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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
I RIGHT THUMBPRINT Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate): Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 EFTA00106178 M
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.
urt Clothing Bag i Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WEI This form replaces BP-S371(58) and BP-377(58) of JUL 91 EFTA00108479 %
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)
0 RIGHT THUMBPRINT Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-5377(58) and BP-317(58) of JUL 91 tp: NOOIMPOWIMIN
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
rt Clothing Bag 0 Original-for ISM as Remanding-Removal receipt; Copy-for Ctintrul as Removal Receipt INCIC1; Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 I* tat ea co me
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
I RIGHT THUMBPRINT Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-5377(58) and BP-377(58) of JUL 91 0.1) SMOADOSONr
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/
, RIGHT THUMBPRINT Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC): Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 t♦ a: Pre aaa E
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
. RIGHT THUMBPRINT Original-for TSM as Remanding-Removal rpreipr; Copy-for Control as Removal Receipt (NC:C); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody. (This form may he replicated via WP) is form replaces 3P-S377(59) and BP-377(S8) of JUL 91 tat •••••1104•ICCR
Entities connected to both Prisoner Services Division and Control as Remanding Receipt

Jeffrey Epstein
PERSON
Department of Justice
ORGANIZATIONOPTIONAL
ORGANIZATIONSouthern District
LOCATIONthe Office of Interagency Medical Services
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONMarshals Service
ORGANIZATION
George W. Bush
PERSONCopy of Complaint
ORGANIZATIONUSMS 312
ORGANIZATIONDistrict File
ORGANIZATION
United States
LOCATIONLeon Black
PERSONNO PROPERTY NO PROPERTY NO
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONRemov
PERSON
Prince Andrew
PERSON
Julie K. Brown
PERSONCCM RMKS
ORGANIZATIONBooking Package
ORGANIZATION