EFTA00109640

PRISONER REMAND

U. S. DEPARTMENT OF JUSTICE

<table border="1"><tr><td colspan="2">ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.</td></tr><tr><td>Name: Last</td><td>First</td></tr></table>

<table><thead><tr><th>Last Name</th><th></th><th></th></tr></thead><tbody><tr><td colspan="3">DIAZ-MORALEZ</td></tr><tr><td colspan="3">First Name</td></tr><tr><td colspan="3">VICTOR</td></tr><tr><td>Middle Name</td><td></td><td>Suffix</td></tr><tr><td>H</td><td></td><td></td></tr><tr><td>Ht.</td><td>5' 6"</td><td>Wt.</td><td>210</td></tr><tr><td>Hv.</td><td>RED</td><td>Ey.</td><td>BRO</td></tr></tbody></table>



REG# 76156-054 NYM







76156-054 DIAZ-MORALEZ



<table border="1"><tr><td>Race(Check)
_B_W_A_I</td><td>Sex(Check)
_M_F</td><td>Ethnic Origin(Check)
_Hispanic or_Other</td><td>D.O.B.</td><td>SSN:</td><td>FBI:
INS:
Other:</td></tr></table>

Title: ___ USC:___

Date of Offense:___ Date of Arrest:___ Place of Arrest:___

<table border="1"><tr><td>State of Birth</td><td colspan="2">Country of Birth</td><td>Citizenship</td><td>Current Address</td><td>Zip Code</td></tr><tr><td>Height
Ft: In:</td><td>Weight</td><td>Hair</td><td>Eyes</td><td colspan="2">Scars / Marks / Tattoos</td></tr></table>

<table><thead><tr><th>Arraigned __Y __N</th><th>Sentenced __Y __N</th><th>Special Handling: __Y or __N Remarks:</th></tr></thead></table>

<table border="1"><tr><td>IN</td><td>IN</td><td>IN</td><td>IN</td></tr><tr><td>Remanding Official(Name)SignPrint</td><td>Agency/District</td><td colspan="2">Phone/24 Hour Number</td></tr></table>

<table border="1"><tr><td>Removing Official(Name) Sign</td><td>Agency/District</td><td>Phone/24 Hour Number</td></tr><tr><td>Print</td><td></td><td></td></tr></table>

FOR BOP USE ONLY

<table border="1"><tr><td>Receiving Official(Name) Sign</td><td>Date / Time</td><td>Releasing Official(Name) Sign</td><td>Date / Time</td></tr><tr><td>Print</td><td></td><td>Print</td><td></td></tr></table>

<table border="1"><tr><td>Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by:</td><td>(OPTIONAL USE)
ARS Code___ Staff Init.___
Add AKA&#x27;s ___
Create Cash Account___
Deposit Cash___Amt.___
Detainers___
Court___
Clothing Bag #___</td><td>RIGHT THUMBPRINT</td></tr></table>

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