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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
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
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 USM loan 552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information 1. Prison
edical bills for healthcare services provided to me while in the custody of the United Sta Is Sit u ‘i gnaw Date Original-Pnsoner File Copy to District File Copy Upon Transfer run IOW 431 to . 40K AiNtaltUla acUI EFTA00108480 Mod AO 442 (09/13) Assert Warrant AUSA Name & Teino: UNITED STATES DIST
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
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
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
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
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 USM form 552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prison
he Gaited St Is Service. and for infectious disease Sig um • Prisoner 'gnome of USMS Intake Office : atc ak 7N/7 Original—Prisoner File Copy to District File Copy Upon transfer two i isz lal flit Avant/1a 0.1411 EFTA01699631 BP-8377.058 PRISONER REMAND corm FEB 04 U.S. DEPARTMENT OF JUSTICE FEDER
Entities connected to both the Office of Interagency Medical Services and District File

Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONControl as Remanding Receipt
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONMedical Insurance Information
ORGANIZATIONBooking Package
ORGANIZATIONOPTIONAL
ORGANIZATIONLeon Black
PERSONUSMS Intake Officer
ORGANIZATIONK Correctional
ORGANIZATIONthe United States Marshals Service
ORGANIZATIONMarshals Service
ORGANIZATIONREMANDS
ORGANIZATIONECK ATEGORY OF CHARGES(S
ORGANIZATION
George W. Bush
PERSOND O.B.
ORGANIZATIONBROADWAY FBI NY
ORGANIZATIONLong Term Medical Conditions
ORGANIZATION