CONFIDENTIAL

Washington State Correction
Center for Women

Intelligence & Investigations
Case File
11-047-04~FOI

CONFIDENTIAL

GSA
POLYGRAPH SERVICES
INVOICE # 04-022
FederallD 532626194
William D. Tufts
1409 18'"Ave Court -SW
Puyallup, WA 98371

11/9104
Department of Corrections
Office of Correctional Operations
Attn: Steve Baxter
9601 Bujac1ch RoadNW
Gig Harbor, WA 98335-0017
Attn: Investigator Baxter

A polygraph examination was requested for the following subject:

11-9-04

$200.00

Tota·1 Examination Fee

$200.00

We appreciate your business/
14091Rth Ave Court SW. Puvallnn. WA 9R'nl

2S~-770-1477

GSR
POLYGRAPIISER,rJ(~ES

William D. Tufts
1409 18'h Ave CT. SW
Puyallup, WA 98371

,tOLYGRAltl' EXAMINATION UEPOUT
TO:

Investigator Steve Baxter
Department of Corrections
Washington Corrections Centerfor Women
9601 Bujacich Road NW
GigHarbor, WA 98335

Subject:

008:

_19BO

Requested by:

Examination Date:

11/9/04

Offense:

Statement Verification

Investigator Steve Baxter

Purpose ofExamination: To verify or refute the SUbject's allegations that AC Cook Ron
Siannon never grabbed her butt.

Prior to the polygraph examination, the subject was advised of his Polygraph Rights and waived
these rights by signing the attached form.

CONCLUSIONS

A polygraph examination was administered to the subject on the above issues.
Based on the physiological responsesproduced by the subject on two (2) polygraph charls, in
the opinion of this examiner, she was not attempting deception when she answered "no" to the
following relevant questions:

1. Has AC Cook Ron ever grabbed your butt?
2. Regarding AC Cook Ron, has he ever grabbed your butt?

~fela ed the followin s.tatementonhow this aituat.ion occurred. According to

~t

Cook Ron Blannon an
complaint was-made.
the incident.

'Examiner: William D. Tufts

old

that she (inmate_ was going to get both AC
introu Ie. This occurred approximately one week before this
as not sure Why inmate_ wasthe one who verbalized

November 9, 2004
Date of Report

rot, YGRAPH EXAMINATION STATEMENT OF CONSENT

, understand a polygraph examination
administered by GSR polygraph services for the
is being conducted

-

W{!.C.-

concem'ln~5i4+e""\
.......-r-LJeJI-{-hC-4-.f~,
-

cannot be required to submit

10

J

I also understand that I

a polygraph examination without my consent. Additionally,

Ih<1t if the answers during the excrnination show deception, I may be asked

10

explain,

I hold GSR polygraph services and William Tufts harmless and free lrorn any
liability for any acts or omission by an y other parties or agencies and release and hold
harmless any persons or agencies [rorn any and all claims or liabilities alleged to result Irorn or
arise OUI of this examination,

Understanding that I have t he unqualified right to refuse]
do

~ereby,

Ihis dale, voluntarily and without duress. coercion, unlawful inducement, or

promise or reward. agree to suornit toa polygraph examination, I lurther understnnd that the
informauon obtained during this process will nOI be released

10

me,

.

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_

Dale_ _--'-----"-_-L_ _~'------

0731

State of Washington

Form
A 1Y·ZA

VOUCHER DISTRIBUTION

IREV.1191)

l.OCATlON cone

AOeNCV HUIilBER

3100
Vondor Nameend A.ddress

LTO

AGENCYP.1t.OR Al1T1iORllATlON MUMBBR

G1
AGENCY NAME AND LOCAUOM

GSR POLYGRAPH SERVICES
140918th AVE COURT SW
PUYALLUP, WA 98371

WA CORR CENTER FOR WOMEN
PO BOX 17
GIG HARBOR, WA 98335·0017

RECEIVED BY

DATE R£CElVfO

lnv, Baxter

532626194
UBI! SPAce BEL.DW All A WORKBH.EET TO t!EVEl.OP OR EXPLAINTNEGOODS OR IlEAVlCI!I PURCHABal

11/19/04

BTAPLEINVOlCEB ON BACK

Payment for Polygraph conducted on 1119104 on Inmat

BY

PREPARED

DATE

11/19/04
DOC. DATE

UBI NUMBER

VlSHDOR HUMBER .

ftEF

III

DOC

TRANS

0

BUF

CODE

0

W9RK ct.A86

COUNTY
UMIT

INVOICE NUMBER
M08

200.00

210

ACCOUNTING APPROVAl. FOR PAYMENT

CITYfTQWN

BUDDET
AlLOC

04-022

WARRANT IlIIMBeR

O....TE

200.00

. .rtors..,.

(~
.....,

STATE OF WASHINGTON
DEPARTMENT OF CORRECTIONS

INCIDENT REPORT

WITNESSES

DETAILS: Who was involved, what took place, how did it happen, description of any injuries, damaqe. use of force, etc. Attach
additional sheet, if necessary.

IMMEDIATE ACTION TAKEN:

TITLE

DATE

INCIDENT NUMBER

DATE / TIME RECEIVED

BY

INVESTIGATION ASSIGNED TO

Distribution by Associate Superintendent:

o Superintendent
o Shift Commander
o satetv Officer

DOC 21-458 (10/16/2001) WCCW

0
0
0

Intelligence Officer
Clinical Director
Other

DATE

0
0
0

Other
Other
Other

STATE OF WASHINGTON
DEPARTMENT OF CORRECTIONS

INCIDENT REPORT

PLACE/AR\~O~RRED

mI.

'I

OFFENDERS INVOLVED

'>nf'Y\

DATE / TIME OF INCIDENT

-;

c:,

\ \: 'J
USE OF FORCE INCIDENT 0

i 0- \/-0

L\

DOC NUMBER

LIVING UNIT

"C7lL>--

YES

g']

NO

WITNESSES

IMMEDIATE ACTION TAKEN:

~ ,\ t)l1K~ \cl U~'\:\- ,b \ ~h1'

DATE

TITLE

DATE·ITIME RECEIVED

INVESTIGATION ASSIGNED TO

BY

Distribution by Associate Superintendent:
Superintendent
0 Intelligence Officer
Shift Commander
0 Clinical Director
Safaty Officer
0 Other

o
o
o

DOC 21-458 (10/16/2001)WCCW

DATE

0
0
0

Other
Other
Other