DEPARTMENT OF HOMELAND SECURITY N IMMIGRATION ADVISAL ~ REQUEST FOR NOTIFICATION [Subject iD: - File Ne Event: FROW: (Deparment of Homelana Securly Otce Access) Qs and Tie bon OR Ay Subsszian Law ] Enforcerrant Agonoy) | REQUEST FOR ADVANGE NOTIFICATION OF RELEASE OF 4BBREGBD PRIORITY ALIEN nome ot Aon ube) OS SS Date of Birth; \ ‘THE DEPARTMENT OF HOMELAND SECURITY (DHS) SUSPE SCT IS A REMOVABLE ALIEN AND THAT THE SUBJECT IS AN IMNIGRATION ENFORCEN k has engaged in ore suspected of terroriem or espionage, thy ae “2, has been convicted of en offense of which an lementaga {§ 521(6), orig atTeact 18 yoars old and intentionally (7 hes been coavetod of 8 or moreggS ial (\ Bicosed from your custody to shee aremoveble alien, This ‘ime ho or she is currently ig) otherwise would release the subject, gdh & DHS Official at the number(s} provided, at: (202) 872-6020, fe (0 another nstiution, ubmited te you on __ (sie). 5 ame rss igaton Oc (Garton airs Oe) T TO BE COMPLETED BY THE LAW ENFORCEMENT AGENCY CURRENTLY HOLDING THE SUBJECT OF THIS NOTICE: Please provide the information below, sign, and reluen to DHS by mai or faxing a copy to date) Estimated release: te) Local Booking/nmata#:_____—_Latest criminal charpevcorviction Last rine! charpelconvton: re Aotieo If tho‘cubject taken into DHS custoy, he of she may be removed rem the Urited States, the subject may be the vim of @ hima "you wart the subject fo remain inthe United States for resection or ether aw enforcement purposes incung acing as & Sines, please holy fe ICE Law Enforcoment Support Conor t (802) 872-0220, You may ala cal Ws umber you have any ether {quesions or concerns about his matter, orwshfe voneninicale ure with DHS about the sues. ‘ave arate f OMTe=7) (Signature of offeer) DHS Form L247N (11/44) Page 1 of 3DEPARTMENT OF HOMELAND SECURITY D {IMMIGRATION DETAINER ~ REQUEST FOR ACTION Subject. Fie No: Event: = "TO: (Nemo and Tita of Institution - OR Any Subsequent Law ] FROM: (Department of Homeland Security Otten Addrass) Enforcement Agency) | I | eRe “48 HOURS See IS AN IMMIGRATION REQUEST TO MAINTAIN GUSTODY QF ALIEN FOR A PERIOD Ni Nanri of Alien (Subject) aa Date of Birth: ‘Ciizenship: 4 “THE DEPARTMENT OF HOMELAND SECURITY (OHS) HAS DETERMINED TA aE Sp ENFORGEMENT PRIORITY BECAUSE HE/SH! a See Tiree nace a eroionareoDaiage. oc Tani san up Theat SS 5 Ty has been convicted of an offense of which ah aloment was 8 > G@ithigH street gang, ac defnedin 18 USC. § Fe eto ag cn eons aes Perry ecg ete Thos Saoasa eed oa ft ery. ora Salon Er Weer nota sora tern at Boon coiled ofan agri, dane Type cM WL) ate i ofconicion, 1 as boon conte of "leat misdemeox as Ue hab ae alo has been convlted of 3 or more misdemesnorsgaptiialt immigration status was an essential element. Ws, \ ‘s RR oss i ea ese armen DHS HAS PROBABLE CAUSE THAT TH a final order of rnovalggoinet te sul the pendency of ongoing removal tyes See “TEREESIDVABLE ALIEN, THIS BETERWINATION IS BASED ON: he ; tig ieee SON cane) Tr bimetieconimcton ofthe ume hs check doco ae araves weation | aver falabe rtamatin migration Habs cg Shgubo's romoreie uncer | 1 | {nvmigration taws ofthe Ur G statements ade by tg eiget gn hig lineviaration status onpdwuthahandintguct ay ITIS THEREFORE,REQ\ officer andor other re is removable under eae the subject ather locks offe United States, “ah GO elit Vou: rity subject and maintain custogy tnt ante have been reaaced gn Dggtof this Ferm or the st of Bbthe Une you etherwise Oficial atthe number Siphon (OTTO EXCEEDS HOURS boyond tho Sto sssune custody. This request takes Bt that you hold the aubject beyond 48 hours. ig, please natty DHS by calling Gel the ICE Law Enforcement Support Genie in iF dlscration to make decisions about this subject's dhanghysorarse 0 saberetiin by DHS on | (ate), ‘Rene and ie ot Imrigraton Ofa=) ‘Bienaiure of mmipraticn Olhew TOBE COMPLETED BY THE LAW ENFORCEMENT AGENCY CURRENTLY HOLDING THE SUBJECT OF THIS NOTICE: Pledse provide the information below, sign, and return to DHS by mail or faxing 2 copy to, ‘Local Bookingtnmaate #: Latest criminal chargelconvietion: (date) Estimated release: (date) Last cioinal chargeléonviction Notice: Ifthe subject is taken Into DHS custody, he or she may be removed from the United States, ifthe subject may be the vim of a ‘timo, or yau want the subject to remain in the United Stetes for prosecution of other law enforcement purposes, Inchuding acting 28 2 Giness, please natty the ICE Lew Enforcement Supeort Center at (802) 872-6020. Yeu may algo cal this number f you have any other ‘questions or concems about this matter, or wish fo communicate furthor with OHS about the subject, “This Form |-2470 (Immigration Detainer ~ Request for Action) was served upon the subject by me on _ inthe following manner: Clinpersan 1 by Inmate mail delivery 1 other (please spect) (Garme andthe of tho (Senatare of Oca DHS Fort 1.2470 (12/14) pata