EFTA00026660

LAW ENFORCEMENT SENSTINE US. Department of Justice United States Marshals Service Personal History of Defendant Taken to Federal custody by the following: Street Arrest (not from a correctional detentkm twilit)) i • eitriit Used (Must pro. ide copy of writ) /7fece, 7- aescefec.C.4...-T" O Custodial Arrest (front a conectionaLdetention facility) O Prior Federal Arrest or Safekecper • Register u: O Safekecper Location: Ii111c,il \Iglu \I \ 1 \I III\ Fint Name: Middle Name: Sag e/ Hair: City of Birth: State/Coun ry of Birth: FBI U: State IDN: Resident Address/City/State/ZIP:9 4.-.7trz . Zerdel, /o Home Phone: Cell Phon Marital Status: S I (II RI Agency: Agency O rAiy,16 Agent Last Name: lint Name: Agent Phone Mt Arrest Date: 7 Location/Facility of Arrest: ae a =e2 Court Docket Pt CR m SA(s) Assigned: OFFENSE NCR: (ode Charge Description 6-017,7A Title/Code reakil usc 3 7/ known DetainersAVa reams: ' O Y - Agency: (Hoer proskle a coo Cr lay detainers) / \I \ \II Olt \I Long Term Medical Conditions rag.. heart problems. diabetes. asthma. tuberculosis. IIIV. A llis. hepaliti'. O V Psychiatric/Emotionally Disturbed (cry. mental heath emmenm.iiiiitidal. ma: lik N O 1' Injuries/Medical Ailments/Post-Op Recovery: % O Y Do the above conditions requ re: Aledical attention? N Medication? N Medical clearance by a licensed physician: N O A' Is Defendant under the influence of drugs or alcohol: 11.N O 1. Languages - English: iy kN Ercr O Limited Other language: , N ❑ Y List: Security Cautions: Current or former military O Current or former 1.1E corrections O Current or former intelligence or former public official O Assault on LE/corrections O SAM subject or candidate bgibic rot diplomatic immunity O Leadership role O Separation needs /l test...the belo' O Threat to witness (Describe ham, . CI (Describe Amer El Other (Describe below. IPLES Form US1.4.312 raw I 44() Rev 11/17 EFTA00026660 LAW ENFORCEMENT SENSITIVE Remarks: I I \SI I ALIAS Last Name ALIAS First, MI Remark !Date of Bitch ISSN Stale Driser's license \ II I . ', I I %• I US ( \ .Nil \ 1 )! III U Resident Address. City. State. (Relationship Last Name j First, MI Register # ZIP Code Phone • \I ISeartaridTattoo (Specify) (Location Description fif I 111( 1 • Vehicle State and Registration %ear Make Model Colorist Vehicle Style Plate a Date YIN t It I license Number License State I I 1 \\I (()I • \I R• 'Miscellaneous Number It rype (Selectfrom dretpaiwn raw,. or type Mend I Remarks (e.g.. liaittiseSiale•rCeeatr:• (I1 ( I \ I ION-, Occupation: Sat.,' O ^. Company/Employer Name: A/ oe J Employment Address: ViRaw Phone Start Dale End Date: Point of Contact: 'lank Name Account Type I Account tt Branch Address Phone Sc Mil II \U\ FA/ I Entry Discharge T ritriwa; Rank Date Date Discharge Type Military Occupation Remarks R %I \Ilk% Additional Information/Remarks/Continuation: PR( Wit .I. Defendant Risks: *Requires malaria below Sex Offender: ❑ Escaixr O Planned Murder O Arrest ci Uonsietion ❑ Organized Crimes O Protected Witness O Registered ❑ Registration iul at ion O International Terrorist O Domestic Terrorist O Gang \lumber' O Significant Criminal O Multiple Defendants O Death Penalty Case U I.ES Form USIA 312 Page 2 or 3 Rev 11/17 EFTA00026661 LAW ENFORCIiNIENT smrovii Criminal History Mirafront dropdmen menu IV ON offense below) Arrest (H) Conviction (II) Remarks (e.g., name of gang or criminal organization, etc.): Pr Money Launderer ❑ Kingpin 0 Violent Offender IN I l'RNI I /14.OI to I Internet Source }Remarks (e.g., email address, website address, usernamc. etc.) NOTICE TO ARRESTING AGENTS: As a courtesy. the USMS may temporarily hold an arrestee received by non-USSIS personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody of the USMS by the coons. When a courtesy hold is allowed by the USMS to be housed in a USMS cellblock, a minimum ofone agent from the arresting agency must be available to respond to the cellbloci. in order to address any issues with their prisoner (e.g.. medical. discipliner) I. If the arresting agency refuses to comply with USMS procedures. the courtesy hold may be refused. Meals arc not provided by the USMS. and remain the responsibility of the arresting agent(s). ARRESTEE PROCESSING CHECKLIST A RRESTEE PRO( 'ES.SING For Arresting Officer Only For ISMS Personnel Only 4 USM-3I2 (Personal Ilium- of Defendant) Medical clearance (from licensed physician). if ncvcssar) • Confinn all arresting agent documentation is completed and inserted into prisoner's file 'op) of Arrest Warrant, if issued • USNI-3 12 (Personal History of I kfctidant) coke c./. signedunr/dm/hyhmate frl St/ l)&) Copy of C'omplaint. Information. or Indictment. if completed • t SM-552 (Prisoner Medical Records Release Form I - CI Copy of Detaincifik if issued convicted vignetiond dam/ by intuit.' 1N Nil DEO r'opy of Writ, if applicable O I %M-18 (Federal Prisoner Properly Receipt) • edonp/cre.f. El Correctional facility discharge papers. if applicable signer/um/ glared by inbtke h1 511 DEO Correctional facility prisoner receipt. if applicable ❑ USNI—I0/4I (Prisoner Remand) - inverted ima prisoner:vide Correctional facility medical summary. if applicable • VSM-I30 (Prisoner Custody Alen Notice). if applicable - Prepared By - Name: inserted imo /rLYolk'r Ties' Agency: ilf110. ivy riS-4 "- • ED•249 (Fingerprint Card) - primer/and inserted boo pristinetit file Cell Pinot Date: af )://f O Prisoner Photograph ( from Booking Package) - priorredind inserted jilts' prkillkt .A /lie Reviewed By: Badge 0: Date: gill /A/4C, et 1/wz.) lULES Form USM•312 Page 3 of 3 Rev 11/17 EFTA00026662