LAW ENFORCENIENT SENSITIVE .S. Department of Justice I:nited Stales Slarshals &nice Personal History of Defendant Taken Federal custody by the following: Street Arrest (not from a coweetionaidetention facility) 0 Custodial Arrest (from a correctional:detention facility) EISA-lit Used Must provide cop) anPSI Aern.e-.7- Itettee4" .-r- K Prim Federal Arrest or Saleheeper Register n: K Safekeeper Location: MOGI( HID U INFORM fins. Last Name: Sex: F O Transgender Mir: 6 Fa_ frlEyts: eiv i t City of Birth: e tA/ I Srate/Coun ry of Birth: IState ION: First Name: Pregnant: ID Y lkight: Cr i FBI N: Resident Address/(10/StatettIP: 9 4-4, l omy Phone: Cell Phone: C %gent,: Aiy Agent Last Name: Agent Phone N: Location/Facility of Arrest: Court Docket Al Middle Name: Race: Ai Weight lecrl DOB: Ogn Citizenship t rarilif IMien : SSN /602 111 Charge Description SeYleigentil,/ Title/Code Agency ORI: 7 / 4/ew -71-17 ofdo ,e-r terey,./ ea p Al SA(s) Assigned: NC IC Code use 37/ Known Detainers/Ws cranes: - Agency: Must I:amides copy of any delainen) \I %ND Mull( \t. Long Term Medical Conditions ire.. heart pn•blrmh diabetes asthma. itahereoloxie. 111V. AIDS. htpsiili% N O Psychiatric/Emotionally Disturbed (en-menial health enerern...ukIdid. N Injuriesaledical Ailments/Post-Op Recovery:0i0 N' Do the above conditions rents re: Medical attention? N CI V Medication? N K 1" Medical clearance by a licensed physician: ION K 1' Is Defendant under the influence of drugs or alcohol: 11N O languages - English: Limited Other Language: 'N K V • List Security Cautions: C min or former military I or former public official C bgiblc for diplomatic immunity O Threat to witness ifkserihe &km/ K Current or fonnerlAi'corrections K Assault on kfitorrections K Leadership role K CI (Describe befoul VIES Page I or3 O Current or limner intelligence K SAM subject or candidate O Separation needs rnesolhe halm) O other