# UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

# OFFICIAL OUT-COUNT FORM
Metropolitan Correctional Center
150 Park Row
New York, New York 10007

Date: 08-09-2019

Count Time: 4:00 pm

From: \underline{(Staff Member Supervising Inmates)}



Location: FNYS



<table border="1"><tr><td colspan="2">Approved:</td></tr><tr><td>pp</td><td>(Operations Lieutenant)</td></tr></table>



REG... LN...



FN...

QTR...

| 53358-054 | CLARK |

| :--- | :--- |

ROBERT

K11-056U

<table border="1"><tr><td>B-A</td><td>C-A</td><td>E-N</td><td>E-S</td><td>G-N</td><td>G-S</td></tr><tr><td>H-A</td><td>I-N</td><td>K-N</td><td>K-S</td><td>1</td><td>R-A</td><td>Z-A</td><td>Z-B</td></tr></table>

Total Out-Counted: 1

This Form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR To The affected count. Prepare this form in ink. Group the inmates according to their respective housing units. This is to be used only as an Out Count.

EFTA00109152

# METROPOLITAN CORRECTIONAL CENTER
NEW YORK, NY

## OFFICIAL OUT COUNT

DATE: 8.9.19

FROM: (Staff Member Preparing Out Count)

COUNT TIME: 4.00pm

APPROVED: (Operations Lieutenant)

LOCATION: AHy

<table border="1"><tr><td></td><td>REG #</td><td>NAME</td><td>UNIT</td><td>REG #</td><td>NAME</td><td>UNIT</td></tr><tr><td>1.</td><td>76318-054</td><td>Epstein</td><td>ZA</td><td>13.</td><td></td><td></td></tr><tr><td>2.</td><td>91126-053</td><td>Araujo</td><td>IN</td><td>14.</td><td></td><td></td></tr><tr><td>3.</td><td>19735-104</td><td>Mones-corco G.S</td><td></td><td>15.</td><td></td><td></td></tr><tr><td>4.</td><td></td><td></td><td></td><td>16.</td><td></td><td></td></tr><tr><td>5.</td><td></td><td></td><td></td><td>17.</td><td></td><td></td></tr><tr><td>6.</td><td></td><td></td><td></td><td>18.</td><td></td><td></td></tr><tr><td>7.</td><td></td><td></td><td></td><td>19.</td><td></td><td></td></tr><tr><td>8.</td><td></td><td></td><td></td><td>20.</td><td></td><td></td></tr><tr><td>9.</td><td></td><td></td><td></td><td>21.</td><td></td><td></td></tr><tr><td>10.</td><td></td><td></td><td></td><td>22.</td><td></td><td></td></tr><tr><td>11.</td><td></td><td></td><td></td><td>23.</td><td></td><td></td></tr><tr><td>12.</td><td></td><td></td><td></td><td>24.</td><td></td><td></td></tr></table>

<table border="1"><tr><td colspan="12">OUT-COUNT BY UNIT</td></tr><tr><td>B-A</td><td></td><td>C-A</td><td></td><td>E-N</td><td></td><td>E-S</td><td></td><td>G-N</td><td></td><td>G-S</td><td>H-A</td></tr><tr><td>I-N</td><td></td><td>K-N</td><td></td><td>K-S</td><td></td><td>R-A</td><td></td><td>Z-A</td><td></td><td>Z-B</td><td></td></tr></table>

This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affected count Prepare this form in ink. Group the inmates according to their respective housing units: This form is to be used only as an Out-Count. No other form will be accepted in lieu of the Out-Count Form.

EFTA00109153

<table><thead><tr><th>NYMH3</th><th>530*05</th><th>$\cdot$</th><th colspan="4">INMATE ROSTER</th><th>$\cdot$</th><th>08-09-2019</th></tr></thead><tbody><tr><td colspan="10">PAGE 001 OF 001</td></tr><tr><td></td><td></td><td colspan="4">CATEGORY: OCT</td><td colspan="4">GROUP CODE:</td></tr><tr><td></td><td></td><td colspan="4">ASSIGNMENT: HOSP</td><td colspan="4">FACILITY: NYM</td></tr><tr><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td></td></tr></tbody></table>

G0000

TRANSACTION SUCCESSFULLY COMPLETED