Epstein Secrets

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

// %Je Frrel, f 3. Daniel Name / 4, District fl ≤DK Section II - Prisoner Personal Data Mid Medical Information 6. Date Of Binh We/Day/Yr) 8. Medical Insurance Information A) litstwonce any Name vitfee ne4-1/4 64 Section III - Medical Consent And Records Release I certify that the information I have pivvidcd above

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

ct 2. USMS Prisoner 5. Custody Date (Mo/Day/Yr) Ohl la) Section 11 - Prisoner Personal Data And Medical Information 6. Date of Birth M Da /Y 8. Medical Insurance Information A) Insurance Company Name I3) Policy Number C) Medicare /Medicaid Coverage? K Yes K No 9. Name of Your Physician 10. Phone Number ( ) 'Nee

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

stodyDate (Mo/Day/Yr) 1111.0q Seel inn II - Prisoner Personal Data And Medical In formation 6. Date of Birt (M Day/Yr) 7. Social Security No. 8. Medical Insurance Information A) Insurance Company Name B) Policy Number C) Medicare /Medicaid Coverage? El Yes 9. Name of Your Physician 10. Phone Nu nber ( ) Section II