following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 atier Counseled by Date P ature Date Signature of Witness Date NYI3/41-NEINYORK MCC EFTA00049322 BP.S358.060 MEDICAL TREATMENT REFUSAL SEP OS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date COFRM I, JE