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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"
Fre e 103 t? 3. CY riet Name / 4 Diann it SPA T Ocr 7 5 Cu,' gy ts o Section I! - Prisoner Personal Data And Medlesi Information 6. Dale Of Birth lMolbaylYr) r 0 -- S -2 S. Medical Insurance Information Ay buitrawc comgany Same , ofo th.t.#1714 Section III - Medical Consent And Records
ed to you. 'Special Mair (mail from the President and Vice President of the U.S.. Attorneys. Members of the U.S. Congress. Embassies and Consulates. the V.S. Department of Justice (excluding the Bureau of Prisons but Including U.S. Attorneys)), other Federal Law enforcement officers. State Attorney General. Prosecuting Attorne
USMS Prisoner E i ge.cr ea rid/ ,Je Erni/ 3. Di (rid Name / 4. District , 40/1 Section II - Prisoner Personal Data And Medical Information 6. Dale Of Birth (Mornay/Yr) 8. Medical Insurance Infomution A) Insurance Qompany Name eA r eed - Mkt / 4 CAR.- 13) licy 111 thee, es Po ID5 /? -37 Medic cime
: Name "No information was found for the given criteria.— Others Involved: Name **No information was found for the given criteria.— Title Title U.S. Department of Justice Federal Bureau of Prisons Investigator: Date: 8/1/2019 5:06:24 AM CST Captain: Date: 8/2/2019 10:06:35 AM CST Associate Warden: Date: 8/2/2019
e (Last. Fite. 5714/ NJerrre 3. Oi3triet Name r f I4 District [2.USMS Prisoner Section It - Prisoner Personal Data And Medics! Information 6. Dale Of Birth IMo/DayrYr) 8. Medical Insurance Information A) Instira9ce comciany Name i U/Ofeid- , he -ALL ot si„ ry So. H .— 2211? 13g ) Policy tinstler
Entities connected to both Department of Justice and Dale Of Birth

Jeffrey Epstein
PERSON
United States
LOCATIONSouthern District
LOCATION
George W. Bush
PERSONFederal Bureau of Prisons
ORGANIZATION
the United States Government
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONPrisoner Services Division
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONR/S/ETH
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONUNT MGR
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONMedical Insurance Information
ORGANIZATIONCCM RMKS
ORGANIZATIONNYM MED DY ST
ORGANIZATIONRemov
PERSONJEFFREY NYM
PERSONControl as Removal
ORGANIZATION