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ation date) BM: P971011:1X Pa firm &kin , -3-cc- (e E Dentist S;gnature: ( 0-44 CA--Aith-- >DS' Number. f -7‘ 3 i T.• pct.\ InstttutIon: MCC NEW YORK Date: —7 - 2-61 -19. Signature Block/Stamp: C. Antrum DDS. PDF Proscrtbed by Peace Chlet en a cer MCC New YorIc Replaces ii1P-Aoela el JUN 10
hema on his left knee. ASensitive Limited Official Use Only= EFTA00049351 EFTA00049352 ‘• C 4 es.. NOT Or J,, rr i Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Lieutenant's Photo Sheet Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPST
equipment ,other. Exp. Date: AYTPREirgEffirelartlitrriTittailiiiTtiziailiiiiciliiitiU ; • Equipment Start Date End Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL tt: P113121313B1ED. WO 110 • Wir .r. s'ziff : :Xie<; . :fr ; • Cleared for Food Service: Yes X No Restrict
dental care: Treatment Priorities: None: Radiographs authorized: PAs: _____ _ BWs: _____ _ Panorex: ____ _ n Institution: 7b 3 j(( OS"'\ MCC NEWYORK l,1)\ D:. ____ ~ M:. _ _._I_~ CLT F: /Y Pain Scale: /10 Radiographs Taken: (Document findings on A&O encounter) Yes Non.urgent: non-urgen
, at around 7:37 a.m. Mr. Epstein had been found unresponsive in his cell in the Special Housing Unit at around 6:30 am from an apparent suicide at the Metropolitan Correctional Center (MCC) in New York, New York. Responding staff immediately initiated life-saving measures and requested emergency medical services (EMS), by whom Mr
other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A
red for the privilege with me. it will be neeemary for you to fill out the questionmare and release form below and return it to the !Mowing address: Metropolitan Correctional Canter 150 Park Row, New York, H.Y. 10007 Attn: Counselor ?nit 7 South lou are not required to supply the information requested. Flowerer. if yon do sot
location(s): 14. Driver's License No. and State of Issuance: Artregel arras TO =SP= 1,701.10l. ICU I hereby authorize release to the Warden of: The Metr000litan Correctional Center. N.Y any record of criminal offense for which I have beet arrested anciar coasted. and any information rested to those convict:as. ••FORNIS RETURNE
e Ixp Date' Exp Date. May have the following equipment in his I her possession: Equipment Star' fl 'e End Date Re:urn Date C-Pap 07- 1L2L, PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE SERIAL s. P1131281381ED Work Restriction / Limitation: Cleared for Food Service. Yes X No Restnctions Comments: N/A MD
s from examination date) BWs: Pancras: Patient Name:k I C O 3 — cich E. Dentist Si nature: 1:47S FictsfNuter 76 3 ISE- 051/41 Institution: MCC NEW YORK Date: 7- 26 -I 9. Signature Block/Stamp: DDS. PDF Prescribed by P64C* let Uental cer MCC New York Replaces BP-A0618 of JUN 10 EFTA00110437
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P1131281381ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
ths from examination date) BWs: Panonax: Ream Name:k o i c 3— cp.e. S Dentist ' • t>17_5' Ffti-st : fm?nbe, 76 3 ISE- 051/41 Institution: MCC NEW YORK Date: 7- 2.6 -/ 9. Signature BlockAtamp: DDS. PDF Prescribed by P64C* er Uentaiumcer MCC New York Replaces BP-A0618 of JUN 10 EFTA00140238
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P1131281381ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
te) Peent iitt7 S Name: -ea n i -3-e_Y-cl- w_ti E Dentist Signature: 0 ia.t.c o,...cLAtt.. 1>DS 7( z) Number. 3 ICC-, 0c- \ Institution: / MCC NEW YORK Date: 7_ 2 6 —I 9. Signature Block/Stamp: C. Ancrum DDS. PDF Presented by P6403 jet D iet DentalOfficer MCC New York Replaces RP-A0610 el .:1
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
lid 18 months from examinalion date) SW5: Panorex Pa t Name:, sh n, D —Ccici -Jty E Dentst : -1 7 ‘ 3 Isre Nutt.: I US-`} institution:/ MCC NEW YORK Date: 7- 24 9. Signature Block/Stamp: DDta PDF Ghlet uental r MCC New York Presorted by P640) Replaces SP-A0(IIS 01JUN 10 EFTA00059498 Bure
: _football _basketball _handball stationary equipment • falergiffinagra urS areigiga niiiiig •';' Equipment Start Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. O W m tali Cleared for Food Service: Yes X No Restrictions Comments: N/A 1rtatts:Iriart He
18 months from examination date) SW5: Panorex Pa t Name: . -376 . CR_y E Dental SI nature: DDS Nunber: 7(,, 3 I Sr- OS-L3/4 Institution: MCC NEW YORK Date: 7-* 26 -19. Signature Block/Stamp: PDF Prescribed by P6403 UMW IJ mai `Tracer MCC New York • Replaces 11P-A0818 of JUN 10 EFTA00132661
: _football _basketball _handball stationary equipment • falergiffinagra urS areigiga niiiiig •';' Equipment Start Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. O W m tali Cleared for Food Service: Yes X No Restrictions Comments: N/A 1rtatts:Iriart He
on(s) : 14. Driver's License No. and State of Issuance: A3/4”7:SORST.ATICat TO RELEASE 12CFOROSPiTION I hereby authorize release to the Warden of: The Metropolitan Correctional Center. N.Y any record of criminal offenses for which I have been arrested and or convicted. and any information related to those convictons. "FORMS RETUR
handball stationary e Asp. ent other: Exp. Date: May have the following equipment In his her possession: Equipment Star C-Pap 0rni. 2t, 3 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINF SERIAL #. P11312813B1ED. End Date Return Date Work Restriction! Limitation: Cleared for Food Service X No Restrictions
om examination date) I BY& Panorex Pap nt s Name: s-QO . 1 —3--e_c-R•fe_y E Den I I ...: 47Etergurnber: -7 4,3is: OS-1/41 Institution: / MCC NEW YORK Date: 7- zo. -I 9. B Stamp: PDF Prescribed by P6403 e7 Dental cer MCC New York Replaces BP-A0B18 of JUN 10 EFTA00105082 BP4,0618 JUN 18 U
_basketball _handball stationary equipment • falergiffinagra urS areigiga nieig (Mif; •';' Equipment Start Date End Date Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff • Exp. D
Entities connected to both Metropolitan Correctional Center and PHILIPS RESPIRONICS

Jeffrey Epstein
PERSONFederal Bureau of Prisons
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONPark Row
LOCATION
Ghislaine Maxwell
PERSONFBI
ORGANIZATION
George W. Bush
PERSONLeon Black
PERSON
Donald Trump
PERSONHealth Services
ORGANIZATIONJeffrey Epstein VI Foundation
ORGANIZATIONJoaquin
PERSONPrisons
ORGANIZATIONVascepa
ORGANIZATION
FedEx
ORGANIZATIONVesicular Breath Sounds Bilaterally
PERSONMCC-NY
ORGANIZATION
Springfield
LOCATION
Condoleezza Rice
PERSONNEW YORK MCC
ORGANIZATION