FORM 1 EXAMINATION SERTIFICATE (Mental Health Act, R.8.h.B. 1973, c.M-10, 5.7.1) 4, Aig, Lilispaca of, Pee (Name of Physician) (Address) being @ physician practising in the Province of New Brunswick, state that | personally examined / tL Eb ben 1278 Siege wf (Name of Person Examined) {Address) onthe 29 day of al » 2022. and made careful Inquiry into all of the facts necessary to form an opinion as to the Fature or degred of the mental disorder of the person examined. ° {am of the opinion the Person examined may be suffering from a mentat disorder of a nature or degree so as to Tequire hospitalization in the interests of the person’s own safety or the safety of othars and is not suitabie for admission as a voluntary patient. The facts upon which | formed my opinion as to the nature or.degree of the Mmentat disorder are as follows: A Facts observed byme’. Ga a-eea/, sopented greceh, bat eqethen pers bly Moti Le a PAY poh Ma Sle harp php thereon aati greeTOacce, topanned” seeech, BE conn ? pislly Mera dL, at Hit pol grate erie Ah, me ee aP ie _ B. Facts communicated to me by others {provide names and artregoes) a awd C4 Mladely yh But & hemp cyeuts satin?” medt a Oe ¢ bp wee CE bed ho bl bh Ae LO LEE ae Fem and Kay sont Ba “estoy” ies (ere . bh ts Ae ou ome cecernins Alin? cheigy Sch wad! Day te fthe hay ae emg y Ai have TA pa any Fee G cencan of rath efit A havea Signed this 2 dayot_aZife 2022 at 22 hrs, Signature of Phys! NCTE: This examination certificate is not effective unless it is signed and issued by the physician within seven days after the physician examined the person who is the. subject of the examination certificate.Nee ean nEnnnnnnnnnnnamrar a” uns aanrena tatiana : Foor Com) pore ¥ xenddat 78 be bor Bar, 4 wwTo one pl Ausunen ‘Aleons weg) pamatl eis 41 Ta query vO nap sies hel Te Hhat pe Zhe Jest Aw wy ht ott ites Sun édowW- Ts ; " atau ps @1wceety ov evEds iy Bah tu yok este Act ‘Chapter Outline Definitions ee . sadministraior —decinistraboar ¢ ‘approved home — foyer ngrté attending ptychiatrist — psychinie traitant Department — Minisiéze . director exdeutit , lade en plapcamnt pon voloutsire Minister — Ministro ‘earest relat ve — parent be plus proche aticot — enalsde ppeece officer — agent dc la pain Physician — médecin form — formule prescrite paychiauric facility — étabiissement paychiniaoe — paychintre Application of the Act. ‘Aet and regulations prevail ‘Adrniniatration of the Act Appointment of Executive Directo. Inspection... : Agreement with the Goverament of Canada PARTH HOSPITALIZATION PROCEDURES Refusal of admission ereneer re wt, what Say is Prue os . JS wp vie thyt Fre wast mak lockK Fads ROVE Pras thease (9 Wea Claw al Everybicced dows teSoyesr et, bing PITRE M-1¢ Vow 5k r Loi sur fs sanié mentale Definitions... .- ‘admninivtrats gent de Ia ‘peace officer ‘enrnisrion de recaues — review be sed dicecteur ex cutif — Executive director iablianerént payehistrique — prychiatrie facility — oem Toyer agréé — approved! home malate — pent shalage en p.acement non volontaire - involootary patient médecin — shysician ‘Minisatre — | Minivtre — idinisier a tearead relative pryehince —- paychintrist tending psychiatrist . clinique de routine — soutine clinical tsibunal — utbusal ‘aoubie mentil — rental disorder Consentement acus fe régiine da la présente foi... 1(2) Fina dois Partie... ..-..- : PARTIET % ADMINISTRA“ION Application de lt Lai... - - Préséance de ta présente loi et des régleirents .- ‘Administration 4: Ia Lai... ao ‘Nomination d°un dircetour exécul Inspection : u ‘Aveard avec le gauvemement do Canada... PARTIE I FORMALITES D'HOSPITA LISATION Refi dadminia 0. sevseveeees : sbMental Health Act and if the peace officer is of the opinion that the per- son is apparently suffering from a mental disorder of a nature or degree that likely will result in harm to the person or harm to another person and that it would not be reasonable to proceed in accordance with section 9, the peace officer 14) may take the person into custody and take the person toa medical facility, physician's office or psychiatric facility for examination, and fe) may require any assistance the peace officer considers necessary from any other peace officer or other person. 1969, 6.13, 9.40; 1985, ¢.4,3.43; 1989, ¢.23, 5.5, 10.1 A peace officer or other person whe takes a person into custody under section 9 or 10 for the purpose of taking the person to a medical facility. physician's office az psychiatric facility for exami- nation shait prompth tea a rene teation and of the person's right to retain and in- struct counsel without delay, and (2) tell the person where the person is being taken. 1989, €.23, 8.5. 10,2 A peace officer or other person who takes a person into custody under section 9 or 10 for the purpose of taking the person to a medical facility, physician's office ar psychiatric facility for exami- nation shall {@) retain custody of the person until the person tha been examined by physician oc psychiatrist, fan (0) _ with the person’s consent, retum the person to the person's residence of, if that is not peacti- cable, to the place shere the person was taken into custody, if a physician or psychiatrist zp. hfs ot si Lagent de la paix est d’nvis que cet |persaniicy est apparemment aticinte dun wouble | ture ov d’un degeé tel qu’elle pourrait [yp blement se causer du tort ou causer dulthrt & mutha et qu'il serait déraisonnable d’agir confofinément|a Varticte 9, d)_ il peit prendre cette personne 3 “a et la conduire aun centre médical, eu] ma médecin ou & un établissement pr}dhiatrtquel pour qu'elle y subisse un examen, # e)_ dl pent exiger toute side qu'il oH saire de tout autre agent de {a paix] autre personne. 1969, 13, amt.10; 1985, 04, art43;/4989, 6.2) arts. 40.1 Un agent de la paix ou toute anup|persés a ¥e qui prend sous sa garde en application ou 10 une personne en vue de la conduire médical, su burcan d'ith riddecin pu A tt i ment psychic tgiguegouc awanainen, ios o) infor er cone persone des moi de tention, et 4e son droit de retenir les avocat sans déiai, et 2b) lui die ol elle est conduite 1989, 623, ait. 10.2 Un agent de la paix ov toute ai qui prend sou ssa garde en application 4 |’art ou |Ouneper onne en vue de la conduiteldim cs médical, au bureau dun médecin ov a (eh btabl ment paychiatrique pour examen doit 4) wnintenir sous sa_garde jusqu'au n oment ob elle est ex médecin ou un psychiatre, et pa 5) avec ie consentement de cette persona} veconduire 4 sa résidence ou si ine réalisable, 4 la place od elle a été [prise garde, si uy médecin ov un prycHiptre avert 1994Chap. M-10 advises the peaco officer or ather person that, in the opinion of the physician or psychiatrist, the person does not require hospitalization for the person's mental condition. 1989, ¢.23, 5.5. 10.3 Notwithstanding section 10.2, a peace officer or other person may release a person detained in the peace officer's or other person's custody under sec- tion 9 or 10 on the expiration of three hours after the person has been taken to a medical facility, physi- cian’s office or psychiatic facility. 1989, 6.23, 6.5. 11 _ An examination referred to in section 9 or 10 shall be conducted a5 soon as reasonably possible. 1969, c.13, 8.11; 1989, ¢.23, 5.5. 120) that If the attending psychiatrist is of the opinion (@)_ a voluntary patient in a psychiatric facility suffers from a mental disstdate——————— from ment (@) the voluntary patient's recent behaviour Presents a substantial risk of imminent physical tr psychological harm to the patient or ta others, (c} the voluntary paticat is not suitable to be continued as a voluntary patient, and (@) ess restrictive measures would be inappro- priate, the attending paychiatrist shall file an application in the prescribed form with the chairman of the tribu- nai having jurisdiction for an order that the vohun- tary patient be admitted to a psychiatric facility as un involuntary patient, and im any such case para- graph B(3)(b), subsections 8(4) and 8(5), and sec- tions 8.01, 8.1 and 8.11 apply mucatis mustandis: 1994-06 36 Loi sur fa sanié mentale agent de la paix ou autre personne que, selon son avis, cette personne n'a pas bescin d'hospi- talisation en raison de son état mental, 1989, 0.23, arts. 10.3. Nonobstant I’ srticle (0.2, un-agent de ta paix oul une autre personne peut libérer une personne dé- tenue sous ea garden application de I'article 9 ou 10 trois heures aprés que cette personne a été con- duite & un centre médical, au bureau un médecin ou aun établissemen: psychiatrique. 1989, 0.23, arts. 11 Unexamen visé a l'article 9 ou 10 doit dtre fait aussitét qu'il est raisonnablement possible de le faire, 1969, 0.13, art.11; 1939, 23, a5. 1X1) Site psychiat-e traitant est davis age tet oir placement volontaire dans ‘un établissement ysychiatrique est atteint d’un trouble mental, +} que Je comportement récent du rmefude en placement volontaire risque sérieusement de cau- ser un tort physique ou psychologique iraminent 4 fui-méme oud au rai, pas justicisble d’un= continuation & lade en placement volontaire, et que des mesurss moins contraignantes se- raiem inappropriées, iL doit déposer une demande établie selon la formule Brescrite auprés du préiident du tritnal eompétent afin qu'il ordonne que le malade en placement vo- lontaire soit admis dans un établissement psychiatri- que A titre de matade © 1 placement non velontaire, auquel cas l"alinéa 8(3)b), les paragraphes 8(4) et (5) et les articles 8.01, 8.1 et 8.11 s*appliquent mu- 1aiis mutandis,TT ” . 7 " w. 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MK Comma a THe hOpE f Jyot fasSAU DESECURITE DE PIECE A CONVICTION date of bag's manufucture - year/month: 2007/March) ***NOT SUITABLE FOR FIRE-DEBRIS EVIDENCE/ NON-APPROUVE POUR LES DEBRIS D'INCENDIE*** ON’ FILE #/ NVDUDOSSIER: ITEM éf N° DE L'ARTICLE: - INVESTIGATOR’ ENQUETER: DATE & TIMI 5 — DATEETLWEURE: SAMPLE DESCRIPTION’ ra DESCRIPTION D'ECHANTILL@ =AIDEMCE EAIDEUCE EAIDEMCEJoseph P Jr and Marion McEttrick, September 28, 2003 10 Crown St, Milton, MA 02186 (617) 696-5569 Hey, Remember me? I am the guy you have been ignoring. Tgnorance is no excuse to me or the law, particularly when a lawyer practices it. Please find enclosed a copy of a letter sent to all US Attorneys. Please notice E sent you this letter before the Circus in Norfolk Superior Court, The outcome has no relevance to my next complaints in Federal Courts. Be careful what you do with the wiretap tape. Tt has been served upon you in confidence as Officers of the Court in order that it be properly investigated. Cya'll in Court © A . David R. Amos 153 Alvin Ave. Milton, MA. 02186 617 240 6698