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Moo/ 0 Current or former I.I. corrections K Assault on LI: corrections K Leadership mk O Ci /Describe below, El Current or runner intelligence K SAM subjr:ct or candidate K Separation weds ilktecrine Mott I K Other !Describe helm.; Title/Code TES Page I or 3 Form USM-312 Rev 11/17 EFTA0004
I. corrections K Assault on LI: corrections K Leadership mk O Ci /Describe below, El Current or runner intelligence K SAM subjr:ct or candidate K Separation weds ilktecrine Mott I K Other !Describe helm.; Title/Code TES Page I or 3 Form USM-312 Rev 11/17 EFTA00040006 LAW liNFORCEMIA Remarks: Da
Last Name Current or former LE/corrections K Assault on LE/corrections K Leadership role K CI (Describe below) K Current or former intelligence K SAM subject or candidate K Separation needs (Describe below) K Other (Describe below) ASSOCIATES / CO-DEFENDANTS / RELATIVES CHILDREN SIGNIFICANT OTHE
LE/corrections K Assault on LE/corrections K Leadership role K CI (Describe below) K Current or former intelligence K SAM subject or candidate K Separation needs (Describe below) K Other (Describe below) ASSOCIATES / CO-DEFENDANTS / RELATIVES CHILDREN SIGNIFICANT OTHER Relationship First, MI Scar/Ma
rst, MI Current or former LE/corrections Assault on LE/corrections Leadership role CI (Describe below) Remark K Current or former intelligence K SAM subject or candidate K Separation needs (Describe below) K Other (Describe below) Date of Birth ASSOCIATES / CO-DEFENDANTS / RELATIVES / CHILDREN
E/corrections Assault on LE/corrections Leadership role CI (Describe below) Remark K Current or former intelligence K SAM subject or candidate K Separation needs (Describe below) K Other (Describe below) Date of Birth ASSOCIATES / CO-DEFENDANTS / RELATIVES / CHILDREN SIGNIFICANT OTHER Relationship Co
Entities connected to both K SAM and K Separation
K Correctional
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Department of Justice
ORGANIZATIONLocation/Facility of Arrest
ORGANIZATION
Michael C.Green
PERSONthe United States Marshals Service
ORGANIZATIONUnited Slates Marshals Service
ORGANIZATIONNew York State Division of Criminal Justice Services
ORGANIZATIONBooking Package
ORGANIZATIONUSMS Intake Officer
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONDistrict File
ORGANIZATIONMedical Insurance Information
ORGANIZATIONFederal Bureau of Investigation - New York
ORGANIZATIONBROADWAY FBI NY
ORGANIZATIONLong Term Medical Conditions
ORGANIZATIONK Current
ORGANIZATIONK Eligible
ORGANIZATIONK Medical
ORGANIZATIONLeon Black
PERSON