EFTA00109640¶
PRISONER REMAND¶
U. S. DEPARTMENT OF JUSTICE¶
| ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs. | |
| Name: Last | First |
| Last Name | |||
|---|---|---|---|
| DIAZ-MORALEZ | |||
| First Name | |||
| VICTOR | |||
| Middle Name | Suffix | ||
| H | |||
| Ht. | 5' 6" | Wt. | 210 |
| Hv. | RED | Ey. | BRO |
REG# 76156-054 NYM¶
76156-054 DIAZ-MORALEZ¶
| Race(Check) _B_W_A_I | Sex(Check) _M_F | Ethnic Origin(Check) _Hispanic or_Other | D.O.B. | SSN: | FBI: INS: Other: |
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 | |
| Arraigned __Y __N | Sentenced __Y __N | Special Handling: __Y or __N Remarks: |
|---|
| IN | IN | IN | IN |
| Remanding Official(Name)SignPrint | Agency/District | Phone/24 Hour Number | |
| Removing Official(Name) Sign | Agency/District | Phone/24 Hour Number |
FOR BOP USE ONLY¶
| Receiving Official(Name) Sign | Date / Time | Releasing Official(Name) Sign | Date / Time |
| 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¶