

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quetiapine, Seroquel, Seroquel XR Pharmacy Author Omudhome Ogbru, PharmD ___,

Omudhome Ogbru, PharmD Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coord'1nator for the University of the Pacific School of Pharmacy from 1996-99.

View Full Profile Medical and Pharmacy Editor: W. Marks, MD -'-'---'

Jay W. Marks, MD .Jay W. Marks. MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

V1ew Full Profile

GENERIC NAME: quetiapine BRAND NAME: Seroquel, Seroquel XR DRUG CLASS AND MECHANISM: Quetiapine is an oral atypical antipsychotic drug used for treating schizophrenia and bipolar disorder. Although the mechanism of action of quetiapine is unknown. like other atypical anti-psychotics. it inhibits communication among nerves of the brain. It does this by blacking receptors on the nerves for several neurotransmitters, the chemicals that nerves use to communicate with each other. It is thought that its beneficial effect is due to blocking of the dopamine type 2 (02) and serotonin

• ~ .. type 2 (5-HT2) receptors. The FDA approved quetiapine in September 1997.

PRESCRIBED FOR: Quetiapine is used alone or in combination with other drugs to treat schizophrenia and bipolar disorder. It also is used for treating major depression in combination with antidepressants.

SIDE EFFECTS: The most common side effects for quetiapine are: f4 -.--·· .... ., ... ~, ;:,eroquet, Seroquel XR: Facts and Side ... http://www.medicinenet.com/script/main/art.asp?ar ..

• • headache,

• ·• agitation, • dizziness, • drowsiness. • we~ght gain • and stomach upset.

Othe r ·1 ~PO rt ~n t Sl·d e e ffects tnclude · a potentially fatal complex referred to as neuroleptic malignant syndrome (NMS). m wh1ch patients may have:

• • high fevers, • musc!e rigidity, • altered mental status, • irregular pulse or b!ood pressure, • rapid heart rate, • excessive sweating, and • heart arrhythmias.

WARNING: Ouetiapine can cause orthostatic hypotension (a drop in blood pressure upon standing that can lead to dizziness or fainting) especially during the first 3-5 day period of treatment, when it is restarted after temporary discontinuation, and after an increase in the dose. The risk of orthostatic hypotension is about 1 in 100 (one of every hundred patients who take quetiapine). Quetiapine frequently causes tiredness (1 in 5 patients). especially during the first 3-5 days of treatment. Because of this tiredness, care should be exercised in any activity requiring mental alertness such as operating a motor vehicle or hazardous machinery. Less common side effects include seizures (1 in 125 patients) and hypothyroidism (1 in 250 patients).

As with other antipsychotics, long-term use of quetiapine may lead to irreversible tardive dyskinesia, a neurologic disease which consists of involuntary movements of the jaw, lips, and tongue.

• • In animals, quetiapine has been associated with the development of cataracts, and cataracts have been reported in patients using quetiapine for prolonged periods. Although it is not clear if quetiapine was responsible for the cataracts seen in humans, eye examinations by slit-lamp (to identify cataracts before they 1mpair vision) are recommended at the beginning of treatment and every six months during treatment. If cataracts form, treatment should be discontinued. Quetiapine may increase blood concentrations of cholesterol and triglycerides by 11% and 17%, respectively.

There is an increased risk of hyperglycemia (high blood glucose) and diabetes-related events in patients tak1ng atypical antipsychotics, including quetiapine. Patients should be tested during treatment for elevated blood-sugars. Additionally, persons with risk factors for diabetes, including obesity or a family history of diabetes, should have their fasting levels of blood sugar tested before starting treatment and periodically lhroughout treatment to detect the onset of diabetes. Any patient developing symptoms that suggest diabetes during treatment should be tested for diabetes.

Elderly patients with dementia·related psychosis treated with antipsychotics are at an increased risk of death There is an increased risk of suicidal thinking and behavior in children, adolescents and young adults taking antidepressants for major depression and other psychiatric disorders.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes

PREPARATIONS: Tablets: 25, 50, 100, 200, 300 and 400 mg. Tablet (Extended Release): 50. 150. 200, 300 and 400 mg

STORAGE: Tablets should be stored at room temperature. 15 C to 30 C (59 F to 86 F).

DOSING: Immediate release quetiapine usually is taken two or three times daily. Extended release quetiapine

• is taken once daily. The dose usually is increased slowly over several days or weeks to achieve the desired effect Quetiapine can be taken with or without food .

The initial dose for bipolar disorder is 50 rng twice daily (100 mg/day) of immediate release quetiapine. The dose can be increased by 100 mg/day to a daily dose of 400 mg/day. Most patients respond t~ 400-800 mg/day. Doses greater than 800 mg/d have not been studied. The starting dose is 300 mg once dally and the

FA quet1apme, Seroquel, Seroquel XR: Facts and Side... http:/Jwww.medicinenet.com/script/mainlart asp?ar ...

target dose is 400-800 mg once daily when using extended release tablets

• • The 'initial dose for schizophrenia is 25 mg twice daily (50 mg/day} of immediate release tablets. The dose can be increased by 25-50 mg two or three times daily. The target dose is 300·400 mg/day in two or three doses. Patients respond to 150-750 mg/day, and doses greater than 800 mg/day have not been evaluated. The starting dose is 300 mg once daily and the target dose is 400-800 mg once daily when using extended release tablets.

The dose range for treating major depression is 150-300 mg/day of extended release tablets. The starting does is 50 mg in the evening for 2 days increasing to 150 mg in the evening.

DRUG INTERACTIONS: Phenytoin (Dilantin) and thioridazine (Mellaril) markedly decrease the amount of quetiapine that is absorbed from the intestine and thereby reduces its effectiveness. Therefore, patients taking phenytoin or thioridazine may require higher doses of quetiapine.

Ouetiapine can cause hypo\ens·,on (low blood pressure) and therefore increase the blood pressure lowering effects of antihypertensive drugs and result in lower blood pressure.

Ouetiapine can add to the sedating effects of other drugs that sedate. Such drugs include narcotic pain relievers (for example, oxycodone and acetaminophen [Percocet, Roxicet. Tylox, Endocetj), barbiturates, sedatives such as alprazolam [Xanax) and clonazepam [Kionopin]. ethanol, and blood pressure drugs that can cause orthostatic hypotension, such as prazosin (Minipress) and terazosin (Hytrin).

Quetiapine is eliminated from the body by an enzyme in the liver called cytochrome P450 3A. There is a concern that drugs that strongly interfere with the enzyme, for example, ketoconazole (Nizoral), itraconazole (Sporanox), fluconazole (Diflucan), erythromycin, clarithromycin (Biaxin), nefazodone (Serzone), verapamil (Calan, lsoptin, Verelan), diltiazem (Cardizem, Tiazac, Dilacor) may cause elevated and toxic levels of quetiap1ne.

St. John's Wort, carbamazepine (Tegretol), and rifampin (Rifadin) will decrease the level or effect of

• quetiapine by increasing the breakdown of quetiapine .

PREGNANCY: There are no adequate studies of quetiapine in pregnant women. Studies in animals are inconsistent. Some studies suggest effects on the fetus and others stww no effects. Quetiapine should be used m pregnancy only if the physician feels that it is necessal)' and that the potential benefits justify the unknown risks

NURSING MOTHERS: Quetiapine is excreted in the mill< of animals during lactation. Although it is not known if it is excreted in human milk, it is recommended that women taking quetiapine not breastfeed.

Medically reviewed by Eni Williams, PharmD

Reference: FDA Prescribing Information

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1 088. ·

Medically Reviewed by a Doctor on 12112!2014

.-. © 2015 MedicineNet. Inc. All rights reserved. MedicineNet does not provide medical advice, diagnosis or treatment. See addttlonal Information .. i •· ~

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quetiapine, Seroquel, Seroquel XR Pharmacy Author: Ojme Ogbru, PharmD _ '

Omudhome Ogbru, PharmD Dr Ogbru received his Doctorate in Pharmac from h . . . He completed a Pharma p f R . Y t e University of the Pacific School of Pharmacy in 1995 He was a Professor of P~~r~:~ rc; e~ldency at the University of Arizona/University Medical Center in 199e. PacifiC School of Phar f y ractlce and a Regional Clerkship Coordinator for the University of the macy rom 1996-99.

• • View Full Profile iv1edical and Pharmacy Editor: Jay W. Marks, MD~

Jay W. Marks, MD Jay W. Marks, _MD, is a board-certified internist and gastroenterologist. He graduated from Yale University Scnool of Med1c1ne and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center 1n Los Angeles.

View Full Profrle

GENERIC NAME: quetiapine BRAND NAME: Seroquel,. Seroquel XR DRUG CLASS AND MECHANISM: Quetiapine is an oral atypical antipsychotic drug used for treating schizophrenia and bipolar disorder. Although the mechanism of action of quetiaprne is unknown. like other atypical anti-psychotics. it inhibits communication among nerves of the brain. It does this by blocking receptors on the nerues for se...,eral neurotransmitters, the chemicals that nerves use to communicate with . i each other. It is thought that its beneficial effect is due to blocking of the dopamine type 2 (02) and serotonm i type 2 (5-HT2) receptors. The FDA approved quetiapine in September 1997. I i

• i PRESCRIBED FOR: Quetiapine is used alone or in combination with other drugs to treat schizophrenia and II. bipolar disorder. it also is used for treating major depression in combination with antidepressants.

SlOE EFFECTS: The most common side effects for quetiapine are: I I 4 Sl\\1

I · ., _ ... , uquel XR: Facts and Side ... http•//www · .me d'•c•nenet.com/script/main/art.~sp?a · · ·

1 headache,

• 1 agitation, 1 dizziness. • drows1ness, • weight gain • and stomach upset

Other important side effects include a potential! fat I . . . (NMS). In which patients may have: y a complex referred to as neuroleptic malignant syndrome

• • h1gh fevers, • muscle rigidity, • altered mental status, • irregular pulse or blood pressure • rapid heart rate, ' I • excessive sweating, and • heart arrhythmias.

WARNING:. Ouetiap1ne can cause orthostat1' c hypo t ens1on · (a drop m · blood pressure upon standing that can I I lead to diZZiness or fainting) especially during the first 3-5 day period of treatment when it is restarted after temporary discontinuation, and after an increase in the dose. The risk of orthostatic hypotension is about 1 in 100 (one of eve~ hundr_ed patients who take quetiapine). Quetiapine frequently causes tiredness (1 in 5 pat1ents). espec1a/ly dunng the first 3-5 days of treatment. Because of this tiredness, care should be exerc1sed m any activity requiring mental alertness such as operating a motor vehicle or hazardous macn1nery Less common side effects include seizures (1 in 125 patients) and hypothyroidism (1 in 250 pal1ents).

As w1lh other antipsychotics, long-term use of quetiapine may lead to irreversible tardive dyskinesia. a

• neurologic disease which consists of involuntary movements of the jaw, lips, and tongue .

In animals, quetiapine has been associated with the development of cataracts, and cataracts have been reported in patients using quetiapine for prolonged periods. Although it is not clear if quetiapine was . responsible for the cataracts seen in humans, eye examinations by slit-lamp (to identify cataracts before they 1mpair vision) are recommended at the beginning of treatment and every six months during treatment. If cataracts form, treatment should be discontinued. Quetiapine may increase blood concentrations of cholesterol and triglycerides by 11% and 17%, respectively.

There 1s an increased risk of hyperglycemia (high blood glucose) and diabetes-related events in patients tak'1ng atypical anlipsychotics, including quetiapine. Patients· should be tested during treatment for elevated blood-sugars. Additionally, persons with risk factors for diabetes, including obesity or a family history of diabetes, should have their fasting levels of blood sugar tested before starting treatment and periodically throughout treatment to detect the onset of diabetes. Any patient developing symptoms that suggest diabetes dunng treatment should be tested for diabetes.

Elderly pat1ents with dement1a-related psychosis treated with antipsychotics are at an increased risk of d~ath There is an increased risk of suicidal thinking and behavior in children, adolescents and young adults takmg antidepressants for major depression and other psychiatric disorders.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes 200 300 PREPARATIONS: Tablets: 25, 50, 100, 200,300 and 400 mg. Tablet (Extended Release): 50, 150, · and 400 mg

STORAGE: Tablets should be stored at room temperature, 15 C to 30 C (59 F to 86 F). . h . d 81.I Extended release quet,aplne DOSING· Immediate release quetiapine usually 1s taken two or t ree umes Y· 1h d 8 sired •s taken ~nee daily. The dose usually is increased slowly over several days or weeks to achieve e effect Ouet1apine can be taken with or without food.

The initial dose for bipolar disorder is 50 mg twice daily (1 00 mg/day) of immedi~te release ~~i:6~-~00 The dose can be increased by 100 mg/day to a daily dose of 400 mg/day. Most patients respon d . nd the 81 1 mg/day Doses greater than 800 mg/d have not been studied. The starting dose is 300 mg once Ya

·, ~ -· ... 'i ... u' AK: Facts and Side ... http~//www.medicinenet.com/script/maio/art~asp; ' I

target dose is 400-800 mg once daily when using extended release tablets.

• • The initial dose for schizophrenia is 25 mg twice daily (50 mg/day) of immediate release tablets. The dose can be increased by 25-50 mg two or three times daily The target dose is 300-400 mg/day in two or three doses. Patients respond to 150-750 mg/day, and doses greater than 800 mg/day have not been evaluated. The starting dose is 300 mg once daily and the target dose is 400-800 mg once daily when using extended retease tablets

The dose range for treating major depression is 150-300 mg/day of extended release tablets The starting does is 50 mg in the evening for 2 days increasing to i 50 mg in tt1e evening.

DRUG INTERACTIONS: Phenytoin (Oilantin) and thioridazine (Mellarif) markedly decrease the amount of quetiapine that is absorbed from the intestine and thereby reduces its effectiveness. Therefore. patients taking phenytoin or thioridazine may require higher doses of quetiapine.

Ouet1apine can cause hypotension (low blood pressure) and therefore increase the blood pressure lowering effects of antihypertensive drugs and result in lower blood pressure.

Quetiapine can add to the sedating effects or other drugs that sedate. Such drugs include narcotic pain relievers (for example, oxycodone and acetaminophen [Percocet, Roxicet, Tylox. Endocet]), barbiturates. sedatives such as alprazotam [Xanax] and cfonazepam (Kionopin]. ethanol, and blood pressure drugs that can cause onhostatic hypotension, such as prazosin (Minipress) and terazosin (Hytrin).

Ouetiap1ne 1S ehminated from the body by an enzyme in the liver called cytochrome P450 3A There is a concern that drugs that strongly interfere with the enzyme, for example. ketoconazole (Nizoral). itraconaz~le (Sporanox), fluconazole (Diflucan), erythromycin, clarithromycin (Biaxin). nefazodone (Serzone). verapamll (Calan. lsoptin, Verelan), diltiazem (Cardizem, Tiazac, Dilacor) may cause elevated and tOXIC levels of quetiapine.

St John's Wor1, carbamazepine (Tegretol}, and rifampin (Rifadin) will decrease the level or effect of quetiap1ne by increasing the breakdown of quetiapine. · · · · nt omen Studies in animals are PREGNANCY· There are no adequate studres of quetlaplne 1n pregna w · . . should be Inconsistent. Some studies suggest effects on the. fetus and others show no effects;i ~~e~~\~ejustify the used 1n pregnancy only if the physician feels that 1t 1s necessary and that the paten a e unknown nsks. . . . I d . lactation Although it is not known NURSING MOTHERS: Quetiapine is excreted m the m1lk of an1ma s un.ng. · 1f 1t 1s excreted in human milk, it is recommended that women taking quetlaplne not breastfeed.

Medically rev1ewed by Eni Williams, PharmD

Reference: FDA Prescribing Information I I

Repori Problems to the Food and Drug Administration . FDA MedWatch . . the FDA Vis1t the t You are encouraged to report negative side effects of prescnpllon drugs o . webs lie or cal! 1-800-F DA-1 088.

Medically Reviewed by a Doctor on 12112!2014

i © 2015 Mer:.JJcineNet. Inc. All rights reserved. . r treatment See additional I 'd d' I adv'tce diagnosis o . MedicineNet does not provl e me tea , \ ! 1nformat1on

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List of abbreviations used in medical • prescriptions From Wikipedia, the free encyclopedia

This is a list of abbreviations used in medical prescriptions and hospital orders (sometimes referred to as sig codes). This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology§ List of abbreviations for those).

Capitalization and the use of periods is a matter of style. In the list, Latin is not capitalized whereas English acronyms are.

Abbreviations which are not recommended by the Joint Commission are marked in red. Those abbreviations which are discouraged by other organizations are marked in orange.

The Joint Commission is an independent, non~profit, non-governmental organization which offers accreditation to hospitals and other health care organizations in the United States. While their recommendations are not binding on U.S. physicians, they are required of organizations who wish accreditation by the Joint Commission .

• • ·.·, . .. . . ---· . ... · . -· ... - •' -- .~ .. : -~- :·. .. ' . .' --.. .

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• List of abbreviations used in medical prescriptions[]]

Abbreviation Latin Meaning Possible confusion aa .ana ·of each AAA apply to affected area a.c. ante ciburn ·before meals

a:d .. ·< . "a" ~-P.~ p:li~takeQ: Man "~t.which '.; ,· :collld· .rtiad '''o:d~ ;, .:U1i~mng· r.ig4t eye ad lib. use as much as one 'ad Iibitwn :desires; freely adrnov. admove 'apply agit agita stir/shake I

alt. h. alternis horis every other hour . . . .... .. ~

.ad manu a.m.m. •at doctor's hand medicae a.m. •ante meridiem morning, before noon amp :ampule

• • amt

aq

a.l., a.~. .aqua . '·

. <,=~~~(j!t\t~! ,,, . . . amount

. water

. . . -- -··- ·.. .: ........ -·- -- -. :_ .... ·- --·-j ' .... - ''J'·- - ' ~ ..

AT. C. · around the clock ... _. ,.-· ·-· . ,... ,' :.· ;\~_~:~ocrtr~;:~i~tak~fi ~:·an o".~which II

a-:11. · ~ cbilid iead ;.o.u.';., in~acingb.~til· ¢yes.·.·. . . .. . . . '- ~ . - . ·. . . :. ~ . . . - . . .. . . . ....

· bis die BDS/bds twice daily sumendum bis bis twice _·AM_A sty1e.:avoids:\Js~·of.~.s :.:..... · .. b.i.d./b:d· ,, •. ·;.;~~is. ~~~~~- : :-?<· :.·: -r~:~~-::~~~i~ .:abbr~vi;li\o,a. (sp~li~.out: '·'twlc~.:·!i;. .d~_Y:'?· B.M. ' bowel movement ·British National Formulary BNF : (http://www.bnf.org/) ' as a large single dose

• bol. bolus , (usually intravenously)

4/29/20 15 I Ll4 PM •f lO

Ba-'

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B.S. . blood sugar

• • B.S.A

BUCC . ·':•_,,. __

:bucca body surface areas

: inside cheek . . :.: m.i~~~n _for "b.i:,d ", meaning twice ;' ., '.·.'· :·.-,.(iaily ..... ' . .. .. " ' ' -- ' : :.:·· . .,·, ., .. '' ·.·',!-' i ;;

cap., caps. :capsula . capsule

c, c. cum 'with (usually written with _.. ,a , ... bar ...on top '' of the "c") . .. . . . .. !!

cib. , cibus :food

; with food comp. . compound cr., crm :cream i CST : Continue same treatment ... ·.. · :-.~~--:~-,--------.-~,.:.:: __ ~---······- . .. . - -- .I ,ainoig~i?~-~eafu.nt) W+*~' o~V~days" .·: ~-. Dord-· ' :_. ~-: .·_:,.-~~':._::,~:_·,k~*~::~~:~~~-6~_-_·, ' . .'iJ.r-•:•4o~~~~r:· • ·::-> ·_. ''·:-~:- >: ·: : · : ·:_-:-.-: .....: ., .),

• • 05\V

D5NS i ' dextrose 5% solution : (sometimes written as 'DsW) 'dextrose 5% in normal '·• -··· ~' . .,.,.

~saline (0.9%) j dispense as written (i.e., no• D.A.W. ; generic substitution) de ' B/C :disc · : ?:- '· .· ·_ ,.·· ·.:- :_). -:~_ ,.:~,~:,-~J;~!~~-tii~~:9~-,~$~~g7_ ,~ ._::~Wi~~~~. :~~~~~ ·. dieb. alt. diebus alternis ; every other day dil. :dilute disp. _: dis~-~rsi?.I_e or dispense div. , divide dL deciliter . dentur tales d.t.d. : g:ive of such doses . doses

• flO

• • ----~ "1Aip~uHt, me 1.. · http://en. wikipedia.org/wiki/List_ of_abbreviations __ used jin_medical.

• opium; deaths have.• res_ulted- due to · -. . . -· :·m~&s:ive~~rphine ,. ov~~d.o$e[4J:, ... . ' ~ ,. ;' ·: D.W. ' ~· '

distilled water elix. . elixir e.m.p. , ex. modo prescripto · as directed emuls. • eruulsum . emulsion et et :and eod : every other day ex aq ·ex aqua ·in water fl., fld. ·fluid ft. fiat · make; let it be made g ;gram < gr ,gram .I

gtt(s) ·gutta( e) : drop(s) H . hypodermic h,hr . hora . hour

• • h.s.

-~~-$-' ID • hora somni

.. .. ! at

: intradermal ·.-·-.-~· ·c:~::.=:o-···-.--·-···.-.· bedtime

-.-::.-.:~:,.!:i;. _ :;.:::{~~~~:),;.ig:it~f:~~~~$;~l~~p-~::~~ir.:.~~e~~::~-~P?~~~~:~~~-·.:: :-_. ·_.· _·. . -~ . .. ~._: . ,'

IJ,mj ·..,>:ln]icJ19.~ ~· :·:~·-:,: .:·~:~J~:#,~Jl~~:. :: :: ~~~~jfor'JY~:;-~e~~lp~ :- ·. in.tr-ayej<},qtJ$}y </ . . ·,-.. . .. - ~\ ~ .· ...... ...,..,.,,. ... ·~ . ' . •. ..... .:.,. -~ _.- ... ..:- .. ... •'. ', ~~ .. ...: ....· ,....: · '• ~ "'. ~

IM -·- .·- ---- ·, -----. _:: '•, : ' ' . ·,· ,.l ., : : :·· <_.-;.~- .. :- .. ' •'.

··..-:.-_th.t~~~~~( . ,· ~ '\

iN < .

~-- ~;:' .....- 0 °A• : .... : . • :;.,:.~ •'' 0 :,',' ... >, 0 t• 00 ' ' -

IP · intraperitoneal ... ( .. "' ........ ·."

IT ·, ·--·- .i: , -·:. . ::,; ··'':'i_::;:.:~~~X:<>~-~j~fal-:::.:·.· ._;._:-

IV intravenous IVP : intravenous push

• ...... ,..;---·· -----. IVPB , intravenous piggyback '.- -· ---- .. -. .. . . . . .

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kg . kilogram

• • L.A.S . LCD lin liq : linimentw:n _liquor label as such . coal tar solution liniment . solution lot. .lotion MAE .. . . ... _. Moves ~... All Extremities ~

mane •mane ·- .-~in the morning M. misce :mix - .. '· ~~··-

m,min · minimwn :a minimum meg :Recommended replacement for ")..lg" : rn1crogram which may be confused with "mg" . more dicto m.d.u. · to be used as directed : utendus mEq _,_milliequivalent mg \milligram mg/dL ~ milligrams per deciliter

• • mist. mitte · mistura mitte -~- :mix .. ' .... - .-.-

send mL . millilitre

.i :

' nebu! ·nebula :a spray N.M.T. ' not more than no ct. nocte . at night --~- -·- ----~ - .. . . ..

non rep. non repetatur : no repeats . . : . - ;, . ·~ .' ' ·'.. . ·. :' .' , A;M.i\.,s:tY-1~ avo~ds.4se ofth.is.

~0; ., :.·.1~.·~~·.·:?~·:·l~.~ ~;~Oath , ~tbbt~yiatiQn .(spell".Q.Yt 1'n$thi.ng: hy ; .••. •••. ·· • . . 't :· ' ..

· · · · mouth")'.:. , · ·. ·."... ·. ·.. ·.· , · .•.. ' ·.' .: .:-~- •••• ~.: .. y :.~. ·: ...... ~ :~ •..... ···~ •• -~·

NS : normal saline (0.9%)

• • l/2NS :half normal saline (0.45%)

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N.T.E. not to exceed

• 0 2 both eyes, sometimes . written as o2 every day/once daily od omne in die : (preferred to qd in -the 'U1((5])

om : onme mane ; every morning I I.' .- .. ·-·- --- . ~ -- -·-····-· .. . .. ·- ........ ! on omne nocte ; every night

per ; per ; by or through p.c. ; post cibum ; after meals ···;·-······ ... p.ig./pigm. • pigmentum ·paint p.m. : post meridiem : evening or afternoon .. . . .

·. ·',· {;·~ll~.6~,,..·,,,;r:·;:~~~fro;~ll)'> .· .· . ·~J;:;~~U:~·~~!~})·• .'· ·•.··;! 1

p.o.

p.r. or PR . per rectum PRN, pm : pro r~. ~~~~ .... _._ .:. ~ ?:~~ded pulv. pulvis : powder . . -- - -. .. .. .. - .. ... . .. -~-. -- .. . ...

PV . per vaginam . - .... - .... : via the vagina ' - . ' - ......

q quaque :every, per

q.a.d. . q~aque alternis . every other day d1e ·

• ·ofiO

.. u.-..., ... ~.ua., uJt: L.. oup://en.Wtl(Jpedia.org/w!.IWLJst_or._abbreviatiOns_used_in_medtcal.

quater die q.d.s. four times a day sumendus can be mistaken for "qd" (every day) ·.

• • q.p.m.

q.h.

q.h.s. · quaque die post: every day after noon or ·meridiem . quaque hora quaque hora every everung every hour

: every night at bedtime somni . -- ......

q.l h, q.l 0 every 1 hour; (can replace : quaque 1 hora "1" with other numbers) .. - ... -j: ;·can:he ·mi~tak.eit.f<?_r,".q<;i'~·::OxtgR.d:..·: ·. · \( •writiL~tii ~·4· iilile8.- ii ·d~yi• .. AMX:~style · l; . avoidS- use· of iliis abbreviation (spell .. •t { o~t •i4=€unes:.a cki:yl'} . . . · .· .- { · . __ , ..~, . •: .;. '··.' . . . ···<~ ,..... ;. . ....\

qqh · quater quaque : every four hours hora

• • q.s.

QWK rep., rept. quantum . sufficiat

repetatur •- I a sufficient quantity

every week :repeats ~ ' •

RL, RJL , Ringer's lactate . ,_ - -·----·- ---- .... -- . without (usually written s • sine . with a bar on top of the ' : "s") according to the art secundum s.a. (accepted practice); use art em ·your jud~~~ent

- ·· .. •· . dose· -- .. ...... used exclusively in veterinary s.i.clJSID semel in die 'once a day medicine

Slg Signa write on label

• • ofiO 4/29/20~

----- --------~

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, sublingually, under the SL tongue

• • S.O.B, SOB sol s.o.s., si op. sit . • solutio ~ si opus sit . shortness of breath , solution , if there is a need

s . .· •. '_.::.!.~e~,:.: .-

~~~::::~:~~e ;.- or"l /2'~ mist<,lken for '·'55"...·..... '.-- - t :.

: mi{itilkyn to mean ''strong·$olution of : ~: -S~l,}~$,S£8>. :;:..:::\ _... ,~.. : ·... ~- ·i:-,;,. :~~::·7.f::~;;<t~\'¢J~-M·alf;,·.t.eg\llar- .-· ·ja~~!.i':oi ,flse1eit{V.~·$~~~tonih, reupt&kdj .-. --~·:;:'': ~::'~~-~-~:.\-:·~t:. -~>--~<~ ::?-~.:·_<·::-~-~~~- .-_ ·. _;' . .. _. irihihhor" - .......:.-.. :~-·~ ._ .._:, .. · : : · · ·· · ·ll ;of SNRl :Serotonin-norepinephrine (antidepressant) _reuptake inhibitor I

: selective serotonin : reuptake inhibitor SSRl (antidepressant) . (a specific class of • antidepressant)

stat . statim · immediately SubQ : subcutaneously : suppositorium suppository

• supp . . .. . .. . .. -~ 1 '. ~ ... - . ~ ...

susp . suspenswn syr • syrup!LS :. syrup tab ; tabella 'tablet ••••• , 1- ••.

tal., t ·talus :such

tbsp tablespoon

ter die td.s./TDS . three times a day • sumendum

top. ,:topical __

T.P.N. : total parenteral nutrition -)

tr, tine., tinct. ·tincture

troche troch.iscus · tozenge tsp . teaspoon

• oflO

ULL(J.//en.wU<rpema.org/wiki!List_of_ abbreviations _used_ in_ medicai .

• • ung.

U.S.P. ... . ·~ . . ~ .. . : unguentum. ointment ; United States _: ~?annacopoeia vag vaginally w .......... ·'with w/a : while awake -- -· ----"- .. - ;--- ... ·- .. wf ..... __ ·-··· _,_;__ '"":ith food (with meals) I ~ • ·- , ••. • '• • ; ' •· • '

wlo, s ; without ..... ._. ·-· ·- X ; times ... - ·-·- ·- ----. .. YO. ; years old I

):l;g ...:_ '. ;·". ~·:·.):/ -:;~:Z:\·<·:1~~~~~~.. . · :- .7 :-~!Sf~e#.l?r.·:·.~~g~::[:~~~~~~:~ii~~iJ¥01 · '~ '

List of symbols used in prescriptions - -~- 'f''

Symbols Latin Meaning Possible confusion

• Contents • 1 Numerical Notation • 2 Currently "Discouraged" Practices • 3 References • 4 External links

Numerical Notation When expressing a numerical quantity, Roman numerals are commonly used in ptace of arabic digits so as to avoid confusion. The nwnbers 1 - 3, (I, II, III) usually written as upper-case Roman numerals, often have the appearance of a capital "T" or a series of capital "T's" with a dot above each "T." They are also

• sometimes written as lower-case Roman nwnerals (i, ii, iii) .

of!O 4/29/201 IJJ!J.fi

· · ··"P"u<<l, \ue r... http:/ len. wikipedia.org/wiki/List_of_abbreviations_used _in_ medical.

Currently "Discouraged" Practices

• • • Abbreviating names of drugs • ·Using apothecary's units • Using trailing zeros or not using a leading zero

References l. "The Official "Do Not Use" List of Abbreviations" (http://www.jointcommission.org/assets /l/18/Do_Not_Use_List.pdf) (PDF). The Joint Commission. Retrieved 23 August 2012. 2. "ISMP's List of Error Prone Abbreviations, Symbols, and Dose Designations" (http://www.ismp.org/tools ferrorproneabbreviations.pdf) (PDF). institute for Safe Medication Practices. Retrieved ll February 20\ l. 3. Johnston, Mike (2006). The pharmacy technician series: Fundamentals ofpharmacy practice (http://www.amazon.com/Fundamentals-Pharmacy -Practice-Technician-Series/dp/0 131147 51 X). Pearson Prentice HaiL p. 24. ISBN9780131147515. 4. "Recurring Confusion Between Opium Tincture and Paregoric" (http://www.pharmacytimes.com/pub!icationsi /issue/2003/2003-06/2003-06-7241). Pharmacy Times. Retrieved 2015-0l-19. · 5. BNF (Bnt1sh National Formulary (http://www.bnf.org/)) - published twice yearly by the British Medical Association and Royal Pharmaceutical Society of Great Britain

External links

• • "DAW Codes" (http://web.archive.org/web/20\1 0728070323/http://www.studyrx.org /index.php?option==com_zoo&task==item&item_id== l22&Itemid=266). Archived from the original (http :1/w\"iW.study rx.org/index:.php?option=com_ zoo&task==item&item_id= 122&1 temid=266) on 2011-07-28.

Retrieved from "http://en.wikipedia.org /w/index. php?title=List_of_abbreviations_used _in_medical_prescriptions&oldid=655882514"

Categories: Lists of medical abbreviations

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• • 4/29/2015 ! LJ4i PM

•" 1 of \0

•

Exhibit 18 •

•

;,, ASSOC!"-fi(JN WITh eUGENE C. WATERS, PH 0. (254) 774-8272 FAX: (254) 774 · 8290

FRANK A. PUGLIESE, PH.D., P.C. PSYCHOLOGIST DIPLOMATE IN FORENSIC PSYCHOLOGY AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY

19 SOUTH 25TH STREET SUITE 100 TEMPLE, TEXAS 76504

FIL --r;..m_-:;:;;;. . D- · ·~ The Honorable Martha J. Trudo ._P.m. o C:IOck 27th Judicial District Be!l County, Texas ocr 07 2oo~i September 29, 2005

Cause No. 57558

Judge Trudo:

_ This report is in compliance with your order for a competence assessment on 1 homas Raymond Carr. In completing my evaluation, I conducted a clinical interview of Mr. Carr and administered the Competence to Stand Trial Assessment Instrument to him. I also apprised him of the purpose of my visit with him, the procedures to be utilized during the course of my assessment of him, indicated that a copy of my report would be forwarded to his attorney and to the courts, and discussed the limits of confidentiality. I ,. also received his permission to proceed with the assessment.

l\tfENT AL STATUS AND RELEVANT PAST HISTORY: Mr. Carr is a 3 8-year-old overweight male of average height who was seen at the Bell County Law Enforcement Center. He responded to most inquiries readily and spoke in a somewhat unclear, tangential manner. That is, he had significant difficulty maintaining a single train of thought and repeatedly complained ofbeing confused by my inquiries. In addition, he reported having auditory hallucinations in which he hears voices and noted he has had ideas of reference in which he believes people are often "laughing at me and talking about me" behind his back. Although he maintained he is currently taking Risperdal prescribed by Dr. Howell, he viewed the medication as being ineffective and in fact "I keep hearing these voices and can't think straight''

Mr Carr related he and his common-law wife, Tammy (30), lived wit.h his mother and his five-year-old daughter, Alexis, and Tammy's eleven-year-old son, M1~hael, m Harker Heights prior to his arrest and incarceration in June of last year. He ~a1d he ~nd Tammy have lived together for approximately twelve years and worked at dtffer~nt J~bs for varying periods oftime throughout his adult life. He went on to say he remam_ed m the Bell County Law Enforcement Center from June of last year until March ofthts year when he was transferred to a TDC facility, where he remained until being returned to Bell County on September 12. When I questioned him as to the reason he was sent to a TDC facility from Bell County in March, he repeatedly he insisted he was unaware of what ; ''

CARR Page 2

·- prompted the transfer and became increasingly more agitated with me as the session progressed.

. Mr. Carr indic~ted he i.s an only child who was born in Germany and raised in the KIII_een area. He mentioned his father met his mother, a Gennan national while he was statton~d overseas and sai~ he lived in Germany until the early e!ementa~ grades when hrs family mo_ved.to the Killeen area. He characterized his childhood as being generally .I happy and :"atrsfyrng and did not experience any abuse or neglect. He further noted he· a~ended K11leen area schools throughout his life and made a decision to leave Killeen H1gh School in the tenth grade because of a lack of interest and motivation. He said he was quite oppositional during his childhood and early adolescence and seemed more focused on socializing with peers than in focusing on his schoolwork.

l\1r. Carr stated he "piddled around" after leaving high school and met Tammy at a topless bar. He recalled she was a dancer at the time and noted she was his first long- term dating partner. He mentioned they have lived together for thepast twelve years and contended they were both equally involved in raising their daughter, Alexis, and Tammy's eleven-year-old son from a previous relationship, Michael. She mentioned both children are currently in the care of extended family members since both he and Tammy were arrested and incarcerated in June of last year.

Mr. Carr stated he has smoked marijuana since adolescence and claimed the substance helped to "calm me down and make the voices go away." He noted he did not ·~ consult with any mental health professionals until he and Tammy were visiting her grandmother in Kansas City and he became quite distressed and overwhelmed by the voices he was hearing. He mentioned he went to a free clinic during his brief stay in Kansas City and was prescribed Seroquel, which he continued to take for a few months. He mentioned he was also seen by mental health professionals while he was in the TDC unit earlier this year and was prescribed Stelazine, Nortriptyline, and Cogentin. I:-Ie felt those medications were instrumental in reducing the frequency and intensity of h1s "voices" and insisted the Risperdal he is currently taking was ineffective in helping him.

Mr. Carr indicated he has also used methamphetamines on different occasions during the past few years and remembers many occasions when he and Tammy ~ere "up for days at a time." He said his recollection for events was very poor for those t1me periods and conceded he may have exercised poor judgment during those times.

COrv1PETENCE ASSESS:MENT: Mr. Carr was unclear as to the charges p~ndin_g , against him and verbalized much frustration because "nobody tells me what s gomg on. He was, nonetheless, quite familiar with court process and procedure, was able to . correctly define the roles of different court officers, including defense and prosecutmg attorneys and judge, and did not have any difficulty in explaining various legal concepts to me in appropriate fashion.

Mr. Carr went into extensive detail about his communication with two differen: anarneys, Ted Potter and Monte Montgomery, and insisted he was quite aggravated With

CARR Page 3 • each of them. He noted his most recent communications with .MI. Montgomery have been particularly difficult for him since "he's not doing anything because he's supposed to fix it and get me out of here." He further noted he viewed Mr. Montgomery as "working against me" and felt he was in collusion with the district attorney's office to keep him incarcerated for an extended period of time. He underscored the fact he did not trust Mr. Montgomery, has refused to talk to him on different occasions and has little confidence in his ability to defend him and present an appropriate defen~e. Moreover, he asserted he had no additional desire to talk with his attorney because "he's not doing- his job and dong what he's supposed to do" and was hopeful of having another attorney appointed for him.

CONCLUSIONS REGARDING COMPETENCE: Mr. Carr is a 38-year-old male who has been in the Bell County Jail for approximately fifteen months awaiting a court hearing for disposition on a charge of aggravated sexual assault. My assessment indicated Mr. Carr does not have sufficient present ability to consult with his attorney with a reasonable degree of rational understanding but does have a rational as well as factual understanding ofthe proceedings against him. It is my opinion that hjs tendency to misinterpret and misperceive events occurring around him, coupled with the presence of auditory hallucinations and delusional thinking, impairs his ability to exercise appropriate judgment and communicate effectively with Mr. Montgomery in the preparation of his defense. I do believe, nonetheless, Mr. Carr can be restored to .. competence within the foreseeable future with specialized help in a psychiatric faciltty

•-- where his medication needs can be appropriately addressed and his behavior can be stabilized.

Respectfully submitted, \.

:(sP1-_ Frank A. Pugliese, Ph. D. Psychologist

FAP/uf

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•

Exhibit 19 •

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• ii

-·. r • '

• TEXAS DEP ART!YIENT OF STATE HEALTH SERVICES

E.OVMIX)), 5hl\CHF2, M.D. M.P.H. CO!v!MlSSlO"N~ v mJUn Campu.s t'.O. ~ox U)l ~;OR TI-l TEXAS ST A "ffi HOS?ff A1.. Vernon, TX 76384 l;w;a; !.'. Smith, L.CSW. DCSW (940) ~S2-9'.l0 I Chkf"Elo.;uuve OOlcc:r L·- 1 ,\1Qrcb 6, 2006 I .

!·Ionoreblc Judge Joe Carroll 2'i1A Di~uicl Cclllt o£ Bell County ['0 9ox ·747 Bcl\on, Texas 76513-07~? Re: Tbomas R.nymc:nd C~rr Cll.Sc No: Fonos Cause No: 57,55.7; 57,558 Admission Dntc: lYI9i05

Honomolc Judge Ol.rroll:

This report is S'Jbmittcd t:oucemi.ng the ubove l.l.lUlc-d d:f~ndan(who W1IS 3d:mit<.ed to North Telii.ISS~tc llosp1t:.l .ukr u.wing been found incOlllpeu=nt \r,) ~tarid trial. This c:va.luat:lon w:.;; for the purpose of dt:lcn:niwng! the de(cndant'~ competco.cy lO Sta:ld trial and not lor purposes Of tnitigati.n~ c;ircumSUlllCe;, f;lliJt, umocencc:, hu,ity ur ftmJJ"e .

• chllgerOII!·DCSS .

After D period of oo~crv~oon il.'ld treurmCIJt, Ulc ;;vaJ~J!Jcu hn..s bcc:n cou:pl~:ted. l1 is lbc -;:,pw.oc. Jf ilic ! va;,:at:..;r c.~:~: _tbc defencrun isJ.::_Olvll'Elr.."NT to .>tan_d rrial.

Current Medic;~tlo~ UJc as f··J11cm. S¢r()Cf..Jel 8U0mg.\)0 q HS Enulupril 2Urn{; po 4 ANI 1\·k!Oprc]c)\ 50u:ll po L!ID pt.: HCTZ 2:1mg po q AM ECASI\ gr V po ev-:r~- ctr.o:.r ClYJil1L"15

\V~ :~.m now :equescing r.bat tho sheriff LJf yo~ county tr.m3pO:t '.h: defc:ncLmt to your court as soc~ us J:"l<lcllc.\.1 i!l accor.hucc with Article 46B.079. '

w~ appreciate the opponun.icy to be of service~ yom Court an;.l opprccil!tc )'<JUt prompt coi:lsi:lc:-auoa:ane utt::otio!.l to th.il iDllt1t:r. .

Sworn lO ll.lld sub~cdbcd bel"orc: m<:. 1hi.s the 61b dny of \1:1-n~h. 20D6

kny N Win ·~ ~;.oo<..:~~.::>.<tt _______ · /? lie u1 and·!ix L':lc Sr.11c cf')<:-.tM .CJ!"!\,m:>.5l:Jn e,,;.uc:; CR/03/"::''J

cc: Distr\::.1 A.t\Orne.y

• .OefCD:lt: Attorney Oistric1 Clerk Sht;ri.£f An Equal E:nploymenl Opportuniiy Employer

NT3H SP~UEE 1FFICE P 0:~3VJ;Ji

Rdc.JTaiJConsultation Report CARR 'ffiOMAS RAJ)'MO!.JD

• BH1S # 2\7489 To be ccmpleccd wbcmevcr t1 sUindltfd MHRS for.n docs !lot provide OS- 14-67 adequ.ntc $pace for the rcqllin:d lht:!. 12-19-05 PROGRAM: SP.l:lUC:E

-------·--··----------:--- ·-·---~-~· ------:--

REQ!.IEST: Reuson for Requested Cons'.Utatiou: Compctcn.;y Assessmcm1 Requited by Courti '

------------·---;------ Rcque&ted Dstc.: i 02-02-06 ~--

CONSULT Am: FINDINGS ANl? R:Ec'O'~-:;m ;&:rTONS:

Namo:: 1l1omos !Uymond Co.rr DOB: GS-14-67 Race:. Wh11~

• \ DOA.; \l-19-Q~ HospiULI !1: 7808. C31JSt:. li: 57,5~7 & 57,5:58

Col:il..llllning Court: 2·7.UJ District Court of Bell Coucry P.cpurt Date; 0.2-27-0~

R:E.A..SON fOI\ AQMISSI\;,l~CASSESS~...a::NT: -Thotn.aS Raymond -Ga.rr is a JB nar old Whirb ma!c ;:~dJ:rmteo to it.bc Muximllt;l·Secuiity Unit cifNorth Tal:lj; State Hospiml - Ve:moo Campus \l.Oder provisioos of Ai-ticjlc 46'B.D7J of the Tcix<U Code: of Criminal Procedun:. He hns feiooy clwgc:s pending ifu:r being foundlncornpet.ent Ul S~ T rin.l. .

'\ttcmpts WCl'll ma.dc to i.n~t'li:w Mr. Cbrr on 0 l-27-06, 02-02.06 and 02-23·06. On ~ch oc~ion, be rdU3e4i to pertic~pe~. ~isung li'f --..ras "not ;Ql\.dy," tUld at one point, "I.dcio't'imow.Lhis man" (n::fct:ring ~) the ~v~luuiQr]. it )lo.o; there~orc been necessary !J)_ rdy nlmost entire1y on Worrnation obmined from review of ·his medic.a! r::curd :md l"e\e~' pr:ndmission dOCl.l.ments, o.s well as con.'!Ultation with warrl staff ~'ld :nembers of his ~tmeoi i.eum. To :::nha.occ !be accuracy of ob~~tions, a strUctw·c:O checl::li!!t V/113 ~oustru,ted b~ed O!l the vario:.u; liymp!Dlll~ lie h3S n~ort<:d, ll!d' 'ilic: c!.Jecklis1. W1l$ comp.!et«f.by unit mco.tti he\\1\h workers th!lt war: able to mcnicorllis bcb.lvior mon;;c!oscly. I .1lso obsc:r(ec rurtl dwing tr~o~onc:n: team meeti.ngll on Lhc ab?•·c-!isted du1e5.lle ~ ,:Qw\lli.ug tc mtcnd fi1Uy ro tb~ full :"orcnsic: wnru(ug ·.~·hen.] attempted 10 deJ.:.ft:r llJIIT, a}thougb he Wll!J iuformed on alOr: i..h_im one UCCi'JiiOU thLJt nur iut~;lC08r:l.l would OOlibc confidential, tLCd r.har regan:!Jcs.'l oftus. level of pu.rticip~bon. ;1.1~ort would be p:-q:3IT<i !lust woulc.i Jc s::IJt· :o tbc C:JW",.·i ro \us defc:uc: attor:oey, l'.lld to Lh: D1!1tnct Attorucy.

M.!XVAt:IT.J)~GROlJr31?.Nm H.lill).],.Y: The followi.ug is J brief synopsis ofwhat is l-;;lo\ttl ~nnc::ru::nr. :w:~ mhr. ,\_, !iOt~d 3\)ove, ho:. re:'\Ised [() COOpt:.."ll.lt; witb me during :ltt.en:ip~~ hJ mtcrYiew !till, u.nd lbc tnforromioo ;t:?(lr1=d b.c.rc ~ ;,co:r; e:xrracrcd frolll intc:-view.; <.:ooduct.td by ot.bc:r:.. T~~ :.o~sred f"".adc:r i3 rcii;:m:d !O th~ il..d :LJ~l:.'.:.<~J rccorc ro~ udilitiooul.detnils, it· desired. · · : i M:. C;w. IS che onJy.child born !o ;~o Arlle.ncon fur.hCT ll.:lC Gt"J-uu:.u mother. ~1t ~t M ~ly ye:u-s:il1 Gm:u:lUy, wt:l!l'e ~5 us fatlH:r ,,....,~ :;c:rv:ng in tbc: Miliwy, and the [;m.lli)' appaw.It)' came to lbc Unlted St..utcs mt::r ~ fnilie.r J-et.:.rcct froru :Pc

B. Thomll~ ~y. Ptl,D., ABPP -...-.~----...------·-t··- Signnun:,Dlltc, md.Tiril.e

Cere: ~crm: [] Yes llNo MJ-ffi.S ~- I 7 (___ ;

n 1 J II .J r' " IJ L 1: !J ~ ~ [l C \rHf,t\ 'jlJU :1")) (')i: - • • ~ ' ' ' -·''I OJ-' • .) J

Cooctnu~t:ion Form CARR. THOMAS RA Yrv!OND 656 l B:U.S # 217489

• Dated: 02-27-06 ' 08-i4-67 \v'M I 12-19-05 !'07308 To be complw~d w!Jetlevcr a ::11.anclanl MH:R.S form does oot provide I PROG,., h ... !.· adeqUll~ s.pucc for the required data. .<V>.Jv S?R.UCE

\ -------------·~-------------·-·- _.,L___ ~--·--------..- - · · · - · - - - : - - - - - - - · - ~·

L:S A..'nl_Y, while ~· .Un' was. in ~o ~o1rrth gnd.e. He bus i:od.ic:Jted !.hat be is ~blc :.o sp~ Grr-nn<m quite wcl~ -YJd b.1.s En&lish Ill also fluc;ot. His P.U:!mts lwve ·awsn:ntly be~ U!IU'ficd for 30 yt:.ul, bt1t seem tu be cttroally Jjvin~ Upart\ 'l>:r-f lin.lc.is actually lmown concerning bis_.birth, eurly devoelopmcut.. or fumi!y_buc.kg:round. He .=efted liul.• te 'W!I)a~oi:k.r.cl unc<insoiou:i fer tiricf pcricd.s in aeciden!S :.dUring hi$ clUldbood, ·ruid :hat on cocb occilsio.n; ihe l.lla!l bos-pikl.tizj:d for npprtixi.:mllt.<:ly one· week Thc:i--; iJi .oc. i.Oc!opcndeni""collotaal informaba·n.. to ·coa.firnl. !.he:sc' .rnp~ro, ho·.v.rver. One :ri:por: :;us&esled thnt·ne may mvc bCCll-rat:hcr. oppositioo.ntll.A a child. !t·seems that he,_p¢cmiea ~d.e~ua!.cly in school. 3~ k<lst until. the a~:~e of 15, 11t which rllne _he oogan ·using nmrijuium regu.Jiu-ly. He drow.~·ou~ iD the 1Q0 ' or I i •h grade. but· latr.r ei.U'Il.ed his GED. He blu: b·el.d u:risldlled positionS in c=ttu~tion aod rooying furniniz.,, witb hi!l Jongc:st period of susl:ained employment beiug r.\/0 ye.a.ti.His fir~:loug·:etm relationship dc-ioloped in\(! a OOnlmO'Il-l!lw miU'ri~i<: thu! h.B:l Jam;d fcir the past l2·yc.uo. At tbe time ofhis~t, be, his wife,.lheir six year old daughter, ::md his wife's l3 \Year' old ,;on lr:Jm ~prior relut.ionship, wcr: living (Ogctber with his mother. ·

A5 noted above. Mr. Cll!T '0\..-snn w;e of mru'ijua.aa ar. age 1.5. IL is uocc:rw.i.o wlac:;u he be~pn dri.n..'ci.ng!!:llcohol. H~ i.nio:u.:~d ill<:: rre.-:onen: lCMl Sociii.J Worker tluit he of lata.: he ha.~ been driJ.:~inJJ only oppro.:timatcly once per :moot.h, bur that rm \(nos~: oc~ions lie drinks ''ll !ot," up to 20 bct:N per sln:ng. He :ua~ bcc:n u:;uig mo:Ulampbet:lllll.inc.s fur :lt kc.st "\be ?OS~ l!:w ye.ars,'' WlbCh by his SCCV\J.fl( has ·beC::C prutic'JlarJy prob)croariC. During lli Jea.st OOC interfieW h.: fgl011Cd aUYiOg S~\l~( trCIJtmc:nt at~ free cJL'l.ic in KJl.llBi13 Ciry scvc:nl ~~ ogo, wbc:rc .be was prcm:iib·ea ilo I.UlUpsycbotit' med.l:;.:Jtion lSero~ucf). At ·-~tbt:r. time~, lla.w=<:r, he h~ otated lhlll hls oDly tn:armc.nt prier to bci.og ioCI1fecr4ted for tbei insttJ.t offen~ oc~d within ·th.:: pl1Sl rwo yeo.rs wht:D ·ho ~ ·l.r-:Stlr.uio:Jalized, a.od wa3 prc:scn'bed· M older zuitipsychotic (Slcl.luzinc; ttrV:l. "o

• antidepressant (Pamclor). There m. no r:corcJs of him having received psychi<1triC care wilhin the siatc :.~em. . ' I lsSUc3 of CDPJ.pcta;ncy iU'OSe while he wa.!i.hlcan:crntcd for the in.sUlO[ offense, and :he was.lhc:rcfo(o $CCn for eVll]uatidt: bv frnnk..A. ..Pugl.iesr::., Ph.p,JJ.u..r:eport dD.~d ..Q~_:~9_.._()5_. br. ~4gli~.!= _indicated_ t!iat :!'vfr.__t;;;\ri. comp\!!~~-t:f. bc.1ringv~c~. ~cr:ing "v)sjoD!i'! Wl be: dcsc:ribcd .as .-shadCW!i, WDCC'Urlltcly ~ttri\ruted ~mll·'ll'lening. tO unre]atecJ CVl:Dt.!l, and bad d.i..ffic:wt;f ~t:lit!ing :i c.ooSlste:at·~:or Llioi;ght lfowc:~er, :Dr. Puglici;o wc::fii <.iu •.o'riO~;:tlult Ml. Ou-r' wM "nonecb css. quite familiur with.cow-t pri?cc$S,~c;l prQce(iur.e, ·~ 'aiilc to co~ct!; de.~e ..t.\le~le;:~ Of ~ff~t po,J.n at:Iici~, u1d · g ddtmSc Uld ·prose-..:\lt!Dg ·OitOrnC)IS .~d·:_juqg11: !UJd. did not bnvc 1Ul)" dHfJC'Ult.y)n.-c:xplfli.oii-Jg·.,'0fiOu.s lega.l prospcc, ... - 1-fowcver., Dr. Puglic:sc-.WCZ:,t ·au to cWichide: "ltj~ :Dy opiD.ion lhai bis.c6ldimc.Y.!O :ali,"ini(ip~e1j und. mi~cn:ci,·c ~'1cntS of oc~.ng ~ro~d ··ru~, couple.~ ..~#· th~·:p~~e. Oltditory ~d tfuJU$.{?n~{ ~&.:·inJ:P0 his :1bility lo f!X~C~c appropriate judg~cDt !Uld c-omm~ctUe cflec.rivdy ·.vith (lljs n~orna:y)." He mercfu.re ~CQi.tllOcndcd Mr. C\\11 r.e considr:red lrJcompct(;lltTo Stao~ Tr.a.l, the em~ cortc:xrr'ed, and.b~ w.\S \nl.nSfa.Ted to t.hi.9 fuiliry. ·

COJRSE OF HOSPIT 6J,.l7,ATT.Qli: Whil: i.r:carcc:ratcd prior to bei.ng tJ'l!IlSfcrred here, .Mr Co.rr Lt.ad _tppan:otly ti~~ accciving an a.ntipsycho~c mcrlic:!lrion.(Zyprc...-.;:u), L1S well as mc:dicJtions w control h.il b.ypcrt®S\on. Whc:u he ·.vas s~ch ~t the ti:ne of admission by Joseph Black. M.D~ his anending p.~yc:l!iatrist, he complained tbllt tbt: iUltipsychotic ·.vas :nc't cffcctivr;, but he h.ld P.CC'.'!OUSly feP,~t"ti!:C r:ecei~g a o.mer;nt mcdicscioa (Scruqucl}lh~t WJ?-S mon:. dkctiYe, u.d MI r;~ ev~tuuUy agreed :U., switch mcdjc~tions. Ee lllis elsa b::en enr()IJed i!J standard IJ$Yt::hosocini educaTional prog:rJ.!JJit:.i.ng., m~;load.U!g ~ r;Jus5 dcsitiJ¥d w improve::: hi:~ trial cornpot...--ncc. !fu attcndallce un~ been goori, allil\:l'!li'.b his p3tncipaucu :h:\..1 tcc.n ha:wpcrt:d somc.,;.;br.t by.· b.l!; · R)JcDt.ed :.r:sistcncc: tbar be ~~ unsblc :.o rt:.m~mb:r inform~cioo ,,:rtain.iog tn :[ial coo::po:terlc:c. HiJ behavior b:as olherwis'e. been ~arkablc::, boW1:\'Cr, a:Jd ':I.e .wu reca~~ded C:).· tr~c.sfc.r !o :we G;m:way P;ogr~n. iil.tended for indivi.du.als Tll.U?ti<)nlng at II C:ig.b'?' and roure ill~ciOlt ICvcl: n: refund llo.U tnu1.5fcr. hQwc:ver, despite tllc fu,.·ttb;:~ h~ knew.it would involv~ a ioss in h.is itvel of privileges. · • . ' ~\JR..ltENl'Cl,JWCN,. ~YATION'S; Thornq.'l Ruyroond CaTI tS ~lJ obese )8 ye8J' oid \Vlutc:~rna.le of ~·Jcnge stic-~. who nppean; his. ·sl!Jted sgo. -He tms b«:n app.roprimcly dns.1cd . iL cLUUnl clot':Ung .for ..tlloSl: t:e.!~enltCAin se-ssions chat, l

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C ont.Lnuatio:n Form CARR TH0~1J\S RA\'Mot-H) BIDS IJ 217489

• Doted: 0~-27-06 08-14-67 WM !2-19-{)5 i'O'rS08 To be ·;omplc:~d wbt::nc\lct a slluld.a.nl MHRS funn doet; oot provide PR.OGR.M1; SPR.,JC:E Hrlcquatc .1p3cc for t.bc required MIA.

: obser{ed and his gic)oco!ng and hyg-ic:nc :have CO:JSis~enlly been good. Pbyslcu.l movemcn~. ~ding !;"it and ROSlUJt:, w<:rc. wl..lhiD non:.o.al limits. Spe;ech._Q;'!IS of normal p<~cc, tone:, ·und volume:,. md be 'W'iUi re~dily \u.ndc:nLwdable. /~ uo~.ed abo.v~ h~ !ln.~ .~fused to.p~ci}l'ltt: in ;my interView sessjon.s:with me;, and,jt,Wll$ lh=forc iu1pp~ibl~ .10 conducl a fplJ ii.Cd formal ev.lluntioo 'of his men :a! staLe. s·inC:c: .be w;~~ t~Clr.itt.ed he has. ri:p~~dly i::omplllincd of]bcari.!lg vok:es ililli :Jlll.kc: d:rogulO!)' CO~l! ,lo ?im.. He has additioru~lly ~c:rta{, th3t he h3s ronsidersblo problems ~~ilh hl.~ c:Jcmcry. has$il ger.eraiJy !Jecm mther wguc. Whc:Il Jlr'C..'I!lCQ for ;H.J.ditiOQ;l} dcUiils CODCc:rning _;he VOiCeS-. :hal he clafm~ CO heu, lJOW<:V'f!, mtl +' Jj Wy c~c -th~~ ·ii~. ~gen~ thai. chelle; p~c:uomcM m i~oly way intafaewith~ <t\y. tO d4Y tUn~ti~~ng. luci4yd, in gene:ro.J, J..is :hought proc~t:S lpp:artd to be !OglClli find Coherent, aod J:w has b~~ UOie 10 C~g-:n~:t a::.,'\le for odva.ocpnc:lt Ln \he \!JUt lev'::!. privi!egin'g:~t;:m whr:n mc:ctmg 'l'tith his c-eor.rnc:nnerun. 'He h!IS also beeiJ :1bl~ tc u~gotiJte <~ ::hJyge in meoicatioc wi:b.out lmduo' difficulty. Stn.ldngly, Mr. Carr's cicgcd mc:;nory dc::5clt'l app~l).l' 10 be ccllli..ocd to issue.> regording ,oial co.Jl;Jctcncy. lie!':;~ been obl~ to readily assi.m!.latc urut nJ.les iUld proc~~. br:: bn..~ been hem oo •he u:lcphocc rmk.i.ng Ct);u.n.izcd requcs!.S when spe;\iong 10 his f;:.mlly, and he 1vru able to ro;:.'lll demils cor.cernl.ng the V(ay in wtuch in.lOn::rnal ,vn.r.cn !e~ts of t*'-"Rwl compclctlCy Lr.fonnatioo. wc:i'c·adrUiniSteted to· ilm..'\!lohsc:rvanon by; uoJt Mental H~th Wor~is particulMly ~en:: "He seems to enjoy. tcivis gnmc:s, and ~bQWS kno~ledt:e in maiiY S\Jbjccts.'' lt. then fore Sc:qms more likely tMt llis tcnaciotUiy ctmilcd:maoili.rY to.r.Ccnli compet.cncy.i.nformt~tion in fuct reDecli l:ick of a williogocS!i\ ~ ~~~ this infurm.\'tion Then: is no e'ricknce·suggestilig .that he i.s .mentally retarded, !WJ his use of VOCl!bul.ary ead ·hls ;fuciUty in ?~~ lW :irgumcnt.s v.~ll!Gl su~O:sdti{li bis i.ot.c:UectUal. functiouing is in the !:Aw Avc:t11go r.mge. or perbnp~ c-•o::n !~ornr:w'bt hlfher

• J·Iis'judgemr:til and·lns~ilu·Die quc:s~i.lnable, howo:ver. \

VPD....AT@ Dld.,G]"Q~; (Pc:r )o~ph BlllCk. M.D .. art:;ndi.Dg pzychi;Ul'ist) i MIB !: Mnlingering V65.2 \ "I:o.l:o:v]:!nmc;c)~opcndt:n;.e_, ;._Q:HP.. ! .. P~yc~otic J?~~C!ro,~ ~9t OlhtJW'._o;c_Specificd 29~.9. Ax.is n: Per,'opa.lj~· B)s~jdi=c.~ ·Not Otherwise: Specified 301.9 Axis W~Hypl'l!'tcnsion .40J.9 Hypit-ChQI~~Qieinia. 27.2.0 Hyp~rtriglyc~d~ll ~72.! Obe~1.ty .278.00 · l:':;oriasis 696.1 Higll Rjsk Mcdiciltion V58.69 A."<is fV: Pl'()h\:ms Wiih·P.hr.oary Support GrOLIP Piobl;ril~ Related tO Sociril Envimllllc-nt Occupe,tionru· Problc.tns . . P ;oblems Related to lnterilction With Logal System/Crime .«... . i.> V. Glob;U .t-\sl!cSsttu:~t offu.'lctkm.in~ . 1. Ps~icbolog1caJ·Jmpa1nncni·- 65- Althougr. he cerntin·.lcs to co:-oplain of "uditory bil !lm:iiJariuus ~nd :Jlr:JlJOI)'tlz.opllir'nint, lllerc is IinJc cvidr.:oce w ~Jppon th~c ..:lillns, Oli!d ill u.ny case \ba-: ~~ ue> ::-."idt:lJc~ l~r unpaired fun.ctiorung JS.~ result. His. primary psrrllologic<~l -:ci.J::i~ i.ovolvo iwpwt:4 JUdD!JcnL ,.,,d !ns1/ih!· Wd. D !IlJL"'.'<Ci:J iweruit:il(itY.tO the fcc:lin~ and ..oo;:ds of oih~. , .· ·, . ' ?.. Social SkillS ....: 60.7 Jkis som.:~.ruc$ ·:>oQally mapprcpriate, u.nd las l.ittl.;: undl!rstuad\ing of ~ow to sympathi2i: or~~ ....aili cctlers. · · ; :l. V\cl~e- 70 -~-To~··bave bc01 no acts of verb11l orphy:Jicalr:q~gJusioo d'.lril:.g h1S llt.a/ l.lm. -4. .-.DUOccupation~l SKU\s- 65 - AJlhoug.b uc hn3 ;1 h:u1ted bislory of educllbcn;tl JJJ~ occupall01~Jl\ ~rtlli.nr.o~t.,' cn~·e:ue lJ~ chvi'6U3 barriers 1.9 him k.cg ublc to waim."lin [!:job ll.Dd livt: iimlcpr.Jtdt:Ue.,.

•

.'1' H ~: - : • ~ · c .I u t: 1 liJ .1 rt .• 1. • ; • :. I'J Nl :_"Itt ) r ..:I.J:_t .ltf"li_:

Continuation Form CARR TifOMAS RAYMOND 656 BillS H217489

• • Dared: 02-27·06 og..I4-61 W!V(

12·19·05 F07808 To bo: co~plcted wh~evc:r a stand:u-d MHRS form does llOL prOVJdr; PROOJVIM: SPRU<tE sdcq~te sp3co for \he req!Jin;d duta.

5. S~bs!.nll<:c. Abuse ..:..20-: Functiom.ng is ex~cly ~?.aired by frequ~t or daily,~ of c!ru~;~ ;;uch llS manju~:ia..· metb~heuunin~,' ~coho!. o'r·othens when. oat i.o.a ccotrol:~a .mviroom6:ll.. 6. M~icn.l·- 70. ~·-~I4m~cni )lr~~lems ..w.hich,rpB.y ca\1Se sonie diffiquity. i.a soci~ ~r ocCYpuuonal functioning; inCluding hyPen~foa, ob.csity, pso.riasis, his aced to cilke prcscriptio* medications on :1 daily bllSi.s,·nnCi hisll.ceiHoq)eriodic·medicD.I'fol!o.w-up: . ' ~ . 7. ~~illtirY, ]>.robl~ ·-· 4D :- Majci.r.preblcms with r.he tow lis c\ridcocod by·his bov~ beCD found incowPG-t!:Ut to sta.r:Jd trial. ·

Global ~SC'.SSmt:mt ofF.unctioo.ing • Equivalent" {Su"bscalcs #J.,-#2+·#3-tl/.4) + 4 • 65 .Highest GAF- EquiYall:nt P~ Yea.r Ul.l.knoWil

~ COMPETEtlCY ASSESSMENT: A:J has ~ not~:d above, Mr. C1UT refused to i'~ticipate in an inr.crvj'w -:onccrning this infon:ri~oC. aid it' has be= necessary to mako Lnfa"l:llces fr.iill mtt:nic:ots he bru tnacc tc othm, and from his be~vior.:Th~·'·i?~owi,ng ¥o~~~on.!5. or$D.J*.ed ac:cordin!J to the slxsl'~::ific ~that aro mapc!nied 4"1 be n~d in Article 46B.ofthe TcxOS"·CodC.~f Criminal Procedure. · i ) . Capacity. to 'UndeT'!rtUnd 'tbo· Ghar2es -Rnd··P.otentinl Conseaucncen:lr~Pendin:. <;rlml~al:;rr,.cEedin!!J!: When ' mcctlilg with his_ a:r!~cpt.:~' ~Oritl1'\is.o~:.:t6:.()6.'.Mr~·can: hes,bci:n n15fc·to'ac~tdy ~te jth~ clinrgcs tliat he faces. AlU1ough_ b~. d,:m~ .~d~tin~g.·:~. m·~ ?f these:. charges, .it Is ·intcrarlng that; "fh~ interviewed by the

• trescincnt team S\)Ciul. W.oiker.oo.\:)Ot!g ~his l!dznissio~ here, be wss able:~ ~~~·~e de!.iill.s of•.he i:lw rcgardlng npl'i;or.clwge ~~he f~ I(woj.ild·. th~~J:9 5c:cro ~ordikcly m~t; ro~a.~ .~:wici:ilt:J:to· \Uld~d the ciJ.amc be f;st:C!S,he is iofnct simply uo,~S to reyeaJ·~s.inf.o~ation. F.lll1hc;rypor.C, ,the·l~ be ~1S,gonc to'i.ri att~p!Wg · t~?,_S9;J.:d!cc-s!a.ff tl~tJ1c, h~..p~~hlatiic: dcficiLL£1 !ruffi.oi~~ ;_sqcrity. Jf!~~- ~~~lt;~~qr;~'Staod ..~ .~J~~ . . irifonniuiori.per.oinlog to,.Cri~.~owps:u::ncy W!J.uld. imply some'.uodcr:st~W.ding. of;the.'sc:v~tyj of the ccnsequc:oces' oe rri.lgbt:fuci::;i£cox1Yid~O:· · .... ·· · · · ·· ··:: .... · · · 2. ·C.Hpacitt_to Di.!lclcN,,.P.~r.tincnt. :F:.acll,. Events; :~nd .S.inte• Df.·Mjnd-.tQ Coun!el; Wb:n bc:j wa.'l. intm1cwed by Dr P\ijtU~~'.prior"Ui .'Dt.Ing;·s:n~ 't:o.•\hi4.rtiicili'\y, MJ. em wa:u;;&d:Jy, abl~ .toJdeDtifY. rbc llttomey vf r'cco;rj by me. He ilPPare.1dy ~pressCd.ccm.Sidc:rnqlc.dllsatisfaction With,l'li~ lawy~.·.aud in¢c-.ateo ws desiiC llhhave cuiot.ber nttorney ' '. '· • ' I' ' ' ' · " •'' I'. ''" ' • ~"· •· •·· ,.. '' · ' · ' ' ' ' ' ttppoiftcd to ~men~·h.\*-t.lt is :~otewor.thy that be 11:\s bec::n'uble.. to rev.Ca.l r:~c:V:wt info~tion to mcmbt:n of·bb treatment :c:l!IIl·wheu: it hB.:I mited his ends to co so. This .would .s\Jgge'st.Lhlit lie would be t~bl~ to provide his attorney Wi'Lli.rclevunt' liS viic:u; ~houlcfhe cbooec 10 do so. . '.Uifoimatico, . : ' . . . ., ,, · · '

J. CapaCity to Engage i.n 0. Reu•uned'Choleg of-legal StrateJ!,Iell nnd:Optlons: He !10$ rcpcilt¢;.ily insisu:J l;e i.~ Ul1.8.blc: to recull,O\'en o~jo·ilif"?~~-~~~ng'tQ t1inl c::~~?,~teney. ';ll.h'iie ~ee~ Witb~ ttcatrD~lt' team on 02-23-06, for C'\nmplc, he ~hib~ted c~ps~deteblc diffic~ty III namwg oilly ;hrcc o! the fo~. po6.Eii!:Jle ple<l-q• !Uld be ~>~led be was

·* uo.cc:rtllio a!lltJ lhcil·.mcacirigs. His.performancc on infonn:U wriwm u:sm of fui::tuk.l eomp~y inform:ltion !:!..8! ;Wo been qui~ p()orJn ~ct, his ·.scon:S have beef so low thai it is ~ more likely ·he kf?o·N8· 'tlit corm:t IUlS'Ntrli \0 the questions, aorl 'l.lt.s mstea\~ i~liQnally Jm!vidCd incorre.~;t rui~wen;;. It apPears that be been fc:lgmog Mdlor C';\aggcrutiD.g wymptcm.s of.m~.i}J,n!'Ss .. !::.or~er to a~!d _pro~~li.u~.f~rt!!~ c!Jt.rgc:$-l;hPt be CJ,IlTCnll)' faCd, a coc~llui.~n·.·~~fw!Jf ·w~ tile~ P.F .~~b-p.itY.' SOOfl in ·1iis cl~~. ~op;· ~,~enti! ~ii his .Mleged ~sych :ltic . sym1=~IJ7S (Le., :C.IW'ing voice$), Some cow OQve tnl.Ct'pn:tcrl tl!c: usc of such' ao'11ppr0m;h ·~ !fPro;cnting a di.~rinc;ivc kr.al str.itcQ'.

-·. - ... -· ------------· ------·--·--;:-:------::---- Sif:%1<\tll!~. Dote, !U'ld Ti.mt: B. Thor~1 <.'1;.;;-j., Ph.D., AS?P D: QSfBTG T: 05f\cl.kistcuo C: 02·26-06 C:'l.ld Psrcbolol~t. Cnmp. Uru: R: 05@ AM ry !Ja.nci Ccrr. Faru: r: ' I No C6ntinuial.lon of ~.nms :H 7 Pnge 4 of5 L__i

CuntinQntion Form .· CARR TIJOMAS RA '{lv10ND

• Bt-US#217<189 08:14-67 WM Dated: 01·27-06 l2-19·0~ F07808 To be completed whc.ncv=r a slalldard MHRS form does not provide l'ROGRAM: ndequatc·spacc for tbQ req\lired <lata.

4. C:tpacity to Un'dl!rw~nd ·tlic. J,tJvqrs:u:inl Nqture of tlie l.~ql Pros~s: ~ with uthcr ~.as pcrl4llning lJJ hi~,triaJ of ~C rolc.i pl~yei:f 1)~, vnrious ki:l uCJll1tr09m p=oo.od. The 92IIJC coo;,po·LCilc)', Mr." C~.'W~: tlS3.erted igfJOl'WlCC. inform~! written testa.offoe~ c·ompc:tcu\:)' i~,formi\tion.on which:hcpc;I:fq~!{ied SQ·Jl0f.lcly.(9cj::.aboyc) h;!ve 1euched on n &ood'dc:.al of infonnaticn pcrtllini.Dg specifically to the o~posillg roles played by the disti-ict nnorney 3lld dc:!l::llie :~tti:lrn~. Hi.s cxticmclj, poo( pC!forJDID;;, stn.li!WY suggests !li!lt in filet ·bo knows ilie infofuiatioo; but l."1teinion11Uy proVided iDc~ci·8.DSWen.-FurthemJore, lhc ltngths to·wb.ich he has gcne.r.o man ar.cmoi to row sr.o1Ibdii:'YC that he u ~c:nm~y m. would tmply scmc ~~~s of the ~dv~surial n.stui'c of tlle pro.;Ccd.ing!l: 5. Cnpnd<y··tQ 'i'!hlbU Ap.prqprinte Cour.trnom.:Schavior: Aside frorn his reluc~ lo co~per.1te -...iU:l compe=y training or oW.l~ja~Cin, ~· ·Cllrr .luis posed~. bc~vio.nil prob!otp.i durl.::.s IW stay here. Ho ~ bcr.n coopcr.itivc: ""ilh st!Uf.· ¥~d nM.dc:moostm~~.ai:l Dbil.ity to xnllkeJua needs wc:U .Jcnawp. Jhere ~ no obs<:rYabli:: P.lllic::rs 1o him bcing·11b!c to conduct hi~c:lf in occordailce with appropnatc sandards· of co.U(ti'Oom dcconan. '

6. Cneucity. To !e!tjfri A!J no~. above, Mr. Carr_has b~ able to ~o.~·d IO.~uestiocs.pos_c~ to_ him during O'e!ltment team mcctmgs. Be bas, ~ccn Dl>lc to p~c:nt argumc:n~ to hilve mcQicotl_oru clwlg~;d, ;md to iltl=IDPt !1~ b.:lvc hi:! level in the unit, privileging ·sys\.Cm incn::a~d. He hos therefore dcmoDStrated il!l libp.ity iO rC~pcrod 1.4> cpJestions approprie1CJy wbc:n he cho_oses to dci so.

• SVMMA'RY...Al:£Q...MCOMME'JIIDATIQNS: .1: is my cli.flicill.opitlion, With a ~ooable degree ~f p!fycbologicul certninr:y, t..'"'at Tho~D~C~ Raymond .Carr currently mteta criicrils to be couiidei'ed Compcteut to Stimd· 'jrrlii. T~ is b~~.Sed '>n 1.11formation oi:!Ulillea· f'rol:lt· ay~aqlc. rei:-ords.from lJ'eoun.ent ~ mc:i:n~ers.·.lllld from the ob,;~tions of direct CllJ"e gWf on the: WxiL Mr.:cm qoa .ii'qt appear 10 mec:t crileria·to be <;onsidered:tl:ientllj.ly n:t3rt!ed; bMed.~~ bis usc cfbnglla.gc.and .. tis ~" :)1ry_ip_ tw.~.. lllll~gt:$.. Jlc._ !:!_ .riE!'.~fi~Y. su'pili:r:c~~--fl-~poutic .. en~-t?.Qlllc:.!!t. Uivo lvi~'l!l~~:-cf-pJY.S!!~ctivc ~cqcatioas.Jt i& 1.1l1Cl~ ~¥,lher lhese m::dic~tiO_TlS aJ'!! essencil\l· for him to ~~ txilti competency; tl:.ey do r.ot ;::p?,el\1' \O uad'Uly impact tlli e:aPacit)"-tb particip!ltilc his o~n dcfcil$0. ·It •.voUld he helpful ior huu ro\bave a,;r.c~s to. ongoing peycbiatric :::are, !t iJ; quite importnnt that. lie: cik.c p;e.scnbed mcdieatioo.<J ISS ordm;d, IUld :t is d!oc:Ii.cip.l t.biU he abstain. frOm n.lcohol &.:l'd all illieit . drug&. • Failure ' to follow . those: It'COmmendations , co\11d weU, l'l;:lwl . in dotcriol1ldiCln.of I , !ll:t coodioocl, und :\ ~rum to triP! incompetency. .

Mr. CWT hn.s been diagnosed 'with Malingering, retlc:qtLog h.i.!l IClldc:ncy to e.tllg$cro!e sywptor~ of mentU.I illne.~ [t is pos!iblc tha~he !D4Y·.~guge in threatS,'gc:shlm>, or ncqvitics in a. dcspcr11,tc attc~pt io uppeni' tnt:l~lly iJJ )0 Q.'; to CO:ll!DUC avoidiug ·th~ consequC:lces of ~-'charges be cum:ot.ly fuces. This concc:ivably cou;d include gos:u.res or ~ven ?uoi~t lttenlpts JO hnrtn hiriiSeli. '!t is'tlierefore recommendid'ctm he be clos~ly mo.nitored. :

This r=-port 3ddtt:sscs is~Jcs of compc:c:nc:y oaly, and .is not a· dangeroUSlleSS rule: assessrncn~ lf the: ·.ourt dc~.-u.S i1 appropriate, a qua.l.i.fi~ profcssionlll shoulc be contncl.ed te .perform such an ~vlllUQtion.

lt is recogr.Ucd that eccisions cooccrnillg trial compctcucy are mo.dc by R judgo andlor jury, lllid nn1 l.•y m~cCll betl.l;h professionuls. Coiuequcmtly, opinioo.s ~rated in the ;ontcxt of this report~ otfmd as ndvisury oaJY:.

:') .

·--·-------~~~,...!.i1~) U1lc .:n~~~ -·--.~--::~- B. Th0mlt.q Gr1iy, Ph.D., ·AllPP D: 05/B TG T: 05/tdklstcno C: m-26-IJ~> C:h.iefPb'jr.:l:JOlngi.!H, Comp. Unli P..: 05@ _1\M by hand Core Form \rl y,~~ Contin~Lion of MTIRS J- I 7 P;1g~ 5 0[5 '-'

•

• • Exhibit 20 •

-~----------------------- --- i I

--- DEFENDANT ~ISBOP, TAMMY ll1Cif1tl1.E RACE _ _ P W_ SEX _____ 07-1SL74 DKWB ______ +[--~--

' •~ ' 0. A. NO. _ _04~-~9~2~1--~-- CHARGE - DKLIVDY OP A COtmlOLLED SUBSTABCE 1'0 MIHOR 1

DATE FII.ED: _ __,Q~7..;..-,e,13:.-Q-=4"'----- FlUNG AGENCY:_.;;;;;BSP.=:U:::._ _ _ _ _ _ _ _ __ CAUSE N0: _ _ _ _ _ _- - 1 - - -

COMPl.AINANTMCTlN: -'S'U~~D~.!!:!O~J'-'TUAS~~~--__:_~---------- OFFENSE N0:_0_4-0 __ 18_4_7_-+~--

CO.DE!FENDANT(S}: "DATE OF OFFENSE: 06-19 4

IN THE NAME AND BY THE AUTHORITY OF THE STATE OF TEXAS: BEFORE ME: the undersigned authority, on this tne _ _ _ m____ day o f - - - - -,.JUL~L!:~----· A.O., 20c::0:..:4_+--- t ... personally appeared _ _ _ _ _ _ _MlltE _ _- SIMMORS :---- - -------------'-----------t--who,

atter being by me duty swam, on oath deposes and says: 1baf r ha'R ·good reason to b&lleY9 that_ heretofore, -to wit an or a out the l9'rll -- day of J1JliE . A.D., 2~ , and before the rnaldng and ~~~ of this Complaint, in the County of Bell, the State of Texas TAIII« HICRII.t.R BIIBOP

did then and there laiDViD81Y deliver a concroUed Rbst.aa.ce co wic: Metbaaphetamines to Judd May, a child leas tban 18 years of qe

r-

co I.:J ..,... L!J < H U") .~~1 -=-=-- ~ ~ __.J f ··:.t ::::> "'"") ...::r c::::l ...... ~

against the peace and dignity of the State. •

·1

AFFIDAVIT FOR ARREST STATE OF TEXAS } COUNTY OF BELL }

COMES NOW THE UNDERSIGNED AFFIANT, A PEACE OFFICER UNDER THE LAWS OF THE STATE OF TEXAS, AFTER HAVING BEEN DULY SWORN ON OATil, WHO DEPOSES AND SAYS lliAT I HAVE GOOD REASON TO BELIEVE AND DO BELIEVE THAT TAMMY MICHELLE BISHOP HAS COMMITI'ED THE OFFENSE OF DELlVER.Y OF A CONTROLLED SUBSTANCE TO A MINOR AS CHARGED IN THE COMPLAINT TO WHICH TIUS AFFIDAVIT IS ATIACHED AND TIIAT MY BELIEF IN THE FOREGOING IS BASED ON TilE FOLLOWING INFORMATION.

I AM A CERTIFIED POUCE OFFICER UNDER 1HE LAWS OF THE STATE OF TEXAS CURRENTLY EMPLOYED BY 'IHE HARKER HEIGJITS POUCE DEPARTMENT AS A DETECTIVE. PURSUANT TO MY DUTIES AS A DETEcnvE, 1 HAVE BEEN ASSIGNED THE INVESTIGATioN Of A REPORT OF DEUVERY OF A CONTROLLED SUBSTANCE TO A MINOR IN WHICH 1HE SUSPECI'S NAME IS TAMMY MICHELLE BISHOP.

I HAVE READ THE STATEMENT OF J M WHO lS 16 YEARS OLD. HE REPORTS THAT THE SUSPECTS, THOMAS CARR AND TAMMY BISHOP, CAME OVER TO HIS HOME IN HARKER HElGJUS, BELL COUN1Y, TEXAS ON JUNE 19,2004, WITH MARIHUANA AND METilAMPHETAMINE. JERRlD AND HIS 1WO 14 YEAR OLD FRIENDS WERE GIVEN METHAMPHETAMINE, BY INJEcnON, BY TiiOMAS CARR. I HAVE SPOKEN TO TAMMY BISHOP, WHO GAVE A VOLUNTARY STATEMENT IN WHICH SHE ADMITS TO INGESTING METHAMPHETAMINE Wl1ll THE 1HREE JUVENILES, WHICH SHE AND CARR BROUOHT TO TilE RESIDENCE. I HAVE ALSO REVIEWED A VIDEOTAPE IN WHICH TIIE THREE JUVENILES, CARR AND BISHOP ALL REFER TO DRUG USE, AND IT IS APPARENT, BASED ON MY TR.AlNlNG AND EXPERIENCE.AS A POUCE OFFlCE.R, THAT ALL TIIREE JWENILES ARE INTOXICATED. I HAVE BEEN MADE AWARE THROUGH MY INVESTIGATION 11iAT ONE OF TilE 14 YEAR OLDS HAD A BAD REACflON TO THE DRUGS AND WAS TREATED AT A LOCAL HOSPITAL. I HAVE BEEN FURTHER INFORMED BY THE PARENTS OF ALL THREE JUVENILES 11iAT THE CIDLDREN TESTED POSrTIVE FOR ME'IHAMPHETAMINE.

WHEREFORE, PREMISES CONSIDERED, YOUR AFPIANT REQUESTS THAT A WARRANT OF ARREST ISSUE FOR TAMMY MICHELLE BISH.OP FOR TilE FELONY OFFENSE OF DELIVERY OF A CONTROLLED SUBSTANCE TO A MINOR.

. ~=J3_ Sworn to and subscribed before me by the above named Affiant, a aedible person, this the day of ~j!1 2004.

,_

(lJ:!Jr! r~-~

LU (;) !If! 4

tn

IIIIIIVII~JIIIII JUSTICE OF THE P PRECINCT NO. BELL COUNTY, -"' ~~

r. • f .• _.J :;::) -, ..,;;r C::l c:2 c--.1. ; ii

• • •

Exhibit 21 •

. f ..

D.A.N0.-----'-~-----7~;.:.::- ..::: •. J. SEX -11-- Q/018 fa/l.ffif

---l.-.~l..,/'liiiiiD~/,_.85g.._--- AUNG AGt:NCY:_;--~·~------- CAUSE NO:

COMPLAmANT~M:~sa.~~~~C~II•B5-------------------------------- OFFENSE NO:_a.+y-"'~..,t.f~=+---,--­ CG-DEfENDAHT(S): DATE OF OFFENSE: 87/MIM IN THE NAME AND BY THE AUTHORITY OF THE STATE OF TEXAS:

BEFORE ME, the undersigned authority, on thls the _ _.,._.,_~----- day ofJ::Uili.II-·J--------· A.D., 20 85 personally appeared _ _ _ _ _ __&....JDI• •L__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ who,

after being by me duly swom, on oatil deposes and says: That I have good .reason to believe that heretofore, to Wit: on or abOut the

- -....•-•---~-- c.1ay ot_ :r._.u.~nl-4a~. _.._ _ _ _ , A.D., 20 M , and before the making and filing ~ this Complaint, in the County of Bell, the State of Texas

• 0 ~ - ("') l

U-

against the peace and dlgnlty of the State.

--,1 • I I

AffiDAVIT FOR ARREST I I I STATE OF TEXAS } COUNTY OF BELL } i

COMES NOW THE UNDERSIGNED AFFIANT, A PEACE OFFICER UNDER THE LAWS OF THE STATE OF TEXAS, AFTER HAVING BEEN DULY SWORN ON OAlll, WHO DEPOSES AND SAYS TIIAT I HAVE GOOD REASON TO BELIEVE AND DO BELIEVE THAT THOMAS RAYMOND CARR. HAS COMMITTED THE OFFENSE OF AGGRAVATED SEXUAL ASSAULT OF A CHILO AS CHARGED IN THE COMPLAINT TO WHICH THIS AFFIDAVIT IS ATTACHED AND THAT MY BEUEF IN THE FOREGOING IS BASED ON THE FOLLOWING INFORMATION.

I AM A CERTIFIED POUCE OFFICER UNDER THE LAWS OF ntE STATE OF TEXAS t.'UAAENTLY EMPLOYED BY THE BELL COUNTY DISTRICT AlTORNEY AS AN INVESTIGATOR. PURSUANT TO MY DUTIES AS AN INVESTIGATOR, 1 HAVE BEEN ASSIGNED THE INVESTIGATION OF A REPORT OF AGGRAVATED SEXUAL ASSAULT Of A CHILD IN WHICH THE SUSPECrS NAME IS THOMAS RAYMOND CARR, AND TilE VICTIM'S NAME IS TOM VICTOR.

'TOM VICTOR,(A ~NYM) , . JlTS :r4f.E IS 16 YEARS OLD HE FURTilER REPORTS ntAT THE . ,,; SUSPE{j1 ON JUNE ~. IN · '. 1UM - •· / AITER TIIAT, THE SUSPECT 'VIDEOTAPED WE VlCilM WHILE THE VICTIM WAS BEING ANALLY PEN TED BY A "STRAP ON DILDO" WORN BY TAMMY BISHOP. l HAVE REVIEWED THE STATEMENT OF TAMMYJ!ISHOiif WHICH cbNFJRMSj. THAT THIS HAPPENED IN HARKER HEIGHTS, BELL COUNTY, TEXAS, AND JllA.T. IN FACTt tHE SUSPECt{ ~-INJEC"I'FJ)jrwo OTHER 14 YEAR OLD BOYS WI1H METHAMPHETAMujJt AND THAT SHE ALSO ANALLY "J5tNifRX'TED 'lliOSE BOYS WITH THE SAME DEVICE. J,..UAVE REVIEWED AmVlDEOTAPE SHOWING THE·.·; .1\NAL PENETRATION Of' THE VICTIM BWSUSPECT TAMMfilSH?i( AND IS RAmER APPARENT THAT 'fiiOM,t.S cAiif"rs DIRECTING AND ~EOTAP~G ll{lfAcnONS Q.f A~ ~E~~ ~L~ IS ALSO APPARENT THAT THE BOYS INVOLVED ARE HESITANT, Btrr AT ONE POfNL • US· , • . TENS M · tf_ · · :rs· nRFORM E .H ifrHB SUSPECT,, IF OT AL R . ANAL.JNTER.J . THE S,USPECT IS SEEN, BRIEFLY, ARIN<J WHAT. PEARS TO BE A BLACK "TEDDY" E OF LINGERIE. I HAVE REVIEWED THE MEDICAL RECORDS OF ALL THREE BOYS, WHICH SHOWED POSITIVE RESULTS FOR METHAMPHETAMrNE. DURING THE VIDEO, TOM VICTOR ALSO IS ALLOWED TO PLACE HIS FINGERS IN THE VAGINA OP TAMMY BISHOP AND PERFORMS CUNNlUNGUS ON TAMMY BISHOP.

WHEREFORE, PREMISES CONSIDERED, YOUR AFFIANT REQUESTS THAT A WAR.~ANT OF ARREST ISSUE FOR THOMAS RAYMOND CARR FOR TiiE FELONY OFFENSE OF AGCRAVATf.D SEXUAL ASSAULT OF A CHILD.

Sworn to and subsc:ribed before me by dte above named Affiaut, a credible penon, this the _j_ day of~ l&V;J 2005.

M (.::

,£ 0 N

~

r:r: ;s~~EZ ~~~t5 aoz' zt;.o JUDICIAL DISTRJCT COURT _,I l :::;;-- IIIJIJifil~ Rl ~r- 'TEXAS u._ -~ ~- #((:..= ~~~

e I -- '-r~ ~.)

,,.., C"=l vso

•

Exhibit 22 •

• • t...oun c.;enter uocttet Review. Case History Header. http://idocket.com/cgi~bin/db2wwwic_h_all.mbrlr&m ...

• Chcrk om our llC\Y affordnbl<.' suh~.cription plans at · iD.o e · co -- ------·

Criminal Docket; Case 57557; DEL CS/MARIJ TO MINOR .\- THE STATE OF TEXAS vs CARR, THOMAS RAYMOND .. \ , .. , \ '.. f Filed 07/13/2004 - Disposition: 11/21/2006 15 YEARS TDCJ;IO ,.; \ ~ ·. ._ . 264th District Courtr District Clerk, Bell County, Te)(_C!S

Date Description/Comments Reference Typ ·Amount

07/16/2004 FILE MAGISTRATE WARNING 07/15/04 Docket TXT :FILE APPOINTMENT OF ATTORNEY Docket 07 11 612004 ' --------· 07i16104 -------------·- .. ___________ _________ ···----------------· FILE MOTION TO SUBSTITUTE COUNSEL & 0 k t 0810312004 ORDER GRANTING IS/MJT 08l02/04 oc e .. FJLE LETTER OF RETAINMENT FROM Docket OB/OS<' 2004 POTTER07l29!04 . ··---·--·. ·-·····-··-····------~------~--· FILE ACKNOWLEDGMENT OF ATTORNEY· Docket 0811012004 B lG HAM-08/09/04 --------- 12/21/2004 ISSUED SPECIAL HEARING LETTER Docket ···- ·-. --------·---·------·-·--·-. FILE DEFENDANT'S MOTION TO REDUCE, Docket 1212 2 12 0° 4 BOND 12/21/04 & ORDER FOR A SETTING .... ---· --·· . . . -----·-~--~- --·-· FILE DEPUTY REPORTER STATEMENT Docket " 01/03/2005 01/03/05 -------- ..... -------··· ... ·····-----PER DOCKET BOND SET AT 75,000 IS/MJT Docket 01/03/2005:01/03/05 -------- .. ··-· ·---·- .. - . - .. ~-- .------···· ----------- ---:FILE MOTION TO SUBSTITUTE COUNSEL Docket 0 1 12 1 /200S:01/20/05; SENT UP WITH FILE --···· ------ FILE ORDER ON MOTiON TO SUBSTITUTE Docket 0112412005 iS/MJT 01/24/05 Docket

• • .. o3tiJJ20-05IssUED ARRAIGNMENT LETTER o3'/3o/2oos -.-55ueo. ARRAIGNMENT u:TTER- . Docket

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Criminal Docket; Case 57558; AGG SEXUAL ASSAULT CHILD THE STATE OF TEXAS vs CARR, THOMAS RAYMOND Filed 01/03/2005 ~Disposition: 11/21/2006 30 YEARS TDCJ;ID 264th District Court, District Clerk, Bell County, Texas

------------------------------------------~------~

Date Description/Comments ----------------------------------- \Reference )Typ !Amount :--- l l iiSSUED CAPIAS NO ARREST PER MARK D. I ,01/03/2005;KIMBALL BOND SET AT 1,000,000.00 PER !Docket TXT! iJUDGE MARTHA J. TRUDO 1/3/05 ---- '--~----.. -: i0112112005 !FILE MOTION TO SUBSTITUTE COUNSEL !Docket · 1· !, : \01/20/05; SENT UP WITH FILE 1 1 1 -l I II l

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• EXHIBITS WE RECEIVED 03/1112013 ·--··- ----- . 04 i 10,. 2013 COURT-ORDERED AFFIDAVIT BY CHARLES MONTY MONTGOMERY 04/10/2013 Docket -. . ·--

04/12/2013 LETTER TO DEFENDANT FROM SEAN Docket PROCTORREGARDING AFFIDAVIT 4!11/13 04i 1212013 SEAN PROCTOR CHECKED OUT WRIT FILE 04/12/2013 Docket ----· -· ---· ---- --··· --~ ··-·. ·- ---. -- 04/30/2013 ATTORNEY TIMOTHY TESCH VIEWED FILE INLOBBY 04/30/13 4:11PM Docket .. --- 05/01/2013 tlEBB'E CHECKED OUT WRIT FILE FOR Docket SEANPROCTOR 05i01113 FINDINGS OF FACT AND CONCLUSIONS OF 05/15/2013 LAW SIGNED BY JUDGE TRUDO Docket 05/15/13;MAILED COPY TO DEFENDANT MOTION TO ENTER PROPOSED FINDINGS 05/15i2013 OF FACT AND CONCLUSIONS OF LAW BY Docket SEAN PROCTOR 05!14/13 ---- ·--~·-· -- ---~-- -·----- -----------·-- OSi15120 13 -COPY OF LETTER FROM SEAN PROCTOR Docket TO DEFENDANT 05/14/13 RETURNED CERTIFIED GREEN CARD 05/30/2013 5/30/13;RECEtVEO BY ABEL ACOSTA Docket 5i24/13.CMRR: 7011 3500 0001 5214 0723 WHITE CARD fROM COURT OF CRIMINAL 05t'30/2013 APPEALS 5/30f13;WRIT RECEtVED & Docket PRESENTED TO COURT 5124/13 .. -------- .... - . . ... - . - LETTER FROM TIMOTHY TESCH LAW FIRM 07116/2013 REGARDING SUPPLEMENTAL APPLICATION Docket FORWRIT OF HABEAS CORPUS 7!16/13 -·-------------------- -····----- --------------· .. - MA\LED SUPPLEMENTAL RECORD TO 07/18/2013 AUSTIN 7/18113 BY CMRR: 7001 0360 0001 Docket 2135 9626 RETURNED CERTIFIED GREEN CARD 7/22/13;RECEIVED BY COURT OF CRIMINAL Docket 07/22/2013 APPEALS 7/19113. CMRR:7001 0360 0001 2135 9626 -------·- --- WHrfE--CARD FROM COURT OF CRIMINAL APPEALS 9112i13;WRJT DISMISSED Docket 09/12/2013 WITHOUT WRITTEN ORDER FOR .NON-COMPl.IANCE 9/11113 FILED posT-wRi=r, .:ro DA-o1:16J14; ouE Docket

• 01 1512014 / FROM DA 02/19/14 ---· .POST-WRIT TO--AUSTIN 01i31/14 BY Docket 01/15/2014 CMRR:7010 1670 0000 4848 9580

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• .- ~-ockt~ COPY OF LETTER FROM SEAN PROCTOR 01/22/2014 TO ATTORNEY TIMOTHY TESCH Oockft REGARD\NGCOPIES 1122/14 i ·- ·--·-·--1 01!22t2014:STATE'S ANSWER BY SEAN PROCTOR Oock~t 1/22/14 FINDINGS OF FACT & CONCLUSIONS OF -+- 1 I 01 iJ0/ 2014 LAWSIGNED .JUDGE TRUDO 1t30i14;COPY Doeke,t TOAPPLICANT (BY CMRR: '70131 090000008887484) . ··--. - ·-·· --· - ---. ----· II . MOTION TO ENTER PROPOSED FINDINGS ' 01/30/2014 OF FACT & CONCLUSIONS OF LAW BY Docke~ SEAN PROCTOR 1/29/14 COPY OF LETTER FROM SEAN PROCTOR 01/30/2014 TO ATTORNEY TIMOTHY TESCH Docket REGARDING COPIES 1129/14 -----: RETURNED CERTIFIED GREEN CARD 02/03/2014 2/3i14;SIGNED fOR BY SHAlNA MEDFORD. Docket I CMRR; 7013 1090 0000 0888 7484 I

RETURNED CERTIFIED GREEN CARD 2/4i14;RECEIVEO BY COURT OF CRIMINAL 0210412014 APPEALS 213/14. CMRR: 7010 1670 0000 Docket)! 4848 9580 I WHITE CARD FROM COURT OF CRIMINAl 02/06/2014 APPEALS 2/6/14;WRIT RECEIVED & Docket\ ; PRESENTED TO COURT 2/3/14 i - 'APPLICANT'S OBJECTIONS TO STATE·s I FINO\NGS OF FACT & CONCLUSIONS Of Docket\ 0211 Of2014 LAW & APPLICANT•s PROPOSED FINDINGS 1

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02/13/2014 CRIMINAL APPEALS 2113/14;RECEIVED Docket SUPPLEMENTAL RECORD 2i12i14 ______ _ i WHITe-ciRii fR-oM couRT of cRIMINAL \ 03/28/2014 APPEALS 3/27i14; WRIT DENIED WITHOUT Docket\ WRITTEN ORDER 3/26:14 --------- Mori.oN FoR posT'-coNvscTroN ' 1 ..

• Docket 06i13i2014 FORENSIC DNA TESTING BY TIMOTHY TESCH 6/13i14

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• LETTER FROM SEAN K. PROCTOR TO TIM 0'!/2112014 TESCH REGARDING P05T· CONVICTION Docket DNA TESTING 07/21/14 - ·-· ~ - ·-- - - --~ - --·-· ··- -· ·-· -· ~-·-· ~~ --- STATE·s REPLY TO DEFENDANT·s MOTION 07/23/2014 FOR POST-CONV,CTION DNA TESTlNG ·Docket 7/21!14 MOTION TO ENTER PROPOSED ORDER 07/23/2014 DENYING POST-CONVICTION DNA TESTING Docket 7121/14 ·FINDINGS OF FACT/ORDER DENYING POST-CONVICTION DNA TESTiNG SIGNED k t 0712312014 0 JUDGE TRUDO 7/22/14;COPY TO T.TESCH & oc e S.PROCTOR .MAILED TIM TESCH COPY OF ORDER 07/23/2014 7/2l/14 BY CMRR # 7014 0510 0002 3175 Docket 2499 GREEN CARD RETURNED FROM TIM TESCH 07/29/2014 7129i14;RECEIVED COPY OF ORDER Docket DENYING DNA TESTING 718/14

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• • 9.\fJ-;). 1/18/2015 2:1..:1 AM

3 of a •

Exhibit 24 •

•

Tesch Law Firm Ph (254) 865-03 13 P.O. Box 255 fax 1(254) -731-2584 ;. Gatesville, TX 76528 teschlaw@gmail.com •

June 6, 2014

Mr. Charles F. Montgomery 4400 Seven Coves Rd Temple, Texas 76502

Re: Thomas Raymond Carr

Dear Mr. Montgomery:

I spoke with you about obtaining Thomas Raymond Carr's file. You wanted a release and $100.00 to copy the file.

I represent Mr. Carr. Enclosed is a "RELEASE OF FILE" signed by Mr. Carr.

• • Mr. Carr is entitled to his "Original" file per the State Bar Rules. Should you wish to copy the file for your own records, please do so.

I request that you provide the information requested in numbers one through ten in the release.

If you want someone to pick up the file as opposed to your mailing it, please let me know. Please provide the file within te n(lO) days to the date ofthis letter. Thank you.

Sincerely,

Timothy Tesch Attorney for Thomas Raymond Carr

P.S. The release has my bar number as 119808200, when it should be 19808200 . •

• • RELEASE OF FILE

I, Thomas Raymond Carr, Wynne Unit, Huntsville, Texas, authorize the release of my entire legal file to Timothy Tesch, P.O. Box 255, Gatesville, Texas 76528, SBN 119808200

This authorization includes the release of information on any criminal matter, child custody information, and child support information that Charles Montgomery, Jr. may have.

It includes, but is not limited to the following:

1) Witness statements in whatever format used( tape recorded, written, and notes of interviews with witnesses), 2) All notes of meetings with Thomas Raymond Carr, 3) All research done on statutory and case law, 4) Names, addresses, and phone numbers of persons contacted about competency and insanity, 5) Medical records concerning physician reports and drug prescribed, including medications that Mr. Carr was receiving during the time of his plea hearing on or aboutNovember21,200~ 6) Names, addresses, and phone numbers of all potential experts contacted including forensic computer analysis experts, psychologists, psychiatrists, DNA experts and Lab experts regarding Methamphetamines, and any other experts, 7) Your contract of employment with Thomas Raymond Carr, 8) The entire original file as required to be released pursuant to the disciplinary rules, 9) If you do not have any documents requested, then an explanation as to why, and 10) If you are refusing to release any item, then an explanation as to why.

Thomas Raymond Carr • •

Exhibit 25 i.-:: - ........

• • l.ll.f~l ~II~HIIJIIII Jll l tlltllll

INRE No. 57,557

• • -Dff::JAf};] . L) r··· ~, r:; ;,.~·-=- ' ...___ '

-.1

DISTRICT * THOMAS RAYMOND CARR * BELL COUNTY, TEXAS

State's Reply to Defendant's Motion for Post-Conviction DNA Testing

TO THE HONORABLE JUDGE OF SAID COURT:

COMES NOW the State of Texas, by and through her District Attorney for the 27th

Judicial District of Texas, and respectfully requests that Thomas Raymond Carr's

(hereinafter referred to as "Tom" or "the defendant") Motion for Post-Conviction Forensic

• • DNA Testing be denied, and in support thereof would show the Court as follows:

I.

Procedural Summary

The defendant was indicted on March 23, 2005, for the felony offenses of Delivery of

Ia Controlled Substance to a Minor (Cause Number 57,557) and Aggravated Sexual Assault \ I :(Cause Number 57,558), both alleged to have occurred on June 18,2004. On November 21, I . \ 2006, he plead guilty to the trial court in both cases, and the trial court found him guilty in I

\each case, and sentenced him to fifteen (15) years imprisonment for the Delivery of a I \Controlled Substance to a Minor, and thirty (30) years imprisonment for the Aggravated I 1 i l llii!IIIJ Ill~ IIIIII copy • I I ! !

• • lo Tom's house and smoked weed. He also recalls J and Christopher having sexual

contact with Tammy, while they were still at J 's house, which he thought Tom

videotaped.

HHPD officers also took a statement from C rV on July 8, 2004. 4

According to the officers' offense report, Christopher recalled the events much the same as

did J and S n. He recalls Tom shooting the Meth into his right arm, and Tom

providing Marijuana for them to smoke more than once. i The officers note in their offense report, that during conversations they had with the \ I mothers of J Christopher, and S , each of them stated that their son had tested I l positive for the presence of Marijuana and Methamphetamine during their treatment at \

• I Metroplex Hospital.5

After obtaining written statements from the boys, the officers report that they

prepared an affidavit for search warrant for Thomas Carr's residence located at 114 West

Mark Road in Harker Heights, and on July 9, 2004, presented it to District Judge Martha

Trudo, who, after reviewing it, authorized the search. At 9:45 a.m, the officers report that

they made entry into the residence after knocking on the front door and ringing the door bell

received no response. They report that once inside, they encountered Tammy Bishop and

4 See Statement of C V attached to this Response as State's Exhibit No.3, and incorporated by reference for all purposes. 5 See partial medical records of J M and C V attached to this Response as State's Exhibit No.4 and State's Exhibit No. 5, respectively, and incorporated by reference for all purposes.

• • 6
• • Thomas Carr asleep in the bedroom, and two children asleep elsewhere in the residence.

They report that they moved Thomas Carr into the Living room, and kept Tammy in the

bedroom where she was advised of her Miranda rights. Tammy spoke to the officers at the :

scene and voluntarily agreed to accompany them to the police station and give a written

statement. 6 She admitted to knowing that Tom had provided Marijuana and Methamphe-

tamine to the boys, and admitted that she had sexual contact with J by letting him

perform oral sex on her, and by having sexual intercourse with aU three boys with a "dildo .. ,

She stated that Tom videotaped these sexual encounters because he had been wanting her to

''do something with another man" for quite some time. She admitted that all three boys

looked young, but J told her that he was eighteen years old.

• At the scene, the officers advised Thomas Carr of his Miranda Rights. Carr admitted

to the officers that he had been at J 's house, and that all three boys had been to his, but

denied providing drugs to the boys, insisting that they had their own. He also d~nied

injecting any of them with Methamphetamine. He explained that he met J on a web cite

called "Adultfriendfinders.com," and that he purported in his profile to be eighteen years

old. He further explained to the officers that he had been searching for someone he and

Tammy could have a "threesum" with to "spice up their marriage" because they had been

together for 12 years. Officers report that Carr was arrested on suspicion of possession of

Marijuana when he took control of a cigarette package from his bedroom that contained a

6 See Statement of Tammy Bishop, attached to this Response as State's Exhibit No.6, and incorporated by reference for all purposes

• • 7 *810
• • Marijuana cigarette.

The officers report that during the execution of the search warrant, among the items

seized were: a computer and its peripherals, video tapes, a digital audio player with a flash

card memory, plastic envelopes containing suspected Methamphetamine residue, uniden-

titied pills, 8mm video tapes, and a Sony Handycam. They report that all the items seized

during the search were cataloged and entered into the HHPD evidence vault.

The State has been in contact with Detective Daniel C. De Leon, custodian of the

evidence section at HHPD. Detective De Leon explained that all the evidence seized by the

officers in this case was itemized on a HHPD "Evidence Submission Report," and then

placed in storage for long term safekeeping. According to HHPD records, he states in an

affidavit that all of the items seized by the officers in this case are still in police custody

except several video recordings that were reviewed by officers and later released to Thomas

Carr's mother at his request. He further states that the Department has never had biological

evidence, or items thought to contain biological evidence, in their custody in this case. 7

On July 13,2004, both Tammy Bishop and Thomas Carr were charged by Complaint

with the felony offense of Delivery of a Controlled Substance to a Minor. The record

reflects that on March 23, 2005, Carr was indicted for the felony offenses of Delivery of a

Controlled Substance to a Minor, and Aggravated Sexual Assault. On November 30, 2005,

Bishop, pursuant to a plea agreement, waived indictment and pled guilty to an Infonnation

7 See Affidavit of Detective Daniel C. De Leon, HHPD Evidence Custodian, attached to this Response as State's Exhibit No.7, and incorporated by reference for all purposes

• • 8
• • support of its Orders denying relief to the said defendant.

Respectfully submitted,

HENRY GARZA DISTRICT ATTORNEY 27TH JUDICIAL DISTRl

B

Assistant District Attorney 27th Judicial District Post Office Box 540 Belton, Texas 76513 (254) 933-5215 (254) 933-5704 [FAX]

Certificate of Service

• • I, the undersigned, do hereby certify that a true and correct copy of the State's

l Response was mailed to the attorney of record for the defendant, Tim Tesch, at Post Office '

Box 255, Gatesville, Texas 76528, by United States mail, postage paid, on this the ,., J ::! _ _ _ _ day of July, 2014 . _ _~

• • 15

\

• • IIIIII Jil ItillIJil IJllll!lllllll No. 57.558-D

EX PARTE * IN THE 27TH JUDICIAL * * DISTRICT COURT OF * THOMAS RAYMOND CARR * BELL COUNTY, TEXAS

State's Answer

COMES NOW the State of Texas, by and through the District Attorney for the 27th Judicial District of Texas, and denies generally the allegations of the Applicant's Petition for post-conviction Writ of Habeas Corpus relief, and opposes any request for bond pursuant thereto. The State would show the Court that this is a subsequent appFcation for Writ of Habeas Corpus relief by the Petitioner, and it does not contain sufficient facts establishing either ofthe exceptions enumerated in Texas Code of Criminal Procedure, art. 11.07

• §(4)(a)(l), (2) & (3) (West Supp. 2014) and therefore should be dismissed . Prayer

WHEREFORE, PREMISES CONSIDERED, the State of Texas prays that this Court recommend that the Applicant's Petition be dismissed, sending him hence without day. Respectfully submitted,

Assistant District Attomeym 27th Judicial District Post Office Box 540 ., Belton, TX 76513 r (254) 933-5215 rn

• (254) 933-5704 [FAX] 0 1111111~ lllllllllll "N N I

• • Certificate of Service

I, the undersigned, do hereby certify that a true and correct copy of the State's Answer

was mailed to the attorney of record for the Applicant, Timothy Tesch, Post Office Box 255,

Gatesville, TX 76528, by United States mail, postage pre-paid, on this the __ t,_-t!. ____ day of August, 2015 .

• • •
• • IIIIIII IIIII tillIJillIJillI!1111111 No. 57,558-D F\LED

EX PARTE

* THOMAS RAYMOND CARR

Motion to Enter Proposed Findings of Fact and Conclusions of Law

TO THE HONORABLE JUDGE OF SAID COURT:

COMES NOW the State of Texas, by and through her District Attorney for the 27th

Judicial District, and moves the Court to consider and enter in this case the proposed

Findings of Fact and Conclusions of Law as those of the Court.

Respectfully submitted,

HENRY GARZA DISTRICT ATTORNEY 27TH JUDICIAL DISTRICT

Assistant District Attorney, 27th Judicial District Post Office Box 540 Belton, Texas 76513 (254) 933-5215 (254) 933-5704 [FAX]

llllllllllllt llll(lllllll\ IIII

• • Certificate of Service

I, the undersigned, do hereby certify that a true and correct copies of the State's

Motion to Enter Proposed Findings of Fact and Conclusions of Law, and the State's

proposed Findings of Fact and Conclusions of Law, were mailed to the attorney of record

for the Applicant, Timothy Tesch, at Post Office Box 255, Gatesville, TX 76528, by United

States mail, postage pre-paid, on this the --.3!<{p::.....-~---- day of August 2015 . • •

1111111 jllll tillIJllll JillI!1111111 • I

No. 57,558-D

EX PARTE * IN THE 27TH JUDICIAL

DISTRICT COURT OF * THOMAS RAYMOND CARR * BELL COUNTY, TEXAS

Findings of Fact and Conclusions of Law .;

Having considered the Applicant's Petition, the State's Answer, and the record in

the above numbered cause, this Court makes the following Findings of Fact and Conclu-

sions ofLaw:

I.

Findings of Fact

• • History of the Case

1. The Applicant is currently incarcerated in the Correctional Institutions Division of the Texas Department of Criminal Justice by virtue of a Judgment of Conviction entered in the 27th District Court of Bell County, Texas, in Cause Number 57,558, wherein he was convicted of the first degree felony offense of Aggravated Sexual Assault.

2. The Applicant pled guilty to the charge, and the trial court found him guilty and assessed his punishment at thirty (30) years imprisonment.

3. The Applicant did not appeal his conviction, but this is his fourth Petition for post- conviction Writ of Habeas Corpus relief in this case, his first and third having been dismissed, and his second having been denied. 1

1111111! 1111! 1111111

1 See Ex parte Thomas Raymond Carr, No. WR-79,620-02 (Tex.Crim.App., delivered September 11, 2013) (not designated for publication); Ex parte Thomas Raymond Carr, No. WR-79,620-04

• (Tex.Crim.App., delivered March 26, 2014) (not designated for publication) and Exparte Thomas Raymond Carr, No. WR-79,620-06 (Tex.Crim.App., delivered July 8, 201 5) (not designated for publication).

• • Allegations of the Applicant Thomas Carr- 57,558-D- Findings Page 2

4. In ground one the Applicant alleges that his plea of guilty was involuntary and un- knowing because of coercion by the State. ·

5. In ground two the Applicant alleges that the State made false representations about the results of drug tests.

6. In ground three the Applicant alleges that his trial attorney lied about researching the law and explaining the law to the him, and was ineffective. ·

7. In ground four the Applicant alleges that he was incompetent at the time he entered his plea of guilty.

8. In ground five the Applicant alleges that he could not be convicted of aggravated sexual assault "because no date rape drug was administered" to the victim.

• • 9. In ground six the Applicant alleges that he could not have been found guilty under the aggravated sexual assault "because he did not act in concert" .with his co-defen- dant.

Necessity for an Evidentiary Hearing or Expansion of the Record

10. The Court finds that the existing record is sufficient to address the Applicant's Petition.

Jurisdiction

11. The Court finds that this is a subsequent Petition by the Applicant, therefore, before the Court can review the merits of the Applicant's allegations, it must address the Court's jurisdiction to entertain them.

12. The Court finds that the factual and legal basis for the Applicant's allegations in the instant Petition existed at the time he filed his previous Petiti~:ms.

13. The Court finds that the Applicant's Petition advances no facts establishing that the current claims were unavailable when he submitted his previous Petitions, or, that but for a federal constitutional violation, no rational juror could have found him • guilty beyond a reasonable doubt.

• • Thomas Carr- Page 3 57,558~0- Findings

II.

Conclusions of Law

Based on a study of the applicable law, this Court makes the following

Conclusion of Law:

Grounds For Relief

1. The Applicant's Petition should be forwarded to the Court of Criminal Appeals because this Court may not consider the merits of this application, because it does not contains sufficient facts establishing that: ( 1) the current claims have not and could not have been presented previously; or (2) by a preponderance of the evi- dence, but for a violation of the United States Constitution, no rational juror could have found him guilty beyond a reasonable doubt. See Tex. Code Crim. Proc. Ann., art. 11.07, §4(a)(l) &(2) (West Supp. 2014).

III.

Recommendation

The Court recommends that the Applicant's Petition be dismissed.

IV.

Transmittal Order

The Clerk is directed to prepare a transcript to include copies of the following

documents:

1. the Applicant's Petition; 2. the State's Answer; 3. the Motion to Enter Proposed Findings of Fact and Conclusions of Law; 4. the Findings of Facts and Conclusions of Law of the Court;

and transmit the same to the Court of Criminal Appeals in Austin, Texas. The Clerk is

• • Thomas Carr- 57,558-D- Findings Page 4

further directed to serve a signed copy of these Findings of Fact and Conclusions of Law

upon the attorney of record for the applicant, Timothy Tesch, at Post Office Box 255,

Gatesville~ TX 76528.

Signed this the ---1-- day of August, 2015 .

• ..... ..., CCI

,... c:: en .,- I r ....... -o m 0 -F. c .D

--

• • STATE OF TEXAS

COUNTY OF BELL

CAUSE NO: 57558-D

EX PARTE

THOMAS RAYMOND CARR

I, Joanna Staton, Clerk of the District Court, in and for Bell County,

Texas, do hereby certify that the attached instruments are true and correct copies of the

Originals as contained in the courts file in the above styled and numbered cause, now

On file and of record in the said 264 TH District Courts,

WITNESS MY HAND AND SEAL OF SAID COURT, in my office at Belton,

Bell County, Texas, on this 12th day of August, 2015.

Joanna Staton District Clerk Bell County, Texas

Footnotes

[17] .The Facts mentioned above and in the Application show no rational juror could have found Applicant guilty beyond a reasonable doubt or "actual innocence". Also, the facts indicate despite due diligence, Applicant can show relief based on suppression of evidence by the State and ineffective assistance of counsel. 18.The following facts indicate suppression of material, exculpatory evidence by the State that by its very nature could not have been discovered by Applicant. a. The Bell County District Attorney's office failed to provide witness statements, or at least information from the statements that it had: 1. No ''date rape" drugs anywhere in the case; 2. No blood tests, or any test showing a positive result for • Methamphetamine, and in fact lied about it; Page 13 of 15 b. The Bell County District Attorney's office provided false information or flat out lied about: 1. Prosecuting Tammy Bishop for aggravated sexual assault, when Mark Kimball, the Bell County Assistant District Attorney, had an under the table deal to not prosecutor her; 2. Pursuing Tammy Bishop on numerous charges, when Mark Kimball had no intention of doing so; 3. Having blood tests to confirm Methamphetamines in J M and the other juveniles systems; • c. The Bell County District Attorney fail to provide trial counsel with a copy of a statement/infom1ation about Applicant denying delivering drugs to the alleged victims at the time of his arrest. d. Evidence discovered from trial counsel, Charles Montgomery, shows that he had viable defenses, but failed to either follow up or understand them. The following information has been discovered that he: 1. Did not show facts or law to counter the State's burden of proof/evidentiary requirements for delivery of a controlled substance and for aggravated sexual assault. The facts and law were there; 2. Failed to follow up on the absolute right to a competency hearing; Applicant submits this memorandum of law to the court for review. Applicant prays for any relief to which he is entitled. Applicant requests a hearing, and an • Page 14 of 15

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