BP-s377.058 PRISONER REMAND

BP-s377.058 PRISONER REMAND FEB 04 U.S. DEPARTMENT OF JUSTICE sow FEDERAL BUREAU OF PRISONS ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCS. Namo: LauL AKAs: Race (Check) Sex (Check) B W A • I M F First e. Register Number 6 D.Q. SSN: FBI: < INS: Other: Ethnic Origin (Check) _Hispanic or _Other I CHARGES CHECK CATEGORY OF CHARGES(S): FELONY MISDEMEANOR OTHER NARRATIVE: Title: USC: /t NARRATIVET-- Title: USC: (:‘ CIVIL CONTEMPT' ( MATERIAL WITNESS . Date of Offense:... Date of At'rest: 0 42 Place of Arrest: - State of Birth Height Ft: In: ,country.ofeitth. ' Weight Hair Citizenship Eyes Current Address. • Scars / Marks /. Tattoos • • .Eip:Code Injuries / Medication. Arraigned . Y N Sentenced ..""Y N Remanding?Official.(Name) Sign , _ Removing Official (Name) Sign Print Emergency Contactr(Na0e,.Address,!phpne Number) ';U._-t1,):4 ryb•ina 1 • ).-p e ri Special Handl