EFTA00109652

U.S. Department of Justice
United States Marshals Service

PRISONER REMAND OR ORDER TO DELIVER AND RECEIPT FOR UNITED STATES PRISONERS

# UNITED STATES MARSHAL DISTRICT OF



TO: ___



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

## THE FOLLOWING NAMED UNITED STATES PRISONER(S):

DATE: ___



□ are herewith remanded to your custody



1 $ \overset{f}{\min} 0 = 1 $ $ \overset{f}{\max} 0 = 85737 $ $ \cos 1 $

2

are to be delivered to representative presenting and signing this order.



presenting and signing this order



3 ___

4 ___

5 ___

6 ___

## RECEIPT

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

BY: 313413

TITLE: ___

DISTRICT OR ORGAN. ADDRESS ___

United States Marshal

BY:

Deputy U.S. Marshal

Form USM-41

(REV. 11/83)

(PRIOR EDITIONS MAY BE USED)

EFTA00109653