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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
leted and insened into prisoner's Me K US&I.3 I2 (Personal History of Defendant) - rerietted. .signs) and dared by intake Ill Stl Dtd) K USM-552 (Prisoner Medical Records Release Form). totropicted. sfgocrturaidared by /musty DI St/ DM K USM•Ill (Federal Prisoner Property Receipt) - completed. signed and dated by intake IN St1
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
eted and inserted into prisoner's file K US&I.3 I? (Personal History of Defendant) - revietied. signed and dined by intake IM S II UM) K USM-552 (Prisoner Medical Records Release Form) - cotripicred. signed and dosed by haat IN 511 .01.0 K USM•l8 (Federal Prisoner Property Receipt) - completed. signed and dated by intake Dl '511
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 RIGHT THUMBPRINT Original-for ISM a
completed and inserted into prisoner's file O LiSM-3 L2 (Personal History of Defendant) - reviewed signed undiluted by intake Dl IVO K USM-552 (Prisoner Medical Records Release Form) - completed signed and doted by intake DI S.11 DEO O USM- I 8 (Federal Prisoner Property Receipt) - completed signed and doted by intake Ol'SAl UF
Entities connected to both OPTIONAL and Prisoner Medical Records Release Form

Jeffrey Epstein
PERSON
Department of Justice
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONPrisoner Services Division
ORGANIZATIONMarshals Service
ORGANIZATIONCopy of Complaint
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONBooking Package
ORGANIZATIONK USM-552
ORGANIZATIONInanacitons
ORGANIZATIONArrest Warrant
PERSONRev CBS
PERSONPrisoner Remand
PERSON