PRISONER REMAND¶
U. S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCa.¶
| Name: Last | First | Middle | D.O.B. | SSN: | FBI: INS: Other: |
|---|
AKAs:¶
| Race (Check) | Sex (Check) | Ethnic Origin (Check) | D.O.B. | SSN: | FBI: INS: Other: |
|---|---|---|---|---|---|
| B _ W _ A _ I | M _ F | Hispanic or _ Other |
CHARGES¶
CHECK CATEGORY OF CHARGES(S):¶
- ___ FELONY ___
- ___ MISDEMEANOR ___
- ___ CIVIL CONTEMPT ___
- ___ MATERIAL WITNESS OTHER
NARRATIVE:¶
Title: ___ USC:__ NARRATIVE: Title: ___ USC:__¶
Date of Offense: Date of Arrest: Place of Arrest: ___¶
| State of Birth | Country of Birth | Citizenship | Current Address | Zip Code |
|---|---|---|---|---|
| Height Ft: In: | Weight Hair Eyes | Scars / Marks / Tattoos |
Injuries / Medication¶
Emergency Contact:(Name, Address, Phone Number)¶
Arraigned _ Y _ N Sentenced _ Y _ N Special Handling: _ Y or _ N Remarks:¶
| IN | IN | IN | IN | IN |
|---|---|---|---|---|
| Remanding Official (Name) Sign Print | Agency/District | Phone/24 Hour Number | ||
| OUT OUT OUT OUT OUT | Agency/District | Phone/24 Hour Number |
Removing Official (Name) Sign Print | Agency/District | Phone/24 Hour Number | |¶
FOR BOP USE ONLY¶
Receiving Official (Name) Date / Time Sign Print¶
Releasing Official (Name) Date / Time Sign Print¶
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Chocked by: ___¶
(OPTIONAL USE) ARS Code ___ Staff Init.___ And AKA Y ___ Create Cash Account ___ Deposit Cash ___ Amt.___ Detainers Court ___ Clothing Bag # ___¶
RIGHT THUMBPRINT¶
Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody.¶
(This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91¶
EFTA00120653¶
Prepared on: 07/31/2019¶
SOUTHERN NEW YORK District 54¶
Prisoner Remand or Order to Deliver¶
| PRISONER REMAND OR ORDER TO DELIVER AND RECEIPT FOR UNITED STATES PRISONERS(SHORT FORM) | ||||
| TO: | MCC New York | DATE: 07/31/2019 | ||
| THE FOLLOWING NAMED UNITED STATES PRISONERS: | [X] are herewith remanded to your custody[ ] are to be delivered to representative presenting and signing this order | |||
| # | USMS NO. | Local Jail No. | Name | |
| 1 | 76318054 | EPSTEIN, JEFFREY | ||
RECEIPT¶
THE ABOVE NAMED PRISONER(S) WERE RECEIVED:¶
BY:¶
TITLE: CSO.¶
DISTRICT OR ORGAN. ADDRESS:¶
UNITED STATES MARSHAL¶
BY: DEPUTY U.S. MARSHAL¶
Limited Official Use¶
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