EFTA00109772



# U.S. DEPARTMENT OF JUSTICE

## PRISONER REMAND

**BP-5377.058**
**FEB 04**
**U.S. DEPARTMENT OF JUSTICE**

### ABSORBING SEFGER WILD COMPLEX AND RECRUITED DROWSING BAGS FROM ORIGIN TO COMMITTING ADDRESS

**Name:** Juste

**First:** ODE

**AXAEs:**

- Race (Check)
  B W A I
  M F
  Hispanic or Other

- CHARGES
  CHECK CATEGORY OF CHARACTERS(S): MATERIAL WITNESS
  MARRIAGE/VIEW
  TITLE: USC
  USC:
  Title: USC

- Date of Offense:
  Date of Arrest:
  Place of Arrest:

State of Birth
Country of Birth
Citizenship
Current Address

Height
Pt. In:
Weight
Hair
Eyes
Scars / Marks / Tattoos

Injuries / Medication

- Remaining Official (Name)
  Sign
  Print

- Removing Official (Name)
  Sign
  Print

- For BOP USE ONLY

Receiving Official (Name)
Sign
Print

Sending Date, Name Completed by:
Clearance/Separate Checked by:

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

**Optional USER**
(OPTIONAL USER)

**Staff Init.**
Staff Account

**Court**
Clothing Bag

Original-for IBM as Remanding/Removal receipt; Copy-for Control