NYMH3 530.03 * BUREAU OF PRISONS COUNT SHEET * 07-26-2019 PAGE 001 * NEW YORK MCC * 21:00:39 QTRG EQ **** OCTG EQ **** OUTCOUNT SECTION A F F F F H T N N N S O T J Y Y S COUNT Y E S P AREA CENSUS M R S TR V OC S & A N I UO D N W S TU I D I N V T T VERIFY COUNT COUNT COUNT AREA B-A 26 C-A 10 E-N 87 E-S 85 G-N 70 G-S 91 H-A 1 I-N 93 K-N 89 K-S 138 R-A 0 Z-A 72 Z-B 5 TOTAL 767 COUNT VERIFY 1 1 1 1 26 B-A 10 C-A 87 E-N 84 E-S 70 G-N 91 G-S 1 H-A 93 I-N 89 K-N 138 K-S 0 R-A 72 Z-A 5 Z-B 766 OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: EFTA00109517

NYMH3 530*05 * INMATE ROSTER * 07-26-2019 PAGE 001 OF 001 20:12:36 CATEGORY: OCT GROUP CODE: ASSIGNMENT: HOSP FACILITY: NYM OPER CATG ASSIGNMENT OPER CATG ASSIGNMENT OPER CATG ASSIGNMENT NUM ASSIGNMENT REG NO NAME 0001 HOSP 78359-053 TISDALE G0000 TRANSACTION SUCCESSFULLY COMPLETED OCT DATE QTR WRK 07-26-2019 E11-581U EDUCATION SUICIDE OR EFTA00109518

METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY DATE: FROM: APPROVED: OFFICIAL OUT COUNT COUNT TIME: (Operations Lieutenant) LOCATION: REG # NAME UNIT REG # NAME UNIT 1. 13. W159 - e-c3 ii,s(itiL /65 2. 14. 3. 15. 4. 16. 5. 17. 6. 18. 7. 19. 8. 20. 9. 10. 11. 12. 21. 22. 23. 24. OUT-COUNT BY UNIT B-A C-A E-N E-S G-N G-S I-N K-N K-S R-A Z-A Z-B Total Out-Counted: H-A This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affected count. Prepare this form in ink. Group the inmates according to their respective housing units. This form is to be used only as an OuIt-Count. No other form will be accepted in lieu of the Out-Count Form. EFTA00109519

Metropolitan Correct° i al Center Official Count Sit Unit. Count. Print Name. S,griature Pnnt Name Signature Date Time; Metropolitan Correctional Center Official Count S Metropolitan Correctional Center Official Count Slip int Name: gn.ature ?tint Name. Signature____ ate Unit Count. Print Name. Signature. Print Namur Signature Tfm Metropolitan Co ional Center Official Coun lip Unit Count Print Name. Signature- e Pnnt Name Signature Unit Count. Print Name: Signature: Print Name Signature Unit Pnnt Name, Signature' Print Name Signature_ Unit: Count' Print Nam Signature. Print Name _ "‘ignature 2 Metropolitan Correctional Center Official Count Slip tetropolitan Correctional Center Official Coun Unit: Count Print Name: Signature Print Name: Signature: Official Count Slip Date: $h. Time Unit: Count: Print Name. Signature: Print Name: Signature. Metropolitan Correctional center Official Count Slip Unit Count l'nnt Name Signature. _ Print Name- Signature Metropolitan Correctional Center Official Count nit Count Print Name: Signature: Print Name. Signature • ....•••• • I metropolitan Correctional Center Official Count Slip Date. 7 / CS z 019 EFTA00109520