Official Count Slip Unit • ---- Date: ETILj_i Count:,_ Time: icn-cx1 i t Print Name:_ L2. I. Signa ture: 2. Print Name: _ Signature: Unit Cetint: rint Name; ignatUre: Print Name: Signature Unit: Count: A Date Ti Metropolitan Correctional Center Official Count Slip GS 1 877 Print Name