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Subject:Form 583 Report of Incident
Case File
efta-efta00137618DOJ Data Set 9Other

-imn•StarchoCardheidri...-r

-imn•StarchoCardheidri...-r -,v.cae454164447447lersccountAppidz • iii C Search... 'Items/ write Paget eaDOf Net • 1)01100(tei • Entespoise Apes 43 For Employees • Rims IPTV Leant 001 • Webb% • cern CSAM remedy • Travel ig Search Reports IamDOJ Current PIV Card •oners:Feeteral Prtson System ncan I E00000-1W-ANOS Issuance ID: 3 Serial: 48205028122426118006 CHUID Expires: 7/10/2024 12B000 AM CHUID Status: Activated FA SC-N: 15000005208490111003061367115001 UPN: PIV Auth Certificate Expires: 7:17/2022 2:33:47 PM Digital Signature Cenificate Expires: 7/17/2022 2:33:47 PM Cans Expire: 7/17/2022 2:33:47 PM First Issued: 3/1112015 12.56.29 PM Card Carts: 15 PIVAuth Cart UPN: Sponsorship Status: Sponsored Last Update: 7/10/2019 11'08:35AM Person ID: 1003061367 Sponsor Organizational Identifier: Bureau of Pnsoners/Federal Pnson System Current Sponsor: MERCEDES IDETTA BECKETTSIMMONS (1000488186) Credential Option: PIV credential to be issued Shipping Address

Date
Unknown
Source
DOJ Data Set 9
Reference
EFTA 00137618
Pages
1
Persons
0
Integrity

Summary

-imn•StarchoCardheidri...-r -,v.cae454164447447lersccountAppidz • iii C Search... 'Items/ write Paget eaDOf Net • 1)01100(tei • Entespoise Apes 43 For Employees • Rims IPTV Leant 001 • Webb% • cern CSAM remedy • Travel ig Search Reports IamDOJ Current PIV Card •oners:Feeteral Prtson System ncan I E00000-1W-ANOS Issuance ID: 3 Serial: 48205028122426118006 CHUID Expires: 7/10/2024 12B000 AM CHUID Status: Activated FA SC-N: 15000005208490111003061367115001 UPN: PIV Auth Certificate Expires: 7:17/2022 2:33:47 PM Digital Signature Cenificate Expires: 7/17/2022 2:33:47 PM Cans Expire: 7/17/2022 2:33:47 PM First Issued: 3/1112015 12.56.29 PM Card Carts: 15 PIVAuth Cart UPN: Sponsorship Status: Sponsored Last Update: 7/10/2019 11'08:35AM Person ID: 1003061367 Sponsor Organizational Identifier: Bureau of Pnsoners/Federal Pnson System Current Sponsor: MERCEDES IDETTA BECKETTSIMMONS (1000488186) Credential Option: PIV credential to be issued Shipping Address

Tags

eftadataset-9vol00009
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Browse DOJ EFTA Releases (OCR)EFTA 00137618

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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
-imn•StarchoCardheidri...-r -,v.cae454164447447lersccountAppidz • iii C Search... 'Items/ write Paget eaDOf Net • 1)01100(tei • Entespoise Apes 43 For Employees • Rims IPTV Leant 001 • Webb% • cern CSAM remedy • Travel ig Search Reports IamDOJ Current PIV Card •oners:Feeteral Prtson System ncan I E00000-1W-ANOS Issuance ID: 3 Serial: 48205028122426118006 CHUID Expires: 7/10/2024 12B000 AM CHUID Status: Activated FA SC-N: 15000005208490111003061367115001 UPN: PIV Auth Certificate Expires: 7:17/2022 2:33:47 PM Digital Signature Cenificate Expires: 7/17/2022 2:33:47 PM Cans Expire: 7/17/2022 2:33:47 PM First Issued: 3/1112015 12.56.29 PM Card Carts: 15 PIVAuth Cart UPN: Sponsorship Status: Sponsored Last Update: 7/10/2019 11'08:35AM Person ID: 1003061367 Sponsor Organizational Identifier: Bureau of Pnsoners/Federal Pnson System Current Sponsor: MERCEDES IDETTA BECKETTSIMMONS (1000488186) Credential Option: PIV credential to be issued Shipping Address Code: 10517 Shipping Address Name: DOJ • 150 PARK ROW UPN: Original Sponsorship Date: 9/4/2014 17 0a00 AM EFTA00137618

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Phone2426118006
Phone3061367
Phone7115001

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