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'I ? L 4 ! ! ! EFTA00040029 llSr.1-285 is'a 5-part form. Fill nut the form and print 5 cupies. Sign as needed and route as specified below. U.S. Department of Justice Linked States Marshals Service PLAINTIFF UNITED STATES OF AMERICA ROCESS RECEIPT AND RETURN "Instructions for &Mee ofProcess by U.S. Mansital"
nlY 141. SNI•i ll 2 (Personal )(isn't). of lkfendant) ‘ledical clearance Ilium licensed physician). it necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed O Copy Of Uletainens). if issued O Copy of Writ. if applicable K Correctional facility discharge papas.
U.S Department of Justice United States Marshals Service FEDERAL PRISONER'S PROPERTY RECEIPT (Inanacitons on Reverse) ITEMS RECEIVED: NO PROPERTY NO PROPERTY NO PROPERTY
fficer Only is cusm-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. ircompleted 0 Copy of Deuiner(s). if issued O Copy of Writ. if applicable K Correctional facility discharge papers.
U.S. Department of Justice FEDERAL. PRISONER'S PROPERTY RECEIPT United States Marshals Service (nningigalt on severe) ITEMS RECEIVED: NO PROPERTY NO PROPERTY NO PROPERTY
g (Wirer Only *USM-3I2 (Personal History of Defendant) Medical clearance (from licensed physician). if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed C3 Copy of Deminerts I. if issued O Copy of Writ. if applicable O Correctional facility discharge papers
U.S Department of Justice United States Marshals Service FEDERAL PRISONER'S PROPERTY RECEIPT (Inanacitons on Reverse) ITEMS RECEIVED: NO PROPERTY NO PROPERTY NO PROPERTY
fficer Only 1Sc 1.1SM-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Woman. if issued Copy of Complaint. Information. or Indictment. if completed K Copy of Detainer(s). if issued El Copy of Writ, if applicable D Correctional facility discharge papers
ss: Witness: Time: to: 11pm FD-395 (Revised 11-05-2002) Page 1 of. 1 FEDERAL BUREAU OF INVESTIGATION EFTA00257769 LAW ENFORCEMENT SENSITIVE U.S. Department of Justice United Slates Marshals Service Personal History of Defendant Taken ' to Federal custody by the following: Street Arrest (not from a correctional/
cer Only 4 USM-312 (Personal History of Defendant) Medical clearance (from licensed physician). ii'necessaly ip 'opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment, if completed O Copy of Detainer(s). if issued O Copy of Writ. if applicable O Correctional facility discharge papers.
U.S: Department of Justice United States Marshals Service FEDERAL PRISONER'S PROPERTY RECEIPT (herngiloat on Revere) ITEMS RECEIVED: NO PROPERTY NO PROPERTY NO PROPERTY NO-
Officer Only 'USM-3 I 2 (Personal History of Defendant) edical clearance (from licensed physician). if necessary opy of Arrest Warranl if issued Copy of Complaint. Information. or Indictment. if compkted O Copy of Detainer(s). if issued K Copy of Writ. if applicable • Correctional facility discharge papers.
Entities connected to both Department of Justice and Copy of Complaint

Jeffrey Epstein
PERSON
United States
LOCATIONSouthern District
LOCATIONFBI
ORGANIZATION
Puerto Rico
LOCATION
San Juan
LOCATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONPrisoner Services Division
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONArrest Warrant
PERSONMarshals Service
ORGANIZATIONUSMS 312
ORGANIZATIONBooking Package
ORGANIZATIONAttache
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONK Assault
ORGANIZATIONK Correctional
ORGANIZATIONPrisoner Medical Records Release Form
ORGANIZATION