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ne only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Ot
been arrested resulting in a charge. of applicable 10. AInd with whom the student lives (check one only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Other 11. IMPORTANT, EVERYONE MUST ANSWER THIS QUESTION. A. Is there a visitation order or other court
tit C--k--- , n . KM.' IA Ia' AAA( a, .., WEST PALM BEACH FL 33413 nt . Ltett 1... (SI STUCENTS SOCIAL SEE UM TT NO. 161 HOME PHONE NJ. (OPTIONAL) 0/ SLR F 0 „tome IlD R CE V 0 INDIANC" 0 A ASIAN psLANorq 9 W Zia rr-LISPANIC I MALI I g oNt....e_nmspaic 9 H HISPANIC 0 M I
O3N K03-121L 90462-053 FLORES-CACHO ALEJANDRO 02-06-2018 A-PRE E09S E09-571L 71121-050 FLOYD DISHAWN 05-15-2019 A-DES I05N I05-934U 64593-054 FOSTER TOSHNELLE 05-06-2019 A-HLD GllS G11-787U 76243-054 FRASCO AGUSTIN 12-06-2018 A-PRE 205A 205-122LAD 86368-054 FUENTES MIGUEL 11-29-2018 A-HLD
ber Releasing Official (Name) Date / Time Sign Print Sentry oa ata: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code , / Staff Init. Add AKA's ' Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag 4 RIGHT THUMBPRINT Original
KO3N K03-121L 90462-053 FLORES-CAC ALEJANDRO 02-06-2018 A-PRE E095 E09-571L 71121-050 FLOYD DISHAWN 05-15-2019 A-DES I05N I05-934U 64593-054 FOSTER TOSHNELLE 05-06-2019 A-HLD GllS G11-787U 76243-054 FRASCO AGUSTIN 12-06-2018 A-PRE ZO5A Z05-122LAD 86368-054 FUENTES MIGUEL 11-29-2018 A-HLD
Phone/24 Hour Number • Official (Name) Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code /I Staff Init. Add AKA's— I Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag 4 RIGHT THUMBPRINT Original
A-PRE E09S E09-571L 71121-050 FLOYD DISHAWN 05-15-2019 A-DES IO2N IO2-909L 87081-054 FLYNN ANTHONY 08-07-2019 A-HLD I05N I05-9340 64593-054 FOSTER TOSHNELLE 05-06-2019 A-HLD GllS G11-7870 76243-054 FRASCO AGUSTIN 12-06-2018 A-PRE ZO5A Z05-122LAD 86368-054 FUENTES MIGUEL 11-29-2018 A-HLD
e Releasing Official (Name) Sign Print Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag 4 Original-for ISM as Remanding-Remo
(check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home 0 Other (31) CUSTODY STATUS OF STU
GRACE BIRTH DATE 154) NAME OF GILD SCHOOL ATTENDING STUCENT NO (OPTIONAL) GRACE BIRTH DATE (55) NAME OF CHID SCHOOL AT HEADING STUCENT NO. (OPTIONAL) GRACE SIREN DATE ISO) I VERIFY THAT THE INFORMATION GIVEN IS TRUE AND ACCURATE TO THE BEST CF MT KNOWLEDGE. SIGNATURE OF PARENT OR AGE( GjAROIA
Entities connected to both Vince Foster and OPTIONAL

Jeffrey Epstein
PERSON
George W. Bush
PERSON
Prince Andrew
PERSON
Julie K. Brown
PERSON
Ghislaine Maxwell
PERSONLeon Black
PERSON
Donald Trump
PERSON
Samantha Power
PERSON
Alan Dershowitz
PERSON
Scarlett Johansson
PERSON
Marc Rich
PERSON
Prince Charles
PERSON
United States
LOCATION
Michael Jackson
PERSON
Department of Justice
ORGANIZATION
John F. Kennedy
PERSONEmmy Taylor
PERSON
Woody Allen
PERSON
New York
LOCATION
Michael Douglas
PERSON