Ticket:: ticket
STATE OF NEW YORK
EXECUTIVE DEPARTMENT - DIVISION OF PAROLE
CERTIFICATE OF RELEASE TO PAROLE SUPERVISION
DETERMINATE - POST-RELEASE SUPERVISION


SENTENCE: 0-0/1-0
 		NYSID NO. 4904120Q

PELTZER, MARY  , now confined in  Bedford Hills CF who was convicted of  CSCS 3rd (B)  and
sentenced in the county of  New York  at a term of the  Supreme  Court, Judge  Edward J. McLaughlin  presiding on
the 13th    day of   February 2007, for the term of  0-0/1-0  the maximum term of such sentence
expires on the    6th    day of    December 2007, has agreed to abide by the conditions to which she
has signed her name below, and is hereby released by virtue of the authority conferred by New York State Law.

    Mary Peltzer  , is additionally subject to a period of   2 (two)  years   Post-Release Supervision,
which will commence on the release date of   Oct. 12, 2007    and she will be under the legal jurisdiction of the
Division of Parole until the Post-Release Supervision maximum expiration date of   October 12  , 2009  .
 
Date of Release:  10/12/2007 
Post-Release Supervision Period:     2 (two) years  
Post-Release Supervision Maximum Expiration Date:   10 /12 /2009 
Residence: 
Women's Shelter 
116 Williams Ave.
Brooklyn, NY. 11207  718-495-7870


I, Mary Peltzer 07G0186, voluntarily accept Parole Post-Release supervision. I fully understand that my person, residence and property are subject to search and inspection. I understand that Parole Post-Release Supervision is defined by these Conditions of Release and all other conditions that may be imposed upon me by the Board of Parole or its representatives. I understand that my violation of these conditions may result in the revocation of my release.
CONDITIONS OF RELEASE
  1. I will proceed directly to the area to which I have been released, and, within twenty-four hours of my release, make my arrival report to the Office of the Division of Parole unless other instructions are designated on my release agreement. Report to: P.O. Voyd, SPO Tucker Manhattan I Area Office 119 West 31st St. NY, NY 10001 212-736-8911

  2. I will make office and/or written reports as directed.
  3. I will not leave the State of New York or any other State to which I am released or transferred, or any area defined in writing by my Parole Officer without permission.
  4. I will permit my Parole Officer to visit me at my residence and/or place of employment and I will permit the search and inspection of my person, residence and property. I will discuss any proposed changes in my residence, employment or program status with my Parole Officer. I understand that I have an immediate and continuing duty to notify my Parole Officer of any changes in my residence, employment or program status when circumstances beyond my control make prior discussion impossible.
  5. I will reply promptly, fully, and truthfully to any inquiry of, or communication by, my Parole Officer or other representative of the Division of Parole.
  6. I will notify my Parole Officer immediately any time I am in contact with, or arrested by, any law enforcement agency. I understand that I have a continuing duty to notify my Parole Officer of such contact or arrest.
  7. I will not be in the company of, or fraternize with any person I know to have a criminal record or whom I know to have been adjudicated a Youthful Offender, except for accidental encounters in public places, work, school, or in any other instance with the permission of my Parole Officer.
  8. I will not behave in such manner as to violate the provisions of any law to which I am subject, which provide for a penalty of imprisonment, nor will my behavior threaten the safety or well-being of myself or others.
  9. I will not own, possess, or purchase any shotgun, rifle, or firearm of any type without the written permission of my Parole Officer. I will not own, possess, or purchase any deadly weapon as defined in the Penal Law or any dangerous knife, dirk, razor, stiletto, or imitation pistol. In addition, I will not own, possess or purchase any instrument readily capable of causing physical injury without a satisfactory explanation for ownership, possession or purchase.
  10. In the event that I leave the jurisdiction of the State of New York, I hereby waive my right to resist extradition to the State of New York from any state in the Union and from any territory or country outside the United States. This waiver shall be in full force and effect until I am discharged from Parole or Conditional Release. I fully understand that I have the right under the Constitution of the United States and under law to contest any effort to extradite me from another state and return me to New York, and I freely and knowingly waive this right as a condition of my Parole or Conditional Release.
  11. I will not use or possess any drug paraphernalia or use or possess any controlled substance without proper medical authorization.
  12. Special Conditions:
    I will seek, obtain and maintain employment and/or an academic/vocational program.
    I will submit to substance abuse testing as directed by the P.O.
    I will participate in a substance abuse treatment program as directed by the P.O.
    I will abide by a curfew established by the P.O.
    I will cooperate with a mental health evaluation referral, and follow-up treatment as directed by the P.O.
    I will not associate in any way or communicate by any means with (associates Mark Boyd and Jean Forestdal) without the permission of the P.O.
    I will cooperate with all medical referrals and treatment recommendations.
  13. I will fully comply with the instructions of my Parole Officer and obey such special additional written conditions as he or she, a member of the Board of Parole, or an authorized representative of the Division of Parole, may impose.
I hereby certify that I have read and that I understand the foregoing conditions of my release and that I have received a copy of this Certificate of Release.

Signed this   9th   day of  October  20 07
Releasee:  Mary Peltzer     Witness                            

3010PRS (12/00)
COPY TO INMATE