EFTA00109732

830

Last Name

BP-A0377

APR 10

PRISONER

U. S. DEPARTMENT OF JUSTICE



ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.

Name: Last
MUTIMURA
PARFAIT
NIYOMUGABO

AKAs: PARFAIT MUTIMURA NIYOMUNABO

Race (Check)
B _ W _ A _ I
Sex (Check)
M _ F
Ethnic Origin (Check)
Hispanic or Other
D.O.B.
SSN:
FBI:
INS:
Other:

CHARGES
CHECK CATEGORY OF CHARGES(S):
___ FELONY ___ MISDEMEANOR ___ CIVIL CONTEMPT ___ MATERIAL WITNESS
OTHER

NARRATIVE:
Title: 10 USC: 1343 Wire Found
NARRATIVE:
Title: 10 USC: 1344 Bank Found

Date of Offense: 08/09/2018 Date of Arrest: 08/09/2018 Place of Arrest: JFK Arpt, Term. 4

State of Birth
Country of Birth Rwanda
Citizenship United States
Current Address
Zip Code

Height
FT:5 In:9
Weight 160
Hair Black
Eyes Brown
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 IN

Remanding Official (Name) Sign Print
Agency/District FB1
Phone/24 Hour Number (646)

OUT OUT OUT OUT

Removing Official (Name) Sign Print
Agency/District FB1
Phone/24 Hour Number (646)

FOR BOP USE ONLY

Receiving Official (Name) Sign Print
Date / Time Releasing Official (Name) Date / Time
08/09/19 Print

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

(OPTIONAL RESP) ARS Code Staff Init.
Add ARA'
Create Cash Account Deposit Cash Amt.
Detainers Court Clothing Bag #

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.

PDF