EFTA00109734

# U.S. DEPARTMENT OF JUSTICE

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

**Name:** Last MUTIMURA
**First:** PARFAIT
**Middle:** NIYOMUGABO
**Weight:** 5'09'' **160**
**Hair:** BLACK
**Facility:** NYM

### AKAs: PARFAIT MUTIMURA NIYOMUGABO

**Race (Check)** B W A I
**Sex (Check)** M F
**Ethnic Origin (Check)** Hispanic or Other
**D.O.B.** 00
**SSN:**
**FBI:** INS; Other:

### CHARGES

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

**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**

| | | |
| :--- | :--- | :--- |
| N/A | | |

**Arraigned** Y N
**Sentenced** Y N
**Special Handling:** Y or N
**Remarks:**

**IN** IN IN IN IN

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

**OUT** OUT OUT OUT

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

**FOR BOP USE ONLY**

**Receiving Official (Name) Sign** Date/Time Release Official (Name) Date/Time
Print

**Sentry Load Date (Must Initial) Name Search completed by:**
[Optional Use] Staff Init.
ARB Code
ARB Policy
Create Cash Account
Deposit Cash
Detainers
Count
Clothing Bag #

**RIGHT THUMSPRINT**

Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For NMS All-in-Custody



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.

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