EFTA00109338 # METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY # OFFICIAL OUT COUNT DATE: 8/7/19 COUNT TIME: 10:00pm FROM: (Saff Member Preparing Out Count) APPROVED: (Operations Lieutenant) LOCATION: Hosp OUT-COUNT BY UNIT
B-AC-AE-NE-SG-NG-SH-A
I-NK-NK-SR-AZ-AZ-B
Total Out-Counted: $ \textcircled{1} $ One 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. EFTA00109339 | NYMAQ | 530*05 * | INMATE ROSTER | * | 08-07-2019 | | :---: | :---: | :---: | :---: | :---: | | PAGE | 001 OF 001 | | | 21:23:49 | | 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 | 89673-053 | MERSEY | 08-07-2019 | E12-592U | FS PM | | | | | | | SUICIDE OR | G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00109340