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

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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

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

24 Hour Number Phone/24 Hour Number Date / Time Sentry Load Data: (Must Initial) Name Search,Compileted by: Clearance/Separet, Checked by: • (OPTIONAL. ARS Code b t.l Staff Init. Add AKA' Create Cash Account Deposit Cash Detainers Court Clothing Bag I Amt. RIGHT THUMBPRINT Original-for

icial (Name) Date / Time Sign. Print 5 Staff Init. Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL"( ARS Code Add AKA' Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag # Original-for ISM as Remanding-Removal receipt; Copy-

rch Completed by:. Clearance/Separate Chocked by:''' i i1 Phone/24 Hour Number Phone/24 Hour Number big Official (NWN!) • - 34 ri ')c Pr: at (OPTIONAL' USE) ARS Code. Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. • Detainers Court Clothing Bag a Date / Time RIGHT THUMBPRINT

In accordance with the term and conditions of the Statutory Major Gifts Rider that supplements this Power of Attorney. DESIGNATION OF MONITOR(S): (OPTIONAL) I designate the following as moroltOKSk (Insert name and address) (Insert name and address) Upon the request of the mortor(s). my agent(s) must

han one agent above, they must act TOGETHER unless you INMAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above is unable or unwilling to serve, I appoint as my successor agent(s): Your agent con act on your behalf only after

n one agent above, they must act TOGETHER unless you INITIAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above is unable or unwilling to serve, I appoint as my successor agent(s): (Insert name(s) and address(es) of successor

n one agent above, they must act TOGETHER unless you INITIAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above is unable or unwilling to serve, I appoint as my successor agent(s): (Insert name(s) and address(es) of successor

Name) Date / Time Releasing Official (Name) Date / Tine Sign Sign I Print Print Sentry Luad Data: (Must Initial) Name Search Completed by: (OPTIONAL ARS Code USE) Staff Init. RIGHT THUMBPRINT Add AKA's Clearance/Separate Checked by: Create Cash Account Deposit Cash Amt. Detainers Court

eo, K.a.seti te.s. pia nik sa amide is eauiss t ft Si -royal -1 T.sne_ cat Z.0 Vap MAJOR GIFTS AND OTHER TRANSFERS: STATUTORY MAJOR GIFTS CODER (OPTIONAL) in order to authorize your agent to make major gifts and other transfers of your property, you must INTAL the statement below AND execute a Statut

n one agent above, they must act TOGETHER unless you INITIAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above Is unable or unwilling to serve, I appoint as my successor agent(s): (Insert name(s) and addressies) of successor

e Releasing Official (Name) Sign Print Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: rrearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag I RIGHT THUMBPRINT Original-for ISM

n accordance with the terms and conditions of the Statutory Major Gifts Rider that supplements this Power of Attorney. DESIGNATION OF MONITOR(S): (OPTIONAL) I designate the following as monitor(s): (Insert name and address) (Insert name and address) Upon the request of the monitor(s), my agent(s) mus

n accordance with the terms and conditions of the Statutory Major Gifts Rider that supplements this Power of Attorney. DESIGNATION OF MONITOR(S): (OPTIONAL) I designate the following as monitor(s): (Insert name and address) (Insert name and address) Upon the request of the monitor(s), my agent(s) mus

me; (Usc attachment if necessary) 16 .dad AVM" sake 10 Miami BORA, Florida 33139 ARTICLE V: Effective data, if other than the dale of filing: . (OPTIONAL) (If an effective date is listed, the date mast be specific and cannot be more than fire business days prior to or 90 days after the date of filing

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 RIGHT THUMBPRINT Original-for ISM a

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 I RIGHT THUMBPRINT Original-for ISM