EFTA00120661

MENT OF JUSTICE

U.S.

JUREAU OF PRISONS

FEDER REMAND FORM

63

# ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDC.

| Register Number | 76122-054 |
| :--- | :--- |
| Last Name: Sanchez | First: Francisco | Middle: |
| ALIASES: | | |
| Race (Circle) B/A I | Sex (Circle) F | Ethnic Origin (Circle) Hispanic or Other | DOB | SSN: | FBI: INS: Other: |
| CHARGES: NARRATIVE: | 6/19/86 | 119-70-0507 |
| Title: USC: 3606 Probation Violation |
| Title: USC: ___ |

**State of Birth**
Country of Birth US
Citizenship US
Current Address 79.05 147 st. Flushing, N.Y.
Zip Code 11367

**Height**
Ft: In: 5'9
Weight 200
Hair Blk
Eyes Brown
Scars / Marks / Tattoos ___

**Injuries / Medication**
___
Emergency Contact: (Name, Address, Phone Number 347-822-4634)

**Arraigned Y/N**
Sentenced Y
Special Handling: Y or Remarks: ___

**IN**
IN
IN
IN

**Remanding Official Sign**
Print USMS EASTERN/CELL STOCK
Agency/District USMS/EASTERN
Phone/24 Hour Number 718-260-0450

**OUT**
OUT
OUT
OUT

**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 Print**

**Sentry Load Data:** (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by:

**OPTIONAL USE:** ARS Code Staff I.N.
Create Cash Account
Deposit Cash Amt.
Detainers Court
Clothing Bag #

**RIGHT THUMBPRINT**