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Page 3004 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 (biG); (oT MC) From: Location: FNYS (Staff Member Supervising Inmates) Approved: PP (Operations Lieutenant) K11-056U BA__C-A___ E-N___E-S__G-N___ G-S__ H-A__IL-N__ K-N__K-S_1_ RA__ZA___ ZB 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. DOJ-OGR- 00026644