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¥ CORRECTIONAL SYSTEMS, INC. 1. Visitor's Name: 2. Misitor’s Address 3, Name of i 4. ‘Visitor's identi a Date: Of Birth ai set nen stant neoics wepns ‘firearms, j. alcohol, narce Specifically authorized by staf prorts visi ee B. agree that wi ot eave the ting are wth ary mata ee es, Lwill supervise those with'me under 18 years of age; keepi ing them:-consta ntly under my contro bin, 2S | d> Lundarstand that if or my mince visitors Molate any visiting rule curing any Visit the visit may be. page terminated by stat. , mo © (Sand at ny pan andy cesar yb ct suc cabin tons. and hereby consent'to the search. . _ ff lwiltkeep my affections. in controt I understand that | will Act be allowed to visit i see-teeh ‘tops or other clothing considered to be too revealing. : 5. Hf you. sea former cat o yor curently under sperion of ay aw etorcement age, ist Your current status and your reason for this visit — ; 8: if you are driving, please describe. your. vehicle, including the year, maka model, color‘and license. , ‘number: we a BE cate | nave-read; | understand arid agrees the above hundartad hat Ihave quasi concen authorized items, | should consuit with staff. !am also aware the vi iting is: Approved Commander's Signature 10816