EFTA00120663

FEB 04

U. S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

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

| Name: Last | SANTANA | First | JOSE | Register Number | 77575-054 | PICTURE |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| AKAs: COLON JONATHAN | | | | Middle | | |

**Race (Check)**
B W A I
Sex (Check)
M F
Ethnic Origin (Check)
Hispanic or Other
D.O.B.
8109176
SSN:
81466-8488
FBI: 851005V46
INS: Other:

**CHARGES**
CHECK CATEGORY OF CHARGES(S):
- FELONY
- MISDEMEANOR
- CIVIL CONTEMPT
- MATERIAL WITNESS

**OTHER**
NARRATIVE:
Title: USC:3653 VOSR
NARRATIVE:
Title: USC:

Date of Offense: Date of Arrest: Place of Arrest: River's Island

State of Birth
NY
Country of Birth
US
Citizenship
US
Current Address: 4913520518 St Oct 114
Zip Code: 104603

Height FT: In:07
Weight 185
Hair BLK
Eyes BBLK
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 |
| :--- | :--- | :--- | :--- |
| Remanding Official (Name) Sign Print | | Agency/District USms/SDNY | Phone/24 Hour Number 212-331-7200 |
| OUT | OUT | OUT | OUT |
| Removing Official (Name) Sign Print | Agency/District | Phone/24 Hour Number |

## FOR BOP USE ONLY

Receiving Official (Name) Date / Time Releasing Official (Name) Date / Time Sign Print

Sentry Load Data: (Must Initial) Name Search Completed by: Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag #

(OPTIONAL USE): Staff Init. 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