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U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS (Federal Bureau of Prisons)

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BP-A0241 VISITING ATTORNEY STATEMENT CDFRM
JUN 10
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
(INSTITUTION)
I, ,
a licensed attorney in the State of ,
with offices at
visiting ,
on , 19 ,
hereby certify that my visit with this inmate is for the purpose of facilitating
the attorney-client or attorney-witness relationship and for no other purpose. I
certify that any tape-recording or other recording made by me of, or during any
portion of this visit will be used only to facilitate this relationship.
(Signature) (Date)
PDF Prescribed by P1315
This form replaces BP-241(13) dated JULY 1990
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U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS (Federal Bureau of Prisons)

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Completed 19 July 2020

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