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Page 2979 OFFICIAL CUT-COUNT FORM Metropolitan Correctional Center ae 38 _ New York, New York 10007 Date: BAMl- 14 : - Time 1/002 ee = Location: Staff supervising count NAME REG. NO. NAME f im ™ , ~ {ff Py? Totai Count For Department: B-A C-A E-N_ | E-S G-N GS H-A I-N K-N K-5 R-A ZA, Z-B mm, **This form must be submitted to the Counts and Assignments Ofticer FORTY FIVE MINUTES PRIOR to the affected count. Prepare this form in ink and group the inmates by respective floors. This is not a count slip, but an out-count form. DOJ-OGR-00026635