NS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: Sex:

UTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/ Title of Person Completing Form: RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft: 76318-054 DOB: 01/20/

TIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 15O PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: Columbo, Joseph RN Dale: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ti: 76318-05

ED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 ----------- Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: ..... l(b_lc6_H_b)(7_x_c_> __ __..I_R_N ____________ Date: 08/10/2019 Inmate Name: EPSTEIN,