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«U.S. Department of Justice United States Marshals Service USM Form 312. Prisoner Intake CIRCLE ONE: SAFEKEEPER ( PRISONER LODGED OVERNIGHT IN } FURR EIDER Gi 2oo8 MCC (NYC)..............MDC(BROORLYND).........OTHER, OR STREET ARREST USMS NO. - LAST NAME FIRST NAME MIDDLE NAME Lomo Adnan ALBUSO SEX RACE HAIR COLOR EYE COLOR HEIGHT WEIGHT tgit NM W lormwn hazel 54 120 BIRTHDATE - AGE PLACE OF BIRTH STATE CITIZENSHIP 290 961 22 Bost NAGS EBL# SOCIAL SECURITY NO. “ LNS. ALIEN # On - 14-804 STREBT ADDRESS APARTMENT # CITY STATE ZIP CODE tChael A 95L00; TELEPHONE # (AREA CODE) MARITAL STATUS EDUCATION LEVEL {oe yet Sole. BED BEEPER # CELL PHONE # Nik ARREST INFORMATION ARRESTING AGENCY AGENCY ADDRESS OF ARREST OR LOCATION ARRESTDATE _ CASE *CHARGE ..... MANDATORY............EXAMPLE ... 21 USC 846,.... DRUG CONSPIRACY oes UNIVERSAL PRECAUTIONS. v0... T.B,HEPATITUS, ECT... EXPLAIN EE COMPLAIN OF MEDICAL ATTENTION DOES ARRES SECURITY CAUTION YES or &) EXPLAIN FBI(19-cv-1495}-2108