Completed b 9 08:10 Requested to be cosigned by MD. Cosign documentation will be displayed on the ollowing page. Generated 08/10/2019 08:10 by Colurnbo. Joseph RN Bureau of Prisons • NYM Page 2 of 2 CONFIDENTIAL SDNY_00008858 EFTA00123145

olumba, Joseph RN Unit: H01 Date Initiated Format ittedouirrooic Copay Required:No Cosign Required: Yes TelephoneNerbal Order No Completed by Colurnbo, Joseph RN on 07/28/2019 07:22 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. pro