📄 Extracted Text (248 words)
BP-S377.050 PRISONER REMAND
FEB 04
U.S. DEPARTMENT OF
JUSTICE
FEDERAL BUREAU OF PRI
SONS
ARRESTING OFFICER WILL
DATA ON THIS FORM PRIORCOMP LETE LL 'REQUIRED
TO COMMI /NG TO:, Register Number
MCC/MDCs. '
Name: Las:
MiddUe
AKAs:
Race (Check) Sex (Check) Ethnic Origin (Check) D.O.B. SSN:
B IM A I F _Hispanic on Other
CHARGES
CHECK CATEGORY OF CHARGES(S):
FELONY MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS ...
OTHER am•••••."'
NARRATIVE: :
Title: USC: i • „
NARRATIVE7-- V PJ
Title: USC:
1
Date of Offense:
Date of Arrest:
Place of Arrest:
or. '
State of Birth Country.of Birth Citizenship . Current Addres
s Zip Code :.
Height Weight
Ft: Hair . Eyes. Scars / Marks / Tattoos
In:
Injuries / Medication
Emergency Contest:-(Name,- Addr
Number) ess, Phone
Arraigned Sentenced
Y N —_Y __
N
Special Handling:
Remarks:
Y or N
NVIPRm
Remanding Official (Nam
Sign e) I Agency/District
Phone/24 Hour Number
Print
(:';grn,Y)
Sign. y/District ?hone/24 Hour Number
Print
Receiving Official (Name)
Sign Date / Time Releasing,Official. (Name)
Sign ,. . a Cate / Time
Print
Print
Sentry Load Data: (Must Init
Name Search Completed by: ial) (OPTION
ARS Code RIGHT THUm PRINT
Staff Init.
Clearance/Separate Checked by: Add AKA'
Create Cash Account
Deposit Cash Amt.
Detainers
Court
Clothing Bag 4
Original-for ISM -as Remandin
Removing Official; Copy-for g-Removal receipt; Copy-for Control as Removal
Control as Remanding Receipt -Receipt (NCIC)it)Copy-Fo
(Inmate); Copy-INS-Alien in r
(This form may be replicated Custody.
via WP) This form replaces BP-Sir/mat mnA Ors.,'”ora.
EFTA00109695
ℹ️ Document Details
SHA-256
f9ab1ff8f803ccc7f405c52d6cb301ce6703e14b9376f2e68e0e08be0e1fa45a
Bates Number
EFTA00109695
Dataset
DataSet-9
Document Type
document
Pages
1