U.S. Department of Justice

• U.S. Department of Justice Federal Elurreau Investgation Bureau File Number 0(2 Field Office Criminal Investigative and Administrative Files ) Armed and Dangerous FOIPA DO NOT DESTROY NCIC ) ELSUR OCIS Escape Risk Suicidal Financial Privacy Act Other See also Nos. EFTA00130065 Type it Acquired By Date Serial Attachment Type OST Notes Vol 1A 54 2019-08-17 118 Digital and Physical 3 1A 53 2019-09-06 116 Digital and Physical Not Located 3 1A 52 2019-08-28 114 Digital and Physical 3 1A 51 2019-08-12 112 Digital 3 1A 50 a 2019-08-11 103 Digital 3 1A 49 2019-08-10 102 Digital 3 1A 48 2019-08-26 101 Digital 3 1A 47 2019-08-17 100 Physical 3 EFTA00130066 FD-34Oc(4-11.03) File Number q° Field Office Acquiring Evidence New vor Ic Serial # of Originating Document 09 • Date Received fi ?-16)/9 From Laser )4, (A) (Name dCostribatorlIntersiewee) eAyro.,64.i , Si eca (Address) eu VA( IV( 4 - 3/s-72z?- B re) To Be Returned O Yes Erslo Receipt Given ❑ Yes ET-No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure O Yes ErNo Federal Taxpayer Information (FIT) O Yes Er-No Reference: O4.f (Communkation Endosing Mabilal) Description: O Orienal notes re interview of 0kt. (11 CI) 4 Qutitit46- Cilz• 4 RAO sca.. Ai-o-'; 0,1,(1) et c4- Wan*. r~aYf.44.)sw cl4.4_ "Cot' (i) Ct\,t " Am," 4--( "Cat' ; e. -tan 44, 4h 3u4,7"" '14-ir k,41, ell to cam- (1.3,A1 ttettm 4 sc4.5 t ()LP-- EFTA00130067 3t-64 (tier:Rt .) 1.1-4( - /0 s...1.,nrt /L Soul,- tO (AVMS 4e fi S EFTA00130068 EFTA00130069 ITEM WAS NOT SCANNED DESCRIPTION if)', EFTA00130070 SaNC2 6° (.00-4tVowt Flour ts-(L Ili 10(1 zoo). 08/?_ wy 643..mcc zoi - 081;-. Air Gc43_ A4cc_ csa \. \FAR° LASER scm 6irol N, ?Poi-ELT ?(w3 09_„Ttscr GOY 2°11 _ (1_ NY- GC44Z- µGC Zvi S - 664- NI- Gck3. mu_ cetc. Attrtpoli4,-. 6perec.— kr-So4k, Specie, tk.ssi, Ate unit- - Movi Ae, On cuhied eel( FAik scAd oirm EFTA00130071 ITEM WAS NOT SCANNED DESCRIPTION EFTA00130072 s EFTA00130073 FD-340c(4-11.03) File Number cto4 - -3l s- Field Office Acquiring Evidence Serial # of Originating Document 11 Li Date Received o - From C E (Name ottoniributerrtgasiewce) (Address) d State) By Tolle Returned El Yes 0 No Receipt Given 0 Yes El No Grand July Material-Disseminate Only Ptusuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 yes Ei No Federal Thapayer Information (FT!) Yes Ei No Title: kfuN Swo Ls) le,F+Ve-ti •C-ip Syek n Dec,.-kv1/4 l (flute) ts cfrti Reference: (CommmikutionEndesiog Mated* Description: 0 Originalnotes re imteniew of Autyt-or5uk Ater+ OP ePsie/ -CO 0 6 pvt-h) (AA s 1/4c,c //45-7 1 •••••••irm. EFTA00130074 OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK STATE OF NEW YORK ) SS.: COUNTY 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 has been ordered to produce certified copies of documents concerning decedent, Jeffrey Edward Epstein ME # M19-19432 OCME is a governmental office organized under the New York City Charter § 557 and the New York City Administrative Code §§17-201 - 17-206. All records contained in its Records Department concerning this matter are maintained in OCME's regular course of business. OCME medical examiner files contain autopsy 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 particular case. The copies provided here represent all the documents contained in the above-cited OCME medical examiner case file. I have examined the original records maintained by OCME's Records Department and I have compared the copies provided here to the originals from which they were photocopied, and I attest that the records bearing this certification and authentication are a true and correct copy of the original records so described and are accurate and genuine. I have affixed the official seal of the Office of Chief Medical Examiner of the City of New York to certify these copies as genuine and as business records of the Records Department of the Office of Chief Medical Examiner. Siggfiiure Print Name Clerical Associate IV Title August 28,2019 Date [Seal of the Office of Chief Medical Examiner] OCME Records Certification Form 1 Rev 1/15 EFTA00130075 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein Autopsy Performed by: M, M.D. M.E. #: M-19-019432 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 EFTA00130076 CAUSE OF DEATH: HANGING MANNER OF DEATH: SUICIDE (HANGED SELF) New York City Office of Chief Medical Examiner I certify the attached are true copies of document(s) in OCME's possession. EFTA00130077 Az. OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY CASE NO. M-19-019432 I hereby certify that I, M, 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 EFTA00130078 M-19-019432 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, 'A 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 EFTA00130079 4 M-19-019432 • 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 EFTA00130080 M-19-019432 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. EFTA00130081 M-19-019432 JEFFREY EDWARD EPSTEIN Page 7 • LEFT DELTOID MUSCLE x 1 (#1M: 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. First Deputy Chief Medical Examiner. The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by i on Aug 27, 2019 07:38:00 AM EFTA00130082 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 Laborakiry No : FT19-03508 Medical Examiner: ME Case No : M-19-019432 Examination Date : 8/11/2019 Specimen Type: Blood(Femoral): F119-03508-001, Blood(Femoral): FT19-03508-002, Blood Femoral): FT19-03508-003, Blood(Heart): FT19-03508-004, Blood(Heart): FT19-03508-005, Blood(Heart): FT19-03508-006, Bite: FT19-03508-007, Urine: F119-03508.008, Gastric Contents: F119-03508-009, Brain: FT19-03508-010, Liver. FT19-03508-011, Vitreous: FT19-03508-012 Received By : Date Received':. 08/12/2019 Results Blood(Feinoral) : 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 Ms an assfidied kande Toxicology case ie. Cad al= hagasgocmo.nyc.go; If you have questions Salina to the oaten of this repot DehNeons of terms used In this mod can be totaled el haelsenvel.hycgcnIsite/ocmeiseMcesrtoxicologyeadinica-raanuals.page Si Date: 4/2019 Sc (Hons) M PhD. CChem FRSC FHEA or of Forensi Toxicology Page 1 of 1 EFTA00130083 NMS LI S Toxicology Report Report Issued 08/22/2019 17:09 Phone email: PhD. F-ADFT, DADCC-TC, Laboratory Director To: 10074 New York Office of Chief Medical Examiner Attn: Department of Toxicology 520 First Avenue New York, NY 10016 Positive Findings: CONFIDENTIAL Patient Name FT19-03508 M19-019432 Patient ID NP Chain 19244749 Age Not Given DOB Not Given Gender Not Given Workorder 1 9 2 4 4 7 4 9 Page 1 of 2 None Detected See Detailed Findings section for additional information Testing Requested: Analysis Code Description 95606 Synthetic Cannabinoids Screen (2019 Scope). Blood Specimens Received: ID Tube/Container Volume/ Collection Mass Date/Time Matrix Source Miscellaneous Information 001 Gray Top Tube 4.25 mL Not Given Femoral Blood All sample volumes/weights are approximations. Speemens received on 08/14/2019. NMS v.18.0 EFTA00130084 -NMS LABS 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 performed. 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: 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 Limit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present. Acode 9560B - Synthetic Cannabinoids Screen (2019 Scope), Blood - Femoral Blood -Analysis by High Performance Liquid Chromatography/Tandem Mass Spectrometry QTRAP (LC-MS/MS QTRAP) for. Compound 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 ng/mL 5-fluoro-M0MB-PICA 0.10 nglmL MDMB-CHMICA 0.10 ng/mL 5-fluoro-MDMB-PINACA/ 5-fluoro- 0.20 ng/mL MDMB-CHMINAC 0.10 ng/mL EMB-PINACA MDMB-FUBICA 0.10 ng/mL 5-fluoro-MMB-PINACA 0.050 ng/mL MDMB-FUBINACA/ EMB- 0.10 ng/mL 5-fluoro-NA-PIC 0.10 ng/mL FUBINACA 5-fluoro-QU-PINAC 0.10 nglmL 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 ng/mL MMB-FUBINACA 0.10 ng/mL ADMB-FUBINACA 1.0 nglmL NA-FUBIC 1.0 ng/mL AMB-CHMINACA 1.0 nglmL NA-FUBIM 0.20 ng/mL Rot. Limit Compound Rot. Limit NMS v.18.0 EFTA00130085 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. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8120/2019): The unfixed brain weighs 1520g (expected, 1200-1500g). Examination of the fixed brain (minus the left occipital pole, removed at the time of autopsy for possible toxicology) shows normal leptomeninges. 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. Coronal 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 ,MD The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by on Aug 20, 2019 05:41:27 PM EFTA00130086 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 [email protected] M-19-19432 ANTHROPOLOGY BACKGROUND: On 12 August 2019, the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. 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 1. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). •Or 2 cm 1 in Figure 2. Overview of the submitted hyoid bone 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. Them is a fracture of the left greater horn (Figures 1 and 2). The Forensic Anthropology Unit is accredited in Forensic Inspection under ISO/EC 17020 issued by ANSI National Accreditation Board. Refer to certificate and scope of accreditation F1-0014. EFTA00130087 M-19-19432 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 (I0x) 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 PhD, D-ABFA Forensic Anthropologist Page 2 of 2 EFTA00130088 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES M.E. CASE # - EXAMINED BY DR. DATE /20 EFTA00130089 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT: (Ti griz-or? se„v. M.E. CASE # -( - /C1C-f EXAMINED BY DR. DATE 41_120 17 EFTA00130090 DATE / / 20r1 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT:5 /-CEV-11 M.E. CASE # /V1- - 1- 1 } 0A-ti, 'tqaft.e-/bash,e1 - nmkogi OA I °I- ZICI-b, EXAMINED By DR. EFTA00130091 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT: (ri Cz M.. CAsE # - - Crt.3? V)A•kk t\k-1. 17'1 LaufW-es-ivv) \Yer - ) artot\i clA14 r.,19 I OA, V (..a4,, ki,y(ukik, Y,"; _ _ S rt 4417‘r-ri-lk gt5T GO- MSS— EXAMINED ay DR. DATE <6- AI. /20(c) EFTA00130092 esm ice chi Cztr- , Mde d Diadem Epstein, Jeffery wsitc\tie keiticufri El•Idge ILLS: M-19-019432 Din: EFTA00130093 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK - e 0Nr or Demean: Epste Jeffery MEI M-19-019432 l sm coLon: WWII, TIMM' Pr TI OR Weintri leit IA ClitEI TES: AMES Ti_ Virki Torso: Ara Gamma& J r ) 1..„... MAWR LAVA oroirre&F TEMPERATURE: AUTOPSY NOTES (51W-f- lame roans: Scars: 6.). Tattoos: 0 Clothing: Therapeutic Procedures: Injuries: Heady Brain Neck - Cavities Vessels L.V.W4.A1 1 .) R•Lung Iv 1:-Lu f ll'', .c., Thyme: Spleen R•rf We Pancreas Lymph BIN- g"M•tAiv. I/LSO-LSO ''-'S1 \ ' Ge- Sli bc— . C.<31 L-Kidneya4L0 Urine • Gonads Endocrl Digestive Tr Gastric • ml c...17 ("-- ' Examined by: , (2-4- 40 ) cgt."Q , Nusc-S — App RI kik ur) EFTA00130094 NYC Office of Chief Medical Examiner FT19-03508-001 Type: Bid FORENSIC TOXICOLOGY REQUEST FORM „mosaic Source: Femoral M.E. CASE M: M-19-019432 DATE OF DEATH: 08/10/2019 7:36 AM NAME OF DECEDENT: Epstein, Jeffery Age 66 Years Race White MxF AUTOPSY • J NO AUTOPSY (Exam) U PURSUANT TO LAW a CI a M19019432 MEDICAL EXAMINER: Dr. 0ME EXAM DATE: 08/11/2019 INDICATED: U NO L YES K) YES BASIC COMPREHENSIVE MANNER OF DEATH HOMIODE J SUIODE . , ACCIDENT NATURAL THERAPELOIC COMPLICATION UNDETERMINED COI I: 109 COT l coca•A SAMPLES SUBMITTED: BLOOD (k FEMORA!) (%ilAlliE :F.) _CAVITY LI I• _ SUBDURAL U OTHER i(-1(4 6 ,3 BRAIN L., VER U DECOMP U OTHER: B LE URINE TRI CONTE FLUID t'CIPAL.. IdirrOsfA iTREOUS Na K a ._! VUN/Cr CHEMISTRY REQUEST Glucose Other: BRIEFCASE DETAILS 3itkftntAl oljAk VN DURATION Lij2142' -r(414.1 OF HOSPITALIZATION: j/ a ( frlir ir—re{ d.Thsel DECOMP U PRISONER U MOTOR VEHICLE COWSION DRIVER 1 CYLA&T Bil,ari SUSPECTED a_113:k__Litti_ 01:0Afri..151:1 1CS DRUGS/MEDI TI S: SIGNATURE: EFTA00130095 NAME OF DECEDENT: Epstein, Jeffery MEENCAL DUMMER: DR - HOMICIDE _ PRISONER Z MVA (Orrver/Operator) _ OTHER RUSH PA.E.ust a: M-19-019432 DATE OF DEATH- 08/10/201 44 TODAY'S DATE: 08/11/2019 COMPONENTS OF MEDICOLEGAL CASE RECORD NEEDED FOR CIRIIF/CATION FOR FILE COMPLETION TOXCOLOGY REPORT .>CI HISTOLOG2,r___ ) -al EVROPATHO R CARDIAC PATHOLOGY 20 ° REPORT(S): />C1 POLK( '- FIRE MARSHAL X MLI ?C) CULTURES: _ BLOOD _ TB _ OTHER: CONSULTANTS X) ANTHRO - RADDLOGY - OTHER: \Cl.-- HOSPITAL OR MEDICAL RECORDS INFANT DEATHSCENE iNVESTIGAT:CN OTHER: 'It %Wlikil .CL 1.(-, 1-- ( III14 For Pete lair% Casts: Is there suspicion of abuse at this time? If ye ,CaU 1 (Sw) 635,1522 YES NO AUTOPSY INVENTORY CONSULT SERVICE RAIN HEART THRO (ky X-RAYS: 4 YES NO PHOTOS: T)0 YES - NO HISTOLOGY: BOTTLE(S) REQUESTING hN CO2 3 STOCK JAR(S)- 1 2 3 4 SUDES: o YES NO MICROBIOLOGY _ YES f1O SPECIMEN SOURCE OTHER STUDIES: EVIDENCE , PERSONAL _ YES NO _ CLOTHING _ BALLISTICS% (I) _ OTHER: PROPERTY F840 - HAIR SCALP- _ SWABS _RNA LATER PUBIC 0-A-V BONE )QFINGERNAJLS _ OTHER >tOOD F840 SEXUAL ASSAULT KfT ORAL SWABS/SMEAR BUCCAL SPECIMEN TRACE EVIDENCE CLOTHING/UNDERWEAR DEBRIS DRIED SECRETIONS FINGERNAIL AND/OR BITE MARKS SCRAPINGS/CLIPPINGS KILLED HEAD HAIRS PUBIC HAIR COMBINGS PULLED PUBIC HAIRS /--- PERIANAL AND ANAL VULVAR OR PENILE VAGINAL SWABS AND CERVICAL SWABS AND OTHER SWABS AND SMEAR SWABS AND SMEAR SMEAR SMEAR t- G SIGNATURE rLQ to kv-at EFTA00130096 CASE WORKSHEET M-19-019432 ciao o9016432 NAME OF DECEDENT: Epstein, Jeffery Age 66 Years Race White SEX X M _ F X AUTOPSY _ NO AUTOPSY (Exam) _ PURSUANT TO LAW MEDICAL EXAMINER DATE 08/11/2019 TIME AM L. PM Pend.ng Ratner Studies EY: PART I: DEATH WAS CAUSED a. immecLate cause )0 b. Ow to or as a consequence of c. Due to or as a consequence of PART II: Other sigelfirant amtiltbes contributing to death but net resulting le the underlay nose given In part L O. MANNER OF DEATH: SLAENDING STUDIES J NATURAL ',..: THERAPEUTIC COMPLICATION L.. ACCIDENT iJ SUICIDE U tOMICIDE U UNDETERMINED PLACE OF DEATH: Nan. or hospital, facility or street address) Any Hawke TYPE Of PLACE: New York Presbyterian Lower Manhattan Hospital, 170 William Street, New York, NY 10038, United States care in last 33 days 72 Yes No U Papitil in-pabent HeepiW ED/ outpatient U •losp COA C Other. specify: J J Nursing hone/long teem care Hospice rickey Decedent's residence DAM AND HOUR Of MAIM: 08/10/2019 7:36 AM Unk INJURY: Date Time: AM PM AT WORK J YES U NO TYPE OF PLACE:Irk Street, etc4 LOCATION: HOW INJURY OCCURRED: IF TRANSPORTATON INJURY: 0 DRIVER/OPERATOR C PEDESTRIAN 0 PASSENGER 0 OTHER, SPECIFY IF FEMALE: U Not pregnant wittin ore year of death L..! Pregnant at time of death U Noe pregnant at time 01 death, but pregnant widen 42 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, outcome of pregnarcy 0 Uwe birth 0 Spontaneous termination Otte of °utterly U Induced termination nen/de/MY 0 Now / / Did tobacco use corenbute to death? U Yes U No U Probably urea. For infant under 1 year: WIT* and address of hospital or other place of birth EFTA00130097 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: yvvm nycgoviocmP Barbara A. Sampson, M.D.-Ph.D, Chief Medical Examiner Case No. M-19-019432 I, Mark in • Cross Street , New York, Phone: 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 170 William Street, 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 9 East 71st Street, (Cross Street: Madison Avenue/5 Avenue), New York, NY 10021 Of Age: 66 Years Race: White Signed: Identified tc Sex: Male on this 11 day of August, 2019 New York, New York 10016 Pnnted on 8/11/2019 at 10 A6 AM by Page 1 of 1 EFTA00130098 OFFICE OF CHIEF MEDICAL EXAMINER Closest known family member name: Address: CITY OF NEW YORK ed(Wra. Name of deceased: 37-41Cr-t-n . 6:79S-72WV q 21 .9; • Ai-7c_ Address: Date and place of birth: 15@Ali- tr;fr //zo/c 3 M4 1111 dr 52-25-2/v fin-73 m.E.# M ci LI 32 Telephone: Cell Phone Did the deceased live with another person?A/V If yes: Name: Relationship: 4 Address: Telephone: ( Cell Phone: ( ) To your knowledge did the deceased have any of these following conditions: 0000000000000 High blood pressure Heart problems Diabetes Seizures Lung problems Tuberculosis Tobacco use Brain infection/disease O Cancer O Hiv infection O AIDS Hepatitis (liver) et: O Alcohol Abuse O Drug Abuse O Psychiatric illness O Methadone treatment: if yes, where: Radiation Treatment 0 Other: Recent hospitalizations or travel: if yes, where and when: Dentist name/address): Tattoos or scars (e.g., old surgery), describe: Any Hospice care in last 30 days? If so, where: 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: O Pregnant in the last year If yes, the outcome was: O Live birth O Induced termination O Spontaneous termination O None Date of outcome: Dizermi-A / 77 Signature Relationship Date EFTA00130099 NYC Offi0e of Chief Medical Examiner 421 E 26th Street, Medko-Legal Investigations New York, New York 10016 •ocme.nyc.pov sownyc.govloane Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Investigation Report Name of Decedent: Epstein, Jeffery Case No: M-19-019432 Report Date & Time: August 11, 2019 00:31 Disposition: ME Case 170 William Street, New York, NY, Place of Death: Date & Time of Death: August 10, 2019 07:36 10038 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. Subiective Findings As per Dr. of the ED at New York Presbyterian Lower Manhattan Hospital 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.= in the ED as well as by EMS. However, no ligature material was observed by either EMS or by Dr. in the ED. No bloods were drawn and no fentanyl was administered in the ED or by EMS. Dr. 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 Deputy Director of Forensic Investi•ations and O erations, for a MLI scene investi ation. FBI Special Agen (unknown contact info.), • were also present at the scene conducting their investigation. As per Lieutenant a of Corrections 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 1 of 3 EFTA00130100 07/08/2019 - 07/10/2019. His psychologist was IM (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 sound and saw the decedent. 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 torn 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 Captain regarding 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 personnel. On the morning of 08/10/2019 at 06:33 hours during these regular rounds Officer Michael Thomas 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. Office removed" the decedent from an unknown fixed object and placed him on the cell floor. The officer started CPR. In the meantime Operations Lt. and RN 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 EFTA00130101 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) was — 25 inches. Photo 049 shows the heights of the rungs of the ladder to the top bunk. RN 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 stripped piece of an orange bed sheet. As per RN the AED revealed no shockable rhythm on the decedent. The ligature was collected by the undersigned and entered into the evidence locker cage at 421 E. 26th Street in Manhattan. As peal.= 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 As per Nick confirmed that the decedent's NOK, his brother, Mark Epstein was notified of 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. 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 on August 11, 2019 00:31. Page 3 of 3 EFTA00130102 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 Note Type: MESupplemental Note Department: Pathology Detonate: 08/27201913:16 Entered By: Ms Notes: This morning, I attempted to call the cell phone of Stacey Richman, to tell her that I would be finalizing the Lutopsy report. Voice mail answered, with a message stating that the mailbox was full and that I would not be able to leave a message. 0 Note Type: ME Supplemental Note Department: Pathology DateTime: 08/27/2019 13:15 Entered By: Notes: This morning. I called the office of Stacey Richman at to tell her that I would finalize the autopsy report today. She was not available, so I left a message with the answering service. Note Type: Status Management Department: Mortuary DateTime: 0812012019 16:43 Entered By: Notes: M1919432H010 - Neuro-Brain Stock 1 Note Type: Status Management Department: Mortuary DateTime: 08/20201916:43 Entered By. Notes: M1919432I-I013 - Neuro-Brain Stock 2 Note Type: Status Management Department: Mortuary DateTime: 08/20201916:43 Entered By. Notes: M1919432H020 - Neuro-Other Stock 1 Note Type: Status Management Department: Mortuary DateTime: 08/20/2019 13:35 Entered By: Notes: M1919432H010 - Neuro-Brain Stock 4 Note Type: Status Management Deportment: Mortuary DateTime: 08/20201913:35 Entered By: Notes: M1919432H013 - Neuro-Brain Stock 2 Note Type: Status Management Department: Mortuary DateTime: 08/20/2019 13:35 Entered By: Notes: M1919432H020 - Neuro-Other Stock 1 Note Type: Status Management Department Mortuary DateTime: 08119/201912:29 Entered By: Notes: M1919432I1006 - Neuro-Other 1 Note Type: Status Management Department: Mortuary DateTime: 08/19201912:29 Entered By: Notes: M1919432H005 - Neuro-Brain Note Type: Status Management Department: RRU DateTime: 08/19/201910:57 Entered By: Notes: Request No: 1905197( ) Note Type: Status Management Department: Pathology DateTime: 08117201911:16 Entered By: Edrs Service Notes: 19138788_UPDATE_20190817_111227.pdf Note Type: Status Management Department: Pathology Date Time: 08/17/201911:15 Entered By: Cms System Notes: AMENDED DC Note Type: ME Supplemental Note Department: Pathology DateTime: 08/18/2019 17:29 Entered By: Notes: 'case note entered late' I placed a call to the family's attorney, Stacey Richman, at S to Inform her that I would like to contact the decedent's brother, Mark Epstein, to tell him the cause and manner of death. She asked for my desk number, and then she called him, called me back, and the three of us had a discussion 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 cellificate. We had a very long and detailed phone conversation, as they had many questions for me about how I reached the determination. Note Type: Status Management Department: Pathology DateTime: 08/16201917:28 Entered By: Cms System Notes: AMENDED DC Note Typo: Status Management Department: Pathology Detonate: 08/1620191725 Entered By: Cms System Notes: DC Amendment/Correction Started Note Type: General Department Investigations DateTime: 08/10201912:30 Entered By: Printed on 8/27/2019 at 4:09 PM bye= Page 1 of 4 EFTA00130103 Case Notes Office of Chief Medical Examiner, New York City Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/1012019 Report Time: 08:31 Borough: Manhattan Notes: At 1230 on 8/16/19, Dr. and I responded to 26 Federal Plaza to meet with Video Communications Specialist (VCS) of the FBI Multimedia Exploitation Unit. There we watched a short video surrounding the timeframe of the 19 lied 160 SW2-80 and dated 08/10/19, however we were informed the actual camera name was 116 L South. Per VCS Coleman, the video we watched came from the camera located near the upper level office (upper tier opposite side of the room from where Epstein'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 Epstein's cell was located. The upper tier and cell where Epstein's cell was located could not be seen in the video. The video was blurry and the identity of the person(s) in the video were indiscernible. Note Type: General Department: Investigations DateTime: 08/131201918:33 Entered By: Notes: The following documents uploaded to the Photos & Documents section of CMS were received via email on 8/13/19 from FBI/NYPD Violent Crimes & Joint Bank Robbery Squad C-19 office, :" upp ementa eport of ers & 002 and "Hospital or Medical Records" 005, 006, 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 followin. documents were re • uested and received from James Saunders, Esq affice, •f the FDNY Bureau of Legal Affairs: "s:Wrvedical Records" 014 & 015. Note Type: Status Management Department: RRU DateTime: 08/13/201910:02 Entered By: Notes: Request No: 1905056( Family ) Note Type: General Department: Investigations DateTime: 08/1312019 09:36 Entered By: Notes: Bronx RHIO queried for medical records to support death investigation - no match to records. Note Type: General Department: Investigations DateTime: 08/12/2019 17:14 Entered By: Notes: DNA swabs collected on 08/11/19 from autopsy observer, Dr. .submitted to OCME HR for processing. Note Type: General Department: Investigations DateTime: 08/12/2019 11:50 Entered By: Notes: Documegkaigsgds on the decedent from MCC were submitted to my email by Special Agent I had requested repeatedly from at MCC the decedent's documentation of demographic information and PM Trt n • c.iris Information from the Medical Health Services unit. However, the documents submitted focused chiefly on the suicide attempt incident from 07/23/2019. These were entered into the CMS record. Note Type: Status Management Department: Pathology DateTime: 08/11/2019 19:40 Entered By: Edrs Service Notes: 19136788_UPDATE_20190811_193631.pdf Note Type: Status Management Department: Pathology DateTime: 08/11/2019 19:40 Entered By: Cms System Notes: NEW DC Note Type: Status Management Department: Mortuary Detonate?: 08/11/201918:11 Entered By: Notes: Check-Out Borough: Manhattan Note Type: FOS Time out Department: Duality DateTime: 08/11/2019 17:41 Entered By: Assurance Notes: Timeout complete. Documentation, photos and tags were checked. New ME tag made at checkout to match updated confirmed ID. Release was authorized. Note Type: Status Management Department: • Pathology Dater/me: 08/11/201917:24 Entered By: Cms System Notes: Exam: AutopsyExam Completed By: MI Note Type: ME Supplemental Note Department: Pathology Deform.: 08/11/2019 16:48 Entered By: M Notes: Before the autopsy and this evening. I spoke to Detective om the FBI liason unit at NYPD. I explained to him what Information I need (full investigation) and asked that the deceden ought to me for examination. i/oict him that the ligature is at OCME, but Is at the DNA building and it WU not be brought to me until tomorrow, so I have not examined it yet. Note Type: Status Management Department: Pathology DateTime: 08/11/2019 15:27 Entered By: Cms System Printed on 812712019 at 4:09 PM by Page 2 of 4 EF