March 2. 2022 DEPARTMENT OF JUSTICE IOFFICE OF THE INSPECTOR GENERAL

March 2. 2022 DEPARTMENT OF JUSTICE IOFFICE OF THE INSPECTOR GENERAL Office of the Chief Medical Examiner City of New York New York, NY 10016 Dear Office of the Chief Medical Examiner: M19-19432 I am writing to request the complete Medical Examiner's case file associated with the death of inmate Jeffrey Epstein, Metropolitan Correctional Center, New York, Federal Bureau of Prisons. Specifically, please provide the OIG with a copy of the complete Medical Examiners report, digital files including the examiner's notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein's cause of death. Please provide the documentation digitally to Special Agent Office of the Inspector General, U.S. Department of Justice, a or via digital storage mailed to him at. New York, NY 10004. Thank you, and if you have any questions, please feel free to contact me, or S a Records Photos Xrays APPROVED By ycriMgal at 11:00 am. Mar 02, 2022 OK Per F. Hutner Sincerely, D HAI s d by Dale, 20210102 10:1439 -05-0Y Special Agent in Charge New York Field Office EFTA00063517 OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.- Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME") pursuant to Rule 4518 of the New York Civil Practice Law and Rules. OCME is a governmental office organized under the New York City Charter § 557 and the New York City Administrative Code O17-201 - 17-206. All records contained in its Department of Records concerning this matter are maintained in OCME's regular course of business. OCME medical examiner files contain records generated by OCME staff in the regular course of their business, as well as documents received from other sources which are relevant to the case. The copies provided here represent all requested documents which are contained in: OCME medical examiner case file #: M-19-019432 concerning decedent: Jeffrey Edward Epstein ❑ OCME forensic biology case file #: I have examined the original records maintained by OCME's Records and I attest that the records attached to this certification are a true and accurate copy of the original documents and records maintained by the OCME Department of Records. On this date: March 3, 2022, I certify these copies as genuine and as business records of the OCME Department of Records. Yvelisse Matias Electronic Signature Name of Certifier: Yvelisse Matias Title of Certifier: Clerical Accociate IV OCME Business Records Certification Form, rev. 6/2021 EFTA00063518 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK B. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA C. CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA D. PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE E. FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAE AND LEFT HYOID CORNUA WITH ACCOMPANYING SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT F. RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM II. ABRASIONS OF LEFT FOREARM III. CUTANEOUS CONTUSIONS OF WRISTS IV. SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE V. HYPERTENSIVE AND ATHEROSCLEROTIC CARDIOVASCULAR DISEASE A. CARDIAC HYPERTROPHY (440 GM) B. LEFT VENTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOXICOLOGY REPORT XI. SEE NEUROPATHOLOGY REPORT EFTA00063519 CAUSE OF DEATH: HANGING MANNER OF DEATH: SUICIDE (HANGED SELF) EFTA00063520 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY CASE NO. I hereby certify that I, Kristin Roman, M.D., City Medical Examiner - II, have performed an autopsy on the body of Jeffrey Edward Epstein, on the 11 of August 2019, commencing at 9:21 AM in the Manhattan Mortuary of the Office of Chief Medical Examiner of the City of New York. EXTERNAL EXAMINATION: The body is received in a sealed, labeled, plastic body bag (seal #152384). The body is of a well-developed, thin, muscular, light skinned, 5'10", 196 lb man whose appearance is consistent with the given age of 66 years. The scalp hair is wavy, predominantly grey with interspersed dark hairs, has slight male pattern balding, and measures up to 3". The facial hair is cleanly shaven. The eyes have light irides. The oral cavity has intact teeth in good repair. The tongue is free of natural disease. The finger and toenails are well groomed and free of polish. Striae are on the shoulders. The genitalia are atraumatic and of a normal, circumcised man. The anus is atraumatic. POSTMORTEM CHANGES: There is moderate, symmetric rigor mortis of the upper and lower extremities and the jaw. Lividity is fixed, purple, and unevenly distributed on the posterior surfaces of the body. The body is cool. SCARS: On the back of the left shoulder is an oblique, 1-1/2", well healed, linear scar. On the right lower quadrant of the abdomen is an oblique, 2", well healed, linear appendectomy scar. THERAPEUTIC PROCEDURES: An endotracheal tube is in the mouth, extending into the upper airway. On the lips are multiple, focal, red abrasions. A cervical collar encircles the neck. Electrocardiogram electrodes are on the torso. An intravascular catheter is in the left antecubital fossa. An intraosseous line is in the right shin. A blood pressure cuff encircles the upper, right arm. On the chest between the nipples is a 3" x 3", irregular, yellow abrasion. Internally, there are minimally hemorrhagic, parasternal, rib fractures of right ribs #4-6 and left ribs # 5-6, approximately 60 ml of liquid blood thinly coating the serosal EFTA00063521 JEFFREY EDWARD EPSTEIN Page 4 surfaces of the intra-abdominal organs, and an oblique, 6.5 cm laceration of the liver to the left of the falciform ligament (artifacts of resuscitative chest compressions). CLOTHING: The body is received clad in a hospital gown. INJURIES, EXTERNAL AND INTERNAL: These injuries are described in reference to standard anatomic planes. These injuries are grouped and labeled for descriptive purposes only; no sequence is implied. A. HANGING: There is a depressed, focally dried and abraded, noncircumferential ligature furrow of the neck that peaks slightly on both sides of the neck, more steeply on the right side than on the left. On the right side of the neck, the furrow bifurcates anterior to the ear, with one arm that peaks behind the right ear and one arm that extends to the right side of the back of the neck. On the back of the right side of the neck at the end of the lower arm of the furrow is a 1/2" x 1", irregular, red abrasion. The furrow ranges from 13-3/4" to 15" long (measured from both ends of the furrow on the right), and ranges from 1/8" to 1/2" wide. Anteriorly, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the chin is an adjacent, % x 1", inverted V-shaped, linear abrasion that ranges in width from 1/8" to 1/4". Beneath the left side of the mandible is a faint, 1/2" x 1-3/4". irregular, red abrasion with multiple, interspersed, deeper, red abrasions that measure up to % x 3/8". The face and head are plethoric above the furrow, with petechial hemorrhages of the face that are most marked within the eyebrows. There are multiple, petechial hemorrhages of the palpebral conjunctivae of both eyes, and confluent hemorrhages on the periphery of the right bulbar conjunctiva. There are faint petechial hemorrhages on the mucosal surfaces of the upper and lower lips. Within the parenchyma of the tongue are multiple, focal, spotty, purple hemorrhages. There is diffuse, purple hemorrhage at the base of the tongue. There are no hemorrhages of the anterior strap muscles of the neck. Posteriorly, there is a single hemorrhage in the left, deep, paraspinal muscles. Both thyroid cartilage cornuae are fractured, and the left cornua of the hyoid bone is fractured, all with accompanying soft tissue hemorrhages. See also "Anthropology Report." There are no fractures of the cervical vertebrae. B. OTHER INJURIES: On the back of the left forearm is an oblique, 1", linear, red, abrasion with an adjacent, 1/2" x 1-1/4", faint, red abrasion. On the medial aspect of the back of the right wrist is a 1/8" x 1/2", faint, red contusion, and on the medial aspect of the back of the left wrist is a EFTA00063522 JEFFREY EDWARD EPSTEIN Page 5 similar, 1/2 x %", faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. INTERNAL EXAMINATION: HEAD: The scalp is without contusion or laceration. The skull is without fracture. There is no epidural, subdural or subarachnoid hemorrhage. The brain weighs 1520 gm. The brain, spinal cord, and dura mater are submitted for neuropathologic evaluation. NECK: See "Injuries." BODY HABITUS: The abdominal pannus is 1-1/4" thick. The body mass index is 27. BODY CAVITIES: The pleural and pericardial cavities are free of abnormal fluid accumulations or adhesions. See also 'Therapeutic Procedures." CARDIOVASCULAR SYSTEM: The heart weighs 440 gm and has a normal distribution of right dominant coronary arteries with slight atherosclerosis (left main and left circumflex arteries, no stenoses; left anterior descending artery, multiple, focal, less than 50% stenoses; right coronary artery, multiple, focal, less than 50 to 60% stenoses). The myocardium is brown and diffusely fibrous. There is no focal fibrosis, hemorrhage, or pallor. The free wall of the left ventricle and the interventricular septum are each 1.9 cm thick, and the free wall of the right ventricle is 0.5 cm thick. The four valves and endocardial surfaces are unremarkable. The pulmonary vessels and the venae cavae are free of thrombus and embolus. The aorta has moderate atherosclerosis. RESPIRATORY SYSTEM: The right lung weighs 560 gm and the left weighs 510 gm. Both lungs have spongy, maroon and pink parenchyma that is free of masses. The distribution of bronchi and vasculature are unremarkable. The bronchi are empty. LIVER, GALLBLADDER, PANCREAS: The liver weighs 2480 gm and has soft, brown parenchyma. The gallbladder is unremarkable and contains approximately 30 ml of brown bile without stones. The pancreas is tan, lobular, and free of hemorrhage and mineralization. HEMIC AND LYMPHATIC SYSTEMS: The spleen weighs 270 gm and has an intact, purple capsule and an unremarkable distribution of red and white pulp. There are multiple, enlarged, cervical lymph nodes, measuring up to 1.5 cm in greatest dimension. The remainder of the lymph nodes is unremarkable. There is no thymus. The bone marrow is unremarkable. GENITOURINARY SYSTEM: The right kidney weighs 180 gm and the left weighs 160 gm. Both kidneys have granular, brown surfaces and otherwise unremarkable architecture and vasculature. The ureters maintain uniform caliber into an unremarkable EFTA00063523 JEFFREY EDWARD EPSTEIN Page 6 bladder that contains approximately 5 ml of cloudy, yellow urine. The prostate is slightly and diffusely enlarged, with marked enlargement of the verumontanum. The testes are unremarkable. ENDOCRINE SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The esophagus and gastroesophageal junction are unremarkable. The stomach contains approximately 5 ml of opaque, brown fluid without recognizable food or pills. The gastric mucosa is unremarkable. The small intestine and large intestines and rectum are unremarkable. The vermiform appendix is surgically absent. MUSCULOSKELETAL SYSTEM: See "Therapeutic Procedures." On the anterior, inner surface of the right, first rib is a slightly displaced, healed, fracture callus. The vertebrae, clavicles, remainder of ribs, and pelvis are without fracture. The musculature is well developed and normally distributed. MICROSCOPIC DESCRIPTIONS: Tissue or Organ x # of fragments and/or levels (#= slide ID number) Histology # HT19-003396 HEART x 2 (#2): Myocardial and perivascular fibrosis. Slightly hypertrophied myocytes. LUNG x 5 (#3,4): Slight patchy emphysema. LIVER x 1 (#1): Steatosis involving approximately 50% of hepatic parenchyma. Slight periportal fibrosis. Marked congestion. KIDNEY x 1 (#1): Arteriolar sclerosis. Congestion. TESTES x 2 (#5,6): No pathologic abnormality. TONGUE x 1 (#7): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. MUSCLE ADJACENT TO HYOID BONE x 1 (#8): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. LEFT POSTERIOR NECK MUSCLE x 1 (#9): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. EFTA00063524 JEFFREY EDWARD EPSTEIN Page 7 LEFT DELTOID MUSCLE x 1 (#10): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. TOXICOLOGY: Specimens are submitted for toxicologic analysis. A separate report will be issued. FORENSIC BIOLOGY: Blood spot card, clippings from right and left fingernails, and swabs of the back and front of neck and right and left hands are submitted. NEUROPATHOLOGY: A separate report will be issued. ANTHROPOLOGY: A separate report will be issued. EVIDENCE: Received separately are a ligature and clothing. The items are examined, photographed, and submitted to Evidence. See also "Additional Autopsy Notes". RADIOGRAPHY: Post-mortem radiographs are taken. PHOTOGRAPHY: Autopsy photos are taken This report is reviewed by Dr. Jason K. Graham, First Deputy Chief Medical Examiner. The information provided above is true and correct to the best of my knowledge and belief Electronically signed by Kristin Roman on Aug 27, 2019 07:38:00 AM EFTA00063525 FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No : F719.03508 Medical Examiner : Kristin Roman ME Case No : M-19-019432 Examination Date : 8/11/2019 Specimen Type : Blood(Femoral): FT19-03508-001, Blood(Femoraff: FT19-03508-002, Blood Femoral): FT19-03508-003, Blood(Heart): F719-03508-004, Blood(Heart): FT19-03508-005, Blood(Heart): FT19.03508-006, Bile: F719-03508-007, Urine: F719.03508.008, Gastric Contents: FT19-03508.009, Brain: FT19-03508-010, Liver. FT19-03508-011, Vitreous: FT19-03508-012 Received By : April Galindez Date Received : 08/12/2019 Results Blood(Femoral) : FT19-03508-001 Ethanol Not Detected HSGC Benzoylecgonine, barbiturates, oxycodone, opiates, amphetamines, Not Detected IA benzodiazepines, methadone, cannabinoids, fentanyl Gabapentin, pregabalin Not Detected LC- TOF/MS Basic Drugs Not Detected GC/MS Blood(Femoral) : FT19-03508-002 Synthetic cannabinoids Pending Report NMS Vitreous : FT19-03508-012 Ethanol Not Detected HSGC This Report has en assoclatc4 Forensic TocCOna7f rase No. Contact FrOX_Ihp-eggoone recopy If you have quoilices named to act content of this report. Delsellons of tams used In this repel can be located al htift/Wwwl flYc Odetattiocmolennowtoncology-tethrscal-manuals cage Sign Dr. Gat oo er c ons c CChem FRSC FHEA / Director of Forensic Toxicology Date: 8 4/2019 Page 1 of 1 EFTA00063526 NMSNMS Labs 200 Vtti bh Road. Horsham. PA 19044-2208 Phone: Robert A. PAIddlebem. PhD. F-ABFT, DABCC-TC, Laboratory Director Toxicology Report Report Issued 08722/2019 17:09 To: 10074 New York Office of Chief Medical Examiner of Toxicology 0016 Positive Findings: Patient Name Patient ID Chain Age Not Given Gender Workorder Pago 1 of 2 CONFIDENTIAL FT19-03508 M19-019432 NP 19244749 DOB Not Given Not Given 1924 47 49 None Detected See Detailed Findings section for additional information Testing Requested: Analysis Codo Description 95508 Synthetic Cannabinoids Screen (2019 Scope), Blood Specimens Received: ID Tube/Container Volume/ Collection Mass DatoMmo Matrix Source Miscellaneous Information 001 Gray Top Tube 4.25 mL Not Given All sample volumes/weights are approximations. Specimens received on 08/14/2019 Femoral Blood NMS v.18.0 EFTA00063527 *NMS CONFIDENTIAL Workorder Chain Patient ID Page 2 of 2 19244749 19244749 NP Detailed Findings: Examination of the specimen(s) submitted did not reveal any positive findings of toxicological significance by procedures outlined in the accompanying Analysis Summary. Unless alternate arrangements are made by you, the remainder of the submitted specimens will be discarded one (1) year from the date of this report; and generated data will be discarded five (5) years from the date the analyses were perforated. CERTIFICATION: Pursuant to New York Criminal Procedure Law Section 190.30(2), I certify that this report was made by me or is a true copy thereof for testing conducted at NMS Laboratories. I further certify that I am authorized by NMS Laboratories to make this certification. Workorder 19244749 was electronically signed on 08/22/2019 16:36 by: Sherri L. Kacinko, Ph.D., F-ABFT Forensic Toxicologist Analysis Summary and Reporting Limits: All of the following tests were performed for this case. For each test, the compounds listed were included in the scope. The Reporting Limit listed for each compound represents the lowest concentration of the compound that will be reported as being positive. If the compound is listed as None Detected, it is not present above the Reporting LM'iit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present. Acode 9560B - Synthetic Cannabinotds Screen (2019 Scope), Blood - Femoral Blood -Analysis by High Performance Liquid Chromatography/Tandem Mass Spectrometry QTRAP (LC-MS/MS QTRAP) for aaranstuad Ret Limit COOMBS' Rot—Limit 4-cyano-CUMYL-BINACA 0.10 ng/mL AMB-FUBINACA 1.0 ng/mL 4-fluoro-MDMB-BINACA 0.10 ng/mL CUMYL-THPINACA 0.10 ng/mL 5-fluoro-EDMB-PINACA 0.10 ng/mL MDMB-CHMCZCA 0.10 nghnL 5-fluoro-MDMB-PICA 0.10 ng/mL MDMB-CHMICA 0.10 nghnL 5-rtuoro-MDMB-PINACA/ 5-Ituoro- 0.20 ng/ml MDMB-CHMINAC 0.10 ng/mL EMB-PINACA MDMB-FUBICA 0.10 ng/na. 5-fluoro-MMB-PINACA 0.050 ng/mL MDMB-FUBINACA I EMB- 0.10 ng/mL 5-fluoro-NA-PIC 0.10 ng/mL FUBINACA 5-fluoro-QU-PINAC 0.10 ng/mL MMB-CHMICA 0.10 ng/mL ADAMANTYL-FUBINACA 0.20 ng/mL MMB-CHMINACA 0.20 ng/mL ADMB-CHMINACA 0.10 ng/mL MMB-FUBICA 1.0 ng/mL ADMB-FUBICA 1.0 rig/mt. MMB-FUBINACA 0.10 ng/mL ADMB-FUBINACA 1.0 ng/mL NA-FUBIC 1.0 ng/mL AMB-CHMINACA 1.0 ng/mL NA•FUBIM 0.20 ng/mL NMS v.18.0 EFTA00063528 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): The unfixed brain weighs 15209 (expected, 1200-1500g). Examination of the fixed brain (minus the left occipital pole. removed at the time of autopsy for possible toxicology) shows normal leptorneninges. No contusions, stigmata of herniation, or other surface abnormalities are seen. External brainstem landmarks and cranial nerves are normal. Vessels at the base are distributed normally, and have no atherosclerosis. The cerebellum is normal. Coronet sections of the cerebral hemispheres reveal normal cortical ribbon, white matter, and deep gray nuclei. There is no midline shift. Hippocampi are symmetrical and of normal volume. Ventricles are normal in size and appearance. Axial sections of the brainstem and cerebellum en bloc show the substantia nigra and locus ceruleus to be well-pigmented. The aqueduct and fourth ventricle are normal. Cerebellar cortex, white matter, and dentate are normal. Cranial dura from the convexities, tentorium, and base shows falcine ossification (comment: common age-related finding). The venous sinuses and tributary (bridging) veins are patent. Spinal cord and dura from upper cervical to cauda equine levels show no abnormality, externally or on midsagittal section. PHOTOGRAPHS: YES MICROSCOPIC EXAMINATION: NO FINAL NEUROPATHOLOGIC DIAGNOSIS: I. NORMAL BRAIN AND SPINAL CORD REBECCA FOLKERTH, MD The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by Rebecca Folkerth on Aug 20, 2019 05:41:27 PM EFTA00063529 OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10016 Barbara A. Sampson, MD-Ph.D., Chief Medical Examiner Department of Forensic Pathology Forensic Anthropology Unit (212) 447-2763 M-19-19432 ANTHROPOLOGY BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-year-old male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the thyroid and cricoid were manually removed to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). Figure 2. Overview of the submitted hyoid hone exhibiting a fracture to the left greater horn (white arrow). FINDINGS: Hyoid The greater horns of the hyoid arc bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures I and 2). The Forensic Anthropology Unit is accredited in Forensic Inspection under ISO/IEC /7020 issued by ANSI National Accreditation Board. Refer to certificate and scope of accreditation Fb0014. EFTA00063530 M-I9-19432 Larynx The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right superior horn (Figures 1 and 3). The fractures to both the left and right superior horns occur just superior to the junction with the lamina. The cricoid does not exhibit any fractures. Figure 3. Microscopic (10x) posterior views of fractures (white circles) to the left and right superior horns of the thyroid. SUMMARY: The hyoid bone exhibits a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Date: 21 August 2019 'Ang(tla Sofa/. PhD, D-ABFA Forensic Anthropologist Page 2 of 2 EFTA00063531 CASE WORKSHEET NAME OF DECEDEN Epstein, Jeffery MEDICAL EXAMINER DR. Roman, Kristin M.E. CASE M-19-019432 66 Years Race White SEX X M F x AUTOPSY _ NO AUTOPSY (Exam) PURSUANT TO LAW DA i 08/11/2019 TIME U AM U PM PART I: NAM WAS CAUSED BY: ' P inc. -.Int- tr.:: es a immediate cause b. Due to or as a consequence at C. Due to or as a consequence el PART II: Other significant conditions contributing to death but not resulting Is the underlying cause given In pan 1: d. MANNER OF DEATH: i Lin N DING STUDIES _ NATURAL _, THERAPEUTIC COMPLICATION _ ACCIDENT ...i SuICIDE 1.1 hOMIODE _ UNDETERMINED PLACE OF DEATH: (Name of hospital, far, ity or street address) Any HOSpee TYPE OF PLACE: Now York Presbyterian Lower Manhattan Hospital, 170 William Street New York, NY 10038, United States care in last 30 days yes X3 No U '36 ft i C Hospital in.pstient I-Capita/ ED/ ail:patient Hasp WA Other, specify: U U U Nursing hcene/long wan ewe Hospice facility Decedent's residence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM Jnk INJURY: Cote Time: AN PM AT wOR< YES _ NO TYPE OF PLACE:IN:me, Stmet, etc./ LOCATION: HOW INJURY OCCURRED: IF TRANSPORTATION INJURY: 0 DRIVE VOPERATOR 0 PEDESTRIAN C PASSENGER J OTHER, SPECIFY IF FEMALE: U Not pregnant within one year of death U Pregnant at time of death U No: pregnant at time of death, but pregnant within42 days of death U Not pregnant at time of death, but pregnant 43 days to 1 year before death U Unknown if pregnant within one year of death If within one year of death, outwore of pregnarcy • Uve birth LI Soo-Wane= termination U Induced termination • Noce Did tobacco use contribute to death? U Yes J No ..i Probst* ),O Unk. For infant under 1 year: Name and address of hospital or ether place of beth EFTA00063532 • NAMEOF DECEDENT: Epstein, Jeffery MEDICAL OTAA4NER DR ROMRIT, Kristin U HOMICIDE U PRISONER U MVA(Droor/Operator) U OTHER RUSH M.E. CASE #: M-19-019432 DATE OF DEATit 08/10/7019 TODAY'S DATE: 08/11/2019 COMPONENTS OF MEDICOLEGAL CASE RECORD NEEDED FOR CERTRCATION FOR FILE COMPLETION TOXICOLOGY REPORT HSTO I9C ----- t'f\C3 ,C) 40;IRIOPAT RCARC4AC PATHOLOGY /..1° REPORT(S): p POLICE U FIRE MARSHAL IC MU CULTURES: U BLOOD U TB U OTHER: CONSULTANTS )50 AN11030 J RADIOLOGY U OTHER HOSPITµ OR MEDICAL RECORDS -)Q INFANT OWN SCENE INVESTIGATION I OTHER frItbeTrUi VVAILA (../ \ 0—{ ..--13 For Pediatric Cases: is there suspicion of abuse at this time? If ye e Call (600)635-1522 YES 0 NO AUTOPSY INVENTORY CONSULT SERVICE (QUIN U HEW _ HRO X-RAYS: A YES U NO PHOTOS: )O YES U NO HISTOLOGY: BOTTIETS) REQUESTING STOCK JAR(S): 1 2 3 4 \ye, YES U NO CD 2 3 SUMS: MICROBIOLOGY J YES 2( 0 SPECIMEN SOURCE OTHER STUDIES: EEVIDENCEUPERSONAL U YES NO U CLOTHING U BALLISTICS X (0) OTHER: PROPERTY FBIO LI HAIR t°°D SCALP- URNA LATER U BONE ?L0FINGERNAILS LI OTHER PUB U SWABS IC FBIO SEXUAL ASSAULT KIT ORµ SWABS/SMEAR BUCCAL SPECIMEN TRACE EVIDENCE CLOTHING/UNDERWEAR DEBRIS DRIED SECRETIONS FINGERNAIL AND/OR BITE MARKS SCRAPINGS/O.IPPINGS PULLED HEAD HAIRS PUBIC HAIR COMBINGS PULLED PUBIC HAIRS PERIANAL AND ANµ VULVAR OR PENILE VAGINAL SWABS AND CERVICAL SWABS AND OTHER SWABS AND SMEAR SWABS AND SMEAR SMEAR SMEAR '1 SIGNATURE Roman, Kristin EFTA00063533 • NYC Office of Chief Medical Examiner FORENSIC TOXICOLOGY REQUEST FORM .FT19-03508-001W Typo: FT'R43334:600 Bid Source: PamOral M.E. CAS"' M-19-019432 DATE OF DEATIt 08/10/2019 7:36 AM NAME OF DECEDENT: Epstein, Jeffery Ape 86 Years Race White hoc F N AUTOPSY U NOAUTOPSY (Exam} U PURSUANT TO UAW • aMEOICAL EXAMINER: Dr. Roman, Kristin ME EXAM DATE: 08/11/2019 INDICATED: U NO U YES )Q YES BASIC COMPREHENSIVE MANNER OF DEATH J HOMIODE j SUICIDE U ACCIDENT U NATURAL U THERAPEURCCOMPIKATON I I UNDETERMINED DING COI I. 01 la4 co4 I. SAMPLES SUBMITTED: COF:0.0 BLOOD FEMORAL) THE 3 L CAVITY • U SUBDURAL L OTHER Lit• i(44 q;4 6 , _ BRAIN J VER U DECOMP U OTHER: a FLUID 8 LE RINE RI CONTE 7REous) a U CHEMISTRY REQUEST VUN/Cr Glucose Other: NS K 1) BRIEF Eli AILS CAMV1/11 60141\1"‘(1/21,112, Atlitel . DURATION OF HOSPITALIZATION: kerfpc C.) Ks DECOMP ❑ U PRISONER U MOTOR VEHICLE COWSION DRIVER ...y lak,TkL It! SUSPECTED DRUGS/MEDI TI S: OCkAllet..1 cOrLA Caltirivvb;-SP SIGNATURE: Roman, Krlst EFTA00063534 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK AUTOPSY NOTES i5V;i5/-1 aF Decasegr: Epstei Jeffery P M-19-019432 C Iljg1 Mot* Tomo: Am Gearratueri Flume ewes: Uvon reorms(F)IF Scars: 6--). Tattoos: Clothing: l Therapeutic Procedures: Inhales: lissdt Brain' ' Meek Cavities Vessels Heart He - Pancreas Spleen Lymph Thymus: R-Kidne L-KIdoey Urine - Gonads Podocri Digestive Tr Gasffic AP.. Mane Skeoava—• p,_4— tate: .K•ILI Time4_41AAti atm \Th Examined by: Roman, Kristin EFTA00063535 Epstein, Jeffery Roman, ristin ki.e.e; M-19-0194 p2 (W. 'AO IL-_ • ) EFTA00063536 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT: (pm slot-m.E.c.e# AAA - DATE Is EXAMINED BY DR. EFTA00063537 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT: M.E. CASE # - EXAMINED BY DR. DATE / /20 EFTA00063538 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDEIZt M.E. CAsE# .L fyr. 0A-te-, ',1qatAielbaskad- grA alS I 4 EXAMINED BY DR. 61,1AA1---- DATE If /Ltc. /20n EFTA00063539 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES M.E. CASE # ._11.1.3? wiA,1,_ Net 17.-K ,--4\m) Owvvv, \Yer nA -2506 C11-44 ( 51,A- `` Ikkult9 1.3(,2>vc_ ( \oeh-y. v4JAK- fl_a4,, I>uA 0,44,100*T _ te, 4* xccs- EXAMINED eyDR. DarE___5,4 /20(`) EFTA00063540 NYC Office of Chief Medical Examiner DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10023 Official Website: www.nvC.n0v/OcMe Barbara A. Sampson, M.D.-Ph.D, Chief Medical Examiner Case No. M-19-019432 I, Mark E tein residin at: West Palm Beach, FL 33411• (Cross Street: ), New York, NY 10013, Phon Documented By: Driver's License State that: I am the Brother of the person whose body was removed to the Office of Chief Medical Examiner from New York, NY 10038 on 08/10/2019, that I have seen the photo of the said deceased, and believe that the body recorded at said office as: Epstein, Jeffery Of Age: 66 Years Race: White Sex: Male Is: Epstein, Jeffrey Edward Of Age: 66 Years Race: White Signed: Sex: Male , New York, NY 10021 on this 11 day of August, 2019 Identified to Sabrina Shelby at IENew York, New York 10016 Printed on 8/112019 at 10:46 AM by Stamina Shelby Page 1 oil EFTA00063541 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK Ed tear/ Name of liertased: .Pgr6eavA LsPC Tett/ Address: q 4.77- / 97 /1/7(--M.E. # M / Date and place of birth: IbieuriP v /v>i' //auk Closest known famil name: elf cfP fiatanma.)Address: 33 v Telephone: Did the deceased live with another person? /t/9 If yes: Name: Relationship: Address: Cell Phone: LIMNS Telephone: ( ) Cell Phone: ( ) To your knowledge did the deceased have any of these following conditions: ❑ CI Cancer ❑ Pregnant in the last year ❑ CI HIV infection If yes, the outcome was: ❑ 0 AIDS 0 Live birth ❑ .,13- Hepatitis (liver) eit: 0 Induced termination ❑ CI Alcohol Abuse 0 Spontaneous termination ❑ 0 Drug Abuse CI None ❑ 0 Psychiatric illness Date of outcome: ❑ 0 Methadone treatment: if yes, where: O Radiation Treatment 0 Other: O Recent hospitalizations or travel: if yes, where and when: O Dentist name/address): O Tattoos or scars (e.g., old surgery), describe: 0 Any Hospice care in last 30 days? If so, where: High blood pressure Heart problems Diabetes Seizures Lung problems Tuberculosis Tobacco use Brain infection/disease If the deceased was treated for any of the above conditions, please describe the conditions and list the doctor's name/telephone, hospital, clinic, and dates of treatment: pad 17)2/1• Signature Relationship 77 Date EFTA00063542 NYC Office of Chief Medical Examiner Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Kathleen Liggio Medico-Legal Investigations New York. New York 10016 www:nycgoviocme Investigation Report Name of Decedent Epstein, Jeffery Report Dote & Time: August 11, 2019 00:31 170 William Street, Now York, NY, Place of Death: 10038 Case No: M-19-019432 Disposition ME Case Date & Time of Death: August 10, 2019 07:36 Case Synopsis The decedent is a 66-year-old White male prison inmate who was found hung by the neck within his cell and was later pronounced dead at the hospital ED despite resuscitative efforts. The NOK does not object to an autopsy. PMH information is pending on receipt of the correction facility medical health services records. Subjective Findings As per Dr. Dajer of the ED at New York Presbyterian Lower Manhattan Hospital (212) 312-5070 on 08/10/2019 EMS found the decedent to be in cardiac arrest and with ligature markings of the neck following an unknown "down" time at the Metropolitan Correction Center (MCC). The decedent was intubated and was given epinephrine x 4 and bicarbonate x2 along with CPR. ACLS was continued at the ED. The decedent was given an additional epinephrine x 1 and bicarbonate x 1. However, the decedent was in asystole by cardiac monitor and in cardiac standstill by ultrasound. He was pronounced dead at 07:36 hours. Ligature markings of the neck were observed by Dr. Dajer in the ED as well as by EMS. However, no ligature material was observed by either EMS or by Dr. Dajer in the ED. No bloods were drawn and no fentanyl was administered in the ED or by EMS. Dr. Dajer was instructed to submit to OCME a completed ME Clinical Summary Worksheet the EMS ACR, and the ED Notes. These were received except the ACR. An email was sent to Evidence Request with cc's to Evidence Pickups and OCME Tour Commanders requesting that the ACR be obtained. The undersigned was accompanied by Nicholas Schultz, Deputy Director of Forensic Investigations and Operations, for a MLI scene investigation. FBI Special Agents unknown contact info.), were also present at the scene conducting their investigation. As per at MCC the decedent was detained at MCC since 07/06/2019 on charges of sex trafficking conspiracy and sex trafficking of minors as inmate # 76318054. He was placed in a cell on 07/07/2019, but was moved for psychology evaluation Page I of 3 EFTA00063543 07/08/2019 - 07/10/2019. His psychologist was unknown contact). He was then moved to the Special Housing Unit (SHU) from 07/10/2019 - 07/23/2019. However, on 07/23/2019 the decedent attempted suicide by hanging. In the early morning hours this date the decedent's cellmate, inmate Tartaglione, was awakened by a sou h dece nt. He started banging on the cell door to alert the corrections officers. responded at 01:27 hours and observed the decedent to be either seated or laying in a fetal position on the cell floor (unclear history) with a "loose homemade noose' around his neck made from a tom orange bedsheet. At this time the decedent was found to have erythema around two-thirds of the circumference of his neck, two inches wide, with sparing of the back of the neck. There were also some "friction marks". The decedent was transferred to Suicide Watch from 07/23/2019 - 07/29/2019. He was transferred to the SHU again on 07/29/2019 where he remained until the DOD. He was in cell # 206 originally this last time in SHU, but was switched to cell # 220 at an unknown date and time. The decedent had a cellmate, inmate Reyes. However, on the morning of 08/09/2019 inmate Reyes went to court and was released through the court. No cell mate was present at the time of the incident leading to the decedent's death. Information was taken from and egarding this incident. Regular rounds of the inmate cells are conducted by the corrections officers every 30 minutes, but no longer than at 40-minute intervals. It is unknown when the decedent was last seen alive pending interview of MCC rsonnel. On the morning of 08/10/2019 at 06:33 hours during these regular rounds Officer found the decedent hung by the neck within his cell # 220. However, the location within the cell and the position of the decedent are unknown pending interview of MCC personnel "removed' the decedent from an unknown fixed ob'ect and laced him on the cell floor. The officer started CPR. In the meantime- entered the cell took over performing CPR and the decedent was taken to the Medical Health Services area. EMS arrived and took over care for the decedent there. Scene Investigations/ Details The scene was within the decedent's cell, # 220 on Tier L of the SHU within the MCC. Of the scene photos INV-Scene 003 depicts the sealed cell door to # 220. Photo 004 depicts a straight- ahead view from the now opened cell door. Photo 005 represents the left side of the room. Beyond the right-sided wall of Photo 004 the right side of the room can be viewed in Photo 009. There is bedding material strewn in the middle of the floor including a mattress, presumably from the top bunk, and orange blanket and sheets. There was a CPAP machine on the floor with an electric cord reportedly provided by the MCC staff at bedtime - 22:00 hours and plugged into an outlet to the right outside of the cell door. Adjacent to the toilet and sink is a small table and stool on the right side of the cell. There was a handwritten note. It was not a suicide note, but it's content vented frustration about conditions and experiences at the facility. There was a bunk bed. The mattress was removed and personal items were kept on the top bunk. Amongst these were medications and supplements including Vitamin C 500 mg, Tolnaftate Cream 1%, Vascepa Omega 3, two boxes of Acetaminophen 500 mg which were both sealed closed, Multivitamins, a sealed container of Milk of Magnesia, Methylprednisolone 4 mg Dosepak also sealed, and Docusate Sodium 100 mg. The bottom bunk had rumpled up orange bedding. There were strips of orange cloth presumably from the bedding located in different spots in the room. Included amongst these was what appeared to be a makeshift clothesline tied between the bunk bed Page 2 of 3 EFTA00063544 posts with a pair of orange underpants hung from it. Measurements of the bunk bed set are as follows: The height from the floor to the top bunk was - 58.5 inches. The length of the bed set was — 79.5 inches. The width across each bed (Photo 052 depicts the bottom bunk mattress) — • o 049 shows the heights of the rungs of the ladder to the top bunk. of the Medical Health Services arrived to the scene and presented the AED with defibrillator pads used on the decedent along with the "ligature". which appears to be a stripy orange bed sheet. As pi the AED revealed no shockable rhythm on the decedent. The li ature was collected by the undersigned and entered into the evidence locker cage at in Manhattan. As per he was made aware by MCC staff that when the decedent's cellmate Reyes left it is believed that some of the items in the cell may have been his which were not removed. Examination of Body N/A Additional Information confirmed that the decedent's NOK, his brother, Mark Epstein , was notified &the decedent's death. The undersigned called the brother and discussed OCME policy and procedure with regard to a ME case. He does not object to an autopsy, however, he has requested to have present a private independent physician (pathologist) as a second opinion for the findings at the OCME autopsy. Dr. Jason Graham has agreed to allow this as a courtesy to the family with the following conditions: The physician must be a Forensic Pathologist. He/She must arrive to OCME at 520 First Avenue in Manhattan before or by 09:00 on 08/11/2019. He/She must sign observer disclaimer paperwork and provide a DNA sample. Mark Epstein was made aware of this and he understood. He was instructed to call OCME with his choice of the private pathologist beforehand. He was provided with the Manhattan OCME office address, telephone number, and the decedent's OCME case number. He expressed that following completion of the autopsy he intends to have the decedent's body shipped to Florida. The visual identification process was also discussed with the brother. Note: The decedent's cell at MCC is being held pending the preliminary autopsy results. It is requested that the assigned ME discuss the preliminary autopsy findings with FBI Special Agent Disposition: ME Case/Hospital with MLI Scene Investigation. NOK Does Not Object to Autopsy. NOK Plans to Retain an Independent Forensic Pathologist to Observe Autopsy. The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by Kathleen Liggio on August 11, 2019 00:31. Page 3 of 3 EFTA00063545 Case Notes Office of Chief Medical Examiner. New York City Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 0811012019 Report Time: 08:31 Borough: Manhattan Note Typo: Status Management Department: RRU Notes: Request No: 22012140 Note Type: email Department: Legal Detonate: 01/05/2022 11:25 Entered By: Melanie Rios Notes: MLR received FOIL request for autopsy report and loxico'ogy report for decedent. No* Type: ME Supplemental Note Department: Patraiogy Date Time: 11/14/2019 1325 Entomb, By: Kristin Roman Na. Spoke today %%el AIM eft OffleY and our coined Florence Hitter via conference call. kr Note Type: Status Management Departrnent RRU Detonate: 11/03/20191795 Entered By: Crns System Notes: Request No. 1907066( Lawyers ) DeteThtte: 03/02/2022 15.15 Entered By: Yvelisse Mattes Note Type: Status Management Department: RRU Detonate 11/0120191725 Entered By: Yvellsee Mattes Notes: Request No: 1907065( Lawyers ) Note Type: Incoming Cal Department: Pathology Deteiktre: 10/252019 11:16 Entered By: Mishsh Jahanglr Notes: Communications forwarded a call tom Mak Epstein at ). decedenrs brother. He wanted to know why he hasn't received the complete case fie and ony the autopsy report. Spoke Records and asked Mr. Epstein to send another notarized letter requesting the complete case Se (not only the autopsy report. as de previous :otter). and also gave hen the number for the Legal department. Note Typo: Status Management Department: RRU Dafo77me: 10/0420191531 Entered By: Cms System Notes: Request No: 1903273( Government Agendas ) Note Type: Statue Management Deportment RRU DateT1mo: 10/0420191529 Entered By: Yvease Mabas Notes: Request No. 1906273( Government Agencies ) Note Typo: Status Management Department: RRU Notes: Request No: 1905056( Family ) patent*: 09/1720191896 Intend By: Can System Note Type: Status Management Depertatent RRU Detonate 09/122019 1524 Entered Br Oro System Notes: Request No: 1905768( ) Note Type: Stays Management Department RRU Datemne: 98/122019 18:11 Entered By: Weesse Mattes Notes: Request No: 19057080 Note Type: Status Management Department: RRU Daterime: C8282019 1123 Dared By: Cms System Notes: Request No 19051970 Note Type: Status Management Department: RRU Notes: Request No: 1905419( Government Agencies ) Note Type: ME Supplemental Note Department Pathology Notes: This unerring. I attempted to call the cell phone of Stacey RR:Innen:Mr to tell her that I would be finalizing the autopsy report. Voice mall answered. with a message stating that the malbox was t would not be able to leave a message. kr Note Type: ME Supplemental Note Department: Pathology Deanne: 08127201913:15 Entered By: Kristin Roman Notes: Thls morreng, I called the office of Stacey Richman at to Id bar that I world finalize the autopsy report today. She Wee not available. so I left a message with the answering serviceiM Note Type: Status Management Department: Mortuary Datellme: 08/20/201918:43 Entered By: Sloven Unddy Noes: M1919432H010 - Newt-Brein Stock 1 Datenme:08/2712019 16:17 Eland By: Yvelsse Mattes Datenme: 08/27/201913:18 Entered By: Kristin Roman Not Type: Status Management Department Mortuary Det•Thme OW202019 16:43 Entered Be Steven Lindsey Panted on 3032022 at II 16 AM by Yvelsso Mattes Page 10f 5 EFTA00063546 Case Notes Office of Chief Medical Examiner, New York City Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: M19194321-1013 - Neuro-Brain Stock 2 Note Type: Status Management Department: Mortuary Nota: M1919432H020 - Neuro-Other Stock 1 Note 7»e: Status Management Department: Mcdusty Notes: M1919432H010 Neuro-Bratt Stock 1 Note 7»e: Status Management Depot -t Medway Notes: M1919432H013 Neuroaeln Sleek 2 Note Type: Status Management Department Medan Notes: M1919432H020 - Neuro-Other Stock 1 Datol7mo: 08120/201916%3 Entered By: Steven Lindsay DeteTIme: 08/20/2019 1325 Entered By: La-Shaunda ~lams Data/me:08/202019 13:35 Entered By: La-Shaunda Williams Defellmer 0B1201201913:35 Entered By: La-Shaunda wlitiams Note Tom Status Management Department: Mortuary Notes: M1919432H008 - Neuro-Other 1 Date7Tme: 08/19201912:29 Entered By: la-Shaunda VVIIIIame Note Type: Status Management Department: Medway Notes: M1919432H005 Neuro-Brain Note Type: Status Management Department: RRU Notes: Request No: 1905197O Note Type: Status Management Department: Pathology Notes: 19136788_UPDATE_20190817_111227.pdf Note Type: Status Management Department: Pathology Notes: AMENDED DC Note Type: ME Supplemental NOte Department: Pathology Notes: decedent's brother, Mark Epstein, to tell him the cause and manner of death. She aliM irrydesk number. and then she cased him, called 'case note entered late' I placed a call to the family's attorney. Stacey Richman, at to inform her that I would like to contact the me back, and the three of us had a itscussion about the cause and manner of death. I told Mr. Epstein that I wanted to talk to him about this before I amended the death certificate. tub had a very long and detailed phone conversation, as they had many questions for mo about how I readied the deter (nation. kr Note Type: Status Management Department: Pathology Deform: 08/16/20191728 Entered By: Crew Syhem Notes: AMENDED DC Date77me: 08/19/20191229 Entered By: La-Shames Williams DateTime: 08/19201910:57 Datollmo: 08117201911:16 Entered By: Margie Vega Entered By: Edna Sender) Deforms: 08/17/2019 11:16 Entered By: Ctn. System Deteffme:08/18/2019 1729 Entered By: Kilsen Roman Note Type: Status Management Department: Pathology Daterlme: 08/1620191725 Entered By: Gam System Notes: DC Amendment/Coma:eon Started Note Typo: General Department: Investigations Date7Tme: 08/16/2019 12 30 Entered By: Nicholas Schultz Notes: of the FBI Unit. There we watched a short video surrounding me 8116/19, Dr. Roman and i responded to 26 Federal Plaza lo meet with was titled 180 SW2-80 and dated 08110/19. however we were Inforroad the actual camera name was 116 L South. Per VCS the video we watched came from the camera located near the upper level office (upper tier opposite side of the room (rom where psein s cell was located). The video captured areas outside the upper level office, some of the guard common area, and what appeared to be a small section of the staircase leading to the upper tier where Epsteln's cell was located. The upper tier and cell where Epsteln's cell was located could not be seen In the video. The video was blurry and the identity of the persons) in the video were indiscernible. Note Type: General Department: Investigations Daterinte: 08/13/2019 18:33 Entered By: Nicholas Schultz • Printed on 322022 at 11:16 AM by Yvoksse Matins Page 2 of 5 EFTA00063547 Case Notes Office of Chief Medical Examiner, New York City Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: The following documents Photos & Documents section of CMS were received via email on YPD cell, office, . upp emen a Report (others)" 001 & 002 and "Hospita or edical eco s , 007, 008, 009, 010, and 011. The following documents were received from the NYP Medical Correspondence Unit on 8/13 and uploaded to the file: "Hospital or Medical Records" 004, 012 & 013± The following received from James Saunders, Esq office, of the FDNY Bureau of Legal Affairs: "Hospital or Medical Records" 014 & 015. Note Type: Status Management Department: RRU Notes: Request No. 1905056( Family ) NOW Type: General Department: Investigations Notes: Bronx RHIO queried for medical records to support death investigabon • Note Type: General Department: Investigations Notes: DNA swabs collected on 08/11/19 from autopsy observer, Dr. Michael Baden. submitted to OCME HR for processing. Note Typo: General Department: Investigations Delon:no: 08112/2019 11:50 Entered By: Kathleen Liggio Notes: Documented records on the decedent from MCC were submitted to my email by Special Agentt repeatedly I had requested from the decedent's documentation of demographic information and PMH/ mations in ormation from the Medical Health Services unit. However, the documents submitted focused chlefty on the suicide attempt incident from 07/23/2019. These were entered into the CMS record. Note Type: Status Management Department: Pathology Notes: 19136788_UPDATE_2019081 I _ 93631 .pdf Note Type: Status Management Department: Pathology Notes: NEW DC Note Type: Status Management Department: Mortuary Notes: Check-Out Borough: Manhattan Note Type: FOS Time out Department: Quality Assurance Notes: Timeout complete. Documentation, photos and tags were Release was authorized. Note Type: Status Management Department: Pathology Notes: Exam: AutopsyExam Completed By: Kristin Roman Note Type: ME Supplemental Note Department: Pathology Notes: Before the autopsy and this evening. I spoke to Detective from the FBI liason unit at NYPD. I explained to him what information I need (lull Investigation) and asked that the decedent's clothing be brought to me for examination. I told him that the ligature is at OCME. but is at the DNA building and it veil not be brought to me until tomorrow. so I have not examined it yet kr Note Type: Status Management Department: Pathology Notes: NEW DC Note Type: Status Management Department: Fingerprints Notes: FingerPtint FBI XML Sheet Added Note Type: Status Management Department: Fingerprints DateTime: 08/13/2019 10:02 Entered By: Margie Vega Dateilme: 08113/2019 09:36 Entered By: Men Naka no match to records. Delta:me: 08/122019 17:14 Enter