EFTA00109152

UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS OFFICIAL OUT-COUNT FORM Metropolitan Correctional Center 150 Park Row New York, New York 10007 Date: 08-09-2019 Count Time: 4:00 pm From: (Staff Member Supervising Inmates) Approved: pp (Operations Lieutenant) Location: FNYS REG LN FN QTR 53358-054 CLARK ROBERT K1 1-05 6U B-A C-A E-N E-S _G -N_ G-S H-A I-N K-N K-S 1 R-A Z-A Z-B Total Out-Counted: 1 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 is to be used only as an Out Count EFTA00109152