EFTA00109683


Prepared on: 08/08/2019

Prisoner Remand or Order to Deliver

## PRISONER REMAND OR ORDER TO DELIVER

## AND RECEIPT FOR UNITED STATES PRISONERS (SHORT FORM)

<table border="1"><tr><td colspan="4">TO: MCC New York</td><td>DATE: 08/08/2019</td></tr><tr><td colspan="4">THE FOLLOWING NAMED UNITED STATES PRISONERS:</td><td>[X] are herewith remanded to your custody[ ] are to be delivered to representative presenting and signing this order</td></tr><tr><td>#</td><td>USMS NO.</td><td>Local Jail No.</td><td>Name</td><td></td></tr><tr><td>1</td><td>68430054</td><td></td><td>JAQUEZ, CARLOS</td><td></td></tr></table>

RECEIPT

THE ABOVE NAMED PRISONER(S) WERE RECEIVED:

TITLE:

DISTRICT OR ORGAN. ADDRESS:

12. 15 PM

UNITED STATES MARSHAL

BY: DEPUTY U.S. MARSHAL

Limited Official Use

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