$$
\begin{array}{l} T N \\ 0. 2 2. 2 1 \end{array}
$$

<table><thead><tr><th rowspan="2">COUNT AREA</th><th rowspan="2">CENSUS</th><th colspan="14">BUREAU OF PRISONS COUNT SHEET</th></tr><tr><th>O U T C O U N T</th><th>S E C T I O N</th><th>R S T R V</th><th>O C U O N T</th><th>S E C T I O N</th><th>R S T R V</th><th>O C U O N T</th><th>S E C T I O N</th><th>R S T R V</th><th>O C U O N T</th><th>S E C T I O N</th><th>R S T R V</th><th>O C U O N T</th></tr></thead><tbody><tr><td>B-A</td><td>26</td><td>.



OFFICIAL PREPARING COUNT:

OFFICIAL TAKING COUNT:

COUNT CLEARED TIME: 5:03 pm



Good Verbal : 5:00 pm

EFTA00118748

<table><thead><tr><th>NYMH3</th><th>530*05</th><th>$\cdot$</th><th colspan="2">INMATE ROSTER</th><th>$\cdot$</th><th>08-09-2019</th></tr></thead><tbody><tr><td>PAGE</td><td>001 OF 001</td><td></td><td></td><td></td><td></td><td>15:39:36</td></tr><tr><td></td><td></td><td>CATEGORY:</td><td>OCT</td><td></td><td>GROUP CODE:</td><td></td></tr><tr><td></td><td></td><td>ASSIGNMENT:</td><td>FNYS</td><td></td><td>FACILITY:</td><td>NYM</td></tr><tr><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER CATG ASSIGNMENT</td></tr></tbody><thead><tr><th>NUM</th><th>ASSIGNMENT</th><th>REG NO</th><th>NAME</th><td></td><th>OCT DATE</th><th>QTR</th><th>WRK</th></tr></thead><tbody><tr><td>0001</td><td>FNYS</td><td>53358-054</td><td>CLARK</td><td></td><td>08-09-2019</td><td>K11-056U</td><td>UNASSG</td></tr></tbody></table>

G0000

TRANSACTION SUCCESSFULLY COMPLETED

EFTA00118749

# UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

# OFFICIAL OUT-COUNT FORM
Metropolitan Correctional Center
150 Park Row
New York, New York 10007

Date:

Count Time: 4:00 pm

From:



Location: FNYS



(Staff Member Supervising Inmates)

<table border="1"><tr><td colspan="2">Approved:</td></tr><tr><td>pp</td><td>(Operations Lieutenant)</td></tr></table>

| REG | LN |

| :--- | :--- |

FN...

53358-054

QTR...





K11-056U

<table border="1"><tr><td>B-A</td><td>C-A</td><td>E-N</td><td>E-S</td><td>G-N</td><td>G-S</td></tr><tr><td>H-A</td><td>I-N</td><td>K-N</td><td>K-S</td><td>1</td><td>R-A</td><td>Z-A</td><td>Z-B</td></tr></table>

Total Out-Counted: 1

This Form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR To The affected count. Prepare this form in ink. Group the inmates according to their respective housing units. This is to be used only as an Out Count.