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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"
Member SOUTHERN TRUST COMPANY JEFFREY EPSTEIN Payer ID 87726 Office $20 ER 1200 Urgeare STS Spec 130 OPIUM - Rx Bin. 610279 Rx PCN- 9999 Rx Grp UHC UnitedHealthcare Choice Plus Underwaen by Unileallealthcave Entrance COMPanY 1-800-MEDICARE (1-800-633-4227) NAME OF BENEFICIARY JEFFREY E EPSTE
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/
mber JEFFREY EPSTEIN 011a $20 ER $200 Wire $75 Spec $30 Group Number. 272605 SOUTHERN TRUST COMPANY Payer ID 87726 Ram 610279 Re PCN 9999 Rx Grp UHC UrilledHonilliame Choice Phis lirdsidiseledUelleadolftemeldeetenc•Coadedi MEDICARE HEALTH INSURANCE Namdleombee JEFFREY E EPSTEIN Medxerr Numbe
heir. investigation. Date Signature Witness EFTA01699596 This is to certify that on at Special Agents of the Federal Bureau of Investieation. U. S. Department of Justice. conducted a search of I certify that nothing was removed from my custody by Special Agents of the Federal Bureau of Investigation, U. S. Departme
roup Number: Member. SOUTHERN TRUST COMP, JEFFREY EPSTEIN Office: 520 ER: $200 Urgeare $75 Spec: $30 Payer IL) Rx Bin: 610279 Rx PcN: 9999 Rx Grp UHC UnitedHealthcare Choice Plus thAawntbin by UnCecHealthcare Jr ounce Cancans 1-800-MEDICARE (1-800-633-4227) V ME CF BENEFICIARY JEFFREY E EPSTE
Entities connected to both Department of Justice and Rx Grp UHC

Jeffrey Epstein
PERSON
United States
LOCATIONFBI
ORGANIZATION
New York City
LOCATION
Puerto Rico
LOCATION
San Juan
LOCATIONOPTIONAL
ORGANIZATIONU.S. Customs
ORGANIZATIONPrisoner Services Division
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONArrest Warrant
PERSONCopy of Complaint
ORGANIZATIONUSMS 312
ORGANIZATIONAttache
ORGANIZATIONHot Springs
LOCATIONUnited Slates Marshals Service
ORGANIZATIONArrestee
ORGANIZATIONSolamente de su
PERSONMAPFRE
ORGANIZATIONMedlcare.gov
ORGANIZATION