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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
RM PRIOR TO COMMITTING TO MCC/MDCs. First AKAS: Register Number --76 As2 P Middleir d e f46e i I C T t7 Race ( g heck) B W A I CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS ,!4;ipti (Check) Ethnic Origin (Check) Hispanic or Other D O.B. 00/C3 P FBI: IN
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
F COMMITTING TO MCC/MDCs. Re Firstti-e7 Mf AKAs: Race ( heck) ?1 B W A I __ ,,Z (Check) Ethnic Origin (Chec) _Hispanic or _Othe. CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR OTHER inimm EPSTEIN JEFFREY sac EDWARD 6' 0" .^.185 GRY BLU Rm . 76 31 8-054 NYM vc.nr, MIS0I4 OSTIRI CIVIL
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
k) fr e Register Number 3 /e OCI Middled ..-/44t±t i Ethnic Origin (Check) Hispanic or Other I C D O.B. Apecr FBI: INS: Other: CHARGES ECK ATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS ___ OTHER NARRATIVE4f2 / Title: USC:22,2/ sex -77,0,-frxxiAcy cnoive19)44244
Entities connected to both the Office of Interagency Medical Services and ECK ATEGORY OF CHARGES(S

Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONDistrict File
ORGANIZATIONBooking Package
ORGANIZATIONCopy of Complaint
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONBirth SSN
PERSON
George W. Bush
PERSONPlate N
ORGANIZATIONArrest Warrant
PERSON