NYMDL 530.03 * BUREAU OF PRISONS COUNT SHEET * 08-04-2019 PAGE .001 * NEW YORK MCC * 20:01:46 QTRG EQ **** OCTG EQ **** OoUTCOUNT SECTION A F PF F F H M R s TR V oc T N N N 8 12] s & A N I uo T J Y Y s D N Ww s TU COUNT Y E s P I D I N VERIFY COUNT AREA CENSUS v T T COUNT COUNT AREA B-A 26 . . . ° . : ’ . ° : . . 26 B-A C-A 10 ° . . . ° . . . . ‘ ‘ . 10 C-A E-N 87 . . . . . ° . ° . . . . 87 E-N E-S 78 ° ° . ° ° 1 ° ° ° . . 1 77 E-S G-N 78 . . . . . . ’ . . . . : 78 G-N G-s 82 ° . . . . ° ° . ° . . . 82 G-S H-A 1 1 H-A I-N 87 : . . . : . ° ° ° . ° ° 87 I-N K-N 89 . . . . . . ’ . . . . . 89 K-N K-S 142 . ‘ . . . . . . . . . . 142 K-S — R-A 0) 0 R-A Z-A 77 77 Z-A Z-B 5 5 Z-B OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: EFTA00119748

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METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: 3/04/ Qe | COUNT TIME: | :00 PM FROM: LOCATION: HosP mber Preparing Out Count) APPROVED: (Operations Lieutenant) REG # NAME UNIT REG # NAME INIT 1, 13. $16F3-053 mersey ES 2. 14, 3. 15. a» _ S wn - = a % e y = 21. 10. 22, 11 23. Ba 12 24. * OUT-COUNT BY UNIT B-A C-A E-N E-S \ G-N G-S H-A I-N K-N K-S R-A Z-A Z-B Total Out-Counted: \ ee This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affected count. 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 lieu of the Out-Count Form. EFTA00119749

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NYMDL 530*05 * PAGE. 001 OF 001 CATEGORY: ASSIGNMENT : OPER CATG ASSIGNMENT NUM ASSIGNMENT REG NO 0001 HOSP 89673-053 Go000 INMATE ROSTER * 08-04-2019 20:01:22 oct GROUP CODE: HOSP FACILITY: NYM OPER CATG ASSIGNMENT OPER CATG ASSIGNMENT NAME OCT DATE QTR WRK MERSEY 08-04-2019 E12-592U FS PM SUICIDE OR TRANSACTION SUCCESSFULLY COMPLETED EFTA00119750

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Count: Print Name: Signature: Print Name: “Metropolitan Correctional Center a Official Count Slip & Signature: _ = Metropolitan Correctional Center Official Count Slip Unit: —— 87 Count: _— Print Name: —— Signature: Print Name: “Metropolitan Correctional Center rv] Official Count Slip ot y | Unit: Noa” Date: B-4-1 ’ Count: Print Name: Signature: | Print Name: Signature: Signature Cr Metropolitan Correctional Center Official Count Slip ’ y - v BLYS/I__ Time:_/0.¢°¢ Unit =z AL Count: Print Name: Signature Print Name: Metropolitan Correctional Center Official Count Slip Unit ES Count: _ wi Print Name: Signature Print Name: Signature Metropolitan Correctional Center AV Official Count Slip ( ~w\ unit-NO ¢ #) eC Count: Z Time: U al Print Name: Signature: / \ Print Name: ~ Signature___ ; Unit: ___ CY —__._ Date __ Tetropolitan Correctional Center GD | Official Count Slip ~B" we, 3 Ja [yy _S ~ doom” —— Times | Unit: | Count: Print Name: Signature: | Print Name: | | Signature: Metropolitan Correctional Center Official Count Slip a } 7 ) ‘mn fis f ) Count: Ll om _ Print Name: __ —_______ Time: Signature: Print Name: __ Signature | ; : Metropolitan Correctional Center | Official Count Slip GS_v Date: 8/ C+ /2019° Count: ies ¥ Unit: Print Name: Signature: Print Name: Signature: EFTA00119751

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Metropolitan Correctional Center PY | Offigial Count Slip | Unit: ania Date: 2: 4-11) ~ Bime: — ) Unit: __ 4 . ] | count: a — Count: et “s | Print Name: _ Print Name: Signature: Signature: Print Name: __ Prin | Signature: _____— Metropolitan Correctional Center os Metropolitan Correctional Center Official Count — ! Official Count Slip lV > 7 ~ Count SY . Print Name: Unit: Count: Print Name: Signature; Signature: Print Name: Print Name: Signaturg 4 EFTA00119752