DOJ-OGR-00026938.jpg

Page 3349 METROP OLITAN co RRECTION ALC ENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: Oe Y - LOCATION: (C2 EPROM: EG (staff Memoet ns | jeuienant APPROVED: cee (Operatio Total O at-Cou ated: 7 2 ‘This form must be submitted to the Counts and Assignments Officer PORTY-FIVE MINUTES PRIOR to the affected count prepare this form ip ink. G youp the mimates according to their respective housing U nits. This form is to he used onty as an Ovt-Count. No other form will be accept ed in lieu of the QOut-Count Form. DOJ-OGR-00026938