EFTA00109757¶
U.S. DEPARTMENT OF JUSTICE¶
ARRESTING OFFICER WILD CHRISTIE AND REGISTERED MACC/MOOR¶
Name: Last First Middle¶
AKAAS:¶
Race (Check) Sex (Check) Ethnic Origin (Check) D.O.B. SSN: B W A I M F Hispanic or Other¶
CHANGES CHECK CATEGORY OF CHARACTERS: PELZYMANOR CIVIL CONTEMPLATION MATERIAL WITNESS OTHER¶
NARRATIVE: TIU USC: NARRATIVE: TIU USC: Title: USC:¶
Date of Offense: 02/18/2014 Place of Arrest:¶
State of Birth Country of Birth Citizenship Current-Address 1.5. U.S.¶
Height Ft: 6.00 Hair: 190 Eyes: 60¶
Scars / Marks / Tattoos¶
Injuries / Medication¶
Emergency Contact: (Name, Address, Phone)¶
Arraigned Y N Sentenced Y N Special Handling: Y or Remarks:¶
IN IN IN¶
Remanding Official (Name) Sign Agency/District Phone/24 Hour Number Print¶
OUT OUT OUT¶
Removing Official (Name) Sign Agency/District Phone/24 Hour Number Print¶
FOR BOP USE ONLY¶
Receiving Official (Name) Sign Date, Time Releasing Official (Name) Sign Date / Time Print¶
Sentry Load Date (Most Initial) Name Search Completed by: Clearing/Separation Checked by:¶
OPTIONAL JURY ARS Code: Staff Init. Add AKA: Cash Account Deposit Cash Amt. Count Clothing Bag #¶
RIGHT THOMBPAINT¶
Original-for ISN as Remanding-Removal receipt; Copy-For Control as Removal Receipt (NIC); Copy-For Removing Official; Copy-For Control as Remanding Receipt (Immate); Copy-INS Allen in Custody.¶
This form may be replicated via WP.)¶
EFTA00109758¶
J.S. DEPARTMENT OF JUSTICE¶
ARGUMENTS AFTERGERY WILL CONVERGE ALL RACQUETED DATA ON THIS FORM BEFORE TO COMMITTING TO MOVEMENT.¶
Name: Last First Middle¶
AKAa:¶
Race (Check) Sex (Check) Ethnic Origin (Check) D.O.B. SSN: B W A I M F Hispanic or Other FBI: INS: Owner:¶
CHANGES CHECK GASCON OF CHARGES(S): MISDMEANOR MATERIAL WITNESS OTHER NARRATIVE: TITLE: USC: Title: USC: Title: Date of Offense: Date of Arrest: Place of Arrest:¶
State of Birth Country of Birth Citizenship Current Address Zip Code¶
Height Ft: Weight Hair Eyes Scars / Marks / Tattoos¶
Injuries / Medication¶
Emergency Contact:(Name, Address, Phone Number)¶
Arraigned y N Sentenced y N Special Handling: Y or N¶
Date of Offense: Date of Arrest:¶
IN IN IN IN Remanding Official (Name) Agency/District Phone/24 Hour Number Print¶
OUT OUT OUT Removing Official (Name) Agency/District Phone/24 Hour Number Print¶
FOR BOP USE ONLY¶
Receiving Official (Name) Date / Time Releasing Official (Name) Date / Time Sign Print¶
Print¶
Sentry Load Data (Must Initial) Name Search Completed by: Staff Init. Clearance/Report Checked by: Create Cash Account. Deposit Cash. Court Clothing Bag¶
(OPTIONAL REQ) ASS Code Amt. Creation Cash Account Deposit Cash Court Clothing Bag¶
RIGHT THUMBRINT¶
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-INS-Allen in Custody.¶
This form may be replicated via WP) BP-377(58) of JUL 91¶
Date / Time¶