Charisma Edge III TE WARDEN = ( Preferred Voice ( Work Voice ) ( Voice Cell ) ( Preferred Internet ) Version 2.1 PRODID -//Novell IncilGroupwise 12.0.3 X-GWTYPE USER Formatted Name Charisma Edge Name Family: Edge First: Charisma Middle: Prefix: Suffix: Electronic Mail Address ( Preferred Internet ) UID Telephone Number ( Preferred Voice ) Tele hone Number ( Work Voice ) Telephone Number ( Voice Cell ) Title ASSOCIATE WARDEN Last Revision 2019081270500462 X-GWUDF EFTA00056410
11 (BES User ID)981 X•GWUDF 1 0(BES Ref ID)0 EFTA00056411
Mail Attachment Epstein SW Chronological Log 7-23 & 24 -19.pdf Page 3454 EFTA00056412
Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: to Register #: #: (21 VI- 0 '143 IS - 0 4- ili tn 1:t- .741 s'''Y t..) : 441-CLI (D c° 8 Institution: 0C4-. (4?) c2.- ec ' -...6. `2 /j/CC I-- v) cu Fri 2 a) c,.) w u o. = >- 7:3 .73 P )._ 03 ai O_ Date Watch Began / Ended - .5 r.). u C.3 ._ z 5 (. f ee. Y.?,ZD/,7 -_\vii2q 2n;c1 v) (i) ("a. v) To be completed by Chief Psychologist at conclusion of watch: Booklet l of I U) O ta0 U- co O O C st Ca SWCL - INMATE EFTA00056413
STAPLE LOCAL PROCEDURES HERE' Check one of the following: O This is the initial log book for this suicide watch. Enter date and time watch began: of r This is a continuation log book for this watch. Enter date and time this watch book was initiated: Gran,) Instructions to Observer: Document your observations every 15 minutes. Legibly print and sign your name at the beginning of your shift. EFTA00056414
PP37 Page I of I NYMBJ 531.01 * PAGE 001 OF 001 * INMATE HISTORY MED DY ST REG NO..: g6318-054 NAME EPSTEIN, JEFFREY EDWARD CATEGORY: F53 FUNCTION: IS FORMAT: 07-24-2019 12:32:30 FCL NYM ASSIGNMENT DESCRIPTION NOT MED CL NOT MEDICALLY CLEARED START DATE/TIME STOP DATE/TIME 07-06-2019 2124 CURRENT . NYM SUIC WATCH SUICIDE WATCH 07-23-2019 0140 07-24-2019 0845 G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED • https://bop.tcp.doj.gov:9049/SENTRY/JIPP160.do 7/24/2019 EFTA00056415
Suicide Iii-elch Observation Log Name of Inmate On 'mach: 4 cra7 Reg #: %M r ir:Cg%Z.Paie: 7/ 2 V)/ Time Observations: Briefly note your observations. Initial all entries. Initials on, e:\ ert:73- 7 • 7 -7A2727 . --tong- aa-r--e-r) ,-2.4,07soGusier t - .4.res,;;:- -,,a, • ' • 63S --62V- If; # ; N, „, SerieS si t N ,eate s: 1:\,--tt)‘e=seirseatuwatikeette,, , 77/.54,.... -0.. iti4rotri te?evs X in) .. „4„,.. l ze;ti .. •.• , -,. \-,%...... c.:04) • :.-eree_S;(4,.k ‘ ,-;*b...1 , .. __ --c, • . • • zetopii-z .. . ....., 4,-, ,,,ax.=:=.,xt.,t).• 1 . 04 /ti c..40,20r26 S.Afe-1-7 - • acIti --do&' -4g9.97 1 Adorn- r—landezir-t€02- e-f) . .-..:e1 t- P erAw - % • 1 1-50 =,,ilina>6 - 4 • ceies, teaz.) -c.z :/sisuri i 14 i ( A • . . , „... . -10 ,- ia-p7 ‘ -4.04fr — Rleayt 1 -i t Cr 1: 51ovn lcS2O -.‘. rAMer,* )e5140f-ii-di 2>edaf,audoe.1, rx - 1) . ober 1 iatifr•v4J\bZijf!:t;r as-, id /•, •;V 4froicti, g: I Zan) • rE72ireois' 44-e-ic#---i6 cri • is t • 11 SeZatiPArorf Or if54e 0a,-i; Ci r 0 eili aa's SleZ1 . 6 -Ja...n-11O -I; a et1 ( gr.'nem ceinineat pda; ena.S./.4- CDc— -ce.e.e..7S . e:30orin -eolifie afr--4 -4rtg -6-6,, ... Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 EFTA00056416
Suicide Watch Observation Log Name of Inmate on watch: "ateilal Reg#:1623Ig —os-9- Date:07. 2_3 -it Time Observations: Briefly note your observations. Initial all entries. Initials Venn teirmiez asitord-ra R: 4-5-4•07 maima.25 or./.. ..AA 1 1 ,....4 one -4, IS S4an. chnnez.& *ise-reet goori d ....-AP <Tr - e/nOtlf --Si one r ten;..0 <iedhlt-nortetAtZ%9 9 - • e../innisto- 44.S.e.s.-2 -.4 cficretiiiia-zetinzi. , 4 .0oas ma y , ..., .. •• . , .. , .. egorz Der-J...- er.?...,27 4/\.0.--(4.13---,23.0 7 ... . ...., :...1/40‘-i; . . - ---._ 4 gireateer-- ,- :"- • eit6: 1,1`,""'• .• • .- 4 rear p.. ma.,.?,.7..A...s...4m.sine4f ...-‘4„5* .. . ., , • il :WI° lifinV44 0 -'..6pslitlel 7,;i-S0 tisa`.: ' e ' .. . - . : -- : eze tem :catele • hinfit ,..t:+wcii.,:,itsYisiitilk 4.-hes,.‘,:,,..t tiro") v ntelak. ,gpcton c 4-5 4i)*Filf4tviii-ittivkliii)24 A47.: A • to:..aa . fawn' .;.) ., Eftte hal ad4W 4o Atria p<144..i . .V. La - Pz riairtac stctima) kit s 4 41.ar 14 1.---inteut _0 u. , . • r• - ' .-• %•0., • .. ... .. .. .. • '. , le e - lo t 5 06 1 //Milk eM i eli -7 ArSAe,kki14,/ %4A•..24 12ii d " .. et Pr/6°r 04" 7 147 .•;.. ‘0P2Aiei. :7 .(•;: : ac ''. M a . 160 /417701 1e :.: " i'r74 0 / :kJ 41,3:917 /107;(4 . "9,'-e: 1:. • /AS 4 ,.i-nnsr7.,1Q94,Letivi esiwyrii",- • . ‘: .... . •' •" " a'a CTS IC is5/. -0 AsP):4;i'w•-e-1- . ": • ` • • r. • in :400 / //WA ent.f74 17 ti .S- a l : Ax k les4 Plealrle- 77 "'-. 0 4' 3/4-- Note to all observers: Legibly print nag sign your name at the beginning of your shift. 2 EFTA00056417
Suicide Watch Observation Log llraz ath ocfInmate F ps. i n Reg #: 1 &3/(-66 -4-- Date: 7 .25 i/ o ki Time Observations: Briefly note your observations. Initial all entries. Initials IA) 9n1 C) --- 711/1Wie . -7,3 -74');7 2 r/&c/)f e .i-6409-7 10? 10 i-,iall-c -&7; 7r14/ -1 -1 /774 1799, .a---------- IC) .-- 2 4Cen .liwn 4 742 r tn 5•74-1,--7 ,;_s- ma c;.' ,•,/-,c2k-ts--> 0 1- .----- ile /5 fr 2fi n 4- te)11, bi_rh toe/ .575,JIAr--1 I 12, - c::3- -- 1/1-a/ / a / 4,z 7-,7--ti i d : OF- _. 1 i ttna 4° tlf-A-. A-, i r &A l//, ,Ard- 1 : Wm ivinha EF35-ietfr, I's- si-I-1 4.9 oh t 03E- o hie heat 11.-)1)(Am inni4 le CPS-4i)) 141.14/p / A i:Z" neck C5, 4 I 't Icani Immo, k epc- X-;x-, If 4 c1,7_9 n)atal 0n -- //.39n / 0 Lflfr"41° Cp54,--;in 2_1 pi (fiLt5 .9) o'-cPVr /1 ;47 7) .77-2n A in - trile,A ; y 7.-/ipto a-7' Ot4 OE' ea/7- 0111;5 by 17) 09077 jivneir Er 74,.k., is 5--/i-liei 4. 9 -74/ 2A cx---' telt -a arhr c he", ir-,14 kr .."5 ,,,cr,-,74— 1?-:(4cfr5 - /h/l/179 F/C -71-.%).-, /0,6/ art e-n-7 - or (Z: 1 Oe, t) cif 45.,i eau A a.,o - P. itiliL4 oft 0 lisii,), 42111 _tivvnie -Cpskiin isdrin 14-u ,ecy 11-lepr Zama--lie/ sep_r 1 e, n 2 r 5-; --I- 1 di, of, Et , 7- 1 (1- .9.-A / !Anti)) t, 761.--S-71 .6 0-4oph /nom -frr--/fri ix esr,,,i 7/q. C..) /0 _see / 7 1 '5- e7 -1 ja i in g 7, (7 rei-, riirns,le Pes if ,y2 I 5 5-,/pc 11/4,171e-ii„,„ O too ?1,,, TrTyna,le --?-93-1--,k, /13----C./// bt74-7X-V ecat. OE ' Note to all observers: Legibly print and sign your name at the beginning of your shift. 3 EFTA00056418
020.45 Suicide Watch Observation Log Name of inmate on watch: Jell-1 Reg #:-.9bK.- - C IC-f--Date: —2• Z5..) i Time Observations: Briefly note your observations. Initial all entries. Initials / : ►9n, 717/7744 i ,:y., is kti/a-116, ---- rto cii/ /..2:qh, r 7orna i-e xLii.-, / S v.441 1-r ate, Or 51-1 -C Sim 27/c -MLA; Fa` tif1/465 --_________ • "- ngsPorusa Act\ 1 -z0-- s Ito 6 1- 'TIM 4, et 9 576 e N .1Stl ca a 1 -2.%-19 14: ( 41)(0.4 6P6?‹.") lts•As aa-winai C-4.-A, C6GAC_ 11:4o . - r(0' ITPC la i r-i \S A--". aegmf- tef.CCi_ ------a" 1-Z.,. fet ItR5. .--/ SA asT-6 0 is -43i-k () Reit CNN.) Ca, *----/t1 go' 015 -rim 14'S•le.s.) Is 60-4L43 4-tn“-% 504 ni (a.--.------1— fs-T a0;(4 -SI iv1/4 Ete- .eitj .tc kr-tut (NC) ek(2)aft— 5C(efro (a- ---r- -- (A7( 4e);3 0 -16It r 1)41( (;.) (5 k-AC cc, 71/4., c_, Pao...-a 0.Ap.-Th---(Ar 240i 1W\ 49s1c- ,4\-1 (S 4c-c_ tc,A.,c, PAluvi- c.b(Pwce_--"-tr .c(en &?54,2•4 it A-..t..v.."-c, sb(Poecrr wie Pc,s0(..) ,--- a...iv .a....,,-i Mt ...ri• (. 0 ., \S • for e?S4e•r-1 I S OISM/SSW is Pr. SoN _ fl r4 v. A ON Csr47 nr 2.30 irtl-k 1:: f r-, cc:5 (a -a, tt (mu P-€o.i- /4-1:s .-- • - 43-6-ir \ Evs2eVa4i.1,-tNa i,(11.-kki p .10-Iis-S3v5stf ib 12X-ms _1(404-Twtt r(Ae• r-P s 4-2.0 is eqs7-.0c,- Ptecskii- (3,-,1 3 - ± '' ' T. ow. s co v..)43,4,4n__ Lt. 01) - -Sr - - .m CL-ene-t-s -DGc.occ, co tot doe:L.4.i 122:‘,S i Oa eNtgeens to Zt. S...aa5;x4Cr• .r .- EP54.2.ti 22'.' ,..) rtot. /zPs).7-(-1 BA:Cpc ru Bt. Sk-000,0— uts --L2."1/4-I-S ill Sc Ste .t. or\ E ie_ , t l C:07:0 12CAS NP Z ''''D 5'I • 1/4-1- rte... t.S O44(O I:c -,Y IS5 -0" 1 Obr + I Note to all observers: Legibly print and sign your name at the beginning of your shift. 4 EFTA00056419
Suicide Watch Observation Log °Nan:I:kV:7 a" C435-rEj X. - -... . -- .:. * Reg #7(2 3 f - 0.51i - lift te / ',' 7/a3/fl Time Observations: Briefly note your observations. Initial all entries. Initials ifi lif°514 'BrkgAdeck•DELARLA*66an—Cc eS •ass - r reA - 4i.ll c;k:-.41119.4bi ;ea l.C.1.5kk (TEC E ND:tie:I fl *7 a „tcgilsq, 0 - 7 .14 i "' .,. .7. —DM . ...• • , , f 1°°Ptt I rgg 1“1 ff. A 0 - r.- , 1 [ NAk Mot* • RP %PE if IS er 1 i • , r .e4i i 1 3.9PA , ISYJV irlS • ..,, , , ._ a i I LIMSekt . • I C" i I . _ EKTELA44. •i-4(3: •- 'e' • • 1 t 55PM . . • . r- Atifir16.??193qSA)rjtik ... ‘a. M. ilVaPF , ICKIrtid\)(i _E-iSi lki zio . Pc r 6-,ftiCi* 4 w , , ; V •-1 • , 124%4 eZie51-gl. •l • • • " . ••• .. - 0 0 - • 1 , f5 4 tit I aaAM ,'knit ' 7,t• 133 +64 k rit,c,(5ttiO.t • t "-••• • r til Th im,___I I'll -sl . is . Llthot , .. . . .. - lAmvi-eniesrei.), 1 c p ' L.,- .• a l5mt, (A r , .. . .a3cAriu% liA, ..cril&. :•. -:-,6 ". • .'-'..! .. ••. ic .. • is A LlaA/A 7 aolk!nc ' E .pstevn n - takibl -ci-F- --It-s- -ft*, & 0?) Note to all observers: Legibly print arS sign your name at the beginning of your shift. 5 EFTA00056420
Suicide Watch Observation Log oNra,nztocfhl.n mate c 9s.i., ejs, n Reg #: .7 b 5 15 - IDEA Date: 7/p/19 Initials Time Observations: Briefly note your observations. Initial all entries. 0$00 Pre) 1-/M 61:, ice1O asue.0 , ________.,.j -,2 cD1ee A d;' o -VI rne, ay."-------- ,_, so „..\______,_A_ ___." C).a O'b\5 am -5-k g5kel(‘ olze, 6C-5 A-6 \9@, fDeePi Ot4\-"------ Cool On0 t•f0 l'Irn F CZ`uko (\ c.keEks,- \,, Noe, cp\,,,,ik O\,,,---,-- 0 ib. ON6e..0) "19-1r0 Zit 46. V,vo ilk.;A6 \-0 \NY, cc.) e3q.kii ..v Qrs< 5 'co \,e 4Gei)1,0\ e.,-‘• die, \-1r,P, (7‘,""—.. CA 6\00 04n lAtaN VZ,A6, tiWlai 5 VoLAnN ibkeekInk) (Jcb otAl&-....m Iiii VM-c11.1% akkeeo XO be, iale,e .,?0\ cifp 0 10300A -Vrfl Qczkeln \A(46 mk 011,15a/1 AO 01DP -141e .true „n.1 NAci, 0 I ts ( 5 (41 \oe A -Scs,), \ocht4, ko CA b\veA oitqc om -5\r1 EQSkt1n Nack-e, \,,, tY.4e) h`-‘42, \oo.Voon1UrIAP) rtA, Acetk voc.\ a NoeA,ce, 0,0A k -,e., N4m,e), „) v,ei CA .v. S \1 r\ or. k', \Q., 'O 0600 0-rt 'AV\ .4rAe.%n %6 On WV, NootAr--- In .-k.02) 8012,6) `O.\V,rk (31) .cu ulno Ve, tast42 5 )Coo \no.19, tVolitie - (2)T-3 0,(v) 'S\vel 4-kee)0(\ - CR) cg.iAfi,:\ rk ixime,c 5 \e tic, 09b04,f`l At,A vqtA-t,,, rAv,,,,ss A, be, sle,ek) *Az , „90 GE, tilts --- 04 ,$.A\-- ,s,-A- U-.Q.Ci1/4-R.4 on tilts 050Nin L) Ilti VNe -e2 el n.qP,OsS \ae, `D(Q/e4141) Cl Ob000,161 \a& 14,0eViii 6 13. (m U,Qt-4\61n 0Mett<5 -\-t, %\“rn - Ntr\ V,9 414)n NA).'-) ‘-to\-f,n Oc, \ - . 04e, kt,e, '0644-AciorriCoc),,e--) 0,f4 V0.5 a,c0A Some t-icAe-5, he, c..4-0 ‘4\noA Virv, waS - \.,,(0.\• 0.,A and . C., 5 ragi ',,..e..\ . . — Note to all observers: Legibly print and sign your name at the beginning of your shift. 6 EFTA00056421
Suicide Watch Observation Log ourneatoefhl:nmate Ec)5.1_ et n Reg #: -7/730)— 054 Date: 7 MO Initials Time Observations: Briefly note your observations. Initial all entries. l960ekt•I jAM p) ..\f,k ave,,,, -10 be, SleiePat\ &I' -FInls -1,: e„, 6reaact5i. t'Ici5 &fr.,te.ci WI- L$0.'5) ad- bees CZ -..ian A-d, wfri co of e.4- 0Wwn VA? rest e; n a seeacs f ,t, be 5i teen LAI o 7o0a p-, t/6 5 Ala,* ed.) O'i?' 4O r e__ $ 7:06414 c-ci:,,,k-- 8,z i.,) i_kg.fuond/P-6.1.V... Z7TSSOS kede 0_)ps (=r- . 7: (SA/4 r-I (4S - f €4-,-.1. Autjae k_A.4, kdAR-0.420-,56- tse.-dk kr)5 -Rt., 1 0 a -Ad ao.k A 4, "I: 30 )4 'I /.,t4 `Fpc -e in aihroc .Q S-QQ-zi, — --, 7: 35-AN "4 epS -(el°1 4 3" t mil 4?-1-`-t( il" 10.*-- -2: 4/ 0 41-t li /Al e. p -&-e(f) a a ri,.,.,..o..,2,, 0.--,,,, Ti S gliLe Vi - Ca-0 - C 4- g! 6-4 ;,-i F--firsi-ei-fr, toar,Li444,,' 4 1Pcti gr:20444i v.sN Msii l(-qoPAA)eo -1 i 1-4 9. ) 4Y),1- 01/J i ..u.mci )1AA .,,.---ein r citz gr: 30 A-vri sr. NI ,S1j)? A - k r OtUui()( IAA 11 g,(IsA-w -1)y. i 4i51- skpfer-4 i/AA clakv) , i•c)r\r\ SviciAst_ U,W-6. -ib & ckci co 0 GSks-v7A--4ic.e) Note to all observers: Legibly print and sign your name at the beginning of your shift. 7 EFTA00056422
Re: Fwd: Epstein #76318-054 Medical/Mental Health Records From To Date Subject: Attachments: Can you giveMan override for Epstein? His attorneys going to be requesting his medical/psych records. Thank you! Re: Fwd: Epstein #76318-054 Medical/Mental Health Records TEXT.htin, Epstein #76318-054 Medical/Mental Health Records Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 P: f. > » 8/23/201910:17 AM > » Hi Joy - in anticipation of the attached, can you please get me a copy of Epstein's medical and psych records? He first came to MCC on July 6, 2019. Thank you! Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 p fi Page 3465 EFTA00056423
Properties Property Value Message ID 5D5FEID9.NYMDOMI.NYMADM1.100.1373875.1.7 B2FA.1 Message Path im8,84aixoti5D5FEID9.NYMDOMENYMADMI.100 .1373875.1.782FA. 1 oanl From Display Name Email UUID I5A65E10-0C33-0000-A3E7-68A606415CAD Reply To Text To Cc Subject Re: w : ten # 18-054 Me al Mental Health Records Scheduled date 2019-08-23 1253:44 Creation date 2019-08-23 1253144 Modified date 2019-08-23 1258% Delis e red date 2019-08-23 125346 Message size 675 Attachments sin 32762 Total size 33448 Attachments 2 Attachment TEXT.htm Name IEXT.htm Content II) SDSFEI D9.NYMDOMI.NYMADMI.200.20000DA.1.8 [email protected] [email protected] .0.1.0.1@l6 Is Inline fake Type file Size 1473 Date 2019-08.23 0833A6 CA 841d6c1171a29a8de5b50:156f41017c2 Hash A IDD5A9CBD426C3BA6ABD20759C35A545C44ECBC 91B654AAEB49AF7FC53B5CAMBF55145 Attachment Epstein #76318-054 MedkaliMental Health Recads Name Epstein #763I8-054 MedicaVMental Heath Records Content ID 5D5FEID9NYMDOMI.NYMADMI.200.20XIODA.1.8 BBA9.1@49:5D5FEID9.NYMDOMI.NYMADM1.100.1 373875.1.7B2FA.10:7.NYMDOMI.NYMADM1.100 .0.1.0.10316 Is Inline fake Type message Size 31289 Date 2M-08-2309:1540 CA d9cdc0541767d5aB0a771391)53d4394 Hash al6GsrYvWfhtc6M64oizWIZDpQ1= Recipients 3 Recipient Display Name Email UUID Distribution "I'pe CC Recipient Type User Recipient Display Name Email UUID Distribution Type Recipient T)pc Recipient Display Name Email UUID Distribution Type Recipient Type User Expire 0 Delay deliver' until 0 Delegated fake Archived false Read true Page 3466 EFTA00056424
Deleted fake Opened true Completed fake Security Normal Box type Intros Return notification Mien opened false Return notification alien deleted fake Return notification alien completed false Return notification %%hen declined fake Return notification nhen accepted false Archive Version 5.3 Internal ID 5D5FEID9.NYNIDOMLNYMADMI.I001373875.1.782FA.I@I:7.NYtvtDOMINYMADMI.I00.0.1.0.I@l 6 Source received Class Public Account Adam JohnsonfaTIOP I8939.NYMADM INYMDOM I Location ID 1540842683886 Class Name GW.MESSAGEMAIL Enclosing Folders I Folder Mailbox ID 7.NYMDOMLNYMADMI.I00.0.I.0.1@l6 Name Mailbox Type Mailbox System true Share Type NotSharcd Page 3467 EFTA00056425
Audits Date Action Auditor Note 2019-08-30 203722 EDT Created en=Archive Agent_I-Daly Archive3 Jobrn-lebs.cn-GWOpenNodern-archivingeoM ietmai Gerrrated by Netrred Inc. [cn=Archive _1-Daily Archive3 gcnt Job.en-Jobsrn-GWOpenNoie.en-archivinga -netmed] 2020-05.1915:18,03 EDT Tag BOP01703.MXRADM1.61XR DOM] Responsive 2020-05-19 152931 EDT Tag BOP01700.60CRADMI.NIXR DOM Responsive 202045.19143434 EDT Tag BOP01703.MXRADMI.NIXR I X Ai I Flagged 2020-05-1914:4136 EDT Tag BOP01703.60CRADMI.AIAR I X A1 I Flagged Page 3468 EFTA00056426
Epstein #76318-054 Medical/Mental Health Records From To Date 2019/08/23 09:15 Subject: Epstein #76318-054 Medical/Mental Health Records Attachments: TEXT.Inin, Certification of Identify Fonn.pdf Good morning I spoke with folks here and confirmed we can proceed under our usual procedure for releasing medical/psych records to defense counsel. Accordingly, please send me a cover letter confirming you're defense counsel of record, the attached certification of identity, and a Rule 17 subpoena (no need to be so-ordered; a clerk's subpoena is fine). Normally we would require a HIPAA release as well, but privacy rights don't survive death in this context. Once I receive the certification, letter, and subpoena„ I will have the USAO's Civil Division authorize the records release as wall counsel pursuant to United States ex rel. Touhy v. Regan, 340 U.S. 462 (1951) and the associated regulations. Please let me know if you have any questions/concerns. Thank you, Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row f. 11111111 p: Page 3469 EFTA00056427
Properties Property Value MessagelD 5D5FEID8.NYMDOMI.NYMADM1.200.20000DA.1.8 BBA6.I From Display Name EMIR UUID Reply To Text To Cc Subject Scheduled date 2019.08-23 09:15:40 Creation date 2019438-23 09:1540 Modified date 2019.08-23 12:53:44 Delivered date 2019-08-23 09:1540 Message size 955 Attachments size 0 Total size 0 Attachments 2 Attachment TEXT.htm Name TEXT.hbn Content ID 5D5FAEBC.NYMDOMI.NYMAD141.200.20000DA.1.8 [email protected] [email protected] DM1.200.20000DA.1.8BBA9.1@495D5FEIFYINY MDOMLNYMADMI.100.1373875.1.7B2FA. I@I:7. NYMDOMI.NYMADMI.100.0.1.0.1/416 Is Inline false Type Ile Size 1520 Date 2019-08-23 05:1542 CA a5e6cd49ce4e429966574bdriel&30bebb Rash EB2ICA603E7FE45C702EAD2BA24/32A366E3EA6EE 74613565531B2D53031D62A9B412282427 Attachment Certification of Identify Fonn.pdf Name Certification of Idemify Fonn.pdf Content ID 5D5FAEBC.NYMDOMI.NYMAD/41.200.20000DA.1.8 BA9A.4453D5FEID&NYMDOMLNYMADM1.200.2 0000DA.1.8BBA6.1@1:5D5FEID9.NYMDOMI.NYMA. DMI.200.20000DA.1.8BBA9.1(41495D5FEID9.NY MDOMLNYMADMI.100.1373875.1.7B2FA. l@ I:7. NYMDOMI.NYMADMI.100.0.1.0. 1016 Is Inline fake .I. Pc Ile Size 29769 Date 2017-08-24 063730 CA dcleOce5744eced6c3ed6le 1652441010 Hash 88F98643E255D3 I F47625376577B0780422C4122 EIPDA270A31D6DEIDI7E134F16032B672 Recipients 2 Recipient Display Name Email UUID Distribution Type CC Recipient Type User Recipient Display Name =I Email Distribution Type TO Recipient Type User Expire 0 Delay delivery until 0 Delegated false Archived false Read fake Deleted fake Opened true Completed fake Security Normal Box type lnbox Page 3470 EFTA00056428
Return notification %%hen opened fake Return notification 'she n deleted fake Return notification k% he n completed false Return notification %%hen declined false Return notification %%hen accepted fake Archive Version 5.3 Internal ID 5D5FEIDIINYMDOMLNYMADMI.200.2COODDA.1.8 [email protected] 000DA.1.88BA9.I(aj09SD5FEID9.NYMDOMI.NYMA DMI.I00.1373875.I.782EA.I@1:7.NYMDOMLNY MADMII00.0.I.01@16 Source received Class Account NYMADMI.NYMDOMI aisia Location ID Class Name GW.MESSAGE.MAIL Enclosing Folders 0 Page 3471 EFTA00056429
Audits Date i Action i Auditor Note Page 3472 EFTA00056430
Mail Attachment Certification of Identify Form.pdf Page 3473 EFTA00056431
U.S Department of Justice Certification of Identity FORM APPROVED O318 NO. 1103-0016 EXPIRES 10/31113 Privacy Act Statement. In accordance with 28 CFR Section 16.41(d) personal data sufficient to identify the individuals submitting requests by mail under the Privacy Act of 1974. 5 U.S.C. Section 552a. is required. The purpose of this solicitation is to ensure that the records of individuals who are the subject of U.S. Department of Justice systems of records are not wrongfully disclosed by the Department. Requests will not be processed if this information is not furnished. False information on this form may subject the requester to criminal penalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. Section 552a(iX3). Public reporting burden for this collection of information is estimated to average 0.50 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Suggestions for reducing this burden may be submitted to the Office of Information and Regulatory Affairs, Office of Management and Budget, Public Use Reports Project (1103-0016), Washington, DC 20503. Full Name of Requester I Citizenship Status 2 Social Security Number 3 Current Address Date of Birth Place of Birth I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and that I am the person named above, and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C. Section 1001 by a fine of not more than 510.000 or by imprisonment of not more than five years or both, and that requesting or obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C. 552a(i)(3) by a fine of not more than $5,000. Signature 4 Date OPTIONAL: Authorization to Release Information to Another Person This form is also to be completed by a requester who is authorizing information relating to himself or herself to be released to another person. Further. pursuant to 5 U.S.C. Section 552a(b). I authorize the U.S. Department of Justice to release any and all information relating to me to: Print or Type Name Name of individual who is the subject of the record(s) sought. Individual submitting a request under the Privacy Act of 1974 must be either "a citizen of the United States or an alien lawfully admitted for permanent residence." pursuant to 5 U.S.C. Section 552a(aX2). Requests will be processed as Freedom of Information Act requests pursuant to 5 U.S.C. Section 552. rather than Privacy Act requests. for individuals who are not United States citizens or aliens lawfully admitted for permanent residence. Providing your social security number is voluntary. You are asked to provide your social security number only to facilitate the identification of records relating to you. Without your social security number, the Department may be unable to locate any or all records pertaining to you. 4 Signature of individual who is the subject of the record sought. FORM DO1-361 EFTA00056432





