# NYMAQ 530.03 * BUREAU OF PRISONS COUNT SHEET

## PAGE 001

* NEW YORK MCC

QTRG EQ **** OCTG EQ ****

| COUNT AREA | CENSUS | O U T C O U N T S E C T I O N V OC |
| :--- | :--- | :--- |
| A F | F F F H M R S TR V OC |
| T N N S O S & A N I UO |
| T J Y Y S D N W S TU |
| Y E S P I D I N VERIFY COUNT AREA |

B-A 25 . . . . .

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# NYMAQ 530.03 * BUREAU OF PRISONS COUNT SHEET * 07-31-2019
# PAGE 001 * NEW YORK MCC * 21:35:22

## QTRG EQ **** OCTG EQ ****

| COUNT AREA | CENSUS | A | F | F | F | F | H | M | R | S | TR | V | OC | VERIFY | COUNT |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| | | T | N | N | N | S | O | S | & | A | N | I | UO | :--- | :--- |
| | | T | J | Y | Y | S | S | D | N | W | S | TU | :--- | :--- | :--- |
| | | Y | E | S | S | P | P | I | D | I | N | T | :--- | :--- | :--- |

## COUNT VERIFY

OFFICIAL PREPARING COUNT:
OFFICIAL TAKING COUNT:
COUNT CLEARED TIME:

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# METROPOLITAN CORRECTIONAL CENTER
NEW YORK, NY

## OFFICIAL OUT COUNT

DATE: 07-31-19

FROM:

(Staff Member Preparing Out Count)

COUNT TIME: 10:00 pm

LOCATION: Hosp

APPROVED: (Operations Lieutenant)

<table border="1"><tr><td></td><td>REG #</td><td>NAME</td><td>UNIT</td><td></td><td>REG #</td><td>NAME</td><td>UNIT</td></tr><tr><td>1.</td><td>85377-054</td><td>Weber</td><td>KS</td><td></td><td>13.</td><td></td><td></td></tr><tr><td>2.</td><td></td><td></td><td></td><td></td><td>14.</td><td></td><td></td></tr><tr><td>3.</td><td></td><td></td><td></td><td></td><td>15.</td><td></td><td></td></tr><tr><td>4.</td><td></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></td><td>17.</td><td></td><td></td></tr><tr><td>6.</td><td></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></td><td>19.</td><td></td><td></td></tr><tr><td>8.</td><td></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></td><td>21.</td><td></td><td></td></tr><tr><td>10.</td><td></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></td><td>23.</td><td></td><td></td></tr><tr><td>12.</td><td></td><td></td><td></td><td></td><td>24.</td><td></td><td></td></tr></table>



OUT-COUNT BY UNIT


<table border="1"><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><td></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><td></td></tr></table>

Total Out-Counted: ___

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.

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INMATE ROSTER

<table><thead><tr><th></th><th></th><th></th><th colspan="3">GROUP CODE:</th></tr><tr><th></th><th></th><th></th><th colspan="3">FACILITY: NYM</th></tr></thead><tbody><tr><td>PER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td></tr><tr><td>DATE</td><td></td><td></td><td>OCT DATE</td><td>QTR</td><td>WRK</td></tr><tr><td>BER</td><td></td><td></td><td>07-31-2019</td><td>K12-078L</td><td>SUICIDE OR UNASSG</td></tr></tbody></table>

TRANSACTION SUCCESSFULLY COMPLETED

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| NYMAQ | 530*05 | INMATE | ROSTER | * | 07-31-2019 |
| :---: | :---: | :---: | :---: | :---: | :---: |
| PAGE | 001 | OF | 001 | | 21:15:34 |
| CATEGORY: | OCT | | | GROUP CODE: |
| ASSIGNMENT: | HOSP | | | FACILITY: NYM |
| OPER | CATG | ASSIGNMENT | OPER | CATG | ASSIGNMENT |
| NUM | ASSIGNMENT | REG NO | NAME | OCT DATE | QTR | WRK |
| 0001 | HOSP | 85377-054 | WEBER | 07-31-2019 | K12-078L | SUICIDE OR UNASSG |

G0000

TRANSACTION SUCCESSFULLY COMPLETED

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