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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
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: INS: Other: OTHER Nil ARRATIVT, USC: 37/ Beg -77.4.0-Sidi coArsfiheifc/ T e: , NARRATIVE° Title: Air DSC:all/6i)/ a) (-2) Se
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
me: Last c57,74/ First fry Ifiddle40.(.411 /4rA / AKAs: Race B W A I ( heck) !09( (Check) ,(Sti Ethnic Origin Hispanic or (Check) Other D O.B. FBI: INS: Other: CHARGES G.5? ,...CATEGORY OF CHARGES)s): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS OTHER Mr , / USC: S7/
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
Race __B FirstT ep „... ile/ Register Number , P-763 Ofi Middlefr„...44et i I C T R E ( heck) 411 W Se (Check) Ethnic Origin (Check) D O.B. FBI: __A __I __ _Hispanic or _Other //le/43' INS: Other: CHARGES GSF ,GATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL
Entities connected to both Prisoner Services Division and D O.B.

Department of Justice
ORGANIZATION
Jeffrey Epstein
PERSONthe Office of Interagency Medical Services
ORGANIZATIONSouthern District
LOCATIONControl as Remanding Receipt
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONMarshals Service
ORGANIZATIONUSMS 312
ORGANIZATIONCopy of Complaint
ORGANIZATIONDistrict File
ORGANIZATIONAttache
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONREMANDS
ORGANIZATIONLeon Black
PERSONArrestee
ORGANIZATIONBirth SSN
PERSON
George W. Bush
PERSONDoug Band
PERSON