EFTA00152420.pdf

U.S Department of Justice FEDERAL PRISONER'S PROPERTY RECEIPT United States Marshals Service (Inanacitons on Reverse) ITEMS RECEIVED: NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO P OPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY • • . NO PROPER P TY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPER P TV NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY NO PROPERTY CELLBLOCK INMATE NAME. MDC BROOKLYN INMATE SIGNATURE: Original (White) - To Committing Officer Duplicate (Yellow) • To Jena - Triplicate (Blue).- To Prisoner FORM US A I• IS Quadruplicate (White) • Extra (Rev CBS) Automated OM' EFTA00152420  LAW ENFORCEMENT SENSITIVE Criminal History/Stied/rota dropdown menu or type offense below) Arrest Bit Conviction (ll) Remaiks e.g... norm, of gang or criminal organization, etc.): ti Pr O Money Launderer 0 Kingpin ❑ Violent Offender I\ II \ I I ‘01 I« I I Internet Source IRemarics (e.g., entail address. website address, username. NOTICE TO ARRESTING AGENTS: As a courtes etc.) y. the USMS may temporarily hold an arrestee received by non-U personnel in the cellblock until the arresting agent(s) make SMS arrangements for the prisoner's initial appearance before a United Magistrate. A prisoner remains the responsibility of the arrestin States g agency until remanded to the custody of the USMS by the courts. When a courtesy hold is allowed by the USMS to be housed in a USMS cellblock. a minimum of one agent from the arrestin agency must be available to respond to the cellblock in order g to address any issues with their prisoner (e.g.. medical. disciplinary). the arresting agency refuses to comply with USMS proced If ures. the courtesy hold may be refused. Meals are not provided USMS. and remain the responsibility of the arresting agent(s by the ). ARRESTEE PROCESSING CHECKLIST ARRESTEE PROCESSING CHECKLIST For Arresting Officer Only For ISMS Personnel Only 1Sc1.1SM-312 (Personal History of Defendant) o Confirm all arresting agent documentation is completed and edical clearance (from licensed physician), if necessa inserted into prisoner's file ry opy of Arrest Woman. if issued ❑ US&I.3 I? (Personal History of Defendant) - revietied. signed and dined by intake IM SII UM) Copy of Complaint. Information. or Indictment. if completed ❑ USM-552 (Prisoner Medical Records Release Form) - ❑ Copy of Detainer(s). if issued cotripicred. signed and dosed by haat IN 511 .01.0 El Copy of Writ, if applicable ❑ USM•l8 (Federal Prisoner Property Receipt) comple D Correctional facility discharge papers. if applicable - ted. signed and dated by intake Dl '511UF.O ❑ Correctional facility prisoner receipt, if applicable ❑ USM-404I (Prisoner Remand) - insertedrule pitontes DI Correctional facility medical o USW 30 (Prisoner Custody Alert Notice), if applicable - Prepared By - Name: inserted into prisoner'sfile Agency: AR/4.— Pi:— ❑ FEY:249 (Fingerprint Card) - primed and inserted inn) 1% prisoner's.file Cell Phonl Date: e ❑ Prisoner Photograph (from Booking Package)-printediand inserted into prisoner'sfile Reviewed By: Badge U: Date: 77)ill friefitie26etee/41.9 leifime te;4O<fecte//1/ Cry) (P913- 21 21 LPLES Page 3 of 3 Form USA4.312 Rev 11117 EFTA00152421  UNITED STATES DEPART MENT OF JUSTICE UNITED STATES MARSHAL SER S VICE SOUTHERN DISTRICT OF NEW YORK Before any arrester en ARRETIME INFORMATION be processed by the USMS This form aunt be com say and all medical proble pleted for each amulet and niskondifionsmust be dec give to the responding USMS lared. personnel before the Arrester name: e.FFsee' 49 45762Aill be received for processing, arrestec Does arrest e have a prio r Vital arrest? Circle: If yes, please list the arre NO stee's USMS number. If you cannot idea* USMS number, please provid e arrest information (1E: date, arre sting agency, location) Arrestee's representatio n for this days proceedin Illegal aid, has arrester g: (Circle) Legal Aid met with counsel? Circle: CiA 114 /Ms r At-er.v "Oeteo Does the arrester have any YES NO If yes, please list: current detainees? Circle: YE S 47'?) yw- 317Z •-1 f Doe attester have am Me g ter .aedical condition tuberculosis, HIV, AIDS, or coed (to include: It i problems c' hepatitis etc.)? Circle: YE betes, asthmr Does arrostre require S medicatioaimedical attention for Do you, as the arresting this condition? Circle: YES y possess at Mast one days dos NO Circle: YES age of the anestee's medic Explain: lNOJ ation? Does stresme haveMnpl aykomp any other medical ailmmts(IE Circle: YES : orokea bones, open wounds etc .)? Does arrester require moduation/medical attention for Do you, as the arresting this condition? Circle: YES rosedY possess q NO Circle: YES one days dosage of the arrestects me Expla kr dication? Is the arrestee a drug addict/ user? Circle: YES If yes, does this require my special medical program (1E: methadone treatment)? Explain: Do you. as the arresting agent, professional? Circle: YES possess a medical cleareaceffit for confine (Please attach) ment letter from a healthcare fitottskvtliadalttal AREEETELEEDCESSIN Cinaljaan vz I, .fiaire you completed any sad all USMS paperwork. To inc lude:USMS 312 (Please fig oat 4 lochs ,2'... Attaches a photo of arres:ce to forms a compleetetely ly Si possi paperwott. V 3. Fingerprint cards • I for USMS file • I for the FBI for FPC classification 4. Filled out and attached the BOP-9. 5. Strip scatchod arrester. 6. Taken any and all A NG Il ,, AGENCY: CONTACT N WHILE IN THIS BUILD ING: NOTE TO ALL ARRESTING AGEN Be whited, the USMS provides TS the COURTESY dialing and pro coon appearance. However, die an ds*, amerce prior to the errata ent is sot coesktand a USMS 's magistrate said amen. to USMS euttody. primmer angle U.S. Maghttan This meet that as the armada an te Jodie REM-4M)S to say sod an mamas con s t. pa mat be available at cersiat your assestm, you are all dem to respond at (MlerdSraia Naiads Sat Policy cis repo ttibl• Party- aid PreordainMemel S. 1.1.4) EFTA00152422  LAW ENFORCEMENT SENSITIVE Remarks: IALI AS Last Name ALIAS First. MI I Remark IDate of Birth ISSN State Driver's License ssosoi I %II 4, I (1 1)I.I LNII‘Al• l(1.1 I I I '44 4 1111.11411 \ •fl•\ 14 \\I r)11111 Resident Address. Cif), State, Relationship Lost Name First, MI Registers ,ZIP Code Phone ISA1)7 car/ l9- ark/Tattoo (Specify) ILocation Description MI( 1.1 • Vehicle Stale and Registration n Near Make Model Colorlit) Vehicle Style Plate Ir Date 1 YIN I LH f.v.I. • License Number License State MIS( II I t\I III•NI ‘1It 1 It's [Miscellaneous Number I y pr (Se/ea/ram *uptown menu of type Mow) I Remarks we.. Issoioakrao or Country. ere) ( I P I II ) \ • (kc u SSG, r elpziaZ ater iL('011pan/Employe Name s'athimai 7;emar efet. Employment Address: VIR06/ 4.9.„41x Phone: g40 -77s — Start Date: I End Dale: Point of Contact: I 1\ 4 I I. RINI Wks Additional Information/Remarks/Continuation: Pitt )TII I Defendant Risks: 'Requires rionarks below See Offender D Escapee O Planned Murder O Aunt ❑ Conviction Organind Crimes O Protected Witness ❑ Registered ❑ Registration Violation D International Terrorist D Domestic Terrorist O Gang Member o Significant Criminal History O Multiple Defendants • Death Penalty Case ULES Form USM•312 Page 2 ofI Rev 11/17 EFTA00152423  ..t pas autes Marsh ) als Service (USMS PRISONER MEDICAL RECORD S RELE ASE FORM ::4317:1;:.771ON:;. itt tot! tbriipivivd by Ule completed by the prisoacr. Section USiviS intake Officer. Section may be completed by the USMS s ii AG iii are ro be or unwilling, but Section HI mu Intake Officer if the prisoner is st be signed by the prisoner. If pris unable • signalize block. An who& should oner reuses to sign, note that be immediately repotted to the in the Prisoner Services Division. The Office of Interagenc y Medical Services. completed LISM form 552 is to be retained in the prisoners files. Section I -1.1SMS Prisone Info r rmation I. Prisoner Name Mast. NV. MI USMS Prisoner /PS 7 3. D4rict Name TS"7,4 ‘Je Frreld -[.— / 4 Doincil 5. Cost it y e ti,i/D /Yr) Section II - Prisoner Per sonal Data And Medical Informa 7 tion 6. Oak OfBirth (Afo/Day/Yr) 2— 0 -- S -2 17 8. Mediecat Insurance Worm:Moo A) tounron company Name . ot nt,0-4,4 Am_ ee i 9) Policy .Stmstier fi gtor_olfro C57CF1- l C) Medic e ditieticau;3m Ycs w I' 9.. se (*Your Physician ID. nom Number ief Section III - Medical Consent (Sq, <If C2 C, And Records Release I certify that the ialoannion Moro provided above is tom to the best ofmy biondedst I badly authseize the CoitedStata Alarshah Serra to request. review. me dating the time prat aid have access to atirnedial is the custody of duo agency. and to at mortis ofcam provided to providing me with approtuiaie me medal morels deemed necessar dialare.artudiratiria rased bah forked y for the palm= of of the Coiled can sinker to me whik iwthe custody Service. ad foe infectious disease.- Myatt Prisoner C i gesture of VSMS kitatrOff ?go Original—Prisoner Ilk Copy so File Copy Cpon Transfer 1,44.152 I 'mix nwanuid cclUt ,AL EFTA00152424  se-S377.058 PRISONER REMAND !-DFRM FEB 04 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ARRESTING OFFICER WILL COMPLETE ALL REQUIRED Register Number DATA ON THIS FORM PRIOR TO COMMITTING TO P MCC/MDCs. First '74 3 AS2 ‘S- Middle „..." I I C it/ Ar 4.44K F AKAs: Race ( heck) Se (Check) Ethnic Origin (Check) D O.B. SEN: FBI: INS: B W A / Hispanic or Other Al . /42r °to-#• Other: CHARGES ECK ATEGORY CF CHARGES(S): FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS OTHER NARRATIVEA.9 Title: /0 0 use; c_?7/ -rex -77,4.cnocfivi coAtsfihe4c/ Title:IV Tte USC:oraco;)/ a) (-2) sex -7,-...4,e,-;ttfrc .0.0e,,,,,,,,gus- Date of Offense: Date of Arrest: 7- 457-1/7 Place of Arrest: eare55 1 ,A lsr .2 .)t of firth Coor;) ,l feirth CYZ.iienship Current A.d5ress 7e7/-oeer Zip Code /e -s isitot/Yorl< AI/ /AO 2/ "rs-- Harr elte4/Ar / Height/ O0 Scars0 5/Arks / Tattoos Ft: (4), In: Injure Injur' s / Medication Emergency Contact:(Name, Address, Phone Number) ,,t///4 1 04(.<-4? "ram/frejr)agg- 2 132 Arraigpld Sehten12/1 Special Handling: Y or )61 __Y IN __I Remarks: IN IN IN IN IN Remanding Official (Name) Agency/District Sign Phone/24 Hour Number Print OUT OUT OUT OUT OUT Removing Official (Name) Agency/District Sign Phone/24 Hour Number Print FOR BOP SE ONLY Receiving Official (Name) Date / Time Releasing Official (Name) Sign Date / Tine Sign Print I Print Sentry Luad Data: (Must Initial) (OPTIONAL USE) Name Search Completed by: ARS Code RIGHT THUMBPRINT Staff Init. Add AKA's Clearance/Separate Checked by: Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag 0 Original-for ISM as Remanding-Removal receipt; Copy-for Removing Official; Copy-for Control as Remanding ReceiptCtintrul as Removal Receipt INCIC1; Copy-For (Inmate); Copy-INS-Alien in Custody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 I* tat ea comese01. EFTA00152425  Mod AO 442 (09/13) Mut Wilmot AUSA Name & Telco: Alton Moe, 212-837-2225 UNITED STATES DISTRICT COURT for the Southern District of New York United States of America v. ) Case No. Jeffrey Epstein Defendant 19CIUM 490 ARREST WARRANT To: Any authorized Lew enforcement officer YOU ARE COMMANDED to arrest and bring before a United States magistrate judge without unnecessary delay Oman c/Perron to be rata, Jeffrey Epstein who is accused of an offense or violation based on the following docum ent filed with the court: Indictment Cl Superseding Indictment 0 Information 0 Superseding Information Cl Complaint Cl Probation Violation Petition 0 Supervised Release Violation Petition Cl Violation Notice Cl Order of the Court This offense is briefly described as follows: Title 18, United Stales Code, Section 371 (sex trafficking conspiracy) Title 18, United States Code, Sectons 1591(a), (b)(2), and (2) (sex trafficking of minors) ' " • I , .. t Date: 07/02/2019 City and state: New York, NY The Honorable Barbara MoseS, airteglitrate Judge hintedname and tide EFTA00152426