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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"
etter from a healthcare professional? Circle: YES ARRESTEE PROCESSING CHECKLIST 11 ave you completed any and all USMS paperwork. To include: USMS 312 (Please 1W oat all (onus as completely as possible) Attache' a photo of arres:ce to paperwork. A AGENCY: CONTACT II WHILE IN THIS BUILDING: NO
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
ment)? Explain: Do you. as the arresting agent, i professional? Circle: YES biased It ve you completed any and all USMS paperwork. To include: USMS 312 (Please fill out all forms as completely as possible) Attache' a photo of arres:re to paperwork. 3. Fingerprint cards si forUSMSfik /Filled out a
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
I, ire you completed any sad all USMS paperwork. vz .fia completely ,2'... To lochs Attaches a photo of arres:ce to paperwott. possi include:USMS 312 (Please fig oat 4 forms a etely Si V 3. Fingerprint cards • I for USMS file • I for the FBI for FPC classification 4. Filled out and attached th
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-
tment)? Explain: Do you, as the em:stmg agent, i professional? Circle: YES IIt m e you completed any and all USMS paperwork. naiad To include: USMS 312 (Please fill out all Terms as completely as possible) Attache(' a photo of arres:ce to paperwork. V 3. Fingerprint cards • I for USMS file °I f
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
e professional? Circle: YES NO (Please attach) yy ARRESTEE PROCESSING CHECKLIST • ave you completed any and all USMS paperwork. To include: USMS 312 (Please fill out all forms as completely ss possible) Attache(' a photo of arres:ce to paperwork. V 3. Fingerprint cards °I for USMS file °I fo
Entities connected to both Department of Justice and USMS 312

Jeffrey Epstein
PERSON
United States
LOCATIONSouthern District
LOCATIONFBI
ORGANIZATION
New York City
LOCATION
Puerto Rico
LOCATION
San Juan
LOCATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONPrisoner Services Division
ORGANIZATIONU.S. Customs
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONMarshals Service
ORGANIZATIONCopy of Complaint
ORGANIZATIONArrest Warrant
PERSONAttache
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONBirth SSN
PERSONHot Springs
LOCATION