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:¶
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Race (Check) B W A I M F Hispanic or Other
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CHARGES CHECK CATEGORY OF CHARACTERS(S): MATERIAL WITNESS MARRIAGE/VIEW TITLE: USC USC: Title: USC
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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¶
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Remaining Official (Name) Sign Print
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Removing Official (Name) Sign Print
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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¶