OREGON DEPARTMENT OF CORRECTIONS

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Referred to State Police:

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State Police Case #: ---"43:..:5:..::5--=-5--=-8_ _ _ _ _ _ _ _

.

Location·

Report
Date:

11/2711 1

Time:

2:00 - 3:00 p.m.

_INT
_ EN
_D
_ENT
___ Medical Attention Required:

Functional U nitlInstitution·.
Type of Incident - Critical Indicators Involved

Other

Staff Assault

<SpecifY>

Inmate Assault

<SpecifY>

Escape

<SpecifY>

Contraband

<SpecifY>

Inmate Death

Apparent Suicide

Property

<SpecifY>

Medical Emergency

<SpecifY>

Emergency

<SpecifY>

SelfInjury

<SpecifY>

EmployeeN olunteer/
Contractor/Citizen

<SpecifY>

(OR)

Attempted Suicide

<SpecifY>

Blood and/or Bodily Fluid

<SpecifY>

Use of Force

7299859

OSCI

<SpecifY>

Other:

10110/2012

o un t eer, Con t raet or, or Cti
2 E mplOyee, VI
I zen I nvo I ve d :

Name(s)

ACRS

·01

Work
Location

Contact
I nformatio
n

l.

2.

2.

3.

3.

4.

4.

5.

5.

Page 1 of3

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<SpecifY>

Type of Force Used:

1. Inmates I nvolved: (Attach facesheet(s) for all offenders
listed)
Projected
Cell
Assignment
Name(s)
SID#
Release Date
l. Halverson Michael

C8jVes

CD 115 (7/2011 )

Page 3 of3

CD 115 (07/2011)

Public Information
Offender
Name:
Age:
Sex:
Height:
Weight:
SID#
7299859

50
Ma le
5' 10"
190 Ibs

DOB:
Race:
Hair:
Eyes:

06/23/1961
White
Brown
Brown

BEAL, TANYIA
Caseload 00304 CASEBANK

Docket County Of
Number Conviction
C981114CR/01 WASH
C981114CR/04 WASH

HALVERSON, MICHAEL
A

Crime

SOOOMY I
SEX ABUSE 1 NEW

OREGON STATE CORRECTIONAL
Location INSTITUTION
Cell :
Status: Inmate(MEDI)

Flag: Notifie r
DNA Coll ected
Custody Cycle:
2-1-8
Institution Admission Date 09/10/1998
Earliest Release Date:
10/10/2012
Classification:
2

Crime Sentence Begin
Class
Type
Date
AF
BF

Inmate
Inmate

09/10/1998
09/10/ 1998

Sentence
Length
YYY-MMMDOD
000 -100- 000
000-075-000

Termination Termination
Date
Reason
07/10/2006

POST

Oregon Corrections Division
Oregon State Correctional Institution
AUTHORIZATION FOR RELEASE

TO: Communications Center
RE: 11M Halverson Michael #7299859

The above named inmate(s) will be released on
At 5' I b PAl>-

.2 7 A.JQue",be<L

:20

I(

Purpose:
Discharge _ _ _ _ _ _ _ _ __

Transferred _ _ _ _ _ _ _ _ _ _~

Parole

Detainer

Court

Other

~

.LUy",k-

Dz",A\",

,% ,TUV(Je~~
Identified by

~

,A1-/c,<kJ
Signature of Person Receiving Inmate

Mastel' Control
:dls
Cc: Master Control
ISM
Receving and Discharge
OSCI FORM 74

;:::lj~4'ill'~~~---<gL It~YJ~

CRIME SCENE ENTRY/EXIT LOG
Date: •/ (- 2 7 -II
Victim: 1&
Crime:

ItlN:.5ol1

,0"

ha

e (

•

------------------------------------------

Case Agency: _ _ _ _ _ _ _ Case#_ _ _ _ _ __
Log Officer: .%u;;",J,.,:! '11

Agency uSC

J:.

It is important to use the same access point when entering
or exiting the crime scenee.
Only Persons authorized by the primary investigator in
charge shall be permitted to enter the crime scene.

PERSONS ENTERING SCENE
NamefRank or Title

A ene

Time in Time out
1.1)

Reason for Entr

'L

SHIT

VI> )

1-1

2. 2J

/

,;4 -

:JIJ-

)'/0

I."

HOSPITAL WATCH SCHEDULE
Inmate supervised:
Custody Level:

Halverson, Michael 7299859

Double or Single:
Room I Phone number:

Sing Ie
PRO: 10/1 0/12
New 814 Room# A 4026

Sensitive list: No
Began: 10/21/11

Pager :503-918-

Cell Phone' 503-991-0958

Estimated End:

Time/Shift SingleWatchStaff
1st
2nd

DQubleWatchStaff

2

( Day'"

Date

.'

,

'.

Armed: No

Notified YIN

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