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t Warrant, if issued K Copy of Complaint, Information, or Indictment. if completed K Copy of Detainer(s), if issued K Copy of Writ, if applicable K Correctional facility discharge papers. if applicable K Correctional facility prisoner receipt. if applicable K Correctional facility medical summary. if applic
esident Address/City/State/ZIP Home Phone: Agent Last Name Marital Status: Single Agency ORI: NYFBINY00 Arrest Date: 11/19/2019 Agent Phone #: Location/Facility of Arrest: 290 BROADWAY FBI NY Court Docket #: CR AUSA(s) Assigned: NCIC Code Charge Description Title/Code MAKING FALSE STATEMENTS 18 USC 1001 CONSP
t Warrant, if issued O Copy of Complaint, Information, or Indictment, if completed O Copy of Detainer(s), if issued O Copy of Writ, if applicable K Correctional facility discharge papers, if applicable O Correctional facility prisoner receipt, if applicable K Correctional facility medical summary, if applic
of Birth: Citizenship USA FBI #: Slate ID#: Resident Address/City/State/ZIP: Home Phone: Agency: FBI Agent Last Name Agent Phone Cell Phone Location/Facility of Arrest: 290 BROADWAY FBI NY Court Docket IS: CR AUSA(s) Assigned: Alien It: First Name SSN: Marital Status: Single Agency ORI: NYFBINY00 Arrest D
est Warrant. it' issued Copy of Complaint. Information. or Indictment. if completed K Copy of (Maine/Isl. Jr issued K Copy of Writ. if applicable K Correctional facility discharge papers. if applicable K Correctional facility prisoner receipt. if applicable • Correctional facility medical summary. if appli
nt: ID Y lkight: Cr i FBI N: Resident Address/(10/StatettIP: 9 4-4, l omy Phone: Cell Phone: C %gent,: Aiy Agent Last Name: Agent Phone N: Location/Facility of Arrest: Court Docket Al Middle Name: Race: Ai Weight lecrl DOB: Ogn Citizenship t rarilif IMien : SSN /602 111 Charge Description SeYleigentil,/
Entities connected to both K Correctional and Location/Facility of Arrest
K SAM
ORGANIZATIONBooking Package
ORGANIZATION
Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATIONArrest Warrant
PERSONUSMS Intake Officer
ORGANIZATIONDistrict File
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONK Separation
ORGANIZATIONK Safekeeper Location
ORGANIZATIONCopy of Complaint
ORGANIZATIONBROADWAY FBI NY
ORGANIZATIONLong Term Medical Conditions
ORGANIZATIONK Current
ORGANIZATIONK Eligible
ORGANIZATIONK CI
ORGANIZATIONK Medical
ORGANIZATIONLeon Black
PERSONPrisoner Medical Records Release Form)-
ORGANIZATION
Julie K. Brown
PERSON