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 |
| ALIASES: | |
| Race (Circle) B/A I | Sex (Circle) F |
| CHARGES: NARRATIVE: | 6/19/86 |
| 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¶