Name: Signature Metropolitan Correctio Official Count Slip • Unit: O fj!"_.g Date: Count: Print Name: Signature: Print Name: Signature: al Center Time: Metropolitan Correctional Center Official Ca tnt Slip Metropolitan Correctional Cen- ter Official, Count Slip Unit: Count: Print Name:

ym _ Unit: Count: Print Name: Signature: Print Name: Signature: H avitalVVVIllaill WI I CUP -Mtn Official Count SE Metropolitan Correct', al Center Official Count Sli I Center Time: c Unit: Count: rint Name: Signature: Print Name: Signatu're Unit: Count: A svittlopoiltan Co ectiona

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

JNASSG 0002 08 - 12-2019 El2-592U FS PM SUICIDE OR GOOOO TRANSACTION SUCCESSFULLY COMPLETED Page 2867 Unit: Count: Metropolitan CotTectio~al Center Official Count Shp • I { ~ Date _L'ff_~ ·,,'_J_U'4-..J-. ..... 7 - __ .....,..- nm: __/_lf 1!7_.;...-- b'(61 (bX7 ,fCJ Print Name: - Signatu

cial Count Slip Print Name: Signature: Print Name: Signature ____ -1 ----, Page 3092 Count: Signatu ,,. Signature Metropolitan Correctio~al Center Official Count Shp - ,_ --~--------------..... Metropolitan Correctiona] Center Official Count Sli Count: - ~ ~~~ :!:....------'~--- r------ bj(

onahl :me; PP.' :am lieu :1!s :aaei auno ) 9zit. .‚„," 51 / (MS ilme I 11101alaw3 ugryodo,lalc 1 EFTA00130802 1 Metropolitan Corm. •: al Center al Cob r .14. Unit: 1,3 2 44 Count:__ n Print Name: Signature: hint Name: Signature '1 f 9 Pint Name: Sgnature: Print Namm SipsuitUre