U.S. Department of Justice
FEDERAL. PRISONER'S PROPERTY RECEIPT
United States Marshals Service
(nningigalt on severe)
ITEMS RECEIVED:
NO PROPERTY NO
Pi
NO PROPERN
P
NO PROPER
N P
I IA
I
a •
TY NO PROPERTY
TY NO PROPERTY
Ft PROPERTY NO PROPERTY NO PROPERTY
•
•
.
CELLBLOCK
INMATE NAME.
MDC BROOKLYN
Original (Wane) - To Continnong Officer
Duplicate (Yellow) • To luta
- -
Triplicate (Blue), To Pruonet
Quadruplicate (White) - Extra
FORM il$14;- is
(Rev 445I
Mammal RI) !
SDNY_GM_00173142
EFTA_DO I94797
EFTA01305108
Criminal History (Select from dropdmen menu or °yeoffense below)
Arrest (N)
Con idiots (NI
Remarks e.g., name of gang or criminal organization. etc.):
Pr
0 Money Launderer
0 Kingpin
D Violent Offender
I\ I I. H. I. I 'U1 PO
Internet Source I
Remarks (e.g, email address, website address, username, etc.)
NOTICE TO ARRESTING AGENTS: As a courtesy. the USMS may temporarily hold an arrestee received by non.USMS
personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States
Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody oldie USMS by the courts.
When a courtesy hold is allowed by the USMS to be housed in a USMS cellbloek. a minimum of one agent from the arresting
agency must be available to respond to the cellblock in order to address any issues with their prisoner (e.g.. medical. disciplinary). If
the arresting agency refuses to comply with USMS procedures. the courtesy hold may be refused. Meals are not provided by the
USMS. and remain the responsibility of the arresting agent(s).
For Arresting (Wirer Only
*USM-3I2 (Personal History of Defendant)
Medical clearance (from licensed physician). if necessary
opy of Arrest Warrant. if issued
Copy of Complaint. Information. or Indictment. if completed
C3 Copy of Deminerts I. if issued
O Copy of Writ. if applicable
O Correctional facility discharge papers. if applicable
O Correctional facility prisoner receipt. ifapplicabk
0
Correctional facility medical summary. if applicable
Prepared By - Name: 47-
M) ier
n1 driseg 774-957
/e7
at iim(„7
Agency:
Cell Phone
) M—
.77
For USAIS Personnel Only
K Confirm all arresting agent documentation is completed and
inserted into prisoner's file
K USZ4-.31.2 (Personal History of Defendant) - reviewed.
signed and erred hr intake I)! SI! IMO
O LISM-552 (Prisoner Medical Records Release Form)-
comp/erect signed and dui& by intake IN St' 1)1.0
K USNI.I8 (Federal Prisoner Property Receipt) - eompkted
signed undiluted by intake IN
K USM-40:4 I (Prisoner Remand) - inserted into prison( 'ile
K USM-I30 (Prisoner Custody Alert Notice), if applicable -
inserted into prisoner's file
K FD-249 (Fingerprint Card). printed and invenal into
pristmerWile
O Prisoner Photograph (from Booking Package) printed and
inserted into prisoner's file
Reviewed By:
/71-eptierz 6gRehlte.)
ifi lt<
e
rte/A/
(940
cr13— 2122_
LILES
Page 3 of 3
Badge N:
Date:
Form USPA•312
Rev lull
SDNY_GM_00173143
EFTA_001 94798
EFTA01305109
Before any arrester can be processed by the USMS say gad all medical problems/conditions must be declared.
This form mint be completed for each arrester sad given to the responding USMS personnel before the a rrestee
will be received tor processing.
Arrester name:
re ,y
49clrg/AT
Does arrest e have a prior fffical arrest? Circle:
ES
NO
If yes, please list the errata's USMS number.
If you cannot identify USMS number, please provide arrest information (1E: date, arnating agency. location)
Arrestee's representation for this days proceeding: (Circle)
Legal Aid
If legal aid, has arrestve met with counsel? Circle:
YES
NO
Does the arrester have any current detainers? Circle:
YES
If yes, please list:
ciA
mod ivg,c-9, ~keg
4//9 71/— 317Z
Doe attester have any long ter
..tedical condition or oat
(to include: hei i problems e beta, asthmr
tuberculosis, HIV, AIDS, hepatitis etc.)? Circle:
YES
Does arrester require medicationknedical attention for this condition? Circle:
YES
NO
Do you, as the arresting
currently possess at least one days dosage of the arrestee's medication?
Circle:
YES
Explain:
Does Iliftatt have/display/wrap
any other medial
orokau bones. open wounds etc.)?
Circle:
YES
Does arrestec require medication/medical attention for this condition? Circle:
YES
NO
Do you, as the arresting
rrently possess at least one days dosage of the arrestee's medication?
Circle:
YES
Explain:
Is the errata a drug addict/user? Circle:
YES
If yes, does this require any special medical program (IE: methadone treatment)? Explain:
Do you. as the arresting agent, i
professional? Circle:
YES
=
biased
It
ve you completed any and all USMS paperwork.
To include: USMS 312 (Please fill out all forms as completely as possible)
Attache' a photo of arres:re to paperwork.
3. Fingerprint cards
si forUSMSfik
/Filled
out and attached the SOPS.
9 for the FBI for FPC classification
5. Strip searched arrestee.
6. Taken any and all
/9r,t
A
bom ttf
C 2 IC
LNG Imr:
AGENCY:
Be codvised, the USMS provides the COURTESY of leokilag and prods:lag errata prior to the arrester's magistrate
court appearance- However, Ms arrestor is not considered a USMS prisoner milli a U.S. Magistrate Jades EMANDS
said armlet to USMS custody. This maw that as the maths agent, yon moat be available at ail Dom to respond
to any and all mitten concerning your arrester, as you are the responsible party.
United Stage Marshals Setvig Miry gad Panderer Manual 5.14(0
icable. possess a medial clearancettit for confinement letter from a healthcare
(Plea attach)
SONY_GM_00173144
EFTA_00 194799
EFTA01305110
La ENFORCEMENT SENSITIVE
Remarks:
XI I %•I
1 ALI AS Last Name
ALIAS Ant. MI
Remark
Date of Birth SSN
State Driver's License
'1/4 ••()(
\ I I •
( (h1,1 1 1 \II \\
1(1 I
\
1 •
I
•11•\11. 11 \\I
I11 III
i
Relationship
Last Name
First, MI
Register I
1 Resident Address. City. State.
'ZIP Code
Phone
Sear lark/Tattoo (Specify)
Locatkn
Af
Description
\t Mt 1
•
Vehicle
Year
Make
Model
I Color(s)
thick Style
Stale and
Plate N
Registration r
Date
X IN
I I1 I
License Number
License State
‘111.( fl I \\1,(11 • \l
\MI 11•
!Miscellaneous Number I Type aelecrfroas &trim arras or opt Mew) I Remarks its,. lisaintaan or Lowe). or i
111 I
I I( I\ •
Occupation:
Employment Address:
Start Date:
Account Type
Account a
Branch Address
Phone #
Company/Employer Name:
rep*
I I\ \\C I \I.
' Bank Name
NI11,1 I \RN
Pine'h
Rank
Entry
Date
Discharge
Date
Discharge Type
I
Military Detonation
Remarks
tits' \Rh,.
Additional In formation/RemarkSICOnthtuation:
PIM I II I
Defendant Risks: 'Ramiro' rensurkc below
O Escapee
K Organized Crime'
O International Terrorist
D Gang Member'
D Multiple Defendants
El Planned Murder
O Protected Witness
O Domestic Terrorist
0 Significant Criminal History
1: Death Penalty Case
USES
Page 2 of 3
Sex Offender:
O Arrest
O Registered
O Conviction
O Registration Violation
Form GSM.312
Rev 11/17
SDNY_GM_00 173145
EFTA_00194800
EFTA01305111
VMS"! JIM% Mudmis Service (USMS1
; 4 14, im; vottyktoci by div ;ISMS intake Officer. Sections ii iii are to be
completed by the prisoner. Section II may be completed by the USMS Intake Officer if the prisoner is unable
or unwilling but Section III must be signed by the prisoner. If prisoner refuses to sign. note that in the
signature block. All (chisels should be immediately reported to the Office of Interagency Medical Services.
Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files
Section I - IBMS Prison( IaforrinatIon
I. Prisoner Name (Iasi. Fin'. P11)
le t
45 7S/414
Je Fgr
3. Di irks Nam(
4 Oi nal
Section II - Prisoner Personal Data Aad Medical Information
6. Oak Of Birth IMosDay/Yrl
SI.?
8. Mediesi Insurance Inkmasrion
A) Inoirsocc convany Name ,
&
UAq--ethent/4 Atte__
.
Of Your Physician
9. '
ic
to; aceoren12
PolkY
/ neen A61A
es"-f 94.6-s7
Section III - Medical Coastal And Records Release
10. Plonk Number
Cr Medic
/Medicaid
g
Yes
o
(337 ste-- cze,
I certify that the infonnstinn I Marc provided above is ow to the bat of my kaowledge
I bentyauttiocitc the CanedSlain MssMs Soviet to request Mkt
aid line access to all media/ records of rare profiled to
me dialog the time thulium lithe custody of dine agany.end so &loam stoked monk deemed accessary for the paiposes of
provilFtitg me wilh appropriak medial care adjudicating medial hills for heakh we groins provided to me white %ihc custody
of She Uailed
Service. ad for infomious disease
Sig
Prisoner
4 >g
gstatiree of 1.384S Intake
Darr
Original-Pasoan File
Copy to Dioxin lilt
Copy Upon Transfer
Idart I
I
%NA
Amunu...40411
SONY _G61_00173146
<AL
EFTA_00 I 94801
EFTA01305112
BP-S377.050 PRISONER REMAND
:-DFlim
FEB 04
MCC/MDCs.
Name: last
AKAs:
First
Race ( heck)
B
M
A
/
F
Se (Check)
fr e
Register Number
3 /e OCI
Middled ..-/44t±t
i
Ethnic Origin (Check)
Hispanic or
Other
I
C
D O.B.
Apecr
FBI:
INS:
Other:
CHARGES
FELONY
MISDEMEANOR
CIVIL CONTEMPT
___
OTHER
NARRATIVE4f2
/
Title:
USC:22,2/ sex -77,0,-frxxiAcy cnoive19)44244
NARRATIVE°
Title: irr USC:ng:FEIC.4 ) ,e a) 6?
) sex - 7 -44,e,s-,cmpvG ote no,ve,cs -
Date of Offense:
Date of Arrest: 7- ‘-/,'
Place t,f Airest:Sepoieiflitr
Stat
f
irth
> le
Coit t rs doe4irth
C‘Eirnship
jes
Curfent A
ess 7 e 7A c i r eer
We
Ag; /1../79
Zlp Code
A002/
meighy!
47‘)
Ft: CO In:
7pr
!,!
,,g )/
Ey
4/‘
Scars400Aprks / Tattoos
Injuri s I Medication
P
AY,/
Emergency Contact:(Name, Address, Phone
Number)
0.4fiC 45"S/fret) 5-1'7 - 2 fn
Arraigned
Y
N
Sentenced
Y
Special Handling:
Y or )6
Remarks:
IN
IN
IN
IN
IN
Remanding Official
Sign
Print
(Name)
Agency/District
Phone/24 Hour Number
OUT
OUT
OUT
OUT
CUT
Removing Official
Sign
Print
(Name)
Agency/District
Phone/24 Hour Number
Receiving Official
(Name)
Sign
Print
Sentry Lead uata: (Must Initial)
Name Search Cempleted by:
Clearance/Separate
checked by:
FOR BOP
SE ONLY
r
Date / Time
Releasing official
(Name)
Sign
Print
(OPTIONAL USE)
ARS Code
Staff Init.
Add AKA's
Create Cash Account
Deposit Cash
Amt.
Detainers
Court
Clothing Bag I
Date / Time
Original -for ISM as Remanding-Removal receipt;
Copy-for Centre). as Removal Receipt (NCIC); Copy-For
Removing Official;
Cepy-for Control as Remanding Receipt (Inmate); Copy- INS-Alien in Custody.
(This form may be replicated
via WP)
This form replaces BP-SJ77(58) and BP- 377(581 of JUL 91
te:
SIDNY_Gd_00173147
••••••040031) Wt.
EFTA 00194802
EFTA01305113
Mod AO 442 (09/B) Ama roman
AUSA Name & Theo: Alison Moe, 212-837-2225
for the
Southern District of New York
United States of America
v.
Jeffrey Epstein
0
To:
Any authorized law enforcement officer
)
Case No
19CRIM
ARREST WARRANT
YOU ARE COMMANDED to arrest and bring before a United States magistrate judge without unnecessary delay
(man ciperson to be armful,
Jeffr , Epstein
who is accused of an offense or violation based on the following document filed with the court
5( Indictment
O Superseding Indictment
O Information
O Superseding Information
Cl Complaint
O Probation Violation Petition
0 Supervised Release Violation Petition
°Violation Notice 0 Order of the Court
This offense is briefly described as follows:
710018, United States Code, Section
'
371 (sex trafilcidng conspiracy)
Title 18, United Stales Code, Sections 1591(a), (b)(2), and (2) (sex trafficidng of minors)
Date:
07/02/2019
City and state:
New York, NY
The Honorable Barbara Mosel;, ll.$. MallitTsfe Jude
Printed now and Mk
Rein
This warrant was received on (an)
at (city and Ha)
Date:
, and the person was attested on Mae)
Arresting officer's striatum
Printed nom ad title
SDNY_GM_00173148
EFTA_00 194803
EFTA01305114