6 EFTA00109758 BP-S377.059 PRISONER REMAND v FEB 04 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ARRESTING OFFICER WILL CD:»PLETE ALL REQUIPED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs;) R E Name: Last First / . Middle AKAs: Race B W A I (Check) Sex M (Check) F Eth