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quired: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin. Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09.05 by Joaquin, Y MLP Bureau of Pnsons NYM Page 2 of 2 EFT
Date of Incident: 07/23/2019 (Q c--t cz5 ci rut 1:27am 2. Inmate's Name: Epstein , Jeffery Register Number: 76318-054 b. Place of Incident: SHU M-Tier Cell 124 7. Assignment: Unassigned 8. Unit ZA Tir dla " I: Self-Mutilation 10. ro r to o ode (5): 228 11. Description of Incident (Date: 07/23/20
equired:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by Joaquin. Y. MLP Bureau of Prisons - NYM Page 2 of 2
I 7 7 2. Inmate's Name: Epstein Jeffery 3. Register Number: 76318.054 4. Date of Incident: 07/23/2019 5: a; 1:27am 8. Place of Incident: SHU M-Tier Cell 124 7. Assignment: Unassigned 5. Unit ZA 9. Incident: Sell-Mutilation 10. Prohibited Ad Code (s): 228 11. Description of Incident (Date: 07/23/
quired: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin. Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by Joaquin. Y MLP Bureau of Prisons - NYM Page 2 0' 2
• (t' 4;i 5.754 1:27am 2. Inmates Name. Epstein , Jeffery 3. Register Number 76318-054 4. Date of Incident. 07/23/2019 6. Place of Incident: SHU M-Tier Cell 124 /. Assignment B. Uni: Unassigned ZA 1:17raent Self-Mutilation I 10. Prohibited Act Code (s) 228 11. Description of Incident (Date: 0723201
Entities connected to both Robert MD and SHU M-Tier Cell

Jeffrey Epstein
PERSONHealth Services
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONVesicular Breath Sounds Bilaterally
PERSONBeaudouin
PERSON
George W. Bush
PERSONSpecial Housing Unit
ORGANIZATIONPark Row
LOCATIONJoaquin
PERSON
Department of Justice
ORGANIZATION
the United States Government
ORGANIZATIONLeon Black
PERSONNicholas Tartaglione
PERSONHA-Unit
ORGANIZATION
South
LOCATION
U.S. Intelligence Agencies
ORGANIZATIONClarke
PERSONBunkie
PERSONBureau of Prisons - NYM
ORGANIZATION