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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
RM PRIOR TO COMMITTING TO MCC/MDCs. First AKAS: Register Number --76 As2 P Middleir d e f46e i I C T t7 Race ( g heck) B W A I CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS ,!4;ipti (Check) Ethnic Origin (Check) Hispanic or Other D O.B. 00/C3 P FBI: IN
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.
F COMMITTING TO MCC/MDCs. Re Firstti-e7 Mf AKAs: Race ( heck) ?1 B W A I __ ,,Z (Check) Ethnic Origin (Chec) _Hispanic or _Othe. CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR OTHER inimm EPSTEIN JEFFREY sac EDWARD 6' 0" .^.185 GRY BLU Rm . 76 31 8-054 NYM vc.nr, MIS0I4 OSTIRI CIVIL
soner refuses to sign. note that in the signature block. All (chisels 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 - IBMS Prison( IaforrinatIon I. Prisoner Name (Iasi. Fin'. P11) le
k) fr e Register Number 3 /e OCI Middled ..-/44t±t i Ethnic Origin (Check) Hispanic or Other I C D O.B. Apecr FBI: INS: Other: CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS ___ OTHER NARRATIVE4f2 / Title: USC:22,2/ sex -77,0,-frxxiAcy cnoive19)44244
Entities connected to both Prisoner Services Division and ECK ATEGORY OF CHARGES(S

Department of Justice
ORGANIZATION
Jeffrey Epstein
PERSONthe Office of Interagency Medical Services
ORGANIZATIONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONDistrict File
ORGANIZATIONCopy of Complaint
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONBooking Package
ORGANIZATIONArrest Warrant
PERSON
George W. Bush
PERSONBirth SSN
PERSONPlate N
ORGANIZATION