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Page 2979 OFFICIAL OUT-COUNT FORM Metropolitan Correctional Center New York, New York 10007 Date: 8-11-19 Time 4:00PM Location: Staff supervising count Operations Lieutenant's Approval REG. NO. NAME UNIT REG. NO. NAME UNIT E N Total Count For Department: B-A C-A E-N 1 E-S G-N G-S H-A I-N K-N K-S R-A Z-A Z-B **This form must be submitted to the Counts and Assignments Officer FORTY FIVE MINUTES PRIOR to the affected count. Prepare this form in ink and group the inmates by respective floors. This is not a count slip, but an out-count form. DOJ-OGR-00026635