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/2019 22:41. Burew W ftilscm - WM EFTA00059443 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt
Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Facility: N
NYM EFTA00059496 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP C6 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY
ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s
h Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/
c Treatment Primites: None: Ncn-urgent non-urgent Urgent Referred to Sick Cat Radiographs authenzed: PM: Prophylarig authorized: Yes i No (Moroni valid 18 months from examinalion date) SW5: Panorex Pa t Name:, sh n, D —Ccici -Jty E Dentst : -1 7 ‘ 3 Isre Nutt.: I US-`} institution:
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of nerd 30. 20'9 Account Number: Base Currency: USD manifest line PRIMARY OFFICER STEWART OLDFIELD CUSTODY OFFICER ARTHUR TENDLER 60
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of nerd 30. 20'9 Account Number: Base Curre
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of nerd 30. 20'9 Account Number: Ba
d in this report for alternative investments reflect the valuations Nat were available at the time of mintiest this report and may be significantly °Moroni horn the most current valuation. The method of valuation of alternative investments are the securities in which they invest is determined by No inve
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of December 31. 2r8 Account Number: Base Currency: USD manifest line PRIMARY OFFICER STEWART OLDFIELD CUSTODY OFFICER ARTHUR TENDLER
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of December 31. 2r8 Account Number: Base Cu
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of December 31. 2r8 Account Number:
d in this report for alternative investments reflect the valuations Nat were available at the time 01 printing this report and may be significantly °Moroni from the most current valuation The method ol valuator ol alternative investments arc the securities in which they invest is determined by No invest
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of September 30.20'7 Account Number: Base Currency: USD manifest line PRIMARY OFFICER STEWART OLDFIELD CUSTODY OFFICER ARTHUR TENDLER
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of September 30.20'7 Account Number: Base C
Deutsche Bank Contacts Account Name: JEFFREY EPSTEIN As of September 30.20'7 Account Number:
ted in this report for alternative investments reflect the valuations Nat were available at the time of manta) this report and may be significantly °Moroni from the most current valuation. The method ol valuator of alternative investments are the securities in which they invest is determined by No inves
tacts As of October 31. 2018 PRIMARY OFFICER STEWART OLDFIELD CUSTODY OFFICER ARTHUR TENDLER 60 Wall Steen \eve Yorl. \Y '0005 Account Name: JEFFREY EPSTEIN Account Number: Base Currency: USD manifest line 11111111"l'I'l'l1'IIIIIIIIIIIIhIllrtl lllnllllllr 1111111111' Ill' 101II III II III II III
teen \eve Yorl. \Y '0005 Account Name: JEFFREY EPSTEIN Account Number: Base Currency: USD manifes
0 Wall Steen \eve Yorl. \Y '0005 Account Name: JEFFREY EPSTEIN Account Number: Base Currency: USD
d in this report for alternative investments collect the valuations Nat were available at the time 01 printing this report and may be significantly °Moroni from the most current valuation. The method ol valuation ol alternative investments aro the securities in which they invest is determined by No inve
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