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soner refuses to sign. note that in the signature block. All refusals should be immediately repotted to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM Form 552 is to be retained in the prisoner's files. Section - USMS Prisoner In formation I. Prisoner Nam (Lass First, SD) :t SM
e Releasing official (Name) Sign Print Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag I RIGHT THUMBPRINT Original-for ISM
soner refuses to sign, note that in the signature block. All refusals should be immediately repotted to the Office of Interagency Medina! Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files Section I - USMS Prisoner Information I. Prison: Name (Last. First. Mil I?I)
icial (Name) Date / Time Sign. Print 5 Staff Init. Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL"( ARS Code Add AKA' Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag # Original-for ISM as Remanding-Removal receipt; Copy-
If prisoner reuses to sign, note that in the signalize block. An who& should be immediately repotted to the Office of Interagency Medical Services. Prisoner Services Division. The completed LISM form 552 is to be retained in the prisoners files. Section I -1.1SMS Prisoner Information I. Prisoner Name Mast. NV. MI USMS P
Name) Date / Time Releasing Official (Name) Date / Tine Sign Sign I Print Print Sentry Luad Data: (Must Initial) Name Search Completed by: (OPTIONAL ARS Code USE) Staff Init. RIGHT THUMBPRINT Add AKA's Clearance/Separate Checked by: Create Cash Account Deposit Cash Amt. Detainers Court
soner refuses to sign. note that in the signature block. All refusals should be immediately reported to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files. Section 1 - USMS Prisoner Information I. Prisoner Name (Last. Fint MB 12. I
e Releasing Official (Name) Sign Print Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: rrearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag I RIGHT THUMBPRINT Original-for ISM
soner refuses to sign, note that in the signature block. Al! refusals should he immediately reported to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prisoner Name (Last. Fite. 5714/
mber Phone/24 Hour Number (Name) Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: Code (OPTIONAL, USE) / ARS Cod ,i... Staff Init. Add AKA' Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag I RIGHT NT Original-for ISM
soner refuses to sign, note that in the signature block. All refusals should be immediately reported to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prisoner Name Mast. First. Ml) USM
Releasing Official (Name) iRkgn Print Date / Tine Sentry Load Data: (Must Initial) Name Search Completed by: elparanre/Spparare Checked by: (OPTIONAL USE) ARS Code Add AKA'S Create Cash Accomit Deposit Cash Amt. Detainers Court Clothing Bag Y Staff Init. RIGHT THUMBPRINT Original-for TSM
Entities connected to both Prisoner Services Division and OPTIONAL

Jeffrey Epstein
PERSON
Department of Justice
ORGANIZATION
George W. Bush
PERSONControl as Remanding Receipt
ORGANIZATIONLeon Black
PERSONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATION
United States
LOCATIONthe Office of Interagency Medical Services
ORGANIZATION
New York City
LOCATION
Julie K. Brown
PERSON
Prince Andrew
PERSONMarshals Service
ORGANIZATIONCopy of Complaint
ORGANIZATIONDoug Band
PERSONUSMS 312
ORGANIZATIONDistrict File
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONthe United States Marshals Service
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATION