Blank MCC New York official out count form, August 10, 2019

EFTA00119805¶

METROPOLITAN CORRECTIONAL CENTER¶

NEW YORK, NY¶

OFFICIAL OUT COUNT¶

DATE: 8/10/2019¶

FROM:¶

(Staff Member Preparing Out Count)¶

COUNT TIME: $ B^{\circ} A H $¶

LOCATION: HOSP¶

APPROVED: ___¶

	REG #	NAME	UNIT
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.

11. ---

B-A

C-A

E-N

E-S

G-N

G-S

H-A

I-N

K-N

K-S

R-A

Z-A

Z-B

Total Out-Counted:

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.¶

EFTA00119806¶