EFTA00109677

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.

<table border="1"><tr><td>Name: Last Scales</td><td>First Sydney</td></tr></table>

<table border="1"><tr><td>Race(Check)
B W A I</td><td>Sex(Check)
M F</td><td>Ethnic Origin
Hispanic or</td></tr></table>

<table><thead><tr><th>Last Name</th><td></td></tr></thead><tbody><tr><td>SCALES</td><td></td></tr><tr><td>First Name</td><td></td></tr><tr><td>SYDNEY</td><td></td></tr><tr><td>Middle Name</td><td>Suffix</td></tr><tr><td>Ht. 5' 7"</td><td>Wt. 217</td></tr><tr><td>Ht. BLK</td><td>Ey. BRO</td></tr><tr><td colspan="2">REG# 53413-083 NYM</td></tr></tbody></table>





53413-083 GCALEB


CHECK CATEGORY OF CHARGES(S):

___ FELONY ___ MISDEMEANOR ___ TITLE CONTENT ___ MATERIAL WIINESS

NARRATIVE: TAKE OUT

Title: ___ USC:___ I ST. ANDREWS PE ANN 1000

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><tr><td colspan="4">Injuries / Medication</td><td colspan="2">Emergency Contact:(Name;Address,Phone Number)</td></tr></table>

<table border="1"><tr><td>Arraigned
_Y_N</td><td>Sentenced
_Y_N</td><td>Special Handling: _Y or _N
Remarks:</td></tr></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>OUT</td><td>OUT</td><td>OUT</td><td>OUT</td></tr><tr><td colspan="2">Removing Official(Name)
Sign
Print</td><td>Agency/District</td><td>Phone/24 Hour Number</td></tr></table>

FOR BOP USE ONLY

<table border="1"><tr><td colspan="2">Receiving Official(Name) Date/Time
Sign
Print</td><td colspan="2">Releasing Official(Name) Date/Time
Sign
Print</td></tr><tr><td>Sentry Load Data:(Must Initial)
Name Search Completed by:
Clearance/Separate Checked by:</td><td colspan="2">(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

EFTA00109678

| | |
| :--- | :--- |
| BP-S377.058 | |
| FEB 04 | |

U.S. DEPARTMENT OF JUSTICE

PRISONS

ARRESTING OFFICER WILL COMPLETE ALL REPORTS ON THIS POWER PROR TO COMMITTING MOC/NDC:

Name: Last First

AKAs:

Race (Check) B W A I Sex (Check) M F Ethnic Hispa

CHARGES CHECK CATEGORY OF CHARGES(S):
FELLOW MISDEMEANOR

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 Pt. In: Weight Half 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 Phone/24 Hour Number

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 Print

Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by:

(OPTIONAL USE)
ARS Code Staff Init.
Add ARS 2 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 (Immate); Copy-IMS-Alien in Custody.