EFTA01648966.pdf

)• U.S. Department of Justice United States Marshals Service U NCLASSI FIECV/FOR OFFICIAL USE ONLY / FORM USM-78 ARREST SHEET BIOGRAPHICAL INFORMATION Last name First name Middle initial Suffix Maxwell Ghislaine N DOB 01,4.00nVYYI Subject address , Bradford, New Hampshire Language Country of birth State Mother's country of birth Father's country of birth English France France Czechia Race Weight I.>: Sex Hair color Eyecolor Height (no Height (Inches) White 142 Female BLK BRO 5 7 UCN IFal Numbed USMS Number FID Alien number SSN A000000000 CASE INFORMATION Court case number / Warrant number OFFICE 20 CR 330 MISC V Sealed case i/ High profilecase Arresting agent last name Arresting agent first name Arrest location Bradford, New Hampshire Arrestin a ent email address irTIllg uwa go.addre:r.1 Arresting agent phone Arresting agency ORI FBI SUBJECT INFORMATION Medical condition Mental condition Was/did the subject Drug usage in the past 24 Hrs. Coughing Thoughts of suicide Assaultive on arrest? Coughing up blood Thoughts of hurting yourself In possession of a weapon? Gang affiliations Night sweats Thoughts of hurting others Have martial arts training? r Yes 07 No C Suspected Unexplained fever Known someone who Attempted to escape Separatees has committed suicide after arrest? Unexplained weight loss Experienced and recent loss of a family member or close friend CONFIDENTIALITY NOTICE: This report contains unclassified information of a sensitive, proprietary, health data or personally identifiable information (PII) which must be protected against release to unauthorized individuals and is the property of the U.S. Marshals Service. All emails, including all attachments, containing Pll must be encrypted. Neither it nor its content may be disseminated outside the agency or personnel to which loaned without prior U.S. Marshals Service Authority. It is to be maintained, distributed, secured and disposed of in a manner that will protect the information against unauthorized disclosure and in accordance with The Privacy Act of 1974, 5 USC § 552a. t0WIK PAGE I Oft0f1 UNCLASSIFIED//FOR OFFICIAL USE ONLY / Filf‘.O.6(IM110.606S0ifit FORM USM-78 EFTA01648966  U.S. Department of Justice UNCLASSIFIED//FO0O / FORM USM-78 ARREST SHEET United States Marshals Service ARREST INFORMATION Arrest date piwouvv, Was the subject housed in a jail or medical facility? Subject had property on arrest 07/02/2020 OJail O Medical ONO Ores O No 0 No, property retained by arresting agent If answered jail or medical facility, fill the designated fields below: Facility name Facility address Admit Date Release Date NCIC Offense Code Remarks Enticement of Minor for Prostitution - 6409 Conspiracy NCIC Offense Code Remarks Enticement of Minor for Prostitution - 6409 NCIC Offense Code Remarks Transport Interstate for Sexual Activity - 3622 Transportation of minors NCIC Offense Code Remarks Transport Interstate for Sexual Activity - 3622 Conspiracy to transport NCIC Offense Code Remarks Perjury - 5003 NCIC Offense Code Remarks NCIC Offense Code Remarks NCIC Offense Code Remarks NCIC Offense Code Remarks IMPORTANT: Prisoner IS NOT in USMS custody until SUBMIT FORM DISTRICT OFFICE remardcc Dy the Magistrate Judge. THE U.S. MARSHAL SERVICE DOES NOT ACCEPTANT PERSONAL PROPERTY. NH CONCORD CLEAR FORM KY WWII; FAIDOSIDDOXOSSOtEit FRCS 2 OUTO1 UN C LASSIFlED//FO UO / FORM USM-78 EFTA01648967