85 main

IN THE UNITED STATES DISTRICT COURT FOR

THE SOUTHERN DISTRICT OF FLORIDA

CASE NO.2 1 1-20120-C1V-SE1TZ/S1M ONTON

TRAIAN BUJDW EANU,Plaintiff,

DlsM As CIIARJTIE ,s Ixc, ANA GISPE ,RT

DEREK THOM AS AND LASHANDA Aoo s

Defendants/

Pursuant to S.D. Fla. L.R. 7.5(c)(2),' Fed. R. Civ. P. 56(c)(1)A), PlaintiF Traian Bujduveanu,Pro Se Litigant, hereinafter known as tiM ovanf', sublnit the following statements of material

facts as to which there are no genuine issues for trial.

1. On July, 28, 2010, with the approval of CCM Director Carlos Rodriguez the M ovant was

transfer from Colman Low Correctional Facility to Dismas Charities, lnc. halfway house,

located in Dania, Florida (Exhibit A).

2. Defendant Dismas Charities, Inc., is non-profit corporation 501(c)(3) organization, whooperates 28 halfway houses in 18 states that contract from the U.S Government, of whichCo-defendants Ana Gispert, Derek Tomas and Lashanda Adams are employees of

Dismas Charities, lnc. as is evident in the (Exhibit B).

3. Dismas Charities house has limited independent disciplinary discretion, thus giving it

discretion over minor of prohibited acts. Any serious sanctions required approval of

CCM, USPO and Colnmunity Sanctions representatives (Exhibit C).

4. Upon arrival at Dismas Charities facility, movant signed the acu owledgement of a1lregulations as well as the receipt of a Dismas Charities Handbook. However, the Movant

did not receive a hard copy as there were none available (Exhibit C).

5. The Movant provided the appropriate staff members copies of driver license, driving

history from the Division of M otor Vehicles in Tallahassee, vehicle registration, andvalid insurance, in compliance with the terms and conditions necessary to obtain

permission to operate a motor vehicle during supervision. Be that as it may, the reasonfor which the M ovant was not approved to drive, as contended by the Defendants, is

unknown even today (Exhibit D).

Case 1:11-cv-20120-PAS Document 85 Entered on FLSD Docket 12/20/2011 Page 1 of 73

n e M ovant provided the appropriate staff members copies of all medical records

indicating the severity of ltis medical conditions and any doctor recommendationsconcerning progrnm requirements for manual labor and work outside of the facility

(Exhibit E).

During his residency at Dismas House, the M ovant was constantly terrorized,

intimidated, and hllmiliated without any regard for his medical conditions or his dignity,

in that he was forced to do cleaning jobs when in fact in violation of his doctor's orders,even going as far as to prevent his medical treatment, adding insult to injury. Whenasked, tçwho should have the last say on tllis matter, the doctor or the federal prison'',Derek n omas answered, E*W e have already had this conversation. Here the Bureau

of prison rtzles and not the doctor'' (Exhibit F).

8. The Defendants openly denied the M ovant's request to attend Religious Services at a

Romanian Orthodox chttrch on Sundays, located 16 minutes by car (9.5 miles) from theDismas Charities halfway house, tmder the pretext of Federal Guidelines. The M ovant's

research has shown such guidelines do not exist and the Federal Govemment remainsneutral regarding religious practice or distances to and from a religious instittztion at a

halfway house, thus constimting a violation of the movants rights to religious freedom

and the free exercise thereotl and further violating the United Sutes sunce on separation

of chttrch and sute (Exhibit G).

9. In violation of his Title VlI protections, the M ovant was discriminated and harassed

constnntly, by the Defendants, because he was a foreigner, spoke Enjlish with an accent,practiced Greek-orthodox Relipion and he was white. Similarly sltuated residents atDismas house were not treated ahke (Exhibits F and G).

10. On September 28, 201 1, the M ovant was approved by the CCM Director Carlos

Rodriguez, to be transferred to home confmement, due to severe medical problems. n eUSPO Office was advised and agreed on Movant's home confinement transfer, requiring

the Movant to report once a week to Dismas halfway house (Exhibit H).

1 1. On October l3, 2010, the M ovant drove his family vehicle to Dismas halfway house for

his bi-weekly report (Exhibit I).

12. An illegal search was conducted of the vehicle that Movant drove and property was

removed from the vehicle without the knowledge of the M ovant and without the M ovantbeing present at the search. Defendants asserted that a cellular telephone, a phone charger

and a packet of cigarettes were fotmd in the glove compar% ent of the car and

confiscated. Data and evidence from the surveillance camems that contained informationregarding the illegal search and seizure, was deliberately destroyed by the Defendants.

(Exhibits 1 and J)

2


l3. Having a cellular telephone in the car, does not represent a violation for prisoners on

home confinement as halfway house rtzles and regulations are not the same as home

confinement rules and regulations. M ovant does not smoke, and operating a motorvehicle without prior approval represents a minor violation, and does not require

incarceration (Exhibits l).

l4. As a result of tMs incidtnt, the M ovant was given tllree separate violations, on different

dates, for the snme incident that occurred in the same day, time and place, without Due

Process of Law. Not a11 copies of the three written violations were released as requested

by the discovery (Exhibit K).

15. On October 20, 2010, at 6:30 A.M ., while sleeping in his bed at Dismas House, the

movant was arrested by two U.S. M arshall agents and transported to F.D.C. M iarni,

without any charges levied against him and without Due Process Law. (Exhibit K)

16. The incarceration was done without the knowledge of USPO and CCM Director, Carlos

Rodriguez, as he did not sign the papers for the incarceration, thus making it clear that the

Defendants engaged in a campaign of erasing evidence and fabricating documents in

order to cover up any suspicion of the events. The M ovant is aware that the following

documents have been fabricated (D.E. #38, 41, 53, 58s 60, 61, 66) (Exhibit L).

17. W hile incarcerated at F.D.C. M iami, no charges were ever levied against the M ovant and

no investigation of any kind was canied out against him. No federal employee of F.D.C.

wanted to get involved with his case, they were aware of the covert and illegal actions of

the Defendant. Fedel'al Department of Corrections M iami Cotmselor Price and Unit

Manager Harrison, tmder the strict suggestions of the F.D.C. W arden Linda T. M cGrew,

attempted in a few instances to conuct the office of CCM Director, Carlos Rodriguez, to

no avail. (Exhibits 1, J, and L)

18. The Movant was released from F.D.C. Miarni on January 03, 201 1. (Exhibit M)

19. ln an attempt to ensure that the Movant would not get any usable information in time, to

enable him to conduct any investigation on the backgrotmd of the Defendants, as well as

the acts committed by the Defendants. Defendants have refused to comply with the

discovery rules, in a clever way, making their own mles in the absence of any court

rtzling regarding the discovery. No Dismas employees background or names, that were

aware of the incident, or came to visit the movant at M iami F.D.C. were ever revealed,

and the M ovant could never interview or depose any of these people that hold very

important information in this case (Exhibit N).


Dated: December 15, 201 1 Resyectfully submitted,

/ ; m T#

TRAIAN BUJDUVEANU, Pro Se


CERTIFICATE OF SERVICE

I hereby certify that on or about DECEMBER 15, 201 1 a true and coaect copy of the

foregoing document wms served upon the following via the United States Postal

Service, First Class M ail:

Dism as Charities, Inc.,

141 N.W . 1 St. Avenue

Dania, FL 33004-2835

Ana Gispert

Dism as Charities,lnc.


Dania, FL 33004-2835

Derek Thomas



Dania, FL 33004-2835

Lashanda Adam s



Dania ,FL 33004-2835

David S. ChaietEsquire

Attorney for Defendants

4000 Hollywood Boulevard

Suite 265-South

Hollywood, FL 33021

EXECUTED 0N THIS 15 DAY OF DECEMBER, 2011

m, z'/zk n 7 vz'' .;m z7 ??TM IAN BUJDUVEANU, PR0 SE5601W . BROW ARD BLVD.,

PLANTATION, FL 33317

5


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EXH IBIT A


Note: Thls infornnation will b,e rnade availablc to CCM at the time of teëephonic c'ontaci.

oaëe: w )c.,A,) lo

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DOB/'Age: 1 2 1 ) j J stj Race: 'u-ekoù'l --

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Sulaeruisio n Term'. Y ù.1.-2rx rSD

'-l-vpe pf Inm ate: lnstitution Transfex , USPO (public law), INS)

Date inmate arrtved at CCC/C-SC: '-7 /9. 's ) 1o

Institution inmate zuzansferred from: ç&-T-. Q* co'tx 'ws.,a tcwxz

Releasc date: l 1 .aj ç ! .

Histoly of vlolence or escape: .

Rekase Metlnod: <,Q.- l

Eletaik ofq %

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vlolatlon of release condiktona.

lmmakq'g Signaturê (file copy onlyh

Distrlbuklon: Inmate central Pilq (Szction 5), Iamate? Chief Superviaton Qfflcer inBentencing Diatzict, Chtef supervtdton Officer in Distrtct of

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EXH IBIT B


12J14/1 1 www.Dismascharities.com

exf.jM 'âhX,@ * . . . .

'C** *k lsm as arltles 1nC.. : 5$,. 4411114 -.. 1111111. ;-'.N@ @k,..4tuj,w*)

healing the hum an s#z'rz'l...

About Dism as .j . w EucoME.. 3 *-''* .. ,,

History '>, -.. .. Dismas Charities, lnc. is one of

.z >. -.* $,ii . 'w ;-..J - t. -... r.' . % . the nation's Iargest not-for-proft.

... ryx,..... .. . . y - .y ,

1 .) , (, . gy

uys s roojajjajsg jyyFacilities . - pro, . e

.

. ..&jjy$; . . .,.tjgy! ; 5 : j., .. . . ..p uM ap ..-. ., .j ,

. è. .. ....,J. com munity-based re-entryr v . , p. pc .

. ! tL . .t ). , . ..;jè z yy progmms.Listing ' ,

è.# . .. ;tb . î. b.. ' : .

:) ' Dismas proûdes both residentiali and non-residential supe&sion

Contact US .-

o. (j trsatment seo ces for..,. an' federal, state and Iocal criminal

Employment justice jurisdictions.

Headquartered in Louisklle, Kentucky, Dismas cumently operates 28 facilities and 9

Good SUPPOd OMces in 13 states.

Neighbors

OUR MISSION

The Light R e mission of Dismas is to prokde quality, cost-e#ectie community-based supe&sion and

treatment se/ces to indikduals within the criminal justice system.

Healing the Human Sp/#l is the energy source behind our commitment to

community-based corrections. Dismas Charities e lues the dignity of aII indikduals and that,

as such, we beliee aIl indikduals are entitled to be treated with respect and compassion.

OUR GOAL

Our goal is to prepare indiûduals to Iead Iawful and productie lie s upon their

retum to the community.

COMMUNITY CORRECTIONS

Founded in 1964, Dismas is considered a Ieader in prokding e#ectiœ community-based

re-entry programs for o#enders. Understanding that crime is a community problem,

Dismas inulles lmilies, faith-based institutions, employers, experienced stafl

e lunteers and other se& ce organizations to create a stmcture and enkronment which

supports successful re-integration.

Dismas' progmms are cost-effectie . Community-based supeN sion costs taxpayea Iess

than prison and jail coninements. In addition, community-based supe&sion allowsofenders to work full time and pay child support, taxes, ines and restitution or to prokde

e lued community se& ce work.

As a community-based se/ce proqder Dismas continuously re-inœ sts in the

community. Our presence has contributed o*r $302 million into Iocal economies.


12414/1 1 www.Dismascharities.com

+

Dir as Charitiel Inc. is a not-for-profit, taxexempt organiz-ation under Sedion 501(c)(3) of the United States IRS Code.


-.- - - . - -- - - - - . - - - - .-. --I.N'I-H -M' --INTAKE-FORM

U .S. DEPARTMENT OF JUSTICE FEDEEAL BUREAU OF PRlsoNsS

'F ility Name and Address: . i .a C' D tq g .u cé D = ,,

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Contract Staff Completing the Interview (Print): (sgza/g cp xg ysm

bia.me of Of f enclmr : Registor Ntlmher :

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Offender Hoye Address: DOB: SSN: Ra S x:s eovc.* d(!zx?o v a. V.V f7/ r&'-.W,3/7 / zz 5--/J ' z-Jz -J/4d. sepzrl z / ,* / /=z.

Religion; Date and Tine of Arrival: /9.%öprrzz' 9

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1. NOTIFICATION IN CASE OF EMERGENCY/DEATHCompletes):

(Offender

. jg'yzazcra z./ q--/ mt SQ cf Z' i1? w in o s e n a m eIn an emergency or death, I ,

direct that my j-fwnfte;- lrelationship) andaddres s i S

( Nama ) ( S ( Ci ty ) ( Telephone

b e no ti f i ed . .y--- tj o j y.,/'. jzrpun-v..l g jvyij>P. /s.., ./uafn o'.n

. pc g g :; / n.Name and Telephone Number of Personal r'hysician:

> y * O NS --'+ 6 J /Special Madical Neqds: xljp./

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Disposition of Pêrsonal Property:

Personai and Release Needs:

2. STATUS (Contract staff Complmtes):

Component Assigned: Comaunity Pre-Release Homexe--w Corrections Confinement

Type of Case or USPO):(BOP cases are in custody and subjece to remnval to a nOP institution)

Cctse Vanagor Assigned :. cy px e,,.x f

contract s taff Signaturo Dato û / ry ' Offender Daba and TimoTime /. Signature

J y ?' 7. gy - ggl . ('. f y y.. yuzzg..osw py Ts g p:x:pozw..r4.. . ' ' ' V , - % . .Record Copy - Facili ty Director; Copy - CCMt Thio f orm may be repl icapecl vi,a Computer)


' Dismas Charities. inc. 1i

i lntake / Em ploym ent Profile jl

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i Dismas Charities. Inc. I' j

r Intake / Em ploym ent Profile 1

Educational Inform ation; u I Year1 Please check ona: High School Graduate LEI GED Cedificate Zl, YearIf appropriate, please check-vocational Training Graduate: Yes Z No Z

Name of High School or Vocational Schcol and Location

Subjeds / Training

Year

Graduated frorn College: Yes Y, No Z . zsggc?.',7

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EXH IBIT C


' Disnlus Charities, Inc. ;i

'

. )! Conditions Of Residential Colllnzllnit-)? Programs Residence )

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. /,, V JA, /'?-1./l/z,zzrxf/./ , (Register Number) -m'hereby authorize employees of the Depadment of Justice and employees of any facility contractingwith the Depadment of Justice to release any or aII of the contents of information in my inmate

ceptral file to educational facilities, social agencies, prospective employers, etc., for the purpose of

pefson to advise prospective employers that I am currently in the custody of the U. S. AttomeyGeneras serving sentence or under the supervision of the U.S. Parole Commission or U.S.Probation Office. This consent will remain in effect until my release from supervision or until

revoked in writing by me. Revocation of this authorization may

community-based correctional program.

result in my removal from a

l understand that while a resident of a communi# corrections center (CCC) or work releaseprogram I will be expected to contribute to the cost of my residence through payments to thecontractor and l agree to make such payments. l understand that failure to make payments may

result in my removal from a community-based program. (Not applicable for MINT referrals).

l understand that urinalysis or other Bureau of Prisons authorized testing to deted unauthorizeddrug or alcohol use may be required as a condkion of residence in a community corrections centeror work release programl and if required, l agree to submit to such testing, I understand thatingestion of poppy seed products may result in positive test results for unauthorized drug use and is

therefore prohibited.

I understand that I am expected to assume Gnancial responsibility for my health care while I am aresident of a communlty' -based correctional program. Should l be unable or unwilling to bear thecost of necessary medical care I understand that l may be transferred to a suitable institution or

facility, at the Government's option, to receive such care. I understand that no medical care may beprovided to me at the govemment expense without prior authorization of the Bureau of Prlsons.

l understand that l may be required to cooperate with substance abuse assessment and participatein any treatment recommended as a result of assessment.

l understand that l may be required to abide by the conditions of supervision as imposed by thesentencing court or the U.S. Parole Commission, including the payments of fines and restitution andto follow the instructions of the probation officer as if on supervision.

l understand that upon arrival at the community corrections center l may be initially placed in therestrictive Community Corrections Component for a period of orientation. In this component, I willbe expected to remain at the CCC unless authorized to Ieave for employment or other authorizedprogram purposes. Additionally, l understand that social visits and recreational/leisure adivities will

be confined to the CCC,

I understand that while a resident of a community corrections center or work release program , I willbe required to abide by the rules and regulations prom ulgated by such program.

For MINT referrals l understand that I or the guardian shall assume total Gnancial responsibility for!my child's care whlle am a resident of a CCC. Should 1 or the guardian be unable to or unwilling tobear my child's financial cost, I will be transferred back to my parent institution im mediately, Iunderstand that no tinancial support will be provided to my child by the Bureau of Prisons.

d/1228Reviset 07/91/03

Paga 1 of 2


Dismas Charities Inc.

Receipt of Rules

1 llave received a copy of the Federal Prohibited Acts dated 6* U 7 /&

maaamay.

them , or had tl: em read to m e, J un d crstand th cm and I agre e to abi cle by them' i5 15 YV Q ZOQCI

major

that a copy of the Federal Prohibf ted Acts is posted on th

e Resident Bulletin Boa dalso aware that these rules are reviewed and subjsct to chang

e.1 .

e deny s 'guatur ' . J,,

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StaffBr a .( ' ( h Date.

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I have received a copy of the Dismas Charities Rules

, Reaulations and M inimum Restrictionsdated 't3 a-. t ô. 1 have read them

, or had them read to me. 1 understand them andagree to abide by t nem

. I am aware that a copy of the Dismas Charities Rules

, Regulationsand Minimum Restrictions is p

osted on Resident Bulletin Board. I am also aware that the

scrules are reviewed and subject to change.jr'''''rlp

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es' pnt signatur î r

Date 'd ,( J.,.V . t'-,,z - q ,>' .. J 27 / o

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1) isnl as Ch a ri tics. I n c, .!! 1I Receipt of Rules - Federal Facilities i/

'z/'.-'- 2.,,/0. I uave readI have received a copy of the Federal Prohibited A-cts dated ôthem, or had them read to me. I understand them and l agree to abiàe by tham. I am awarethat a copy of the Federal Prohibited Acts is posted on the Resident Bulletin Board. l am also

aware that these rules are reviewed and subjed to change.

zG

t )

Resident Stgnature : ,. Date 'q/z/mgzrz' 4- n ' q-zeo- : k ?7:7 T-cc zp /0

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Staff igl ture Date

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1 have received a co ys

p of the Dismas charities Rules. Reu..ulations and MinimumJ''//JCVJ-k)// . I have read them, or had them read to me, 1 understandRestrictions dated '.''

them and l agree to abide'by them. I am aware that a copy of the Dismas Charities Rules,

Regulations and Minimum Restridions is posted on the Resident Bulletin Board. I am also

aware that these rules are reviewed and subjed to change.

/A#R 'tident Signature -7 x' Date .

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dd215fedRevisôd 11/30/04

Page 1 of !


$ 1 Disnlus Ch:.1 rities, i nc. 1l ji

: Receipt of Personal Prope-rt

-y / Contraband List I

Receipt of Personal Property List

-

zt?/z:Mz#/ mnt,qaltîtti'tt?8 f.r uave received a copy of the Dismas charities! , /Personal Propedy Llist. l understand that this Iist contains the maximum number and ty e of

'

ersona pcope am permb e o possess w iIe at a Dismas Charities Center. 1am aware that there will be no exceptions allowed to this Iist. Any excess property or propertynot listed will be removed by me or my representative no Iater than 24 hours after receipt of thislist. I understanj that any excess propedy or propedy not Iisted which is in the facility after the

initial 24 hours will be removed by Dismas staff and disposed of.

l also understand that aII personal Property will be stored in accordance with Dismas CharitiesCenter guidelines. Any personal property regardless of quantity or type not stored in accordancewith these guidelines will be considered excess property and removed by Dismas staff.

A.

Rèsident Signature 1 , .v Date /Y ,>' ,# ê' = zz- '1' /ggpm zg z.c op JJ j Jo /&

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Sta: ' ture Date y.x x' Tg g g yy u.-o.'Zo . d /2

. ,

Receipt of Contraband List.--' , ,4 . . ' .

I /,# / z'zA Z ' . J' tuvtt+v'/k have received a copy of the Dismas claaritiesContraband List. l understand that aI1 items on this Iist are forbidden in the Dismas Charities

Center, in any Dismas Charities Cqnter vehicle or on Dismas Charities Center proqerty. lunderstand that if I am found to be in possession of any item on this Iist

, the item wlll beconfiscated from me and disposed of by Dismas Charities staff. l also understand tbat if l am

found to be in possession of any item on this Iist I will be subject to disciplinary action.

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dd263Revised 07/01/03

Page 1 of 1


D ism as Charities Dania Beach

Rules and R egulations

As a resident of Dismas Charities Dania Beach you are expected to read (or havesomeone read to you) the following rules. You are also required to abide by the

questions you m ay have regarding the rules.

1. Accountabilitv

(a) Residents are required to digitally sign out and in when leaving andretum ing to the Center. Residents m ust have a staff m em ber digitally

acknow ledge each tim e they leave and return to the Center.

(b) Residents are responsible for knowing their return time; they are to get aret-urn tim e from staff prior to leaving the Center.

(c) Residents are not permitted to be late returning to the Center.(d) Requests for time extensions must be made prior to the assigned return time.

Em ployer/supervisor m ust call if extension is for work purposes.

(e) Residents must call the Center and receive permission prior to makingdestination changes. Center Staff must approve all destinations.

(9 Residents must ret'urn directly to the Center after work, church,appointm ents, etc., regardless of the tim e; even if there is extra time.

(g) Residents must be able to be reached via telephone while out of the facility.(h) Call forwarding, three way calling, and answering services are prohibited.

Residents are not allow ed to sign out to destinations that receive these

services; and, residents are not to use these services, in com m unication with

Center Staff.

2. D rivine Privileces

(a) Residents must obtain written authorization from Dismas Charities Directorand/or the appropriate Supervising Authority prior to operating any vehicle.

(b) Vehicles may be used only to go to and from work, training, approvedprogramming and school. Dismas Charities Staff and/or Supervising

Authority m ust approve use of a vehicle for any other purpose.Residents m ust m aintain liability insurance, registration, and a valid driver's

license. Proof of al1 must be submitted and maintained tluoughout one's

residency.

(d) Residents are required to submit to a search of their vehicle by staff atanytim e.

Dismas Charities, Inc. Proprietary InfonnationDismas Charities Dania Beach Operations Manual - Reviewed/Revised I 2-09


(e) All lights and electrical equipment must be turned off when a dorm isunoccupied.

(9 Residents may go outside in the recreation areas at the assigned times only.(g) Gambling in any form is prohibited.(h) Residents may not visit any destination whose primary business is gambling,

alcohol, or pom ography. -

6. Contraband(a) Alcohol, narcotics, controlled substances, fire arms, gambling paraphemalia

(including lottely tickets), pornography, incense, and anything listed on theDismas Charities Contraband List are not allowed on Dismas Charities'

property. Possession of any of the items by a Resident is prohibited. A

complete contraband list is included in your Resident H andbook and posted

on the Resident Bulletin Board.

(b) Residents are not to consume or use any product that may contain poppyseeds, illegal substances, alcohol, Quinine, etc. ulzless prescribed by aphysician.Use or possession of any unauthorized pagers and cellular telephone

equipment (to include charges) is not permitted. The Supervising Authoritym ust approve use of these devices. If approved, they are not perm itted on

the prem ises of Dism as Charities.

(d) Residents are not to associate with anyone who may be canying a firearmand/or any illegal m aterial.

7. Proeram Requirem entsrd hift will be(a) Al1 residents must arise by 6am . Residents who work 3 s

perm itted to sleep for 8 hours.

(b) Residents may not leave the Center prior to 6am unless for work or other

(d)

approved programm ing pup oses.

Residents must submit to an ALCO (breathalyzer) test and/or drug screenwhen requested by Staff.Subsistence m ust be paid on residents' payday, unless other an-angements

have been made with the Director.

Fraudulent use of the Dismas Charities' food program is prohibited (this

includes giving meals to others).(9 Residents must eat the meals they sign for at the designated times.(g) Residents will obey all orders imposed by their Supervising Authority.(h) Residents will abide by conditions set forth in their Individual Program Plan.

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3

Dismas Charities, lnc, Proprietary lnfonmationDismas Charities Dania Beach Operations Manual - Reviewed/kevised 12-09


() Residents must attend all required meetings, groups, and/or classes asscheduled.

(k) Residents are to read the bulletin board daily as they are responsible for theinform ation posted.

(l) No resident may enter into any contract without prior approval from theDirector. - - - - -

(m) Residents will act in an orderly marmer during emergency drills. Failure toevacuate in 3 minutes or less is prohibited.

8. ln H ouse Visitation

(a) Visitors may visit only during designated times.(b) Items may be left for residents only during visiting times.(c) Residents are responsible for the conduct of their visitors (To include dress)

Note: Staff m ay ask visitors to leave if behavior is inappropriate.

(d) Residents are to clean up after their visitors.(e) Visitors are not allowed in resident rooms.(9 Physical contact must be limited to that described in the Resident Handbook.(g) Ex-residents and convicted felons are not allowed to visit residents without

special perm ission from the Director and the Supervising Authority.

9. General Conduct

(a) Residents are to treat all Staff and other residents with respect.(b) Residents will not 1ie to Dismas Charities Staff.(c) Residents are to obey a11 direct orders from Staff.(d) Double asking is prohibited - meaning once a resident asks one staff

member permission for a desired activity and receives an answer, they are

not to ask a different staff member the same question for a more desirable

ansW eF

(e) Use of profanity is prohibited.(9 No resident may have authority over another resident; harassment in any

form is prohibited.

(g) Personal relationships and physical contact between residents is prohibited.(h) Residents are not to go anywhere together without permission from the

Director.

(i) Residents are not to associate with former residents.() Residents are to be fully clothed in the Center(k) Residents must remain arrest free. Any contact with legal authorities must

be repoled to Staff immediately.

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Dismas Charities. Inc. Proprietary lnformationDismas Charities Dania Beach Operations Manual - Reviewed/Revised 1 2-09


(m) Residents are to remain in their donu when the house is closed. Anybusiness outside the room must be taken care of prior to the house closing.

Residents m ust respond and be in their room s during standing headcounts,

next to their beds.

(o) Residents are not allowed in unauthorized areas.(p) Residents will not falsify, destroy, or .a- lter J-ecords or- docum- ents, including -

tim e cards.

Residents will not vandalize or destroy Center property. Center property is

(r)(s)

not to be taken out of the Center for any reason.

Food and drinks are not allowed in resident room s.

N o outside food is to be brought in the facility by residents. Visitors may

bring food in during visiting tim es.

Tobacco products are not to be used in the Center the Center vehicle or on

property.

(u) Residents will not jeopardize public safety in any way, while in the Centeror in the comm unity.

(v) Any activity or behavior not specifically listed in these rules which Staffconsider to violate the intentions and goals of the Dism as Charities Program;

endanger the security of the facility or its residents; or creates hostility or

disorder among residents or staff is prohibited.

10. M edication

(a) Residents must inform Dismas Charities Staff of any prescribed or over thecounter m edication they are taking.

(b) All prescription medication must be t'urned in to Staff. The Director willdeterm ine if the resident may keep the m edication in their possession.

(c) Medication approved for the SAM program must be kept LOCKED up inthe resident's locker, The SAM form m ust be taped to the inside of the

locker door.

(d) Residents must take medication as prescribed.(e) Over the counter medication containing sleep aids, alcohol, or stimulants is

prohibited.

Sanctions:The imposition of sanctions is based on the severity of the violation. Residentattitude and previous violations are also considered. At the discretion of Staff, a

verbal or written warning may be given for minor, first tim e violators. Sanctions

imposed may include, but are not limited to:

(D l-l9!.àFç Reptriçlipq

Dismas Charities, lnc. Proprietary InformationDismas Charities Dania Beach Operations Manual - Reviewedmevised l 2-09


(2) Room Restriction' (3) Extra Duty Details(4) Loss of Privileges(5) Tenuination from the Program(6) Any Other Sanction Deemed Appropriate by Counselor and/or Director

6

Dismas Charities, lnc. Proprietary InformationDismas Charities Dania Beach Operations Manual - Reviewed/Revised 12-09


D ISM A S CH A RITIES, IN C .

FINANCIAL V SPONSIBILITY AGREEMENT (FEDERAL)

l understand that once 1 obtain employment and/or am in an earning

capacity, Imust pay subsistence to the Federal Bureau of Prisons in the amount of 25% of myGrûss Income

. I agree to report a11 snancial esmings to my Counselor and pay thesubsistence to Disma

s Charities each time lreceive income 9om work or anothtr source

,such a Social Secmity Benefts.

1 understand that subsistence is due on the same day 1 receive my paycheck NOLater. I understand that at tlm tim

e of paying subsistence I must submit the original paystub, which I will have retttmed to me

along with a receipt. I have been explained thatthe 25% payment must be irï money order form only and f

or the exact dollar amount.*SEE E LE BELOW

'

I understand that documentation of these eamings will be maiptained in my fileand that fail

ure to meet Gnancial obligations during my residency will result indisciplinm.y actio

ns.

In addition, I tmderstand that my final subsistence payment, release funds

, will bedue two weeks prior to my release date. Failure to meet this oblijation will result in lossof a11 privilege

s, and an incident report will be initiated, which wlll result in a possibledelay on my relem

se date.

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+M5-9-o p/Register No.

g *'lkDate

& tODat

EM LE

GROSS AM OUNTX LTP LY BY 25%AM OUNT PAm

260.65

65.16

65,00

GROSS AM OIJNTM ULTP LY BY 25%AMOUNT PAID

375.84

93.99

93.00


Dismas Charities Inc.

Recei t of Rules

'a1 Prohibited Acts dated 6*/2 ? //7 . I have reada copy of the Fedel

them or had them read to me. J understand them and I apee io abid'

e by them . I m14 awarethat a copy of the Federal Prohibit

ed Acts is posted on the Resident Bulletin Board

. 1 amalso aware that these rules are

reviewed and subject to change.

e 'den S 'gnatur

Date, , /f s,z s z J yaSt 1

Date

t O

l have received

1 havc received a copy of the Dismas Chmities Rules

. Reaulations and M inimum Restrictionsdattd t 0. 1 have read them

, or had them read to me. I understand them arldagree to abide by em

. 1 sm aware that a copy of the Dismas Charities Rules

, Regulationsand M inimum Restrictions is post

ed on Resident Bulletin Board. 1 am also aware that theserules are reviewed and subject to change

.

e ' er4 Signa ? Date. s

.z y zy mstaf 'gn

D te. : .

uu- j o


(2) Room Restriction(3) Extra Duty Details(4) Loss of Pnvileges(5) Termination from the Program(6) Any Other Sanction Deemed Appropriate by Counselor and/or Director

Dism% Charities, lnc. Proprietary InfonnationDismc Charities Dania Beach Operations Manual - Rtviewedmevised 12-09


(k) Residents must remain arrest free. Any contact with legal authorities mustbe reported to Staff immediately.

(l) Residents are not to enter any dorm but their assigned dorm.(m) Residents are to remain in their dorm when the house is closed. Any

business outside the room must be taken care of prior to the house closing.

(n) Residents must respond and be in their rooms during standing headcounts.(o) Residents are not allowed in unauthorized areas.(p) Residents will not falsify, destroy, or alter records or documents, including

tim e cards.

(q) Residents will not vandalize or destroy Center propeo . Center property isnot to be taken out of the Center for any reason.

(r) Food and drinks are not allowed in resident rooms.(s) No outside food is to be brought in the facility by residents. Visitors may

bring food in during visiting tim es.

(t) Tobacco products are not to be used in the Center or the Center vehicle.(u) Residents will not jeopardize public safety in any way, while in the Center

or in the community.

Any activity or behavior not specifically listed in these rules which Staff

consider to violate the intentions and goals of the D ism as Charities Program ;

endanger the security of the facility or its residents; or creates hostility or

disorder am ong residents or staff is prohibited.

10. M -edic-ation

(a) Residents must inform Dismas Charities Staff of any prescribed or over thecounter medication they are taking.

(b) Al1 prescription medication must be tumed in to Staff. The Director willdetermine if the resident may keep the medicatipn in their possession.

(c) Medication approved for the SAM program musi be kept LOCKED up inthe resident's locker

(d) Residents must take medication as prescribed.(e) Over the counter medication containing sleep aids, alcohol, or stimulants is

prohibited.

Sanctions:

The imposition of sanctions is based on the severity of the violation. Resident

attitude and previous violations are also considered. At the discretion of Staff, a

verbal or written wam ing m ay be given for minor, tirst time violators. Sanctions

imposed may include, but are not limited to:

(1) House Restriction

Dismc Charities, Inc. Proprietary InformationDism% Charitits Dania Beach Optrations Manual - Reviewedm evised 12-09


(h) Residents will abide by conditions set forth in their Individual Program Plan.(i) Residents will abide by all conditions set forth in the Resident Handbook.() Residents must attend al1 required meetings, groups, and/or classes as

scheduled.

(k) Residents are to read the bulletin board daily as they are responsible for theinformation posted.

(1) No resident may enter into any contract without prior approval from theD irector.

(m) Residents will act in an orderly manner during emergency drills. Failure toevacuate in 4 m inutes or less is prohibited.

8. In H ouse Visitation

(a) Visitors may visit only during designated times.(b) Items may be left for residents only during visiting times.(c) Residents are responsible for the conduct of their visitors (To include dress)

Note: Staff may ask visitors to leave if behavior is inappropriate.

(d) Residents are to clean up aRer their visitors.(e) Visitors are not allowed ip resident rooms.(9 Physical contact must be limited to that described in the Resident Handbook.(g) Ex-residents and convicted felons are not allowed to visit residents without

special permission from the Director and the Supervising Authority.

9. G eneral Conduct

(a) Residents are to treat all Staff and other residents with respect.(b) Residents will not lie to Dismas Chmities Staff.(c) Residents are to obey all direct orders from Staff.(d) Double asking is prohibited - meaning once a resident asks one staff

member permission for a desired activity and receives an answer, they arenot to ask a different staff member the same question for a more desirable

answ er

(e) Use of profanity is prohibited.(9 No resident may have authority over another resident; harassment in any

form is prohibited.

(g) Personal relationships and physical contact between residents is prohibited.(h) Residents are not to go anywhere together without permission from the

Director.

(i) Residents are not to associate with former residents.() Residents are to be fully clothed in the Center

4

Disma Charities, lnc. Proprietary lnformationDismu Charities Dania Beach Operations M anual - Reviewed/Revised 12-09


(d) Personal radios and MP3 players must be used with headphones.(e) A11 lights and electrical equipment must be turned off when a dorm is

unoccupied.

(9 Residents may go outside in the smoking and recreation areas at the assignedtim es only.

(g) Gambling in any fonn is prohibited.(h) Residents may not visit any destination whose primary business is gambling

,

alcohol, or pom ography.

6. Contraband

(a) Alcohol, narcotics, controlled substances, fire arms,(including lottery tickets), pomography, incense,Dismas Charities Contraband List are not

gambling paraphem alia

and anything listed on theallowed on Dism as Charities'

property. Possession of any of the items by a Resident is prohibited. A

complete contraband list is included in your Resident H andbook and posted

on the Resident Bulletin Board.

Residents are not to consume or

seeds,

physician.

U se or possession of

use any product that m ay contain poppyillegal substances, alcohol

, Quinine, etc. unless prescribed by a

any unauthorized pagers and cellular telephone

equipment (to include charges) is not permitted. The Supervising Authoritymust approve use of these devices. If approved, they are not permitted on

the premises of Dismas Charities.

Residents are not to associate with anyone who may be carrying a firearmand/or any illegal m aterial.

(b)

(c)

(d)

7. Proeram Requirem ents

rd hift will be(a) A1l residents must arise by 6am. Residents who work 3 spermitted to sleep for 8 hours.

(b) Residents may not leave the Center prior to 6am unless for work or other

(c)

(d)

(e)

approved programming purposes.

Residents must submit to alz ALCO (breathalyzer) test and/or drug screenwhen requested by StaffSubsistence must be paid on residents' payday

, unless other arrangementshave been made with the Director.

Fraudulent use of the Dismas Charities' food program is prohibited (this

(9(g)

includes giving meals to others).Residents must eat the meals they sign for at the designated times

.

Residents will obey al1 orders imposed by their Supervising Authority.

3

Dismas Charities, lnc. Proprictary InformationDismc Charities Dania Beach Operations M anual - Reviewedm evised 12-09


3. H ousekeepine

(a) Each resident is responsible for the cleanliness of his or her assigned living

area and for the security of his or her jersonal property.(b) A1l personal property must be placed ln the locker.(c) Residents may only use locks, pillows, and linens issued by Dismas

Charities.

(d) Residents must complete any and a1l work details according to staff verbalinstnzctions or the Description of Detailsr ousekeeping M anual assigned to

them by Staff.

(e) Details must be completed and approved by Staff at the designated timesprior to leaving the Center for any reason.

4. Em plovm ent

(a) Residents are required to secure full time employment within 15 days oftheir anival to the progrnm .

(b) Residents must attend Employment Group each week tmtil employed.(c) A minimum of 5 employment contacts must be made each day. Verification

Slips for the contacts are required immediately upon retum from job search.(d) Employment must be approved by the Employment Sgecialist/counselor

and/or Facility D irector/A ssistant Director prior to beginnlng work.

(e) Residents may not terminate or change jobs without prior approval fromtheir Counselor and Center Director.

(9 Residents must give no less than one-week notice to their employer prior toleaving a position.

(g) Poor work performance and/or termination are not acceptable. Residents arerequired to receive positive work reports.

(h) Residents must work as scheduled by employer.(i) Residents are not permitted to be absent from work without authorization

from their Counselor and/or Director.

5. Recreation

(a) Residents are to be in their dorm at 10:00 pm (Sunday - Thursday), unlessextended by the Facility Director, and 12:30 am (Friday - Saturday). Youare to remain there until 6am. Exceptions will include those who are

working or need to get ready for work in that time.

(b) Recreation hours are between 6:00 nm and 9:00 pm each day. Permission togo to an off-site recreation area will require the permission of your

Counselor and/or Facility Director.

(c) Residents who have their own radios must have them turned off at lights out.

Dismas Charities, Inc. Propridary InformationDismas Charities Dania Beach Opemtions M anua! - Reviewedslzvised 12-09


Dism as Charities Dania Beach

R ules and Regulations

As a resident of Dismas Charities Dania Beach you are expected to read (or havesomeone read to you) the following rules. You are also required to abide by therules while residing in Dismas Charities Dania Beach. Please advise staff of anyquestions you may have regarding the rules.

1. A ccountabilitv

(a) Residents are required to digitally sign out and in when leaving andretum ing to the Center. Residents must have a staff member digitally

acknowledge each time they leave and retunz to the Center.

(b) Residents are responsible for knowing their retum time; they are to get a'

retul.n tim e from staff rior to leaving the Center.

(c) Residents are not penmtted to be late returning to the Center.(d) Requests for time extensions must be made prior to the assigned retum time.

Employer/supervisor m ust call if extension is for work purposes.

(e) Residents must call the Center and receive permission prior to makingdestination changes. Center Staff must approve a11 destinations.

(9 Residents must return directly to the Center after work, church,appointm ents, etc., regardless of the time; evrn if there is extra time.

(g) Residents must be able to be reached via telephone while out of the facility.(h) Call forwarding, tlu-ee way calling, and answering services are prohibited.

Residents are not allowed to sign out to destinations that receive these

services; and, residents are not to use these services, in comm unication withCenter Staff.

2. Drivine Privileees

(a) Residents must obtain written authorlzation from Dismas Chmities Directorand/or the appropriate Supervising Authority prior to operating any vehicle.

(b) Vehicles may be used only to go to and from work, training, approvedprogrnmming and school. Dismas Charities Staff and/or Supervising

Authority must approve use of a vehicle for any other pum ose.

(c) Residents must maintain liability insurance, registration, and a valid driver'slicense. Proof of all must be submitted and maintained throughout one'sresidency.

(d) Residents are required to submit to a search of their vehicle by staff atanytim e.

1Dismas Charities: Inc. Proprietary lnformationDismu Charities Dania Beach Opemtions Manual - Reviewedm evised 12-09


EXH IBIT D



@

. A SAFER

HCGHWAY SAFER AND MOTOR VEHICLES o ay2900 Apalachee PazTallahassee, Florida 32399-0500

wwwvflhsnw.gov

J= 1Ie e L. JonesExecutive Direetor

October 12, 2010

51. Traian Bujduveanu5601 W est Broward Boulevazd

Plantation, Florida 33317

Dear MT. Bujduveanu'.

Thank you for m ur recent letter concerning renewal of yotlr Florida driver

license.

Review of your ddving record indicates that your Florida driver licensewas renewed on October 4, 2010. 1 tnzst this matter has % en resolved to yoursatisfaction. Please be assured that we are dedicated to serving the citizens of

Florida and keeping our highways safe.

S ùAcerely,

SANDRA C. L ERT, Director

Division of Driver Licenses

ScL/ggs

Servfce e In tegritv . Courtesy . Professionaj-ism . Innovation . Excellence .

M Ecrual Opporttmily Employer


FloridaAutcmoàile Insurance xs Ilstate.ldentificaticn Card You're in good hacds.

Allstate Fire and Casualty Insurance Com ianypixlcy NtluaEq 9 71 212657 01/16 cO. CODE -29285 EFFKTII/E DATE 17/1670

' (!J FEFISOCI/IL- INJURY PFj'rEOTIOFI BENPITS/ '- U-IX - 80D1LY IMJUFIY LIMILIW .., - -. - -pp-lpEfq'r'Y DAMAGE LlaBltl'r'Y

Traian Eulduveanu5601 F Br-ard BIy1Flanlallon FL 22317-2620

û1 Ford Truck Expedition 1FMRU15L21LA31752N0T VALID MOBE THAN 0NE YEAR FROM EFFECTIVE BATE

FlnrldaAutcmnbile lnsurance sl llstate .Identificaticn Card you're in good Nands.

Allstate Fire and Castlalty jnsurance Comiânypotlcy r'uaaER 9 71 21 2527 21/16 c(J. cllo: -29382 EFFECTIW IIA'I'E 07/1 6/1 û

(X) FCRSONAL If.LJURY PROTECTIDN DENEFITS/ U() BODILY IhIJURY LIVILIWPFOPER'!'Y DAMAGE LIABYITY

lraian Bujluveanu5601 W Bruward BI!IdFlantalicn FL 23217-2622

01 Ford Trnck Exrediton 117MRU15L.211..A31752N0T VALIB MORE THAN 0NE YFAR FROM EFFECTIVE BATE

CO/AGY T# 600348977B# 621322

I7Lo A VETIICLE REGIS TION

PLATE 0704U1. DECAL 13098998 Expires Midnight SM 12/11/2010

YRJM K 2001/FORD BODY UT COLOR BLU Reg. TaxVm 1FMRU15L21LA31752 'FITLE 82262926 Init. Reg.Plate Type RGS NET W T 4938 County Fee

Mail FeeDI.,/FED 8231= 544510 Sales TaxDate Issued 10/22/20* Plate Issued 1/1V2Q05 Volunazy Fees

Grand Total

69.65 Class CodeTu Months

0.50 Back Tax Mos0.70 Credit Class

Credjt Months

70.85

TRAIAN BUJDUVEANU5601 W BROW ARD BLVDPLANTATION, FL 33317-2620

N PORTAN-T INFORIMATIONi . The Rorida license plate must remain with the registrant upon sale of vehicle.2. n e registration must be delivered to a'Fax Collector or TM Agent for transfer to

a replacement vehicle.3. Your registration nmst be updated to your new address within 20 days of moving.4. Registration renewals are the responsibility of the registrant and shall occur during

the 30-day peliod prior to the expiration date show'n on this registration. Renewalnotices are provided as a counesy and are not required for renewal purposes.


Islate Fire and casual Insurance ccmpany 3-,....,,.',$ ,.-'c-r,é'..,,-q--,', arcoi ut.......;:e . , . - m.-i b, w. Jg .

RENE AL

Atjtc.pcjjcy.pecjayaticns

Summary

NAMED INSUREBIS)Traian Bujduveanu5601 W zrowart 8lvdPlantaticn FL 53317-2620

YOUR ALLSTATE AGENT IS

David Feather(954) 475-4243

YOUR 2ILLlists your payment oitions.

8624 Slte Road 84Davie FL 33.524

POLICY NUMBER POLICY PEBIOD9 71 21 0687 û1/1 6 July 1 6, 2û1 û to Jan 1 6, 2û1 1 at 1 2:û1 a.m. standart time

DHIVERIS) LISIED ,DRIVERIS) EXCLUBED7 ''aiac Ngcoleta ' None

VEHICLES SOVERED VEHICLE ID NIJMBER LIENHOLDEB1 . -- - 72 rz 7ruck Exit-ititi a n 1 Fh? R U1 6 L21 LA,'31 752 done

Total PremiumFremium for û1 Ford Truck Exiedition $450.98

01,/20617 FHCF Emerçencg Assessment $4 21

TOTAL Premium if you ;ay in full (lncludes Fullpay Discount) 1415.28TO-I'AL Premium if you ;ay in installments $475.29

lf Llz LI Say Iess tl-tan tl76 iay in ftlll amcunl yotl will be charged an installment fees'sè.

Ynur Io/a/ aremillm J',//JJIS a combined Jzcofznl cf $199. JJ

Ycû'r Pc//c)z Effnctivs Jal, is Jtdy lt'7. 201:: palicy ccl/riler-i/gz?a/ by aganl Pa;/# hather

Fp pr premium rd//ecf.ç tha s'//p'ar Pratactian package.

RATING INFORMATIONGht/ns Residence: Yes

Pajelnlùrmallcrl zs c(uurhi 9 20 t t) F tf.?l IJ Fli :)


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EXH IBIT E


*. * *

@ ** @* @

1 '

Augus't l0e 2010

Carlos E. Rodriguezy CMFederal Blxr- u of Prisons401 North M iami AvenueM iami, Flodda 33128

RE: Em ploz-ment W aiver

Bajdaveanm Traian80655+ 4

Dear Mr. Rodriguea

Mr. Bujduveanu is a f5% six year oId who arrived at Dismas Charities on 07-28-10. He isscheduled to be released on 01-03-1 l . Mr. Bujduveanu has several chronic medical conditions forvvhich he is taken several medications. Mr. Bujduveanu sufers from Chronic Hepatitis C,Hypertension. Cirrhosis of Livers Diabetes Mellitus Type 2, Hyperlipidemim andThrombocytopenia- At this times l am requesting that his employmenlrequirement be waived.

Thank you in advance and if you need any further informatiom plenqe feel *t*e to conmct me al

(954) 920-6558-

Sincerely.

. . 'j

Lashonda AdamsCounselor

D uDere Thomas h

Assiso lrector

Date- Approve '. lsapprov : --

CCM Signature: -

l 4 1 N1 k.5- l ST AV F Nt î I 1 r'r * D 4,% 'hk xr 1 A B 'G :w* f -- H * =' I n * nf 1.J. . t -) = K l ç ' - F: ( tz G 4 1 e) ''' () - 6 5 5 :a* + L' A '''k. - t 9 S 4 -1 9 9 0- *% . ''i k*, 5.t t . . - +.. . ... w ' . . C' ..o D J. :.:. . . k % * . - .z. .. ... % . ..- =. .


!Dism as Chnrities, Inc.

! Ii, Receiving H eaIth Screening Form

,1

j Facildy 1 Intake Date j Register Num' kn l *-7 l a. ç 1' I o l & V -U/ V I; kN c ocI s

sident Ngme ' Social Security Number'

u,. ï. .

v c, w 'cwa: r 1. o q a :a - - 3.Addres , C' . ' State I Zipt s o.a 'lïsowyazo f. I .-!, roko.suo ï ku inaww.,cDate of Birth Sex Raœ (Ethnic Orig.)

& t t s L Fn G t .4 uo wa -, -! u

In Gase of Em er encNa e Relationship

f'ïrt r Y ùk* (i G.Z < 5 z'Ntz îY-ï th k'xt? ''Address ' . . city state Zip

,v2 6ï. cl '@ $,. o kta'u m w t aws' a5ro ï bo k owHome Phane Work Phone

kçfml 3 i t, - + ! 7'12

Personal Physician Phone Number' c-b-l.?- t Q rz.'i

Address w Clty ' State Zlp5-* S1, t-xlk VQo Jw.1,,:u: , v- t ws z ,

Legal Status . Type of Release

54 ex Q,zx co C'$ C'TLength of sentpnce conditions of Sentenœ

-35 x'w-2;'w VW % 'e5 b' .p- q%.t4'

Special Medical/Dental/Dietary Problems/Needs: - .- - - - - -

General Appearance and Behavlor: XUIV - -Y-.J .

YES NO If yes, please explain1 . Are you currently being treated for any illness or health

problem (including dental, venereal disease, or other - .infectious diseases)? M E1communicablex Diabetess Headx- EpilepsyL Others '

2. Do you have any medical or dental complaints at this s.Utim e? '

3. Are you currently on medicationts)? Medicatinnts) Namets):

4. Are there any medical needs that require making a Ny

5. Do you have an alcohol or drug use history?. > af rype?

@ Last Usel? Q* How O/Mr;?

@ For How Lon ?

6. Problems resulting from discontinuing', detoxification uC1involvement? z

dd253Revised 07/01/03

Page 1 of 2


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BUJD ,TPAIAMDRDSRING PHYSICIAN

'.1ES7 DZAGNOSTI CF ZNCGRPORATED

L 7 V NT S B R 'V I C E l . 8 c O . 3 3 2 . 6 3 S 2

PECTMFN TXFDAMATZQN;PECZMFN: 2M969866V

tEQUZSITION: 8718335

DOB : AGE:GENDER: FASTING : U

ZD: 80655-004PHONE :

cLlr r INFGRyATIIN

T66002683COLEMAN FCC-LOW846 NE 54TH TERRCOLEMAN , FL 33521

311E999

--OLLECTED: 12/21/2:09 14:30RECEIIV D: 12/22/2009 03:41AEPORTED: 12/28/2009 09:13

Test Name In Range out of Range Reference Range Lab

HEPATITIS C VIRAL XNAQUANTITATIVE TMAEW R> QN TMASW RNA QF >

>75QQ E>3.88 H

<5 IU/mL<0.70 loq IU/mL

Detection of HCV RNA by TMA is used to quantitateHcM viral infection, to monitor therapy and topredict the success of antiviral therapy .

The detection of Hepatitis C viral RNA is basedupon reverse transcription of viral RNA followed

by transcription-mediated amplification (T?iK).The test has a linear range from 5 Internntional

Units/mL to 7500 International Units/mL.

This test is not to be used as a diagnosticprocedure without contirmation by other

medically established means.

This test was developed and its performancecharacteristics have been determined by QuestDiagnoatics Nichols Institute, Chantilly, VA .It has not been cleared or approved by the U.S.Food and Drug Kdministration. The FDA has determined

that such clearance or approval is not necessary .performance characteristics refer to the analytical

performance of the test.

HEPATITIS C GENOTYPINGHCV GENOTYPE, LIPA lb

Cannot rule out 6 (c-l). The hybridization patternindicates the presence of HCV Genotype 1b . However,we cannot rule out HCV Genotype 6 subtypes (c-l).

These results were reviewed by Thomas K. Huard,Ph.D ., Director of Molecular Diagnostics.

Page l - Continued on Page 2BUJDUVEANU,TRAIAM - 2M9698664

...

j$ 1-7-/4

lapsouzsje vç .#7sono r


Bureau of Prisons

HeaIth Se- ices

Vitals All

Begln Date: 12/03/2009 End Date: 12/03/2010R*g #; 806552% Inmate Name: BUJDUVEANU, TM IAN

Temperature:Date Time Fahrenhe-lt Celsius Location

12/01/2010 1 1:30 MIM 98.4 36.9

1 1/19/2010 1 1:44 MIM 98.6 37.0 Oral

1 0/25/2010 1 1 :30 MlM 98.4 36.9

III/2QQOIQ 16:49 MIM 97.6 36.4 Oral

06/08/2010 12:35 COX 97.8 36.6 Tympanic

01/19/2010 14:19 COX 97.6 36.4

01/1 4/2010 15:09 COX 96.5 35.8 Tympanic

01/07/2010 12:30 COX 96.8 36.0 Tympanic

Provlder

Menendez, R. MLP

Lopez. Edwin MD/CD

Menendez, R. MLP

Francis, Mary RN

Davila, P V MD

Lopez, Jose MLP

Morales, Edgar MLP

Morales, Edgar MLP

Pulse:Date Tlme Rate Per Mlnute Location

12/01/2010 1 1 :30 MlM 77

1 1/19/2010 11:44 MIM 80 Radiaf

10/25/2010 1 1:30 MlM 77

10/20/2010 16:49 MIM 81 Via Machine

06/08/2010 12:35 COX 76 Apical

01/19/2010 14:19 COX 89

01/f 11201 0 15209 COX 87 Via Macyine

01/07/2010 12:30 COX 140 Radial

Respiratlons:

Date

12/01/2010

1 1/19/2010

10/25/2010

10/20/201 0

06/08/2010

01/19/2010

01/1 1/2010

01/07/2010

Blood Preo ure;

Date Tlme Value I nomêinrv Posltlon

12./01/2010 1 1:30 MIM 131/81

1 1/19/2010 1 1:44 MIM 130/78 Right Arm Sitting

10/25/2010 1 1 :30 MIM 133/85

10/20/2010 16:49 MlM 155/7 Right Arm Sitting

Tlme Rate Per Mintlte Prov'lder

1 1:30 MIM 16 Menendez, R. MLP

1 1:44 MlM 16 Lopez, Edwin MD/CD

11:30 MIM 16 Menendez, R. MLP

16:49 MlM 16 Francis, Mary RN

12:35 COX 13 Davila. P V MD

14:19 COX 14 Lopez, Jose MLP

15:09 COX 12 Morales, Edgar MLP


Rhythm Provider

Menendez, R. MLP

Lopez, Edwin MD/CD

Menendez, R. MLP

Francis, Mary RN

Regular Davila, P V MD

Lopez, Jose MLP

Regular Morales, Edgar MLP

Regular Moralees, Edgar MLP

Cuf Slze Provider

Menendez. R. MLP

Adult-regular LoN z, Edwin MD/CD

Menendez, R. MLP

Adult-regular Francis, Mary RN

Generated 12/03/2010 1 1 :41 by Hinton. Varonda Bureeau of Prisons - MlM Page 1 of 2


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NAZM E Bvidtverny Traian3 k .?08J009Pagg 2 of 2

n ce is no abdomtA ae e arcmysm oz dirxrectan n ere are atherogcltro:c - of rl)ex* â

T'Hce &re diA se de?m eratix'e cbanges of the lumbar pine and th.e sacroiliac joints.

LYPRESSION:'t HEPAX C CIRAHOSIS.2 N'LTMEROUS REGESTM TW G NODULES; I CANNOT EXCLLW

HEFATOCELLU!A R CARCN OMA 7771 TH5 H CHNIQU'E PROW DBD % 1 OFI'HE ABDOS!EN W D OW .8* W n71 GADOLW ILTM W OU!,D BE USD='.JL PrHB FATIENX HAS AN ELEVAH D ALPTIA.FETOPROH LN.PORTA U X ATIC LYM PH NODES DD TCA-JE ACTM HEPAU ISNO B.'--IARY DILATION.TLNN AM OUNT OF FREE FLL'D IN THE DEPENDD 'T PELVIS OF ANONSPECLNC AMOW X .

esir e by: Gamham M allampe , M ,D On: Mon Nov 16 08706743 EST 2009

C193080t,/805* ,'.'32894./'0029947D ' 1 ) /13/2099 1,6 '.f 5T. 1 1.':3QQ09 16:.1.1.


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m u: W SY OF'DG ABX M> - FBLO

CLWICAL H ICAUONS: H te fs 1

FWDINGS: Cruik- œfi*e = c e - vla > e A mlelue b-Gwne O e c> pNpi - e po- - e m e e we O*M 1-l- en of 125* of Imw: 370. 1350mLof orz Re œ ix *M i<- .

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SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded.

Travel:Dired Travel: Yes

Travel Restrictions:

UNN ERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE:

Transfer From Institution: COLEMAN LOW FCl Phone Number: 3526894000Address 1: 846 NE 54TH TERRACEAddress 2:

City/state/zip: COLEMAN, Florida 33521

Namemtle of Person Completing Form: Mo@ -m r Edgar MLP Date: 1;/919/2009

Inmate Name: BUJDUVEANU, TM IAN Reg #: 80655-004 DOB: 12/11/19M Sex: M

Generated 12/09/2009 06:31 by Morales. Edgar MLP Bureakl of Prisons - COL Page 2 of 2


Bureau of Prisons

HeaIth Se- ices

lnmate Inmate Skills Development System (ISDS)1471:111.$E44 111* . - .

. .

.;,. . . . ? 1I. , . . :y). . . . -y ,- l'-lf'py . ), .1..,, ).I..k-iF.;'y.k, .. ;,j. . . $svv

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Transfer To: Transfer Date: 12/09/2009

HeaIth Problem s

Type HeaIth Problem Status

Chronic UnspeciNed essential hypertension CurrentChronic Thrombocytopenia. unspecified CurrentChronic Other and unspecised hyperlipidemia Current

Chronic Diabetes mellitus, type 11 (adult-onset) Currentdiscussed adding glyburide

Chronic Cirrhosis of liver without mention of alcohol CurrentDiscussed LFF, PLT ct.

Chronic Chronic hepatitis C w/o mention of hepatic coma CurrentTemporary/Acute Cellulitis and abscess of other specised sites CurrentTemporary/Acute Throat pain Currentpharyngitis

Medications; AIl medications to be continued until evalueod by a physlclan unless otherwlle indiO ted-

Aspirin 81 MG EC Tab Exp:02/27/2010 Sig:-rake one tablet by mouth each day eepill Iine-eFurosemide 40 MG Tab Exp:02/27/2010 Sig:-rake one tablet by mouth each day eepill Iine-GIyBURIDE 5 MG Tab Exp:02/27/2010 Sig:Take two tablets by mouth twice daily ***pill Iine***Hydrochlorothiazide 25 MG Tab Exp:02Q7/2010 Sig:Take one tablet by mouth each moming e-pill Iine***MMFORMIN 1000 MG Tab Exp:Q2/27/2Q10 SigrTake one tablet by mouth twice daily eepill Iine***Potassium Chloride 10 mEq ER Tab Exp:02/27/2010 Sig:Take one tablet by mouth each day W ITH PLENW OFWATER ***pilI linee-Simvastatin 20 MG Tab Exp:02/27/2010 Sig:Take one lblet by mouth at bedtime ***piII 1ine***

Pending AppointmentsDate Time

04/20/2009 00:0009/17/2009 00:0Q1 1/20/2009 00:00

1 1/20/2009 00:0006/1 1/201Q 00:00

TB Clearanee:

Last PPD Date: 06/1 1/2009Last Chest X-Ray Date:

TB Treatment:TB Fotlow-ug Reœ mmended: NO

khklltiléitl/

Chronic Care VisitClinical EncounterChronic Care VsitChronic Care VisitPPD Administration

Provider

Nurse

lDCPhysician 03Physician 03Nurse

Induration: 0mm

Results-.Sx free for 30 days: Yes

Sickle CeII:Sickle Cell TraivDisease: N9

timitationslRestriuion<Diea :Cleared for Food Service: Yes

Comments:

Allergies

No Known Allergies

Devices I Equipm entEye Glasses

Generated 12./09/2009 06:31 by Morales, Edgar MLP Bureau of Prisons - COL Pe e 1 of 2


Begin Date: 12/03/2099 End Date: 12/03/2010Reg #: 80655-0û4 Inmate Name: BUJDUVEANU, TRAIAN

Date Tlme Value Looatl'on Position Cuf Slze Provider

06/08/2010 12:35 COX 132/80 Le: Arm Sittlng Adult-regular Davila, P V MD

01/19/2010 14:19 COX 139/83 Lopez, Jose MLP

01/1 1/2010 15:09 COX 158/88 LeQ Arm Sitting Adult-regular Morales, Edgar MLP

01/07/2010 12:30 COX 180/90 Le: Arm Sitting Adult-regular MoralO , Edgar MLP

Blood Glucose:

Date Tlme Value fmp/dl) Type10/20/2010 16:49 MlM 404 Non-Fasting

11/19/2010 11:44 M1M 300 Random

SaO2:

Date Time Valuer*A) Air1 1/19/2010 1 1 :44 MlM 97 Room Air

10/20/2010 16:49 MlM 99 Room Air

01/19/2010 14:19 COX 98

Height:

Date Time Inehes

1 1/19/2010 1 1:44 MlM 71 .0

10/20/2010 16:49 MIM 71.0

Welght:

Date Time

12/01/2010 1 1 :30 MlM

Reqular lnsulin Provldlr

10 Francis, Mary RN

Lopez, Edwin MD/CD

Provider

Lopez, Edwin MD/CD

Francis, Mary RN

Lopez, Jose MLP

cm Provider

180.3 Lopez, Edwin MD/CD

180.3 Francis, Mary RN

Lbs Kg W aIst Clrcum. Provider

177.0 80.3 Menendez, R. MLP

1 1/19/2010 1 1 :44 MlM 183.0 83.0 Lopez, Edwin MD/CD

10/25/2010 11230 M1M 182.0 82.6 Menendez, R. MLP

10/20/2010 16:49 MlM 175.0 79.4 Francis, Mary RN

06/08/2010 12:35 COX 181.0 82.1 Davita, P V MD

01/1 1/2010 15:09 COX 185.0 83.9 Morales, Edgar MLP

01/07/2010 12:30 COX 185.0 83.9 Morales, Edgar MLP

Generate 12/03/2010 1 1 :41 W Hinton, Varonda Bureau of Prisons - MlM Page 2 of 2


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Begin Date: 12/03/2009 End Date: 12./03/2010Reg #: 80655-004 lnmate Name: BUJDUVEANU, TRAIAN

Date Time Value Location Position Cuff Size Provider

06/08/2010 12:35 COX 13230 LeA Arm Sitting Adult-regular Davila, P V MD

01/1 9/2010 14:19 COX 139/83 Lopez. Jose MLP

01/1 1/2010 15:09 COX 158/88 Left Arm Sitting Adult-regular Morales, Edgar MLP

01/07/2010 12:3Q COX 180/90 Left Arm Sitting Adult-regular Morales, Edgar MLP

Blood Glucose:

Date. Time Value (mp/dl) Tvpe10/20/2010 16:49 MlM 404 Non-Fasting

1 1/19/2010 1 1:44 MIM 300 Random

Repular lnsulin Provider

10 Francis, Mary RN

Lopez, Edwin MD/CD

SaO2:

Datq Time Valuef//o) A- ir11/19/2010 1 1 :44 MlM 97 Room Air

10/20./2010 16:49 MfM 99 Room Air

01/19/2010 14:19 COX 98

Heisht:Date Time Inches

1 1/1 9/2010 1 1 :44 MIM 71 .0

10/20/2010 16:49 MlM 71 .0

Weight:

Datq Time kb.l Kp12/01/2010 1 1 :30 MIM 177.0 80.3

1 1/1 9/2010 1 1 :44 MIM 183.0 83.0

10/25/2010 1 1 :30 MIM 1 82.0 82.6

10/20/2010 16:49 MlM 175.0 79.4

06/08/2010 12:35 COX 181.0 82.1

01/1 1/2010 15:09 COX 185.0 83.9

01/07/2010 12:30 COX 185.0 83.9

Cm Provider

180.3 Lopea, Edwin MD/CD

180.3 Francis, Mary RN

Provider

Lopez, Edwin MD/CD

Francis, Mary RN

Lopez, Jose MLP

W aist Circum. Provider

Menendezl R. MLP

Lopez, Edwin MD/CD

Menendez, R. MLP

Francis, Mafy RN

Davila, P V MD

Morales, Edgar MLP

Morales, Edgar MLP

Generated 12/03/2010 1 1241 by Hinton, Varonda Btlreau of Prisons - MlM Page 2 of 2


Bureau of PrisonsHeaIth Services

lnmate Inmate Skills Development System (ISDS)Reg #: 80655-* 4 lnmate Name: BUJDUVEANU, TRAIM


Transfer To: Transfer Date: 12/09/2009

HeaIth Problems

Type HeaIth Problem Status

Chronic Unspecised essential hypedension CurrentChronic Thrombocytopenia, unspecified CurrentChronic ' Other and unspecified hyperlipidemia Current

Chronic Diabetes mellitus. type 11 (adult-onset) Currentdiscussed adding glyburide

Chronic Cirrhosis of liver without mention of alcobol CurrentDiscussed LFT. PLT ct.

Chronic Chronic hepatitis C w/o mention of hepatic coma Currentremporary/Acute Cellulitis and abscess of other specised sites CurrentR'emporar/Acute Throat pain Currentpharyngitis

Medications: AII medications to be continued until evaluated by a pbysician unless otherwise indicated.

Aspilin 81 MG EC Tab Exp:Q2/27/2010 Sig:Take one tablet by mouth each day *** i1i Iine***71 ...Furosemide 40 MG Tab Exp:02/27/201O Sig:Take one tablet by mouth each day ** iII linet''

il 'ine--.GIyBURIDE 5 MG Tab Exp:O2/27/2010 Sig:Take two tablets by mouth twice daily ** piHydrochlorothiazide 25 MG Tab E:p202/27/2010 Sig:-rake one tablet by mouth each morninq *** iII Iine-'*MetFORMIN 1000 MG Tab Exp:O2/27/2O10 Sig:Take one tablet by mouth twice daily ***pilI Ilne*Potassium Chloride 10 mEq ER Tab Exp:02/27/2010 Sig:Take one tablet by mouth each day WITH PLENW OFW ATER ***pilI Iineee*Simvastatin 20 MG Tab Exp:02/27/201O Sig:Take one tablet by mouth at bedtime ***piIl Iine***

Pending AppointmentsDate Tim e

04/20/2009 00:0009/17/2009 00:00

1 1/20/2009 00:001 1/20/2009 00:0006/1 1/2010 00:00

TB Clearance:

Last PPD Date; 06/1 1/2009 --

Last Chest X-Ray Date:TB Treatment:

TB Foilow-up Recommended; No

/k (ytilditl/

Chronic Care VisitClinical Encounter

Chronic Care VisitChronic Care Visit

PPD Administration

Provider

Nurse

IDCPhysician 03

Physician 03Nurse

Induration: om mResults:

Sx free for 30 days: Yes

Sickle CeIl:Sickle Cell Trait/Disease: No

Lim itations/Restrictions/Diets:

Cleared for Food Service: Yes

Com me nts;

AllergiesNo Known Allergies

Devices / EquipmentEye Glasses

Generated 1009/2009 06:31 by Morales, Edgar MLP Bureau of Pnsons - COL Page 1 of 2


Reg #: 80655-004 Inmate Name: BUJDUVEANU, TRAIAN


Travel:Direct Travel: Yes

Travel Restrictions:

UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE:

Transfer From Institution: COLEMAN LOW FCI Phone Number: 3526894000Address 1: 846 NE 54TH TERRACEAddress 2:

City/state/zip: COLEMAN Florida 33521

Namesitle of Person Completing Form: Morales. Edgar MLP Date! 12/09/2009

lnmate Name: BUJRUVEANU, TRAIAN Req #: 80655-004 DOB: 12/11/1954 Sex: M

Genenaled 12/09/2009 06:31 by Morales, Eögar MLP Bureau ot Prlsons - COL Page 2 of 2


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rnceis no infl- or eoxéon attlze lungb- .

n = is h> ic cie oe with numeouz àlv txl nodœ and Aeav g- us Mhxur'- mx. n crodulu zte ' Qylikely to v t nAxmlol-'qh'c rego e e typere ules ofe osis. lrmnnnf G clude hw atocellular cadnoma.

Pe epauc asdtes ù notpresc t

'IYere > = au portahcpadc lymph nrk!- aswe; mq celiK e s = dpcip= e.r- 'nlm phxeJikelys= ndaryto u ivehe dx

A q- l m zm- of ftve suid is pv mTt ùz the dcveM O tpeH .

'Dzare i: ao obsmmkve urce y.

Th&r is mGdlyprominct stool tbmulout tbecolon w1!:0411y0we1 obstrucdon.

n e N A is noc z in app<- r.e. fa-. /71

-

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Radioloicll Conmzle osPa> 1 of 2


NetNW- ' DuidtweruL T-. ma.nq - .'fJ8 ''DOOQ

Da P OV Ox rbu .. z e.

'-/ nire 4's no zbdomlna:. a-raurtic arc ,x. or dissectan n ere are athczosclerolic u' of lheaozla.

7N%t)re are diftk se de#cerativc c'nang> of thc lumbr spine and the sacroiliac joinz.. k.

'.NTPUSSJON :l HUPATI. C CIRJG OSIS.2 N'LV ROUS REGEY 'JING NODULES', î CA-N-NOT EXCLL'DE

HEPATOCELLULA.R CARCLNOMA q.7TH 7'H=- '1V QLTE PROAO ED NfR.l OFT'Hï M D D I% ' AW TMOW .A)0 W JTH CiADoLW ILCM W OUL,D BE USD'2-VL IFTrfis P,Q7 5E'.%rr 1't.- 4S AN ELEVAU D ALPHA.FETOPROTEIN.PORTA HIPATIC LYND H NODES LND TCA-'. E ACTI'W HEPATW IS.NO B--LIAn '' DILATION.717.*-' .YAdfDU.NT OF' FRXE FLUID 757 THE D EPENDEN' '-I- PEI-R'IS 0F AN ON F PE C ..=.'.K.C AM OLW- -C.

e S 1 s::n ecl b v : Ci auth. am N. f a11 amr aG.u , N't fx . D O n '. 5! on 7.7 0v 1 6 0 8 '. f-,6 '. 4 3- 12 S T 2 C, 0CJ

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Bureau of Prisons

HeaIth Services

Vitals AIlBe in Date: 12/03/2009 End Date:- 12/03/2010g

Reg #: 80655-004 lnmate Name: BUJDUVEANU, TRAIAN

Temperature:

Date

12/01/2010

Time Fahrenheit Celsius Location

1 1:30 MlM 98.4 36.9

1 1/19/2010 1 1:44 MlM 98.6 37.0 Oral

10/25/2010 1 1:30 MIM 98.4 36.9

10/20/2010 16:49 MIM 97.6 36.4 Oral

06/08/2010 12:35 COX 97.8 36.6 Tympanic

01/1 9/2010 14219 COX 97.6 36.4

01/1 1/2010 15:09 COX 96.5 35.8 Tympanic

01/07/2010 12:30 COX 96.8 36.0 Tympanic

Pulse:Date Time Rate Per Minute Location

12/01/2010 1 1:30 MIM 77

1 1/1 9/2010 1 1244 MIM 80 Radial

10/25/2010 1 1 ;30 MIM 77

10/20/2010 16:49 M1M 81 Via Machine

06/08/2010 12:35 COX 76 Apical

01/19/2010 14:19 COX 89

01/1 1/2010 15:09 COX 87 Via Macbine

Q1/07/2010 12:30 COX 140 Radial

Respirations:

Date

1 2/01/2010

1 1/19/2010

1 0/25/2010

10/20/2010

06/06/2010

01/1 9/2010

01/1 1/2010

01/07/2010

Blood Pressure:Dak Time Value Location Position Cuff Size Provider12/01/2010 1 1 :30 MIM 131/81 Menendez, R. MLP

1 1/19/2910 1 1 :44 MIM 130/78 Right Arm Sitting Adult-regular Lopez, Edwin MD/CD

10/25/2010 1 1:30 MIM 133/85 Menendez, R. MLP

10/20/20:0 16:49 MfM 355177 Right Arm Sitting Adult-regular Francis, Mary RN

Geoerated 12/03/2010 1 1:41 by Hinlon. Varonda Bureau of Prisons - VIM Page 1 of 2

Provider

Menendez, R. MLP

Lopez, Edwin MD/CD

Menendez, R. MLP

Francis, Mary RN

Davila, P V MD

Lopez, Jose MLP

Morales, Edgar MLP

Morales, Edgar MLP

Rhmhm Provider

Menendez, R. MLP

Lopez, Edwin MD/CD

Menendez, R. MLP

Francis, Mary RN

Regular Davila, P V MD

Lopez, Jose MLP



Time Rate Per Minute Provider1 1230 MlM 16 Menendez, R. MLP

1 1:44 MlM 16 Lopez, Edwin MD/CD

11:30 MlM 16 Menendez. R. MLP

16:49 MlM 16 Francis, Mafy RN

12:35 COX 13 Davila, P V MD

14:19 COX 14 Lopez, Jose MLP


12730 COX 12 Morales, Edgar MLP


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>V5QO H>3.88 H

< 5 I U 7 rpwL<ra 7 0 log IU//=L

D etection of HCAJ RNA by TIAA is used to quantitaLeHCV viral infecticn, to monitor therapy and Looredict th e success of anciviral therapy.

The de t e c t i on o f Hep a t i t 1 s C u ..1 ra l RN A i s ba s e 'R<.upcn r everse transcri Dt icn of vi ral RNA fol lowedby t rans c r iot i o n - med 4. e. t e d amp l i f i c a t i on I'. 'i'l.1A ) .rhe test has a linear range from 5 International

'Jnx'ts/mL tc 7503 Internatz onal Units/mL.

Th is test is not to be used as a diacnostic':z rclc edure wi rhouu con f i r'ma t i o'n bv othe r

rn e ct 1 (2 a l 1 y e s t ab 1 1- s h e d :n e a n s .

This test was develaped and its performaneecharacteristias have been deuermined by QuesrDiagncstics Nichols Institute: ChanLilly, VA .It has not been cleared or approAzed by --he U.S.Food and Drag Administration. The FDA has determined

thac suah clearance or apprzval ïs not necessa rz.perforcance characteristics refer tc the analytieal

performance cf the test.

HEPATITIS C GENOTYPZNGH&J GZNOTYPE, LIPA lb

Carwnat rule out 6 (c-l). The hybridization patternindicates the presenee c'f HCV Genotype lb. However,'ae cannot rule out HCV Genotype 6 subtnroes 1c-l).

These results were reviewed by Thomas K. Huard,ph.D., Director of Molecular Liaqnostics.

Continued on Page 2'BU .7 Dr&.=.2 .QNU. , G'RAZAM - TM 9 6 9 8 6 6 5,7

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Page 1 ef 1# .

Dipmas Chadties - Freshstart

:%.-v.* ! l s M A S R I TIEN

- ' ' - . Home 'Z'iarcli-e-n -à-kà RePDRS - - '

'-*- - .., - : ?, - - ? - . - - - . . ' ' ' ' ' ' '

Traian Bujduveanu MOVEMENT REQUEST DQTAàLSAcnnoN RcouEs'rs gaStas Adams. Lashon

CASE NOTES Bujduveanu, TraianClient

CUENT INFO Requested Date 8/4/2010CulEsT STAY INFO Requested For Date 8/5/2010CONTACTS Locations General sute zigcusN'r TAsKs streeu streetc citv

xameDISCHARGE fjaj 8O1 S. Pembfoke yt- 33023

MemoDRMNG l<F0 Regional Hospital Dotlglas Rd Pines

EMPLOYMENT Requested Out Time 8:00 AMEMPLOYMENT SCHEDQLE Duration 5 Houqs) 0 Minutets)FIXED MovEMeN-rsHOME CONF. Mode Of pansported by Family/FriendMOVEMENT REQUESTG Transportation TO

OFFENSES Mode Of yranspoded by Famify/Ffiend

Transportation FromopeN MovEMEsTs jsktial Regional Hospital f0r physician vReason MemorPAYMENTS dejails)d as Fixed Movement (click f0rStatus APprOVe

PROGRAMSRK UIRUD CHECKS cancel

STATUS HISTORY

SIJBEESTENCE

SUMMARY


Page 1 of 1

-j

Dismzs Charities - Freshstart

è*-%-'% ISM A S HA RINw . #

.-k - Home search 'tasks Réyb'ità . - '-C

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Traian Bulduveanu MOVEMENT REQUEST DETAILSAcroN REQUESTS uashondata5 Ad2mS.ScxsE NoTEs Traianlient Buldtme3rlu'CCUENT INFO Requested Date 8/5/2010CLIENT STAY INFO Requested For Date 8/6/2010coNm c'rs ions General cjty sote zipCLIENT TASKS Locat u streeuName StreeDISCHARGE Memorial ,4105 Pembroke ' Hollywood FL 33020

DRNING lsFO Hospîtal Clinic Road

EMPLOYMENT xvRequested Out Time 8:00EMPLOYMENT SCHEDULE 5 Hourls) 0 Minutels)

MOVEMENTS DurationFlxEoHouE CoNF. Mode Of Transpoded by Famil/Friend

REQUESTG Transportation TOMOVEMBNTOFFBNSES Mode Of Transported by Family/Friend

Transpodation FromopsN MOVEMEXTS ital Adult ClinicDodor Visit/Memorial HOS9PAYMENTS R*aSOn for detalls)Flxed Movement (ClickA

pproved asPROGRAMS Status

REcUIRED CHECK3 cancel

STATUS HISTORY

SUBSîSTENCE

SUMMARY


Page 1 of l4

Dismas Charities - Freshstart

*Y * ISM A S HA ITIE*

7 -) - . Home searoK Xàsks---xbR-ttYM+- z .

Tralan Bujduveanu MOVEMENT REQUEST DETAILSAc-noN REQMESTS hondaff Adams, LaS

StaclsE NOTES vraianient BZIdLIVQZOZ,ClculaN-r INFO Requested Date 8/15/2010

CUENT STAY INFO Requested For Date 8/24/2010

coym c'rs tions General cuy stm zipCUENT TAsKs LOGZ t4 stree/

Hame Str*e

DtSCHARGE ka erimary 140-A S. DZZ'Z FL 33317Dan Beach

DnIv1NG ISFo care Centef Fedefal HWy

EMPUOYMENT MRequested Out Time 8:30 A

EMPLOYMENT YCHEDZLE 7 Hourls) 0 Minutels)MOVEMENTS Dtlration

FIXEDHOME CORF. Mcde Of 'rranspoded by Family/Friend

REQUESTS Transgortation T0MOVEMENTOFFENSES Mode Of Transported by Famil/Friend

Transportation FromOPEN MOVEMENTS DOCTOR APPTPAYMENTS ReaSOn tails)d Movement (CIiCk f0r de

Approved as FixePROGM MS Stattls

REQUIRED CHK KS cancel

STATUS HISTORY

SUBSISTENCQ

SUMMARY


Page l of 1.. k

Dismas Chazities - Freshstart

- -

ISM A S H ARITIES

MOVEMENT REQUEST DETAILSStaff Adams, Lashonda

Client Bujduveanu, TraianRequested Date 8/25/2010

Requested For 8/26/2010

DateLocations GenefalName Streetl Stree/ City Ztate Zip

Memorial Hospital Clinic Pembroke Road Pembroke Pines FL 33024

Requested Out .11.05 AM

Tim eDuration 3 Hourts) 30 Minutets)

Mode OfTransportation To

Mode OfTranspoftation Transported by Famiîy/Friend

From

Reason

Status1 cancel lI l

l need to go back to Memorial Hospital Clinic to get Alcohol Swabs/pads and a gun to drivethe Iacets into my skîn. They were missing from my package. This is neccessary in order to

avoid infection.Approved as Fixed Movement (cllck for details)

Transported by Family/Friend


' Dism as charities. Inc. !i J., Intake and M edical Screening Form I

! Facility ; Intake Date i Register Numbe i

t / o.n ,-a- y. -. ,, -- p,/- z Jt/za . . 1, yJJ - vv / I

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Date of Birth Sex Race (Ethnic Orig.)l l y,,. -Z // /Referring Agency (Co mitting Authority) '.

Legal Status Type of ReleaseAc-ac. C'c-l

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d Behavioc ZRUOOZGeneral Appearance an

g'Medical Needs: Prompt Health Care Referral? Yes Z No

check one: communicable Z Diabetes Y Heart D Epilepxy E) Other'uIf ''YES'' please explain: WiV c- ,' 7-2=6NL//3â'&e'-7#-ztW t+z -#Y''4jk-z. '-'-W..I z ZM W R ...C

Personal Physi/an Phone Number/// z' *- ''- QEZ /-'/*

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') ) I ! . .Resident slgnature Q zz k'ctz zzz Date tp /z.o/&

7 /

Staff Signature ' ' Date --) yo

dci220Revised 04/01/04

Page 1 of 1


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