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TTIC;N:;, smiko• ; 4 eustatiknoi by die USMS ionise Officer Sections ii AG ill are to be completed by the prisoner. Section may be completed by die USMS Intake Officer if the prisoner is unable • or unwilling, but Section HI must be signed by the prisoner. If prisoner refuses to sign. note that in the signature bl
erritxs povided to me while lade custody of dies Coiled StatprfAau4ok Smite. and for infectious disease.- Sig seam Original-Prisoner file Copy to District File Copy Cpon transfer Inc 7//" pate Y I an 1,44.132 In. 041/1 AdlifnI14 034/1 EFTA00106177 BP-S377.058 PRISONER REMAND rDFRM FEB 04 U.S. DEPA
to me while in the custody of the United States Marshals Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original—Prisoner File Copy to District File Copy Upon Transfer Form USM-552 Est. 6/98 SDNY_TN_00020917 EFTA00140914 Repository Inquir
Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original—Prisoner File Copy to District File Copy Upon Transfer Form USM-552 Est. 6/98 SDNY_TN_00020917 EFTA00140914 Repository Inquiry To: greenes3 For: Stephen Greene Case No:90a-ny-31
to me while in the custody of the United States Marshals Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to District File Copy Upon Transfer Rem USM-552 Est. 6/98 SONY N1T_00000217 EFTA00140902 Message Detail
ervice, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to District File Copy Upon Transfer Rem USM-552 Est. 6/98 SONY N1T_00000217 EFTA00140902 Message Detail Additional Inquiry Response ORI: NYFBINYOO Federal B
Entities connected to both USMS Intake Officer and District File
the Office of Interagency Medical Services
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Department of Justice
ORGANIZATIONK Correctional
ORGANIZATIONBooking Package
ORGANIZATIONLeon Black
PERSONMedical Insurance Information
ORGANIZATIONthe United States Marshals Service
ORGANIZATIONFederal Bureau of Investigation - New York
ORGANIZATIONLocation/Facility of Arrest
ORGANIZATIONBROADWAY FBI NY
ORGANIZATIONLong Term Medical Conditions
ORGANIZATIONK Current
ORGANIZATIONK Eligible
ORGANIZATIONK Medical
ORGANIZATIONPrisoner Medical Records Release Form)-
ORGANIZATION
Julie K. Brown
PERSONAlbany
LOCATION
NEW YORK NY
LOCATION
Michael C.Green
PERSON