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if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card) - printed and inserted ink) prisoner's.file K Prisoner Photograph (from Booking Package) - printed and interim/ into prisoner's file Reviewed By: Badge U: Date: U/LES Page 3 of 3 For USM.312 Rev 11117 EFTA00106174 UNITED STATE
ion HI must be signed by the prisoner. If prisoner 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. Prisone
if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card) - printed and inserted into prisoner's file K Prisoner Photograph (from Booking Package) - printed and inserted into prisoner's file Reviewed By: Badge U: U/113 Page 3 of 3 Date: Form USM.312 Rev 11/17 SDNY_TN_00020914 EFTA0014
on III must be signed by the prisoner. If prisoner 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 Form USM-552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prison
if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card) - printed and inverted into prisoner's file K Prisoner Photograph (from Booking Package) - printed and inserted Into prisoner's file Reviewed By: Badge X: U/LES Page 3 of 3 Date: Form tISM-312 Rev. 11/17 SDNY_MT_00000214 EFTA00
on III must be signed by the prisoner. If prisoner 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 Form USM-552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prison
ce), if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card). printed and invenal into pristmerWile O Prisoner Photograph (from Booking Package) printed and inserted into prisoner's file Reviewed By: /71-eptierz 6gRehlte.) ifi lt< e rte/A/ (940 cr13— 2122_ LILES Page 3 of 3 Badge N
on III must be signed by the prisoner. If prisoner 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. Prison
Entities connected to both Booking Package and the Office of Interagency Medical Services

Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONDistrict File
ORGANIZATIONCopy of Complaint
ORGANIZATIONOPTIONAL
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONK Correctional
ORGANIZATIONUSMS Intake Officer
ORGANIZATIONMedical Insurance Information
ORGANIZATIONLocation/Facility of Arrest
ORGANIZATIONECK ATEGORY OF CHARGES(S
ORGANIZATIONArrest Warrant
PERSONBirth SSN
PERSONLeon Black
PERSONthe United States Marshals Service
ORGANIZATIONPrisoner Medical Records Release Form
ORGANIZATION