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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
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
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
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
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
g 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 Cdstody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 i. tot POZIPOI
Entities connected to both Prisoner Medical Records Release Form and Control as Remanding Receipt

Jeffrey Epstein
PERSONOPTIONAL
ORGANIZATION
Department of Justice
ORGANIZATIONSouthern District
LOCATIONPrisoner Services Division
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONthe Office of Interagency Medical Services
ORGANIZATIONCopy of Complaint
ORGANIZATIONMarshals Service
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONPrisoner Remand
PERSONArrest Warrant
PERSONInanacitons
ORGANIZATIONK USM-552
ORGANIZATIONBooking Package
ORGANIZATIONRev CBS
PERSON