EFTA00063517

DEPARTMENT OF JUSTICE IOFFICE OF THE INSPECTOR GENERAL March 2. 2022 Office of the Chief Medical Examiner City of New York New York, NY 10016 M19-19432 Dear Office of the Chief Medical Examiner: 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 Sincerely, Xrays D HAI s d by Dale, 20210102 10:1439 -05-0Y APPROVED By ycriMgal at 11:00 am. Mar 02, 2022 Special Agent in Charge OK Per F. Hutner 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, /12 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. Sign Delsellons of tams used In this repel can be located al htift/Wwwl flYc Odetattiocmolennowtoncology-tethrscal-manuals cage Dr. Gat oo er c ons c CChem FRSC FHEA Director of Forensic Toxicology / Date: 8 4/2019 Page 1 of 1 EFTA00063526 NMS Labs CONFIDENTIAL 200 Vttibh Road. Horsham. PA 19044-2208 NMS Phone: Robert A. PAIddlebem. PhD. F-ABFT, DABCC-TC, Laboratory Director Toxicology Report Patient Name FT19-03508 M19-019432 Patient ID NP Report Issued 08722/2019 17:09 Chain 19244749 Age Not Given DOB Not Given Gender Not Given To: 10074 Workorder 1924 47 49 New York Office of Chief Medical Examiner of Toxicology 0016 Pago 1 of 2 Positive Findings: 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 Matrix Source Miscellaneous Mass DatoMmo Information 001 Gray Top Tube 4.25 mL Not Given Femoral Blood All sample volumes/weights are approximations. Specimens received on 08/14/2019 NMS v.18.0 EFTA00063527 CONFIDENTIAL Workorder 19244749 *NMS Chain Patient ID 19244749 NP Page 2 of 2 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 M-19-19432 (212) 447-2763 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 Figure 2. Overview of the submitted hyoid and larynx (anterior view) showing the hone exhibiting a fracture to the left greater approximate fracture locations (red lines). 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 ofaccreditation 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 M.E. CASE CASE WORKSHEET M-19-019432 NAME OF DECEDEN Race SEX x AUTOPSY X M _ NO AUTOPSY (Exam) Epstein, Jeffery 66 Years White F PURSUANT TO LAW MEDICAL EXAMINER DA i TIME U AM U PM DR.Roman, Kristin 08/11/2019 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 LinNDING 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: care in last 30 Now York Presbyterian Lower Manhattan days U Hospital in.pstient U Nursing hcene/long wan ewe Hospital, 170 William Street New York, NY '36 I-Capita/ ED/ ail:patient U Hospice facility 10038, United States yes f ti Hasp WA U Decedent's residence X3 No C Other, specify: DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM Jnk INJURY: Cote Time: AN AT wOR< TYPE OF PLACE:IN:me, Stmet, etc./ PM YES _ NO LOCATION: HOW INJURY OCCURRED: IF TRANSPORTATION INJURY: 0 DRIVE VOPERATOR 0 PEDESTRIAN C PASSENGER J OTHER, SPECIFY IF FEMALE: If within one year of death, outwore of pregnarcy • Uve birth U Not pregnant within one year of death LI Soo-Wane= termination U Pregnant at time of death U Induced termination • Noce 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 Did tobacco use contribute to death? For infant under 1 year: Name and address of hospital or ether place of beth U Yes J No ..i Probst* ),O Unk. EFTA00063532 • NAMEOF DECEDENT: Epstein, Jeffery M.E. CASE #: M-19-019432 MEDICAL OTAA4NER DR ROMRIT, Kristin DATE OF DEATit 08/10/7019 U HOMICIDE U PRISONER U MVA(Droor/Operator) U OTHER RUSH TODAY'S DATE: 08/11/2019 COMPONENTS OF MEDICOLEGAL CASE RECORD NEEDED FOR CERTRCATION FOR FILE COMPLETION TOXICOLOGY REPORT t'f\C3 HSTO I9C -- --- , 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 OTHER frItbeTrUi VVAILA (../ I\ 0—{ ..--13 For Pediatric Cases: is there suspicion of abuse at this time? YES 0 NO If ye e Call (600)635-1522 AUTOPSY INVENTORY CONSULT SERVICE (QUIN U HEW _ HRO X-RAYS: A YES U NO PHOTOS: )O YES U NO BOTTIETS) REQUESTING HISTOLOGY: STOCK JAR(S): 1 2 3 4 \ ye, YES U NO CD 2 3 SUMS: MICROBIOLOGY J YES 2( 0 SPECIMEN SOURCE OTHER STUDIES: PERSONAL U YES NO U CLOTHING U BALLISTICS X (0) U PROPERTY OTHER: EEVIDENCE LI HAIR SCALP- U SWABS URNA LATER FBIO U BONE ?L0FINGERNAILS LI OTHER PUBIC t°°D ORµ SWABS/SMEAR BUCCAL SPECIMEN TRACE EVIDENCE CLOTHING/UNDERWEAR DEBRIS FBIO DRIED SECRETIONS FINGERNAIL SEXUAL ASSAULT PULLED HEAD HAIRS PUBIC HAIR COMBINGS PULLED PUBIC HAIRS AND/OR BITE MARKS SCRAPINGS/O.IPPINGS KIT PERIANAL AND ANµ VULVAR OR PENILE VAGINAL SWABS AND CERVICAL SWABS AND OTHER SWABS AND SMEAR SWABS AND SMEAR SMEAR '1 SMEAR SIGNATURE Roman, Kristin EFTA00063533 .FT19-03508-001 NYC • Office of Chief Medical Examiner FORENSIC TOXICOLOGY REQUEST FORM W FT'R43334:600 Typo: Source: Bid PamOral a M.E. DATE OF DEATIt CAS"' M-19-019432 08/10/2019 7:36 AM NAME OF DECEDENT: Ape Race N AUTOPSY • Epstein, Jeffery hoc 86 Years White U NOAUTOPSY (Exam} F U PURSUANT TO UAW MEOICAL EXAMINER: ME EXAM DATE: Dr. Roman, Kristin 08/11/2019 INDICATED: U NO U YES )Q YES BASIC COMPREHENSIVE MANNER J HOMIODE j SUICIDE U ACCIDENT U NATURAL U THERAPEURCCOMPIKATON I I UNDETERMINED DING OF DEATH la4 COI I. 01 co4 I. SAMPLES SUBMITTED: COF:0.0 BLOOD q;4 FEMORAL) THE L CAVITY • U SUBDURAL L ,3 OTHER 6 Lit• i(44 8 LE RINE RI _ BRAIN J VER U DECOMP U OTHER: CONTE a FLUID 7REous) U CHEMISTRY REQUEST NS K a VUN/Cr Glucose Other: BRIEF Eli AILS 1) CAMV1/11 60 141\1"‘ (1/21,112, kerfpc Atlitel . C.) K s U PRISONER ❑ DECOMP U MOTOR VEHICLE COWSION DRIVER DURATION OF HOSPITALIZATION: . .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 M-19-019432 P Clj Ig1 Mot* Tomo: Am Gearratue ri Flume ewes: Uvon reorms(F)IF Scars:6--). Tattoos: Clothing: l Therapeutic Procedures: Inhales: \Th lissdt Brain' ' Meek Cavities Vessels Heart He - Pancreas Spleen Lymph Thymus: R-Kidne L-KIdoey Urine - Gonads Podocri Digestive Tr Gasffic AP.. Mane Skeoava—• Examined by: Roman, Kristin p ,_ 4 — tate: .K•ILI Time4_41AAti atm EFTA00063535 • ) Epstein, Jeffery ki.e.e; M-19-0194p2 Roman, ristin (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 - EXAMINED BY DR. DATE Is 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 /L t c . /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 51,A - `` Ikkult9 1.3(,2>vc_ C11-44 ( ( \oeh-y. v4JAK- fl_a4,, I>uA 0,44, 100*T _ te, 4* xccs- EXAMINED eyDR. DarE___5,4 /20(`) EFTA00063540 DEPARTMENT OF HEALTH AND MENTAL HYGIENE NYC Office of Chief OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10023 Official Website: www.nvC.n0v/OcMe Medical Examiner 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 , New York, NY 10021 Of Age: 66 Years Race: White Sex: Male Signed: 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 1oil EFTA00063541 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK Ed tear/ M.E. # M / Name of liertased: .Pgr6 eavA LsPC Tett/ Address: q 4.77- / 97 /1/7 ( -- IbieuriP v / v>i' //auk Date and place of birth: Closest known famil name: elf cfP fiatanma.) Address: 33 v Telephone: Cell Phone: LIMNS Did the deceased live with another person? /t/ 9 If yes: Name: Relationship: Address: Telephone: ( ) Cell Phone: ( ) To your knowledge did the deceased have any of these following conditions: ❑ High blood pressure CI Cancer ❑ Pregnant in the last year ❑ Heart problems CI HIV infection If yes, the outcome was: ❑ Diabetes 0 AIDS 0 Live birth ❑ Seizures .,13- Hepatitis (liver) eit: 0 Induced termination ❑ Lung problems CI Alcohol Abuse 0 Spontaneous termination ❑ Tuberculosis 0 Drug Abuse CI None ❑ Tobacco use 0 Psychiatric illness Date of outcome: ❑ Brain infection/disease 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: 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: Signature pad 17)2/1• Relationship Date 7 7 EFTA00063542 Kathleen Liggio NYC Office of Chief Medico-Legal Investigations www:nycgoviocme New York. New York 10016 Medical Examiner Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Investigation Report Name of Decedent Epstein, Jeffery Case No: M-19-019432 Report Dote & Time: August 11, 2019 00:31 Disposition ME Case 170 William Street, Now 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. 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 DeteThtte: 03/02/2022 15.15 Entered By: Yvelisse Mattes 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 DateTime: 11/14/2019 1325 Entomb, By: Kristin Roman Na. Spoke today %%el AIM eftOffleY and our coined Florence Hitter via conference call. kr Note Type: Status Management Departrnent RRU Detonate: 11/03/20191795 EnteredBy: Crns System Notes: Request No. 1907066( Lawyers ) Note Type: Status Management Department: RRU Detonate 11/0120191725 EnteredBy: 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 ). decedenrs brother. He wanted to know why he hasn't received the complete case fie and ony the autopsy report. Spoke at 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 EnteredBy: Yvease Mabas Notes: Request No. 1906273( Government Agencies ) Note Typo: Status Management Department: RRU patent*: 09/1720191896 IntendBy: Can System Notes: Request No: 1905056( Family ) Note Type: Status Management Depertatent RRU Detonate 09/122019 1524 EnteredBr Oro System Notes: Request No: 1905768( ) Note Type: Stays Management Department RRU Datemne: 98/122019 18:11 EnteredBy: Weesse Mattes Notes: Request No: 19057080 Note Type: Status Management Department: RRU Daterime: C8282019 1123 DaredBy: Cms System Notes: Request No 19051970 Note Type: Status Management Department: RRU Datenme:08/2712019 16:17 Eland By: Yvelsse Mattes Notes: Request No: 1905419( Government Agencies ) Note Type: ME Supplemental Note Department Pathology Datenme: 08/27/201913:18 EnteredBy: Kristin Roman 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 EnteredBy: Sloven Unddy Noes: M1919432H010 - Newt-Brein Stock 1 Not Type: Status Management Department Mortuary Det•Thme OW202019 16:43 EnteredBe 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 -Brain Stock 2 Notes: M19194321-1013 - Neuro Note Type: Status Management Department: Mortuary Datol7mo: 08120/201916%3 Entered By: Steven Lindsay Nota: M1919432H020 - Neuro-Other Stock 1 Note 7»e: Status Management Department: Mcdusty DeteTIme: 08/20/2019 1325 EnteredBy: La-Shaunda ~lams Notes: M1919432H010 Neuro-Bratt Stock 1 Note 7»e: Status Management Depot -t Medway Data/me:08/202019 13:35 EnteredBy: La-Shaunda Williams Notes: M1919432H013 Neuroaeln Sleek 2 Note Type: Status Management Department Medan Defellmer 0B1201201913:35 EnteredBy: La-Shaunda wlitiams Notes: M1919432H020 - Neuro-Other Stock 1 Note Tom Status Management Department: Mortuary Date7Tme: 08/19201912:29 EnteredBy: la-Shaunda VVIIIIame Notes: M1919432H008 - Neuro-Other 1 Note Type: Status Management Department: Medway Date77me: 08/19/20191229 EnteredBy: La-Shames Williams Notes: M1919432H005 Neuro-Brain Note Type: Status Management Department: RRU DateTime: 08/19201910:57 Entered By: Margie Vega Notes: Request No: 1905197O Note Type: Status Management Department: Pathology Datollmo: 08117201911:16 EnteredBy: Edna Sender) Notes: 19136788_UPDATE_20190817_111227.pdf Note Type: Status Management Department: Pathology Deforms: 08/17/2019 11:16 EnteredBy: Ctn. System Notes: AMENDED DC Note Type: ME Supplemental NOte Department: Pathology Deteffme:08/18/2019 1729 Entered By: Kilsen Roman Notes: '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 decedent's brother, Mark Epstein, to tell him the cause and manner of death. She aliM rrydesk i number. and then she cased him, called 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 EnteredBy: Crew Syhem Notes: AMENDED DC Note Type: Status Management Department: Pathology Daterlme: 08/1620191725 EnteredBy: Gam System Notes: DC Amendment/Coma:eon Started Note Typo: General Department: Investigations Date7Tme: 08/16/2019 12 30 EnteredBy: Nicholas Schultz Notes: 8116/19, Dr. Roman and i responded to 26 Federal Plaza lo meet with of the FBI Unit. There we watched a short video surrounding me • 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 DateTime: 08/13/2019 10:02 Entered By: Margie Vega Notes: Request No. 1905056( Family ) NOW Type: General Department: Investigations Dateilme: 08113/2019 09:36 Entered By: Men Naka Notes: Bronx RHIO queried for medical records to support death investigabon • no match to records. Note Type: General Department: Investigations Delta:me: 08/122019 17:14 Entered By: Nicholas Schultz 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 Agent t I had requested repeatedly 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 Dater/me:08/1112019 19:40 Entered By: Edrs Service Notes: 19136788_UPDATE_2019081 I _ 93631.pdf Note Type: Status Management Department: Pathology Datertme: 08/11/2019 19:40 Entered By: Cms System Notes: NEW DC Note Type: Status Management Department: Mortuary DateTime: 08/11/2019 18:11 Entered By: Sneyder Desousa Notes: Check-Out Borough: Manhattan Note Type: FOS Time out Department: Quality Cotentin: 08/11/2019 17:41 Entered By: Joel Mudd 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 Date Time: 08/11/2019 17:24 Entered By: Cms System Notes: Exam: AutopsyExam Completed By: Kristin Roman Note Type: ME Supplemental Note Department: Pathology Daterime: 08/11/2019 16:48 Entered By: Kristin Roman 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 Datellme: 08/11/2019 15:27 Entered By: Cms System Notes: NEW DC Note Type: Status Management Department: Fingerprints Deter/me: 08/11/2019 15.05 Entered By: Fingerprint Service Notes: FingerPtint FBI XML Sheet Added Note Type: Status Management Department: Fingerprints Date Time: 08/11/2019 14:54 Entered By: Fingerprint Service Printed on 3,13.02022 at 11:16 AM by Yveksse Matins Page 3 of EFTA00063548 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: F:ngerPrint RAP Sheet Processed. TransactioniD: 34388328 Note Type: Status Management Department: Fingerprints Date7frim: 08/11/2019 14.54 EnteredBy: Fingerprint Service Notes: Finger Print Response from DCJS — Hit. NYSIG : 048148790 Note Type: Status Management Department: Mottary DateTIme: 08/11Ø19147M EnteredBy: Ugla Ceja Notes: M1919432H005- Neuro-Brain Not. Type: Status Management Department Mortuary Detains*: 09/112019 1411 gnawedBy: Ligka Ceta Notes: M1919432H006- Nam-01W 1 Note Type: Status Management Department Mommy DateMmia: 08/11201914:44 EnteredBy: Ugla Ceja Notes: MI919432H005 Neuro-Brain Note Type: Status Management Department: Magary Det•TInm: 08/11Ø914M Entered By: Ugla Ceja Notes: M1919432H008 Neuro-Other 1 Note Type: Status Management Department ~Ms Detonate:08/1112019 14A3 Entered By: Fingerprint Service Notes: Finger PM* Submission AdutoMedged by DCJS Note Type: Status Management Department: Fingerprints DateMme: 0911/201914A3 EnteredBy: Fingerprint Service Notes: Finger Print sutffirtted to DCJS. Fingerprint Acquired By LCEJA(vla Uvetcan). TCN: WCME0110178 Note Type: Status Management Dopar nuet: Fingerprints Datelime: 08/1120191473 gØ Cy: Fingal:Ant Sena°, Notes: Fingerprint Acquired By : LCEJArvia Livescam Note Type: Status Management Department Other CleteTime: O8/11Ø91134 EnteredBy: Kan3em Wiggins Notes: Entered case to determine if Mortuary access was ready to be resdnded. Note Type: Status Management Department: Identifications getellmc O8/11201911Ø EnteredBy: Can System Notes: ID conlirmed with the Information provided by Informant: Epstein. Mark Note Typse ID Event Department Identifications PrteTtme: 08/11/2019 0058 Entered By: Sabrina Shelby Notes: Dr. Mchael Baden presented to our office with the Decedent's brother to watch the autopsy. He was given an observer form to complete and wet swabbed before he went to observe the autopsy Note Type: Status Management Department X-Ray Datellma: 08/1112019 0820 EnteredBy: Benjamin Criss Rolm Type ot X-ray: AA Body Note Type: Status Management Department PelMlogy Datellme: 0B/11201908Ø EnteredBy: Can System Notes: Exam: Autopsy Note Te : Outgoing Call Department: Investigations Date77me: 08/1040191729 Entered By: Nkhotas Schultz Notes: MLI Ligglo Informed mo she has been In contact with the NOK/brother. He has no objection to autopsy; however, he has requested that Ns privately retained pathologist (unknown wto at this time) be allowed to be present to observe the autopsy tomorrow mantle. I contacted Dr. Graham and he approved this request as a courtesy to the farnlly. He Infoared me the pathologist needs to be al 520 at 9am tomorrow morning fcr security processing, swabbing and observer document ccinpletion. MU Uggio wet call back the brother and update me With Re name of the private pathologist. Note Type: Status Management Department: InvesUgatons Date Time: O8/1Ø1917:17 Entered By: Nicholas Schultz Notes: Departure from MCC. Note Type: Status Management Department: investigabenS DateTintw08/1012010 17:15 EnteredEly: Nicholas Schultz Notes: Arrival to MCC. Nom 1».: Status Management Department: Investigations Dettellatts 00/10/2011) 17:14 EnteredBy: Nkholas Schultz Printed on 3r3r2022 at 11:18 AM by Yyeksza Matlas Page 4 of 5 EFTA00063549 Case Notes ❑ Office of Chief Medical Examiner, New York City O Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: Fp:loving notification regarding this case, I responded to the office and acompenied MU Uggio to Metropolitan Correctional Center. I remained with her throughout the entire MCC scene investigation. Note Type: Scene Visit Event Department: Investigations Datenme: 08/101201918:33 EnteredBy: Nicholas Schultz •-• Notes: A total of four scans were performed Inside cell 220 al Metropolitan Correctional Carder using a Leica BLX380 scanner. At this time, due to the fie size and software used. the scans are unable to be uploaded to CMS and are berg Held by the Anthropology Department. Scans will be made available to the medical ex:sneer on Mon. 8/12. Note Type: General Department: Pathology NOM= 00/1012019 15= EnteredBy: Corinna Arnbrosl Notes: Remains checked In to Manhattan OCME facially. Full body xrays requested. L. Radulov (Xray) unable lo access case due to HP nature. Emaled the following. 'Recovery tag received sealed. Seal was breached by X•Ray Tech to perform radiographic procedures. Full body x- rays competed. Locked out of ems for this case. Unable t es'. I/ At time of writing this note, OCME (MU) contact has NOT been made with the brother of the decedent (Mark Epstein OCME Investigations st I at the scene. MLI report not In CMS. Case will be handled tomorrow per Drs. Graham. Slone meson. CArribrosI. Note Type: Statue Management Department: Mortuary Datelkne: 00/10/2019 1324 EnteredBy: Kareem VVIggins Notes: Check-In Borough: Manhattan Note Type: Status Management Deparbnent: Investigations Defenner:05I102(H9 1025 StewedBy: Russet] Czvekus Notes: High Profile Note Type: Status Management Department: Transportation Datelbne: 05/1080191025 alteredEty: Russet) Czvekus Notes: Mott at scene before they could be assigned - ADOMS VVIggins aware Note Type: Body Pickup Department: Investigations Datenne: 08/101201910:05 EnteredBy: Shed Mem Notes: Reason Paperwork not ready still on floor InnIllgasons • Note Type: General Department: Osterime: 08/1012019 09:52 Entered By: Kathleen Lamp Notes: The undersigned discussed this case with Dr. Dale' of t York Presbyterian Lower Manhattan Hospital and this will be documented in the MLI Report. I attempted to call M Center (MCC) a NY. NY seven times. Voice mail messages offices o and a (7). The facility telephone opera or repeatedly transferred my calls to the office of which was up voice ma messaging, even though I explained to her repeatedly that I needed to speak to a live person. spo with Tour Commander Russell Czevekus and Deputy Director of Forensic Investigations/Operations Nicholas Schulz about this case. Nicholas Schultz and myself will be going to the scene for an investigation. Note Type: General Department: Communications Datertnte: 0&10/20190929 Entered By: Sandra Sykes-Manikie Notes: Geraldine from Live On NY requested a hold according to Director of MU unable to give them one because of this case being high profile. Note Type: Department: Communications Detonate:081101201908:19 Entered By: Shirley Canty Notes: Cal location MCC prison possible hanging Printed on 3/3/2022 et 11.16 AM by Yvalisse Matins Page 5 of 5 EFTA00063550 polo Notice of Death Borough: Manhattan Report Date: 08/10/2019 Time: 08:31 M-19-019432 Name: Epstein, Jeffrey Edward Age: 66 Years Sex: Male Veteran: No Date of Birth: 01/20/1953 Race• White Marital Status: Never Married Place of Death: 170 William Street, New York, NY 10038 Tel Place of Death- Cross Street: Current Location of Decedent: Residence: Little Saint James Island, Madison Avenue/5 Avenue, St Thomas, 00802 Reporter Information: From: Medical Facility Facility: New York Presbyterian Lower Manhattan Hospital Caller Name: Dater, Dr Shield : Tel: (212) 312-5070 Sixty-One No: Aided No: Chart No: 8504592 Circumstances of Death: App. Manner . Undetermined Facility. New York Presbyterian Lower Manhattan Hospital Date: 08/10/2019 Time: 07:25 Pronounced By: Date: 08/10/2019 Time: 07:36 Physician: Tel: Address: MLI Contact, Scene and Disposition: Name Date Time Activity • • • , Kathleen i 08/10/2019 08:46 Assigned Schultz, Nicholas 08/10/2019 09:63 Additional Investigator Pitters, Sheri! 08110/2019 10:04 Accepted Pitters, Sheril 08/10/2019 10:04 ME Case Czvekus, Russell 08/10/2019 10:34 Make the Case High Profile Schultz, Nicholas 08/10/201910:63 MLI at Scene Schultz, Nicholas 08/10/2019 16:34 MLI Leaves Scene Ligglo, Kathleen 08/11/2019 00:31 MLI Completed Report Generated Scene Investigation: 08110/2019 at 10:63 by Schultz, Nicholas Case Disposition: ME Case (Desousa, Sneyder) Date: 08/10/2019 Time: 10:06 Case Notes: Department Date Time Entered By Communications 08/10/2019 09:29 Sandra Sykes-Mcmikle Notes: Geraldine from Live On NY requested a hold according to Director of MU unable to give them one because of this case being high profile. Communications 108/1012019 08:19 Shirley Canty Notes: Call location MCC prison possible hanging EFTA00063551 Initial Call Recorded By: Canty, Shirley Printed: 03/03/2022-1t16 EFTA00063552 • OCAS CILM0/ Stmcnary ~Mho& tot in ocriti Cot-ohmic/dons 21/7 at MOM° Militate Why thu hedllh care f(welty (HCF) it et/Limning thr Clinical Summary Worksheet to OCNIL Communkallons. 6 diLdynnly.nne <If the lollowinBOptient t ' 2 CICMC his tcuottalensectIna of the deaden/as a maantd Exerther LLIF) cue ce his rammed thoohynclen (Mete thlt fawn ei .il. fnr rcilcre. PlOw* Will~ åtttb1.1A. 0,Code 2 Ihe HCF:s reetesteL5 =am eiC/Ceie Ira dededent until the nett-of-Ida are IMIIMe fFalm ILa maialmilti IFI:0~ : a (lain Ordi case where Me imbed of &million Whiting' end Lie plea IF 'QOM ra wpm'. PI= cc--dt(ere~me. 8. 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NOT& TM' fonn mete acommeLy the Maim( whin trammend babe Medical ha mho?, Wilco. vmbn11tLastmeimå Sitl/P712)«mint tummy 201.3 10f a 01/20/1953 JEFFREY ht 08/ 10/2019 421948243 07 P7Am EFTA00063553 Oa Cletscal SuitimayWceeshatt F3.1 to C'ME Comme:lioflens 24 ff at . • . n. renre.ii...e.m e••• Ikpernti4D.J.w. rl.t.g.N: i Ani.....• i 0, el.-- nrnnvAlan ...: .r,'..t.. ....Y.,•le .1../ mr ir< ca... ta,MC Nå:m:1w. , ..fl:CE . . . TG Oekt of ale/ Meoleal rxamlnultiOVIn riGy chKG G«on...triGGIG over dreit.; {notane onde: dul iodowsne droAn slaen Se. 00,1Z Webiblitsphether INgdar~ btp://~...1.nyc,Apy/gWocreettenikatireppiln,acase.pai^ Ya (Zr noO LI ibis deeth Ib*nutik eie ment or old lakey. *oddene stae,innbitte.meetds or etorePe'ale oorreekation? 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C. C.I.Weat St infilwry.U9A • C.OMp'cte clil....w.mary to: W.;(11..2: &ar.. •r Cow. Gilr! PiTTS4,122Z11ComPitte bies motion for dolp, onry ot dh hugal and flosse stxruneriza teodro.etesseao wee rustne buadmesruns, pest roodfctabletury, dia yeesCce orkesrelcal reaczeiarto end ~es krel rebernbk fleabis. rase r000n sne b, lote eten~ °Navajo and zoolcOogy redes, FLOve, d idD4..1-, cs„1- m c` . 1E.iiif b".«,-.."4" trA, /hb— r V9y71-3/e - f.--;,,i/ n c 1.. r I 4,b4"-Ye../ isi fm, &f. 647.) C- z.-ot!~ y /4) c ei • E-, t (l å. t-n, ) ID (teve I 7 6-1. ,--"ft "Vori - it ° bt.. th f rttry S4 ;lovt Ski Otetenigt. Complete thi5 sect'.on for istiW cases only /77-rive.." .. 0 sk a syr44 . 1..c: 77- I /4cent...d...i,- G(97 I A r yvvel 4.11( r ' 0 la 5 - I» 4S 4 f :••---Pi ' .2" "^, I ‘ 7 4 d A. A linn, G Stsfkie 7 -27/».494.0V7 1 I ( 14, ja 4, /vet, T'a • 4eglitig fono coi.,(4,,,,/ cordd, c -742.«.414-74.11 - ra) 0 M Æ • 0 A-6)9" F ~bilda _ /) .,..G-tant es, ,_,,4"- Tie Norna* Coboctli •rrics 6 Ame.: YORK CITY GOVERNMENT REC0RD SH0ULD RE AltURETELY a:motmenn HOSPITAL STASE. watt:Ikle lem mottoa:omsatte tla decollant Mein trensperted to tie ~cal ExteCnive Dttica. Version LO Lut sevised MAX& e..7r ii•eiteentL 2018 Tole 8504592 01/20/1953 EPSTEJN, JEFFREY M 08/10/2019 421948243 07 27AM EFTA00063554 DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL EXAMINER Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner 520 First Av e New Y rk. New York 10016 Telephone: Official Website: www.nyc.gov/ocmc Mortuary Release Document Case No: 1%4-19-0 19432 Time of release: 18:11 Date of release: 08/11/2019 I, Stephen Schubert M), representing the firm of Frank E Campbell the Funeral Chapel, located at 1076 Madison Avenue. New York, New York, 10028. Telephone No. I hereby certify that I have received from the Office of Chief Medical Examiner the body of Epstein, Jeffrey who died at New York Presbyterian Lower Manhattan Hospital. I have been duly authorized to ig e the same by the brother of the decedent, Epstein. Mark, who resides at , West Palm Beach , Florida, 33411 . I have checked the identifying wristband, toe tags, photo and verified that they correspond with the decedent that I have been authorized to remove. Released By: Released To: Demon, Sneyder Schubert, Stephen (Monitory Technician) (Funeral INrector) (License No.) Verified by: NI udd, Joel (Forensic Quality Specialist) EFTA00063555 RAOUL DIRECTOR'S STATIMENT OF AUTHORITY INF CITY OF NM YORK Ten lini(nal it reads 1w tae purpose el inclatota the DePANITMAIT OP HOSPITALS hmc,tal w release the death metals efattfot 3e entree 01 No death ecracate and/or lardy we be released the docattand bentonnorract and wilt Me Snowed's gem the by he hewn& w a lanai 0..ww, urel a caw of hOttniel tat nth en the euth 01 the stinemere3 nude Mien ea icon properly executed. n on He / 72/fDIY Y31, IT IS HOMY CUITIFTIO THAT THE unotanoao HAS MAN AVIN0RIZIO TO T The emotes of: (Name ef dertoesoill who died se r.Je SIDaarunv 'Funeral Dimmer) Name or Firm Address O Abbey Funeral Directors, T 1078 Madison Avenue • New York, KY. 10028 O Andrttt Funeral Homo 353 Second Avenue - New York, NM 10010 O Seeker Undertaking Co 352 East Bilk Steen- New York, N.Y. 10028 O Blau, Abraham Fulcra! letters 152 Second Avenue - New York, KY. 10003 O Boulevard - Riverside C 1895 Fialbush Avenue • Brooldyn. N.Y. 11210 O Boulevard-Riverside Chapels 1450 Broadway • Hewlett, Nit 11557 0 Boyd, Claude R. - Corateszoto Funeral 1785 Deer Park Avenue - Deer Park, N.Y. 11721 O Boyd, Claude R. - Spencer Fevered Nome 488 Matti Street - Babylon, N.Y. 11702 O Sun - Davis - Sherpa 504 Gramatan Avenue Mt Vernon, N.Y. 10552 O Campbell, Frank F.- The Funeral Chapel 1076 Madison Avenue- New York, N.Y. 10028 O Casey Funeral Memo 350 Wesson Avenue • Staten Island, N.Y. 10314 O Casty - Me Callum • Rice 30 Nelson Avenue - Staten Island, N.Y. 10308 0 Cooke, Waller 0.- Kennedy Funeral Home 353 Second Avenue - New York. N.Y. 10010 O D'Andrea Prather* Funeral Mania 90 Oak Street • Copiague, N.Y. 11726 O Clovis George T. Funeral Home 14 Le Count Place - New ROChelle, M.Y. 10801 a &Pre Funeral Homo 90 North Broadway -Tarrytown, N.t 10511 O Fogarty runnel Home 136.25 41st Avenue • Mashing, N.Y. 11351 O Garlick Funeral Home 1091 Yonkers Avenge - Yonkers, N.% 10704 O Cle•meley Perk Chapel 152 Second Avenue • New Verb, N.Y. 10003 O Mailman Memorial Chapel* 15 State Street - Spring Volley, N.Y. 10077 CO Morris LJ. 1865 Madmen Avenue - Brooklyn, N.Y. 11210 O Newts I.J. 21 East Deer Park Avenue - Din Hills, N.Y. 11746 O Morale I.J. Inc. 44 Greenwich Street - Hempstead, N.Y. 11640 O Nagel, Charles P. Funeral Horne 352 Cast 87th Street -Hew York, N.Y. 10028 O Rovsky Memorial Chop el 1700 Coney Island Avenue • hroeklya, N.Y. 11230 O Park West - Riverside Chapels 333 Amsterdam Avenue - New York, N.Y. 10023 O Quinn • Fogarty 162.14 Sanford Avenue • Flushis 0, N.Y. 11356 O Quinn, Thomas N. & Sons Funeral Henke 3820 Broadway • Lid New York 11106 O Riverside Memorial Chapel 110 West 76th Street • New York. N.Y. 10023 O Riverside Memorial Chapel 21 West Broad Street • NC Vernon, N.Y. 11352 O Riverside Memorial Chapel 114-03 Queens Boulevard - Forest Ma, N.Y. 11175 CO Riverside • Hasse. North Chapels "{North Stollen Plaza • Great Neck, N.Y. 11021 O Schwartz Brothers - !eller Memorial Chapel 114-03 Queens 0 oulevend • Forest HISS, N.Y. 11175 O unlveral Funeral Chapel 1070 eindlaiOn Aver uo • New York, PLY. 10020 O Virginia Funeral Chapel 1707 Hylen Boulevard - Stolen Island, N.Y. 10305 CO Welerbury & Kelly Funeral Home 45 South Highland hyena. - Ossining, N.Y. 10542 O Walerbury 8. Kelly Funeral Home 1300 PleasRetying Road • Bdorcilff Manor, N.Y. 10510 O Went, George Pattern) Director!, 7141 Cooper Avenue • Glendale, N.Y. 11385 O Whaley & Ball Funeral Home, Inc. 168 Pork Avenue • Yonkers, N.Y. 10703 O Other- EFTA00063556 STATE OF NEW YORK DEPARTMENT OF HEALTH BUREAU OF FUNERAL DIRECTING i PrIC-0 IDENTI C,.. CORNING TOWER RF( if,) ALBANY/ N.Y. 13237 CERTIFICATE OF REGISTRATION • I Alla. NO. Funeral DIreclor S , JUNE 30, 2020 La2ATION nAtF riTS0:10 IS LICENSED EFTA00063557 • S;Ivfll own/ najnoe. Ixerat EFTA00063558 UNITED STATES DEPARTMENT OF JUSTICE AN CORRECTIONAL CENTER, NEW YORK, NY METRO POLIT DAILY LIEUT ENANT 'S LOG 1- Beginning Count: 758 SRC: 73/5 st 10, 2019 Shift-Day-Date: MAI Saturday, Augu Daily Sensitive Information: I/M Felix on Psych Obs. w/inmate companion mng I/M Williams on Psych Obs. w/inmate companion I/M Gentile on Psych Obs. w/inmate companion I/M Ramos - Ps ch Obs. w/inmate companion - I/M Fernandez # on Dry Cell w/inst. Staff(R-A) BC SBU TIME OWACW0140ICALEveNTS watch 758 73/5 12:00 AM assumes duties as the Morning spri nkle r syst em are Operations Lieutenant. he fire alarm and Cent er Fire Pane l. PREA operational w/exception of Control Public Address System announcement conducted via the Institution inventory conducted. All and/or Radio. Restraint Equipment Cage ctor checks conducted. All equipment accounted for. Metal Dete /Facilities/R&D. Roof Check operative w/the exception of Rear Gate Inventory: #1:2; #2:5; #3:5; completed. All secure. Temporary Chit #4:6; #5:5; #6:0; Hosp:0 12:00 AM Institution Count in progress 12:00 AM NYPD Phone Check #1283 12:15 AM Body Alarm testing in progress 12:23 AM Body alarm testing completed 12:30 AM Watch Calls cont. 72/5 24-054(DRY CELL R-A) 12:35 AM -1 SHU(correction): Fernandez #868 12:36 AM Good Verbal count announced 758 72/5 12:49 AM Clear Institution count announced 3:00 AM Institution Count in progress 3:19 AM Good Verbal count announced 758 72/5 3:24 AM Clear Institution count announced 5:00 AM Institution Count in progress 5:29 AM Good Verbal count announced 758 72/5 5:30 AM Clear Institution count announced g Lt on Board at approximately 5:30am reli evid o duty . 9 South inmate Epltein 6:33 AM Medical emergency announced for Unit CPR in progress #76318-054 found unresponsive in cell 106-220 6:35 AM 911 Emergency service notified ice Area, continued CPR 6:43 AM E.M.S ambulance arrives to the Health Serv in progress by E.M.T. via 757 71/5 ein #76318-054 7:10 AM E.M.S/BOP staff depart with inmate Epst is stil , in tion of CPR ambulance to local hospital continua progress by EMT. te Epstein # 7:36 AM Bop staff called to notify institution that inma d: SIG International Terrorist phone calls monitore was/ were rece ived duri ng my tour of duty: WITSEC inquiry(s) rative Detention: The following Inmato(s) were placed in Administ AD Order Reason Unit Time Name Reg: Number Ending Count: 758 SHU: 71; 10-South: 05; SHU 0 S: 00; Local Hosp: 00; H/A OBS: 04; B/A OBS: 00; Dry ell: 01; H/A(PBS); 00; H/A (PCLAS); 00 EFTA00063559 UNITED STATES DEPARTMENT OF JUSTICE YORK, NY METROPOLITAN CORRECTIONAL CENTER, NEW DAILY LIEUT ENANT 'S LOG [Beginning Count: 757 SHU:71/5 09, 2019 SHIFT-DAY-DATE: D/W - Friday, August DM Daily Sensitive Information: I/M Gentile on Psych obs w/inmate companion n. I/M Ramos I on Psych obs. w/inmate companio Fernandez 1 on DRY Cell w s aff watch in R&D. ations 757 71/5 8:00 AM assumes duties as the Day Watch Oper tem is inop erab le at this Lieutenant. The ire alarm and pump.sys PREA le to cond uct time. Fire Watch is in Progress. Unab announcement over the Inst itut ion Publ ic Address System, due to, t Cage inventory conducted. system malfunction. Restraint Equipmen Dete ctor checks conducted. All All equipment accounted for. Metal . Roof Check completed. operative w/the exception of Rear Gate ; 12:5; 13:5; 14:6; All secure. Temporary Chit Inventory: 11:0 05:6; 116:5; Hosp:0 Daily Hand Stamp :DJBE/LEFT HAND 8:00 AM NYPD Phone Check #3371 8:00 AM Body Alarm Test Initiated. 8:20 AM Body Alarm Testing Complete. 757 71/5 10:00 AM Institutional count in progress 11:22 AM Good verbal count announced 757 71/5 11:24 AM Clear institutional count 3:45 PM Institutional lockdown for count. 757 71/5 3:57 PM +1; I/M Mutimura ) 757 72/5 3:58 PM I/M Fernandez transferred to special housing (dry cell 756 72/5 3:59 PM -1 Bail Bond; Carreon-Macias Relieved of duties by E/W Operations Lieutenant. 4:00 PM Visitation: CANCELLED Children Total Inmates Adults ION SCANNING TESTED HITS: 0 STG High Alert phone calls monitored: duty: 0 WITSEC inquiry(s) was/were received during my tour of Detention: 0 The following Inmate(s) were placed in Administrative Reason Unit TIME A/D Order Name Reg Number 00; Ending Count:756 ; SHU:72 ; 10-South: 05; SHU OBS: B/A OBS: 00; Dry Cell : 00 Local Hosp: 00; H/A OBS: 02; EFTA00063560 UNITED STATES DEPARTMENT OF JUSTICE YORK, NY METROPOLITAN CORRECTIONAL CENTER, NEW DAILY LIEUTENANT'S LOG SHU:72/.! st 10, 2019 ;Beginning Count: 756 SHIFT-DAY-DATE: E/W - Saturday, Augu Daily Sensitive Information. - git;AiNkWA-10;MM, "-rit'?" oW: w/inmate companion. Eljw I/M Gentile n W/in mate companion. I/M Ramos if n /inmate companion. I/M Felix h w/ inmate companion. I/M Wiliam B/C SHU TIME CHRONOLOGICAL EVENTS Operations assumes duties as the Evening Watch anno unce ment over the Lieutenant. Unable to conduct PREA system malfunction. Institution Public Address System, due to, 756 72/! ntory conducted. All equipment 4:00 PM Restraint Equipment Cage inve ucted. All operative accounted for. Metal Detector checks cond k completed. All secure. w/the exception of Rear Gate. Roof Chec #4:5; #5:5; #6:3; Temporary Chit Inventory: Ill:4; #2:4; #3:5; 4:00 PM Institution count in progress. 4:01 PM NYPD Phone Check #1980 4:16 PM Body alarm testing in progress. 4:32 PM Body alarm testing completed 5:02 PM Good verbal count 756 72/5 5:13 PM Clear institutional count. 6:00 PM Watch call in progress transferred to special 756 74/5 7:24 PM I/M Williams and Felix housing (psych observation) 7:45 PM Trash run in progress 8:42 PM Trash run complete 10:00 PM Institutional count in progress. 10:21 PM Good verbal count announced. 756 74/5 10:38 PM Clear institutional count announced. of duties by as the M/W Lieutenant. 12:00 AM Relieved VISITING: ADULTS CHILDREN TOTAL INMATES STG/High Alert phone calls monitored: duty: 0 W/TSEC inquiry(s) was/were received during my tour of tive Deten tion: 0 Thal £ollowinQ Inmate(s) were placed in Administra REASON UNIT TIME A/D ORDER NAME REG NUMBER SHU OBS: 00; Ending Count:756 ; SHU: 74; 10-South: 05; Cell: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry B/A SHU: 00 EFTA00063561 EFTA00063562 Weekly Signature Sheet l'age lac Starting Date: Thni: Department Sunday Monday Tuesday Wednesday:1 t 'a Satin Warden AW Programs MV Operations Exec. Assistant ra_-vS Captain Lt. M-W Lt. D-W Lt. E-W Come:Iona; Sys:cm Computer Services Duty Officer DHO Education,Rec Facilities Financial Management Food Services Health Services HAM Legal — — — — — -- Physician Assistant Psychology Religious Services Safety '01•1 12111MEMEETWIlminaaRel' len SIA/SIS I Trust Fund Unit Team 213.17NACI Unit Team 5MS/7S Unit Team 9Ni9S 1NiilS — — — — — _Il _ _ _ Other Visitors Fil22121:13ch czonA L.t. Veal www...Rortareasa..............— Red_ _ _ Rook Solutio Page 137 of 21 Weekly Signature Sheet Starting Date: Thru: Department Sunday Monday Tuesday WOK*la Friday Saturday Warder. AW P:oenhnts AW Oper, ions Exec. Assistant Captain. M-W U. D-W Lt. E-W . _ Correctionai System. Computer Services Duty Officer.. DHO Educationificc Facilities Financial Management Food Services Health Services HRM Legal Assistant .Physician _ Psychoiogy --- Religious Services. Safety SLAYS'S Tr4st Fund - it Team 2/30N/ I0 Team 5NI5S/7S 7.; 7:;.:7; UNNS/I i EFTA00063563 RP-A0288 INCIDENT REPORT COFFN JUN 10 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU F PRISONS Part I - Incident Report 1. Institution: MCC New York 2. Inmate's Homo 3. Register thither 4. Date of Incident . Time Epstein , Jeffery 76318-054 07/23/2019 1:30 am 6. Place of Incident 7. Assignment 8. Unit SHU M-Tier Cell 124 Unassigned EA 9. Incident 10. Prohibited Act Code(sI Self-Mutilation 228 11. Description Of Incident (Date: .07/23/2019 Time: 1:27 am Staff became aware of ncidentI On July 23,2010 at approx. 1:27am While working in the Special Housing Unit Myself and heard noise coming from the M tier Cell 124.Upon arrival inmate Epstein's cell mate (I/ Tartaglione was at the door stating I/M Epstein 076318-054 had attempted to hang himself. I ko.t a visual while grabbed door keys and called for assistant .After na........4nn TIM TarrAnlinn'n AnA rnmentinn 1,4,,, tram pha rail T nnnal-nd than nterod I/N Rnetnin on hie aide and removed an orange homemade rope from his neck. I/M was breathing at this time,Eut unres..nsive.Addition staff and arrived I/M was then removed from the SW. 12. Typed Name/Signature of Reporting Employee 13.Date And Time 7/23/2019 1:30 am L4. Incident Report Delivered to Above Inmate By 15. Date Incident 16. Time ncident (Type Name/Signature) Report Delivered Report Delivered Part II - Committue Action 17. Comments of Inmate to Committee Regarding Above Incident 18. A. It is the finding of the committee that you: B. The Committee is referring the Charge(*) to the DHO for further Committed the Prohibited Act as charged. Hearing. ---- Did not Commit a Prohibited Act. The Committee advised the inmate of Committed Prohibited Act Code(SI its finding and of the right to file an appeal within 20 caleniar days. 19. Committee Decision is Based on Specific Evidence as Follows: 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act) 21. Date And Tine Of Action (The UDC Chairmen's signature cart fins who sat on the UDC and that the completed report accurately reflects the UDC proceedings.) Chairman (Typed Hamo/Signature) Member (Typed Name) Member (Typed NaMe) INSTRUCTIONS: AU Wow outside heavynek arc far staff we GRIT. Magi. entries with the awmb• r I sad wort up. Entries ace completed BOHAI voided YWa DISTRIBUTE: ORIGINAL.Ccmral File record; coPY.i.DHO:COPY.2.baste After UDC ACII00: COPY-3. kmme within 24 hours of Pan I ?null maim. PDF Presedbed by P5270 Replaces EtentiaacES2-13203.t062.01 MAY 04 EFTA00063564 Suicide Timeline: RE: E stein Jeffre Edward Re•. No. 76318-054 Friday, August 9, 2019 WARIMigildeparts f r 8:00 am: inmate Reyes Efrain, Reg. No. s cellmate. court (WAB-USMS-SDNY). Reyes is Epstein' rney Conference. He is 8:30 am: inmate Epstein arrives in Atto day. visited by several attorneys throughout the ce and re urns 6:45 pm: inmate Epstein departs attorney conferen to SHU. call by IDO. IDO 7:00 pm: inmate Epstein provided a social its, nothing unusual reports inmate Epstein was in good spir Saturday, August 10, 2019 found inmate Ep tein 6:33 am: Body alarm activated in SHU. Staff of inmate a d unresponsive in cell. Staff reported to bedside cal emergency. CPR attempted to wake him. Control announced medi initiated already in 6:35 am: Medical staff (on duty PA) on site, CPR ied progress medical staff continues CPR and AED appl on inmate. Control called for ambu lanc e 6:40 am: , AW notified Inmate Epst in 6:45 am: EMS arrives, paramedics continue CPR. is intu bate d, given t ree remains unresponsive. Inmate Epstein iated. No pulse rounds of Epinephrine, IV access started, IO init sport to ocal found, no shock advised, inmate prepared for tran hospital. ns 7:00 am: Institution placed on modified operatio man Hospit•I. 7:10 am: EMS departs institution enroute to Beek 7:19 am: USMS notified of incident. EFTA00063565 7:20 am: SIS Lt notified. JAW 7:30 am: arrives at institution. notified. the Warden. 7:32 am: PIO notified of incident by rted by ER physician. 7:36 am: Official time of death repo notified. 7:40 am: Acting Chief Psychologist AW and Captain arrives at 8:00 am: institution. 8:10 am: SIS Lt arrives at institution. 8:10 am: CMC and SCSS notified. 8:34 am: FBI notified. 9:00 am: AUSA notified. 9:00 am: arrives at institution. ws will be conduct d 9:00 am: SIS Lt. Reports to SHU. Intervie with inmates assigned to tier. 9:15 am: CMC arrives at institution. ved to the institut n. 9:30 am: Acting Chief Psychologist arri 9:50 am: SCSS arrives at institution. En route to Beekma 9:55 am: CMC and IDO depart institution Hospital. ital, fingerpr nts 10:00 am: CMC and IDO arrive at Beekman Hosp Inmate clothing s cured and photographs taken of inmate Epstein. and brought back to institution. 10:00 am: Judge Berman notified. 10:15 am: CMC returns to institution. 10:45 am: PIO arrived to the institution. EFTA00063566 fied by Case Management 11:00 am: Next of kin (brother) noti Coordinator. media. 11:12 am: Press Release released to e Berman. 11:15 am: Press Release provided to Judg d. 11:15 am: Crisis Support Team activate Examiner (ME) for autops 12:15 pm: Body released to Medical 12:19 pm: FBI arrives. ing Unit. 1:35 pm: FBI arrives in Special Hous and they will be sendin an 1:40 pm: OIG notified by the Warden Agent to NYM. ucted. 2:15 pm: Crisis Support Team debrief cond (SHU) 2:45 pm: OIG arrived in Special Housing Unit • 3:45 pm: OIG and FBI departed from SHU. 5:05 pm: OIG/FBI departed MCC New York. 5:30 pm: CST departed MCC New York. at institution to 10:15 pm: Computer Services Manager arrives replaced with new remove hard drives (Computers) from SHU. And ones. Sunday, August 11, 2019 conference vi its 8:00 am: Resumed normal operations. Attorney and social visits (Unit 3) resume. itutio 12:15 am: Computer Services Manager departs the inst nd arrives 10:40 am: at institution. , departs institution with wo 11:15 am: computers FPS 021407270 and FPS 0214207268. EFTA00063567 2:00 pm: OIG departs the institution. Monday, August 12, 2019 1:00 pm: Staff recall conducted 3:14 pm: FBI arrives 7:56 pm: FBI departs 9:45 pm: FBI returns 10:30 pm: FBI departs Tuesday, August 13, 2019 8:00 am: Central Office staff arrive d 7:30 am: Department Head meeting conducte 8:45 am: Regional Director arrives EFTA00063568 E S GO VE RNMENT T UNITED STA UM MEMORAND New York nal Center, New York, Metropo litan Correctio 019 August 10th, 2 DATE: Lieutenant TO: Officer Correctional FROM: stitution MCC NY Response to In responded to SUBJECT: I el y 8 :4 5 am I, Officer a d et ai l. Upon arriving xim at tosp ereliamate , 2019 at appro s Lieutenant for emergency cy room wh On August 10 at io n in em er g en g the at tbc reques t of the Oper te ri an h o spital room A9 re sp o n si b le for waft! in sb y as ortly as d et ai l to New York Pre m ai n s w h er e located. I w r correctional officer Sh e w re e ei n , Je ff re y # 76318-054 as g iv en al o ng with anoth an d o f d et ai l. Theitimclin Epst ion w comm rther instruct ed and took remains until fu on Duty Officer (IDO) arriv ituti proximate) thereafter Inst w ed (times arc ap is as fo ll o orgue for detail f to b e m o v ed to hospital m hospital staf oling unit R em ai n s w as prepared by to h o sp it al m o rgue area co f ID O 1 1030 rt re n m in s ir ec ti o n o aminer 1045 Hosp ital staff esco re b y o ff ic er s on detail at d ice of City Medical /Ex cu iggins of Off ensured ns se to city morgu ei 1050 Area is municates with Director W tr an sp o rt ed com ns to be 1135 IDO s to receiving remai (OCME ) in re g a rd t message) b y IO O r W ig g in s o f OCME (lef 1137 MW notified with Directo r Wiggins (O CME) at te m p ts to communicate fr o m D ir ec to 1138 !DO munication iv es return com n from NW n remains 1139 ID O re ce co m m u n ic atio re g ar d s to instruction o ramie:neat ceiv es /W in ate 1204 !DO re ives communication from A ins of OCME and coordin sport 20 8 ID O re ce h D ir ec to r W ig g te ri an h o sp ital and tran 1 wit ork Presby communicates front New Y 1210 IDO E d e p a rt from OCM 1257 Staff morgue locati on ork re m ai n s to ci ty iv e b ac k at MCC New Y a rr ital detail staff 1303 Hosp tion Officer Fedcrål rrec ice st US Dept of Ju au of Prisons Federal Bure CC-NewYoll EFTA00063569 U. S. Department of Justic Federal Bureau of Prison Metropolitan Correctional enter 150 Park Row, New York, Y August 10, 2019 MEMORANDUM FOR FILE METROPOLITAN CORRECTIONAL CENTER FROM: SUBJECT: Inmate Epstein, Jeffery Reg. No. 76318-054 76318-054. On This memorandum is in regards of inmate Epstein, Jeffery Reg. No. g a call to his family. I t.•Id August 9, 2019, I spoke with inmate Epstein concerning him makin n agreed to shorten 's inmate Epstein I was ►eaving the facility around 7:00 p.m. Inmate Epstei l Housing Uni attorney visitation to make his social call. I escorted inmate Epstein to Specia ed the phone or around 7:00 p.m. I placed inmate Epstein in the shower on (G) Tier and escort on G tier. Inmate Ep rein him to make a social call. I placed the phone in the first jack to the left er. I asked i explain to me that he didn't have his phone set up to use his Pac and Pin numb ber dialin g a numb er starting wit Epstein who he was calling, he stated his mother. I remem the sta to phone . I told but the number was note notated. Inmate Epstein began talking on the end inmate Epstein's call after 15 minutes. They complied. EFTA00063570 BP-A0971 CHAIN OF CUSTODY LOG CDIRM AUG 11 FEDERAL BUREAU OF PRISONS U.S. DEPARTYXNT OF JUSTICE BCH d -)9l()--siopril. Ntkike 0 44, on Olts5cse with/attach to evidence) ITEN I CASE ID NUMBER: SUSPECT (If known) ios OF ITEM: "f0 S pisszirx0I re,I DATE/TINE tY'Em FOUND: s. n it ID )1 rl el nne e?. LOCATION: SIGNATURE OF P PRINTED NAME: EVIDENCE PLACED IN °VERSIONS DROP BOX: DROP-BOX BT:(printed name) Date i Time: Witness:(printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date i Time: NitneSS:(printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date & Time: Nitness:(printed name) DISPOSITION: Return to owner ( ) Lab Analysis ( ) Hold as evidence ( ) Destroy immediately ( ) FBI ( ) Return to finder ( ) ( ) Other REMARKS (condition of evidence): CHAIN OF CUSTODY DHSTINATION. num= RP EASED TO: svro LR DATE/TINS' PDF P eucrlbed by e5510 EFTA00063571 BP-A0971 CHAIN OF CUSTODY LOG CDFRN AUG 11 FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE mot 4 (Enclose with/attach to evidonco) ----.- ITEM S - -. CASE ID NUMBER: SUSPECT (If known) •it e * DESCRIPTION OF ITEM: (1) hnrne Marie NI DDS•P_ . DATE/TIME IT N FOUN D: r'S : II ffl(11 1 ; 1;00 LOCATION: %... a Ia L_ i -e__R SIGNATURE Or PE SON OVERING EVIDENCE: FRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP B DROP-BOX BY:(printed name) Date & Time. Nitneas: (printod name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed nano) Date & Time: Nitness:(printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Nitness:(Printed Remo) DISPOSITION: Return to owner ( ) Lab Analysis ( ) Hold as evidence ( ) Destroy immediately ( ) FBI ( ) Return to finder ( ) ( ) Other REMARKS (condition of evidence): CHAIN OF CUSTODY • DESTINATION' EVIDENCE TO: EXCE RRLE ED - BLS 10 PI 8 OC ME 1/441k ; ,t4 LI TE. Per prescribed by P5510 EFTA00063572 CHAIN OF CUSTODY LOG CDFRN BF-A0977 ACG 11 FEDERAL BUREAU F PRISONS U.S. DEPARTMENT OF JUSTICE ECN d NYM-19-0176 (Enclose with/attach to evidence) ITEM #NYM-19-00196 Bpstein,Jeffery 6318-054 SUSPECT (If known) CASE ID NUMBER: of magnesia Box methy lprednisolone tablets,l-bottlemilk DESCRIPTION OF ITEM: 1 plus, relief,l-Box xdid1,1-Vitamin C-500 2-boxes Topcare Extra strength pain 08/12/19 12:55 P.M DATE/TIME ITEM FOUND: 9 South Z06-220-LAD LOCATION: NCE: SIGNATURE OF PERSON RECOVERING EVIDE PRINTED NAME: EVIDENCE PLACED IN OVERNIORT DROP BOX: DROP-BOX BY:(printed name) Date 6 Time• Witness:(printed name) BOX BY: EVIDENCE RECOVERED FROM OVERNIGHT DROP (printed name) r,' • Date 6 Time: Nitness:(printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Witness:(printod name) DISPOSITION: ( ) Lab Analysis (/) Hold as evidence ( ) Return to owner FBI Destr oy immed iatel y ( ) ( ) Return to finder ( ) ( ) Other REMARKS (condition of evidence): tle Docupate Sodium,2-bottles Omega 3, 1-Tolaftate cream o l-AdvanceUltra pluso l-Bot CRAIN OF CUSTODY DATE/EIICIi DESTINATIQN• EVIDENCE REI DEED TO: EVIDENCE, RELEASED AXI SIS Office SIS O'fice 08-12-19 1:10PM PDF Prescribed by P5510 EFTA00063573 BP-A0971 CHAIN OF CUSTODY LOG CDFRM AUG IL FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE ECN a NYM-19-0178 (Enclose with/attach to evidence) /TEN aNYM-19-00198 EpsteinsJeffery 76318-054 SUSPECT (If known) CASE ID NUMBER: t l- orange 1-stall bible book,l-letter mail,l- AHD envelope DESCRIPTION OF ITEM: material 08/12/19 12:55 P.M DATE/TINS ITEM FOUND: 9 South Z06-220-LAD LOCATION: SIGNATURE Or PERSON RECOVERING EVIDENCE: PRINTED EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX ut:(Intinted name) Date 6 Time' Witness:(printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date 6 Time: Witness:(printed name) EVIDENCE PLACED EVIDENCE SASE BY: (printed name) Date 6 Time: Witness:(printed name) DISPOSITION: ( ) Return to owner ( ) Lab Analysis (e) Hold as evidence ( FBI ( ) Return to finder ( ) Destroy immediately ( ) Other REMARKS (condition of evidence): CRAIN OF CUSTODY DX• DATR/EXMR. DESTINATION - EVIDENCE RFURAEU TO: ge240=2 BREW= 08-12-19 1:10PM SIS Office SIS Office PDF Prescribed by P5510 EFTA00063574 SP-A0971 CHAIN OF CUSTODY LOG CDFRM ;um 11 FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE ECM d NYM-19-0177 (Enclose with/attach to evidence) ITEM 4 NYM-19-00197 Epstein,Jeffery 76318-054 CASE ID NUMBER: SUSPECT (If known) soap,6-AAA battery 5-books,2-packs cotton swabs,2-bars of DESCRIPTION OF ITEM: orientations pamphlet, 1-glasses,l-chap stick,l-headphones,1-Admission and 08/12/19 12:55 P.M DATE/TIME ITEM FOUND: 9 South Z06-220-LAD LOCATION: SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:(printed name) Date i Time* Witness:(printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: ,....- (printed name) .... Date 6 Time: Witness:(printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Witness:(printed name) DISPOSITION: Return to owner ( ) Lab Analysis (e) Hold as evidence ( I FBI ( ) Destroy immediately ( ) ( ) Return to tinder ( I Other REMARKS (condition of evidence): ,1- receipt 1-piece of brown paper bag with writing "SW U2 dinner0,1-bible CHAIN OF CUSTODY DATA/TIME' DESTINATION; EVIDENCE RALUISmA TO: ETTOENCN RUSES= DX' 08-12-19 1:10PM SIS Office SIS Office PDF Prescribed by P5510 EFTA00063575 Dale: 08/13/2019 Time: 12:39 PM Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 Alpha Code: NYM Shift: Morning End Date: 08/10/2019 Level I: SHU User: All Level 2: Housing Unit, Special (SHU) Reg d: All Level 3:All Events: Count Events Only Entered Date Alpha Code Level 1 Location Level 2 Location Level 3 Location Event Date Shift User Event Base Count No data found. "No information was found for the given criteria." Usti ID IF1D.111 Nigel of EFTA00063576 Date: 08/13/2019 Tune: 12:38 PM Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date:08/10/2019 Alpha Code: NYM Shift: Evening End Date:0B/10/2019 Level 1: SHU User: All Level 2: Housing Unit, Special (SHU) Reg g:All Level 3: All Events: Count Events Only Entered Date Alpha Code Level I Location Level 2 Location Level 3 Location Event Date Shift User Event Base Count 8'107019 7-01 PM !.CYM Silo Housing Urn. Special 9 SOUTH SHU 8,10,2019 4:00 PM Evening 1F13617 OelkialCoLetv (Situ) 8/10,2019 11 58 PM NYM SHU Housing Unit. Special 9 SOUTH SHU &10201910:00 PM Evenog IFI3G47 areal Coon (51119 /9102019 11 59 PM NYM SHU Flowing Unit. Speed 9 SOUTH SHU SAO/2019 11.00 PM Evening IF 13647 Ease Count Veiled 74 (SHU) {hen ID. Page 1 of 1 EFTA00063577 Date: 08/13/2019 Tine: 12:37 PM Federal Bbreau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date:08/10/2019 Alpha Codo: NYM Shift: Day End Date: 08/10/2019 Level 1:SHU User: All Level 2: Housing Unit Special (SHU) Reg 0: All Level 3:All Events: Count Events Only Entered Data Alpha Code Level 1 Location Level 2 Location Level 3 Location Evont Date Shift User Event Base Count &1020191031Na NYM SEW Nanny Unit Special 9 SOUTH SHU 8/1012019 10 30AM Day TF42048 OfficialCow% (SHU) 8,10/2019 1120 N.t NYM Silo Katising (inn. Special 9 SOUTH SHU &10,2019 11 19 AU Day TF42048 Base Coin: Ve,i ci 74 (SiltI) (Mt ID: Tr/5431 Page 1 of I EFTA00063578 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33:O1 Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident Z.4 Photograph(s) by Lt. Date and Time of Photo 08/10.2019 6:49 All EFTA00063579 EFTA00063580 METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 76318-054 PHOTOGRAPHS TAKEN 8-10-19 EFTA00063581 o olr OV4 r's C . . r CJ It •,---' Lieutenant's Office I Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM VOA ,.ii, et.' " :; ilr •• . A • ilfrP -*Vit s , il EMT F ) EFTA00063582 i/8 EFTA00063583 ., Nxt t.• e . ,.' \I ' ' Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Rcg. No. EPSTEIN, JEFFERY REG#76318-O54 Location of Incident Z4 Photograph(s) by Lt. Date and Time of Photo 01/10;2019 6:49 AM T e frAIIIIhk C-; 5 I° EFTA00063584 Lieutenants Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN. JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM EFTA00063585 N Or •. A Aw *: C . * • • 'A *I. . '.-.. - •-- .: "e- 4' .2 • <1113/14 „. Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08//0/20/9 6:33 AM Inmate Name I Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by 1.1. Date and Time of Photo 08/10/2019 6:49 ' ',I —.mow t .---..- --, emulml , r. , 1 4) .4.- 1— Cs cat EFTA00063586 B 0 EFTA00063587 woif OP tP . .„ -r" -..'„ ii ‘ i i• R _, Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident /NAM TE. SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPS7'ElAr, JEFFERY REG476318-054 Location of Incident r LI Photograph(s) by LI. Date and Time of Photo 08/10/2019 6:49 AM _._. I iii kir 1 ( COP"! c i EFTA00063588 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident Z4 Photograph(s) by Date and Time of Photo EFTA00063589 a EFTA00063590 0 0t el' r tr. w: 1 O • 4 „ e•t• • uRES., Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERS' REGi76318-054 Location of Incident Z.,I Photograph(s) by D. Date and Time of Photo 08/10/2019 6:49 AM c.1 • EFTA00063591 Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10.2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG476318-O.i4 Location of Incident 14 Photograph(s) by Lt. . - Date and Time of Photo 08/10,2019 6:49 AM EFTA00063592 • 01 0/ s`\ I ..,.z, ,..r • 4 -, ri.:,. f t n *•, , c,„“ ns, a.= 4 •s i!:::. ki\ .:, Lieutenant's Peke Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10'2019 6:33 AM Inmate Name / Reg. No. EPSTEIN JEFFERY REG#76318-054 Location of Incident Z.4 Photograph(s) by Lt. i Date and Time of Photo 08/10/2019 6:49 AM r-: .: ,. ... ti . ___ ___ L, CO4 EFTA00063593 sp Otsvt, • u, •t , 0 \ C*1%.—Eit.;„ 4' Lieutenant 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG476318-054 Location of Incident ZA Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM \ VI \ -E ‘ 1. C P ‘t 0i. g EFTA00063594 4er . t.. . W Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Timc of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG476318-0.54 Location of Incident L z1 Photograph(s) by Lt. Date and Time of Photo OS 10 2019 6:49 AM • , ilsaw---''- -- .77......., ...0 i llIP P' ' .2 '. ilk O C ? AI° EFTA00063595 ,OT ili 4ti,,,.. 4 e 0. .' • :e ''' 0 It et oi 0 I Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/1019 6:33 AM Inmate Name / Rcg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. Dale and Time of Photo 08/10/2019 6:49 AM ' --5,-- - __Iirir • look ." 94 0 109' `,.!•- •-,. • lr, . \ I - EFTA00063596 a s,, •• l' ff o. }r . • ... -9 to, • 4. * 4. RBIS .”....;:0 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10;2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG476318-054 Location of Incident ZA Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM - . te' --• - A a th_ . 1 Or fin EFTA00063597 ,Nt.X Or * ft, r e 4' .' :3 . i.,...ii. y, t.. . o 3a s ,iO i e it Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet I Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 0&'10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG-176318-054 Location of Incident LI Photograph(s) by Li. Date and Time of Photo 08/10/2019 6:49 AM ,. . . • --itic 41 ' lees • k ? : I iPOb:A/e-#• lk. . - - I EFTA00063598 ‘Nt. • .• 1Q, , .• .i., 4 k4 t ye 0 ) Liam:none 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6.33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-051 Location of Incident 14 Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM EMT 1 s. . -7.. 1, a . C c py 9P EFTA00063599 lieutenant's Office Metropolitan Correctional Center New Yorkl, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Rcg. No. EPSTEIN, JEFFERY REG#76318-0.5.1 Location of Incident Z.-i Photograph(s) by L. Date and Time or Photo 08/10/2019 6:49 AM EFTA00063600 t, C e• • S., ,41O.` <'(__.. Lindenam's Officr Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. Date and Timc of Photo 0g/10/20/9 6:49 AM 4 IIII IP O71 .140pr•:. .•174 , ; „•e ,74 tt EFTA00063601 VIT 0 4 ct I' o, ait fe eo .. r.4 . • \*/ \(it •‘ JIM V 4 Lieutenant's Office Metropolitan Correctional Center New York. N.Y. Photo Sheet Special Investigative Section Type of Incident N/A Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #76318-054 Location of Incident photographs taken at outside hospital Photograph(s) by 'CMC ... ir y . F.iir r Illio. . EFTA00063602 40 0 4. a , o v 'te t tux ' Liemenain IT Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident N/A Date and Time of Incident 8/10/2019 Ca: 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein 476318-054 Location of Incident photographs taken at outside hospital Photograph(s) by 'CMC _ .... P !L .. . I - - ....-. EFTA00063603 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident N/A Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #76318-054 Location of Incident photographs taken at outside hospital Photograph(s) by CMC EFTA00063604 ' o !jetties:am 'y O1lice Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident N/A Date and Time of Incident 8/10/2019 n.6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #76318-054 Location of Incident photographs taken at outside hospital Photograph(s) by 'CMC .0 11PEFFREY 421 "8"itimensts Y` EFTA00063605