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Page 3363 METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: i ~ Gr tP countTiME: — 1O¢) DAA FROM: VL Se CuK LOCATION: ld é onl! _ (Staff Member Preparing Out Count) APPROVED: (2 > (Operations Lieutenant) } REG # NAME UNI _ REG # NAME UNIT *TEang 04 estan 27a 3. y, nN) 15. | 4. ZA 16. ; ' 5. in gf 6. ne ne |, ~ 4 19. 8 20. : 9 : 21. : 10. 22. 11. 23. i be rr: ne ~ OO OUT-COUNT BY UNIT BA _—s- GA sé E-S G-N G-S HA IN 4 COU KN KS RA ZA QZ ZB Total Out-Counted: 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 Qut-Count Form. DOJ-OGR-00026952