Certificate of Records Disposal ~

Wicomico County Department of Corrections Department of General 5 jY(7 - 2 3.3P Services Prepare in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte. 175) Retain one (1) copy and I I P.O. Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on left.

CERTIFICATE OF RECORDS DISPOSAL ~

Authori7ation

No. Description of Records (Same Retention Item Inclusive Dates of Volume Date of Method of Title as listed on Schedule) Schedule No. Records Destroyed Cubic Feet Disposal Di5posal No. Inmate Classification File 1. C1140 A 1995 - 2010 150 712811 1 Buried Series1 Pre - Classification Sheet

-- PREA - Prison Rape C1140 B 1995 - 2010 150 712811 1 Buried Elimination Act of 2003 Inmate Orientation C1140 C 1995 - 2010 150 712811 1 Buried Acknowledgement. Diet

Religion Affiliation, and C1140 D 1995 - 2010 150 712811 1 Buried Housing Form

Progress Sheet C1140 E 1995 - 2010 150 7/28/11 Buried

Inmate Request Slip C1140 F 1995 - 2010 150 7/28/11 Buried

Mental Health Evaluation C1140 G 1995 - 2010 150 712811 1 Buried Request

Medical Clearance Request C 1 140 H 1995 - 2010 150 712811 1 Buried

Kitchen Clearance Request C 1 140 I 1995 - 2010 150 7/28/11 Buried 1995 -2010 Parole Application (21140 J 150 712811 1 Buried

listed above were disposed of as indicated.

C/k3: td fi;Jt //dyfii2J?,,,~ Date DGS 550-2 (riv. 1 /93) I Wicomico County Department of Corrections I Department of General 3 ,ql,-, 2 7 3 p I 1 4. - I Services Prepare' in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte.. 175) Retain one (1) copy and P.O. Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on left.

CERTIFICATE OF RECORDS DISPOSAL

Authorization

No. Description of Records (Same Retention Item Inclusive Dates of Volume Date of Method of Title as listed on Schedule) Schedule No. Records Destroyed Cubic Feet Disposal Disposal No. Maryland Parole Buried C1140 K 1995 2010 150 712811 1 Commission- - Recommendation Reclassification Form (21140 L 1995 - 2010 150 712811 1 Buried Parole Appeal Form C1140 M 1995-2010 150 7/28/11 Buried Parole Waiver C1140 N 1995 - 2010 150 712811 1 Buried Parole Violation Hearing 1 Master Docket C1140 0 1995 - 201 0 150 712811 Buried Incident Report C1140 P 1995 - 2010 150 712811 1 Buried Notice of Infraction C1140 Q 1995-2010 150 7/28/11 Buried Disciplinary Hearing C1140 R 1995 - 2010 150 712811 1 Buried Officer Report Disciplinary Hearing notice C1140 S 1995 2010 150 712811 1 of Results - Buried Notice of Assignment of 1995 2010 Administrative Segregation C1140 T - 150 712811 1 Buried Notice of Protective C1140 U 1995 - 2010 150 7/28/11 Buried Custody Placement Notice of Protective C1140 V 1995 - 2010 150 712811 1 Buried Custody Placement

I hereby certify th,at the records listed above were disposed of as indicated. b/ci (5pb~l//.;'~~~~~~$$~~"ip /lfiji21 itle D t DGS 550-2 (r$v. 1/93) Wicomico County Department of Corrections Department of General -<-lq((? -2?,-">r Services Prepare in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte. 175) Retain one (1) copy and P.O. Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on left.

CERTIFICATE OF RECORDS DISPOSAL

Authorization

Description of Records (Same Retention Item Inclusive Dates of Volume Date of Method of Title as listed on Schedule) Schedule No. Records Destroyed Cubic Feet Disposal Disposal No.

-- Inmate Movement Sheet I I C1140 W 11995-2010 1 150 17/28/11 I Buried Inmate Cell Transfer C1140 X 1995 - 2010 150 712811 1 Buried Segregat ion1Protective C1140 150 7/28/11 Custody Record and / / Buried ICertification 11995-2010 I Work Release Eligibility I I C1140 Z 1995 - 2010 150 712811 1 Buried Weekly Job Assignment/ Removal I I General Correspondence C1140 A 1 1995 - 2010 1 150 1 712811 1 1 Buried I

I hereby certifL that the records listed above were disposed of as indicated.

['~~,5~~tl~~p/d~jjt 5 Ji/2,L,dl /:/:)/A ~ig'hture Title li! ate DGS 550-2'(rev. 1/93) C.' -fP 't?c/

6-prcl-q*~ / pac. ~r 3 Wicomico County Department of Corrections Department of General 5 /qL? - 13-30 Sewices Prepare in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte. 175) Retain one (1) copy and P.O. Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on left.

k I CERTIFICATE OF RECORDS DISPOSAL I

i Authorization

1. PREA - Prison Rape C1140 1 B 1995 5 712811 1 Buried Elimination Act of 2003 Inmate Orientation 1. C1140 1 C 1995 5 712811 1 Buried Acknowledgement, Diet

1. Religion Amliation, and C1140 1 D 1995 5 712811 1 Buried Housing Form

1. Progress Sheet C1140 1 E 1995 5 7/28/11 Buried

1. Inmate Request Slip C1140 1 F 1995 5 712811 1 Buried

1. Mental Health Evaluation C 1140 1 G 1995 5 712811 1 Buried Request

1. Medical Clearance Request C1140 1 H 1995 5 712811 1 Buried

1. Kitchen Clearance Request C1140 1 I 1995 5 712811 1 Buried C1140 1 J 1995 5 7/28/11 Buried 1. Parole Application

DGS 550-2 (rev I/* I

I C~rrPbi

(,-,p - '4- c/ a 2 "F t Wicomico County Department of Corrections Department of General 5/q11 - 2330 Sewices Prepare in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte. 175) Retain one (I) copy and P.O.Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on leR. i CERTIFICATE OF RECORDS DISPOSAL

Authorization

No. Description of Records (Same Retention Item Inclusive Dates of Volume Date of Method of Title as listed on Schedule) Schedule No. Records Destroyed Cubic Feet Disposal Disposal No. Maryland Parole C1140 1 1995 5 712811 1 Buried Commission- K Recommendation Reclassification Form 1. C1140 1 L 1995 5 712811 1 Buried 1. Parole Appeal Form C1140 1 M 1995 5 712811 1 Buried Parole Waiver 1. C1140 IN 1995 5 712811 1 Buried Parole Violation Hearing ' (21140 10 1995 5 712811 1 Buried Master Docket 1. Incident Report C1140 1 P 1995 5 712811 1 Buried Notice of Infraction 1. C1140 1 Q 1995 5 7/28/11 Buried Disciplinary Hearing ' C1140 1 1995 5 712811 1 Officer Report R Buried Disciplinary Hearing notice ' (21140 1 S 1995 5 712811 1 of Results Buried Notice of Assignment of ' C1140 1 1995 5 712811 1 Adminishdtive Segregation T Buried 1. Notice of Protective C1140 1 U 1995 5 712811 1 Buried Custody Placement 1. Notice of Protective C1140 1 V 1995 5 712811 1 Buried

1 Custody Placement

LI hereby certifL that the records listed above were disposed of as indicated. /L//CAGlatureG?t.t~& &&C& Title / t4r3 i Date DGS 55012 (rev. 1/93) . .--- - - Wicomico County Department of Corrections Department of General 5 1765 - 23 I[ Services Prepare in Duplicate Reporting Agency Records Management Division Classification Department 7275 Waterloo Road (Rte. 175) Retain one (1) copy and P.O. Box 275 forward original to address Division or Unit Jessup, Maryland 20794-0275 on left.

CERTIFICATE OF RECORDS DISPOSAL

Authorization

No. Description of Records (Same Retention Item Inclusive Dates of Volume Date of Method of Title as listed on Schedule) Schedule No. Records Destroyed Cubic Feet Disposal Disposal No. Inmate Movement Sheet 1. C1140 1W 1995 5 712811 1 Buried Inmate Cell Transfer 1. C1140 1X 1995 5 712811 1 Buried Segregation/Protective ' Custody Record and C1140 1 Y 1995 5 712811 1 Buried Certification Work Release Eligibility 1. C1140 1 Z 1995 5 712811 1 Buried Weekly Job Assignment1 AA Removal C1140 1 1995 5 712811 1 Buried General Correspondence 1. C1140 1 AB 1995 5 712811 1 Buried Volunteer File Series / 2' Volunteer Application C1140 2 A 1995 5 712811 1 Buried General Correspondence C1140 2B 1995 5 7/211 Buried

I hereby certify that the records listed above were disposed of as indicated.

Signa D te