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METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: (b)(6); (b)(7)(C) COUNT TIME: 3:00AM FROM: (Signature) (b)(6); (b)(7)(C) LOCATION: Hosp APPROVED: (Operations Lieutenant) REG # NAME UNIT REG # NAME UNIT 1 (b)(6); (b)(7)(C) (b)(6); (b)(7)(C) in 13. 2 iis 14. 3. 15. 4. 16. 5. 17. 6. 18. 7. 19. 8. 20. 9. 21. 10. 22. 11. 23. 12. 24. OUT-COUNT BY UNIT B-A C-A E-N E-S G-N G-S H-A I-N K-N K-S R-A Z-A Z-B Total Out-Counted: 2 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 a Out-Count. No other form will be accepted in lieu of the Out-Count Form. DOJ-OGR-00026737