USTICE FEDERAL BUREAU OF PRISONS • ARRESTING OFFICER WILL CUMPLETE ALL RE.",,UIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MOCs. ?‘"clister Nuate: Name: e Last, I , First_ Middle AKAs: Race L.J3 (Check) W A Sex L.44 (Check) F Ethnic Origin (Check) _Hispanic or _Other D.O.B. SS