TN 6.22.21

<table><thead><tr><th rowspan="2">COUNT AREA</th><th rowspan="2">CENSUS</th><th colspan="15">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 TR V</th><th>&amp; A N I UO</th><th>D N W S TU</th><th>I D I N</th><th>V T</th><th>T</th><th>VERIFY</th><th>COUNT</th><th>COUNT</th><th>AREA</th></tr></thead><tbody><tr><td>B-A</td><td>26</td><td>.

OFFICIAL PREPARING COUNT:

OFFICIAL TAKING COUNT:

COUNT CLEARED TIME:

$$g \vert r 1 0 \frac {3 0}{P m} $$

EFTA00118759

<table><thead><tr><th colspan="2">NYMH3</th><th>530*05</th><th>$\cdot$</th><th colspan="4">INMATE ROSTER</th><th>$\cdot$</th><th>08-09-2019</th></tr><tr><th colspan="2">PAGE 001 OF 001</th><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td>21:27:58</td></tr></thead><tbody><tr><td></td><td></td><td colspan="2">CATEGORY: OCT</td><td></td><td></td><td colspan="4">GROUP CODE:</td></tr><tr><td></td><td></td><td colspan="2">ASSIGNMENT: HOSP</td><td></td><td></td><td colspan="4">FACILITY: NYM</td></tr><tr><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td>OPER</td><td>CATG</td><td>ASSIGNMENT</td><td></td></tr></tbody><thead><tr><th>NUM</th><th>ASSIGNMENT</th><th>REG NO</th><th>NAME</th><td></td><td></td><th>OCT DATE</th><th>QTR</th><th>WRK</th></tr></thead><tbody><tr><td>0001</td><td>HOSP</td><td>89673-053</td><td>MERSEY</td><td></td><td></td><td>08-09-2019</td><td>E12-592U</td><td>FS PM<br>SUICIDE OR<br>UNASSG</td></tr><tr><td>0002</td><td></td><td>86272-054</td><td>MONTAS</td><td></td><td></td><td>08-09-2019</td><td>K06-148U</td><td>SUICIDE OR<br>UNASSG</td></tr><tr><td>0003</td><td></td><td>91349-053</td><td>NOBOA</td><td></td><td></td><td>08-09-2019</td><td>K07-009L</td><td>FS AM<br>SUICIDE OR<br>UNASSG</td></tr><tr><td>0004</td><td></td><td>85377-054</td><td>WEBER</td><td></td><td></td><td>08-09-2019</td><td>K12-078L</td><td>SUICIDE OR<br>UNASSG</td></tr></tbody></table>

G0000

TRANSACTION SUCCESSFULLY COMPLETED

EFTA00118760

# METROPOLITAN CORRECTIONAL CENTER
NEW YORK, NY

OFFICIAL OUT COUNT

COUNT TIME: 1000 pm

LOCATION: Hosp

<table border="1"><tr><td></td><td>REG #</td><td>NAME</td><td>UNIT</td></tr><tr><td>13.</td><td></td><td></td><td></td></tr><tr><td>14.</td><td></td><td></td><td></td></tr><tr><td>15.</td><td></td><td></td><td></td></tr><tr><td>16.</td><td></td><td></td><td></td></tr><tr><td>17.</td><td></td><td></td><td></td></tr><tr><td>18.</td><td></td><td></td><td></td></tr><tr><td>19.</td><td></td><td></td><td></td></tr><tr><td>20.</td><td></td><td></td><td></td></tr><tr><td>21.</td><td></td><td></td><td></td></tr><tr><td>22.</td><td></td><td></td><td></td></tr><tr><td>23.</td><td></td><td></td><td></td></tr><tr><td>24.</td><td></td><td></td><td></td></tr></table>

<table border="1"><tr><td>B-A</td><td></td><td>C-A</td><td></td><td>E-N</td><td></td><td>E-S</td><td>/</td><td>G-N</td><td></td><td>G-S</td><td></td><td>H-A</td><td></td></tr><tr><td>I-N</td><td></td><td>K-N</td><td>/</td><td>K-S</td><td>2</td><td>R-A</td><td></td><td>Z-A</td><td></td><td>Z-B</td><td></td><td></td><td></td></tr></table>

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 form is to be used only as an Out-Count. No other form will be accepted in lieu of the Out-Count Form.

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