EFTA00109626

Approved by: S11UA 8/5/19@833AM

# ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDC.

| Register Number | 97684-053 |
| :--- | :--- |
| Last Name: Kilgore | First: Julio |
| Middle: |
| Aliases: |
| Race (Circle) B O A I | Sex (Circle) OF | Ethnic Origin (Circle) Hispanic or Other | DOB | SSN: | FBI: INS: Other: |
| CHARGES NARRATIVE: Title: 18 USC: 3606 Title: ___ USC: ___ |

**State of Birth** NY
**Country of Birth** US
**Citizenship** US
**Current Address**
**Zip Code**

**Height** Fe: In: **Weight** 250 **Hair** 600 **Eyes** 600 **Scars / Marks / Tattoos**

**Injuries / Medication**
**Emergency Content:** [Name Address Phone Number]

**Arranged Y** Septenced N Special Handling: Y or N Remarks:

**IN** IN IN IN IN

**Remanding Official Sign**
Print USMS EASTERN/CELL BLOCK
Agency/District USMS/EASTERN
Phone/24 Hour Number 718-260-0450

**OUT** OUT OUT OUT

**Removing Official (Name) Sign**
Print
Agency/District Phone/24 Hour Number

## FOR BOP USE ONLY

*Receiving Official (Name) Date / Time Sign Print*

*Releasing Official (Name) Date / Time Sign Print*

*Senior Load Data: (Must Initial Name Search Completed by): Clearance/Complete Checked by:*
[OPTIONAL USE] Staff I.N.
ARS Code Add NARV
Create Cash Account Deposit Cash Detainees Court Clothing Bag #

EFTA00109627

U.S. Department of Justice
United States Marshals Service

Prisoner Remand or Order to Deliver and Receipt for United States Prisoners



TO:___ MDC BROOKLYN



Eastern District of New York

<font color="red">(Name & Title)</font>

THE FOLLOWING NAMED UNITED STATES PRISONER(S):

1 ANTNEY;JOHAN 90118-053

2 RAI GURSIMAR DEEP 91752-05

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DATE: 8/5/2019

are herewith remanded to your custody



are to be delivered to representative presenting and signing this order



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RECEIPT

THE ABOVE NAMED UNITED STATES PRISONER(S) WERE RECEIVED:

BY: ___

TITLE: CSO.

DISTRICT OR ORGAN. ADDRESS: 8152019



By: Deputy U.S. Marshal

Form USM-40

Rev. 07/15

(01/81 Version May Also Be Used)