) 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, se