3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
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: INS: Other: OTHER Nil ARRATIVT, USC: 37/ Beg -77.4.0-Sidi coArsfiheifc/ T e: , NARRATIVE° Title: Air DSC:all/6i)/ a) (-2) Se
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 1 - USMS Prisoner Information I. Prison
me: Last c57,74/ First fry Ifiddle40.(.411 /4rA / AKAs: Race B W A I ( heck) !09( (Check) ,(Sti Ethnic Origin Hispanic or (Check) Other D O.B. FBI: INS: Other: CHARGES G.5? ,...CATEGORY OF CHARGES)s): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS OTHER Mr , / USC: S7/
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
Race __B FirstT ep „... ile/ Register Number , P-763 Ofi Middlefr„...44et i I C T R E ( heck) 411 W Se (Check) Ethnic Origin (Check) D O.B. FBI: __A __I __ _Hispanic or _Other //le/43' INS: Other: CHARGES GSF ,GATEGORY OF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL
Entities connected to both the Office of Interagency Medical Services and D O.B.

Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONControl as Remanding Receipt
ORGANIZATIONUnited States Marshals Service
ORGANIZATIONOPTIONAL
ORGANIZATIONMarshals Service
ORGANIZATIONDistrict File
ORGANIZATIONLeon Black
PERSONCopy of Complaint
ORGANIZATIONUSMS 312
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONREMANDS
ORGANIZATION
George W. Bush
PERSONDoug Band
PERSONAttache
ORGANIZATIONBirth SSN
PERSONArrestee
ORGANIZATION