tive housing units. This form is to be used only as an Out-Count. No other form will be accepted in lieu of the Out-Count Form. EFTA00109193 .ca kft4 NYMDK 530*05 * PAGE 001 OF 001 CATEGORY: OCT ASSIGNMENT: HOSP OPER CATG ,ASSIGNMENT OPER INMATE ROSTER NUM .ASSIGNMENT REG NO NAME 0001 HOSP 78359-053 TIS