NYMH3 530,03 * BUREAU OF PRISONS COUNT SHEET * PAGE 001 * NEW YORK MCC ed QTRG EQ **** EQ *++** OoOUTCOUN SECTION A PF F F F kK M R S TR oc T N N N 8 oO § & A N I uo T J Y Y s D N W § TU COUNT Y E 8 P t Dd I N VERIPY AREA CENSUS v T T COUNT VERIFY ICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: EFTA00061348

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NYMH3 530*05 * INMATE ROSTER PAGE 001 OF 001 OPER CATG ASSIGNMENT CATEGORY: OCT ASSIGNMENT: HOSP NUM ASSIGNMENT REG NO NAME 0001 HOSP 0002 0003 0004 Go000 TRANSACTION SUCCESSFULLY COMPLETED OPER CATG ASSIGNMENT * GROUP CODE: FACILITY: NYM OPER CATG ASSIGNMENT OCT DATE QTR 08-09-2015 £12-S592U 08-09-2015 K06-148U 08-09-2019 KO07-009L 08-09-2019 K12-078L 06-09-2019 21:27:58 WRK FS PM SUICIDE OR SUICIDE OR UNASSG PS AM SUICIDE OR SUICIDE OR UNASSG EFTA00061349

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METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: -09-/ COUNT TIME: [002 fr FROM: tonod, LOCATION: hes? APPROVED: REG # NAME UNIT 13. 14, - 15, 16, 17. 6 18. 7 19. 8 20. 9 21. 10. 22. 11 23. Rh BE OUT-COUNT BY UNIT BA ss C-A _sCé@EYNN ES / GN ss GS. _ CHA IN ss «xKN _/ KS 2 R-A ZA ZB Total Out-Counted: 7 Prepare this form in ink. Group the inmates according to their respective housing units. ‘This form is to be used only as an Out-Count. No other form will be accepted in licu of the Out-Count Form, EFTA00061350

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Metropolitan Correctional Center Official Count Sip Metropolitan Correctional Center Officiat Count Stip On” Py5 Unit: Count Print Signa Print Signa Metropolitan Correctional Center Official Count Slip ~ Unit Count Print Nam Signature: Print Name Metropolitan Correctional Center New York, New York a5 +1 Official Count Slip Count: Time: UO 60 Pu, 1. Print 1. Signature: 2. Print Nam 2. Signature: Metropolitan Correctional Cenger Official Count Stip Unit Count Print Name: Signature Print Name: Signature: Metropolitan Correctional Center Official Count Slip unit:_£eS Date Count: . Print Name Unit: Count: _ C Init. Metropolitan Correctional Center Official Count Stip ZA_ Date: Metropolitan Correctional Center New York, New York Official Count Slip ount Metropolitan Correctional Ceater Official Count Stip EFTA00061351

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Metropoliten Correctional Center Official Count Stip z We vat BA Date; SAT ig Bb (aaa. Count: Print Name Signature: Print Name: Signature: Metropotitas Correctional Comter Ww Official Count Slip HA Date\_& (7 Usit \ Count Time OO phy Print Name: Signature Print Name: Signature: Metropolitan Correctional Center Offictal Cownt Slip é Unit : xl? iq Count: __- Time: (ONO? pm Print Name: Signature: Print Name: — Signature Metropolitan Carre Official Coun ional Cent Signature Print Nazne Signature fetropolitan Correct: Official Count 3 Print Name: Signature: Print Neme: Signature EFTA00061352