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Page 3021 METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY = OFFICIAL OUT COUNT cue a G : 2 Cc. t DATE: D XG / | COUNT TIME: >-QOPC— a) FROM: Location: > -@/A APPROVED: (Operations Lieutenant) __REG# NAME UNIT REG # NAME UNIT 14, 3. 15. 4 16. 5 17, 6, 18, an. 7, 19, 8. 20. 9, 21. 10. 22. 11. 23, 12. 24, OQUT-COUNT BY UNIT B-A C-A E-N E-S | G-N G-5§ H-A I-N K-N K-S R-A Z-A Z-B Tota] Out-Counted: l 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 only as an Out-Count. No other form will be accepted in lieu of the Out-Count Form. ~~ DOJ-OGR-00026661