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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
leted and insened into prisoner's Me K US&I.3 I2 (Personal History of Defendant) - rerietted. .signs) and dared by intake Ill Stl Dtd) K USM-552 (Prisoner Medical Records Release Form). totropicted. sfgocrturaidared by /musty DI St/ DM K USM•Ill (Federal Prisoner Property Receipt) - completed. signed and dated by intake IN St1
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
eted and inserted into prisoner's file K US&I.3 I? (Personal History of Defendant) - revietied. signed and dined by intake IM S II UM) K USM-552 (Prisoner Medical Records Release Form) - cotripicred. signed and dosed by haat IN 511 .01.0 K USM•l8 (Federal Prisoner Property Receipt) - completed. signed and dated by intake Dl '511
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/
completed and inserted into prisoner's file O LiSM-3 L2 (Personal History of Defendant) - reviewed signed undiluted by intake Dl IVO K USM-552 (Prisoner Medical Records Release Form) - completed signed and doted by intake DI S.11 DEO O USM- I 8 (Federal Prisoner Property Receipt) - completed signed and doted by intake Ol'SAl UF
Entities connected to both Department of Justice and Prisoner Medical Records Release Form

Jeffrey Epstein
PERSONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONPrisoner Services Division
ORGANIZATIONMarshals Service
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONArrest Warrant
PERSONCopy of Complaint
ORGANIZATIONBooking Package
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONK USM-552
ORGANIZATIONInanacitons
ORGANIZATIONRev CBS
PERSONPrisoner Remand
PERSON