Case File
efta-01648966DOJ Data Set 10OtherEFTA01648966
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01648966
Pages
2
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
) United States Marshals Service
•
U.S. Department of Justice
U NCLASSI F I ECV/FOR OFFICIAL USE ONLY /
FORM USM-78
ARREST SHEET
BIOGRAPHICAL INFORMATION
Last name
Maxwell
DOB 01,4.00nVYYI
Language
English
Race
White
UCN IFal Numbed
First name
Ghislaine
Subject address
, Bradford, New Hampshire
Country of birth
State
France
Weight I.>:
142
USMS Number
FID
Mother's country of birth
France
Sex
Female
Hair color
Eyecolor
BLK
BRO
Alien number
A000000000
Middle initial
Suffix
N
Father's country of birth
Czechia
Height (no
Height (Inches)
5
7
SSN
CASE INFORMATION
Court case number / Warrant number
OFFICE
20
CR
Arresting agent last name
330
MISC
Arresting agent first name
Arrest location
Arrestin a ent email address irTIllg uwa go.addre:r.1
V Sealed case
Arresting agent phone
Arresting agency ORI
FBI
i/ High profilecase
Bradford, New Hampshire
SUBJECT INFORMATION
Medical condition
Coughing
Coughing up blood
Night sweats
Unexplained fever
Unexplained weight loss
Mental condition
Thoughts of suicide
Thoughts of hurting yourself
Thoughts of hurting others
Known someone who
has committed suicide
Experienced and recent loss
of a family member or close friend
Was/did the subject
Drug usage in the past 24 Hrs.
Assaultive on arrest?
In possession of a weapon?
Have martial arts training?
Attempted to escape
after arrest?
Gang affiliations
r Yes
07 No C Suspected
Separatees
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.
PAGE I Oft0f1
UNCLASSIFIED//FOR OFFICIAL USE ONLY
/
t0WIK
Filf‘.O.6(IM110.606S0ifit
FORM USM-78
EFTA01648966
U.S. Department of Justice
United States Marshals Service
UNCLASSIFIED//FO0O
/
FORM USM-78
ARREST SHEET
ARREST INFORMATION
Arrest date piwouvv,
07/02/2020
Was the subject housed in a jail or medical facility?
Subject had property on arrest
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
Transport Interstate for Sexual Activity - 3622
NCIC Offense Code
Transport Interstate for Sexual Activity - 3622
NCIC Offense Code
Perjury - 5003
NCIC Offense Code
NCIC Offense Code
NCIC Offense Code
NCIC Offense Code
IMPORTANT: Prisoner IS NOT in USMS custody until
remardcc Dy the Magistrate Judge. THE U.S. MARSHAL
SERVICE DOES NOT ACCEPTANT PERSONAL PROPERTY.
DISTRICT OFFICE
NH CONCORD
Remarks
Transportation of minors
Remarks
Conspiracy to transport
Remarks
Remarks
Remarks
Remarks
Remarks
SUBMIT FORM
CLEAR FORM
FRCS 2 OUTO1
UN C LASSI Fl ED//FO UO
/
KY WWII;
FAIDOSIDDOXOSSOtE it
FORM USM-78
EFTA01648967
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