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Page 2935 OLITAN CORRECTIONAL CENTER ROP mee NEW YORK, NY = OFFICIAL OUT COUNT SoM COUNT TIME: LOCATION: | tb Sf DATE: FROM: APPROVED: OUT-COUNT BY UNIT B-A cA EN ! E-S G-N G-S H-A I-N K-N K-S } R-A Z-A Z-B Totai Out-Counted: a 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 form is to be used on ly as an Out-Count. No other form will be accepted in liew of the Out-Count Form. DOJ-OGR-00026591