EFTA00109639¶
| BP-S377.058 | PRISONER REMAND | CDFRM |
|---|---|---|
| FEB 04 |
U.S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.¶
| Name: Last Russo | First Robert |
| Race(Check) _B_W_A_I | Sex(Check) _M_F | Ethnic Origin(Ch _Hispanic or_C |
| Last Name | ||
|---|---|---|
| RUSSO | ||
| First Name | ||
| ROBERT | ||
| Middle Name | Suffix | |
| ANDREW | ||
| Height | Weight | |
| 5'11'' | 185 | |
| Hair | Eye | |
| GRAY | BROWN | |
| Regno | Facility | |
| 77749-054 | NYM |
CHECK CATEGORY OF CHARGES(S): ___ FELONY ___ MISDEMEANOR ___ CIVIL CONTENT ___ MATERIAL WIINESS ___¶
OTHER¶
NARRATIVE: Title: ___ USC:___ NARRATIVE: Title: ___ USC:___¶
Date of Offense:___ Date of Arrest:___ Place of Arrest:___¶
| State of Birth | Country of Birth | Citizenship | Current Address | Zip Code | |
| Height Ft: In: | Weight | Hair | Eyes | Scars / Marks / Tattoos | |
| Injuries / Medication | Emergency Contact:(Name, Address, Phone Number) | ||||
| Arraigned ___Y___N | Sentenced ___Y___N | Special Handling: __Y or __N Remarks: |
| IN | IN | IN | IN |
| Remanding Official(Name) Sign Print | Agency/District FB0P | Phone/24 Hour Number 696-936-6460 | |
| OUT | OUT | OUT | OUT |
| Removing Official(Name) Sign Print | Agency/District FBHP | Phone/24 Hour Number 6968366400 | |
FOR BOP USE ONLY¶
| Receiving Official(Name) Sign | Date / Time | Releasing Official(Name) Sign | Date / Time |
| OS/OS/N |
| Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: | (OPTIONAL USE) ARS Code___ Staff Init.___ Add AKA's ___ Create Cash Account___ Deposit Cash ___ Amt. Detainers___ Court___ Clothing Bag #___ | RIGHT THUMBPRINT |
Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody.¶
(This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91¶