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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
erritxs povided to me while lade custody of dies Coiled StatprfAau4ok Smite. and for infectious disease.- Sig seam Original-Prisoner file Copy to District File Copy Cpon transfer Inc 7//" pate Y I an 1,44.132 In. 041/1 AdlifnI14 034/1 EFTA00106177 BP-S377.058 PRISONER REMAND rDFRM FEB 04 U.S. DEPA
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 loan 552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information 1. Prisoner Name (Last. First MI) 2.
edical bills for healthcare services provided to me while in the custody of the United Sta Is Sit u ‘i gnaw Date Original-Pnsoner File Copy to District File Copy Upon Transfer run IOW 431 to . 40K AiNtaltUla acUI EFTA00108480 Mod AO 442 (09/13) Assert Warrant AUSA Name & Teino: UNITED STATES DIST
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 Form USM-552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prisoner Name (Last, First, MI) Ne
Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original—Prisoner File Copy to District File Copy Upon Transfer Form USM-552 Est. 6/98 SDNY_TN_00020917 EFTA00140914 Repository Inquiry To: greenes3 For: Stephen Greene Case No:90a-ny-31
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 Form USM-552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prisoner Name (Last, First, MI) 11
ervice, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to District File Copy Upon Transfer Rem USM-552 Est. 6/98 SONY N1T_00000217 EFTA00140902 Message Detail Additional Inquiry Response ORI: NYFBINYOO Federal B
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
he Gaited St Is Service. and for infectious disease Sig um • Prisoner 'gnome of USMS Intake Office : atc ak 7N/7 Original—Prisoner File Copy to District File Copy Upon transfer two i isz lal flit Avant/1a 0.1411 EFTA01699631 BP-8377.058 PRISONER REMAND corm FEB 04 U.S. DEPARTMENT OF JUSTICE FEDER
Entities connected to both Prisoner Services Division and District File

Department of Justice
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONControl as Remanding Receipt
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONBooking Package
ORGANIZATIONMarshals Service
ORGANIZATIONthe United States Marshals Service
ORGANIZATIONK Correctional
ORGANIZATIONMedical Insurance Information
ORGANIZATION
United States
LOCATIONLeon Black
PERSONUSMS Intake Officer
ORGANIZATIONREMANDS
ORGANIZATIONECK ATEGORY OF CHARGES(S
ORGANIZATIOND O.B.
ORGANIZATION
George W. Bush
PERSONK SAM
ORGANIZATION