FINS 4: Subject ID:374218684

Event No RGC22120004 668

1FAMILY NAME (Capital Letters) First Name Middle Name | 2. Age 3. Country of Citizenship
SOLIS-CENTENO, ROOSWELT FERNANDo 1 NICARAGUA
4. Alias 5. Date Apprehended 6. Office
December 17, 2021 RGV/RGC

7. Birth Date 8. Birth PlaceNICARAGUA

03/11/2011
9.Sex 10. OSC/WA Served
Male Female OYes No (Explain)
11. File Number 12. Bond Date Posted

13.CINS 14 Medical Alert No Yes (Explain)

See I-831
Yes No 14 A.
15. TRANSFER DATE FROM TO

C 22. Rt. Index Print- In23. Rt. Index Print -Out

16. ADMITTED BY 19. RELEASED TO:O V/R Depot
17. SEARCHEDIN BY 20. RELEASED BY
18.DATE ADMITTED 2I. DATE RELEASED
24. Remarks: See I-831
ALIEN BOOKING RECcORD
FORM I-385 (0801 07)
UNITED STATES DEJFRRTMENT OF HOMELAND SECTURITY
U.S. Department of Homeland 1385
Security Continuation Page for Form

Alien's Name File Number Date

SOLIS-CENTENO, ROOSWELT FERNANDOO December 19, 2021
Event No:RGC2212000468

24. REMARK
- - .

AS A COND ITION OF YOUR PAROLE YOU ARE TO REPORT TO THE IMMIGRATION AND CUSTOMS ENFORCEMENT
(ICE) OFFICE NEAR YOUR FINAL DESTINATION WITHIN 15 DAYS OR FACE REMOVAL FROM THE UNITED
STATES5. VISIT www. ICE.Gov/cONTACT/FIELD-OFFICES# FOR ADDRESSES.

MEDICAL ALERT:

DOES THIS FAMU HAVE A TEMPERATURE OF 100.4 OR OVER? NO.

DO THEY HAVE SHORTNESS OF BREATH? NO.
DO THEY HAVE A COUGH? NO
DO THEY HAVE A SORE THROAT? NO.
HAVE THEY TRAVELED THROUGH A HIGH-RISK coUNTRY THAT HAS BEEN IDENTIFIED BY THE cDC? YES
ARE THERE ANY PREGNANT FEMALES? IF so, How MANY MONTHS? ANY MEDICAL ISSUES? NO,
CONTROL Name (Last, First, Middle)
$OLIS-CENTENO, ROOSWELT FERNANDO

Marital Status Widowed

Birthdate
03/11/2011 Ag0 Single
Separated
Married
Dvorced
Weight | Scars Marks
Sex Hair Eyes Complexion Height or

BLK BRO MED

U.S. Address/Mail (Number) (Street) (City) (State) (ZIP CODE)

1686 Nw 15TH ST RD MIAMI, FLORIDA 33125
Date of Action Location Code
Alien's Telephone #
(786 327-0398 12/19/2021 LRT/RGc

Country of Citizenship
City, Province (State) and Country of Birth
NICARAGUA NICARAGUA

Date, Place, Time, and Manner of Last Entry/Attempted Entry Status at Entry
12/17/2021, 0030, .5 mile (s) W of ROM
PWA Mexico
Foreign Address/Residence (Number, Street, City, Province (State), Country)
NICARAGUA

Date & Hour

Method of Location/Apprehension (AUNear) 12/17/2021 0100
PB UNKNOWN
You are required to retain this permit in your possession
and to surrender it to the transportation line at the time of
your departure unless you depart over the land border of
the United States in which case you must surrender it to a
Canadian immigration officer on the Canadian border, or to
a United States Immigration officer of the Mexican
border.

DEPARTURE RECORD

Port:

Date:
PARTMENT OF
PAROLED
HOMEAND SECL
CURI
Untlanuary 3,e

Manner:
Jate) (Location) ECURIT
(Officer)

EPARTMENT OF HOMELAND SE
Country of
Destination:

UNITED STATES DEPARTMENT OF HOMELAND SECURITY

Form Approved OMB No. 43-R0496

ARRIVAL DEPARTURE RECORD

Form 1-94 (Rev. 08/01/07)