![](_page_0_Picture_1.jpeg) #### DEPARTMENT OF JUSTICE IOFFIC£ OF THE INSPECTOR GENERAL March 2. 2022 Office of the Chief Medical Examiner City of New York New York, NY 10016 Dear Office of the Chief Medical Examiner: I am writing to request the complete Medical Examiners 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 examiners notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein's cause of death. M19-19432 | 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 al. | | | | New York. NY 10004. | | | | Thank you, and if you have any questions, please feel free to contact me, or a a Records Photos Xrays APPROVED By ycriMgal at 11:00 am, Mar 02, 2022 OK Per F. Hutner | Sincerely, | | | ----------------------- | ------------- | | | (1 by | | | alt 20210102 | | | 101939 -0700' | | | | | Special Agent in Charge | | | New York Field Office | | ![](_page_1_Picture_0.jpeg) ### 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 ![](_page_2_Picture_0.jpeg) # OFFICE OF CHIEF MEDICAL EXAMINER ![](_page_2_Picture_2.jpeg) ![](_page_2_Picture_3.jpeg) ### 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 CAUSE OF DEATH: HANGING MANNER OF DEATH: SUICIDE (HANGED SELF) ### 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 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 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 ![](_page_7_Picture_0.jpeg) 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 fascia\] hemorrhages consisting of intact erythrocytes. #### 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 ![](_page_9_Picture_0.jpeg) #### FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 ![](_page_9_Picture_2.jpeg) | Decedent Name :
Jeffrey Edward Epstein | | | | Laboratory No : FT19.03508 | | | | ----------------------------------------------------------------------------------------------------------------------------------- | ------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------- | ---------------------------- | -------------------------------------------------------------------------------------------------------------------------------- | --- | | Medical Examiner : Kristin Roman
ME Case No :
M-19-019432 | | | | Examination Date : 8/11/2019 | | | | | | Specimen Type : Blood(Femoral): FT19-03508-001, Blood(Femorag: F719-03508-002, Blood Femoral): FT19-03508-003, Blood(Heart):
Contents: FT19-03508.009, Brain: FT19-03508-010, Liver. FT19-03508-011, Vitreous: FT19-03508-012 | | | FT19-03508-004, Blood(Heart): FT19-03508-005, Blood(Heart): FT19.03508-006, Bile: FT19-03508-007, Urine: FT19.03508.008, Gastric | | | 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
benzodiazepines, methadone, cannabinoids, fentanyl | | | | | IA | | | 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 Rent has an associated Forensic Toccokqf case ale. Corbel FTOX_Learsoocrm nyc.coev 'you Mrs quasilons raging pa ala 00,40111 ONO wort Daemons al term taccalln this appall can be locoed al haplimewtargovislialcone/sanacesacalcolagy-lecivical-manualsarl Signe Dr. G og/1107 Chem FRSC FHEA Director of Forensic Toxicology Date: 8(14/2019 Page 1 of 1 ![](_page_10_Picture_0.jpeg) 2001Alebti Road. liersMin. PA 19044-2208 Phone: ( 7-2972 Robert A. Middleberg. PhD. F-ABFT. DABCC-TC, Laboratory Dtrecter | Report Issued
To: | Toxicology Report
0822/2019 17:09
10074
New York Office of Chief Medical Examiner
of Toxicology | Patient Name
Patient ID
Chain
Age Not Given
Gender
Workorder | FT19-03508 M19-019432
NP
19244749
DOB Not Given
Not Given
19244749 | | -------------------- | ----------------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------------- | --------------------------------------------------------------------------------- | | | 0016 | Page 1 of 2 | | | | | | | #### Positive Findings: None Detected See Detailed Findings section for additional information #### Testing Requested: | | Analysis Code | | Description
Synthetic Cannabinoids Screen (2019 Scope), Blood | | | | | ----- | ------------- | ------------------- | ---------------------------------------------------------------- | ----------------------- | ------------- | ---------------------------- | | 9560B | | | | | | | | | | Specimens Received: | | | | | | | ID | Tube/Contal nor | Volume/
Mass | Collection
Date/Time | Matrix Source | Miscellaneous
Information | | | | 001 Gray Top Tube | 4.25 mL | Not Given | Femoral Blood | | All sample volumes/weights are approximations. Specimens received on 08/14/2019. ![](_page_11_Picture_1.jpeg) Chain Patient ID 19244749 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 performed. CERTIFICATION: Pursuant to New York Criminal Procedure Law Section 190.30(2). I certify that this report was made by me or is a true copy thereof for testing conducted at NMS Laboratories. I further certify that I am authorized by NMS Laboratories to make this certification. > Workorder 19244749 was electronically signed on 08/22/2019 16:36 by: | 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 Limit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 9560B - Synthetic Cannabinoids Screen (2019 Scope), Blood - Femoral Blood -Analysis by High Performance Liquid Chromatography/Tandem Mass Spectrometry QTRAP (LC-MS/MS QTRAP) for. | Caresnlixt | BaLlimit | rdiftlftgliCid | Rot Limit | | ------------------------------- | ----------- | ------------------- | ------------ | | 4-cyano-CUMYL-BINACA | 0.10 ng/mL | AMB-FUBINACA | 1.0 ng/mL | | 4-fluoro-M0MB-BINACA | 0.10 nghnl. | CUMYL-THPINACA | 0.10 ng/rnl. | | 5-fiuoro-EDMB-PINACA | 0.10 nghnL | MDMB-CHMCZCA | 0.10 ng/mL | | 5-fluoro-MDMB-PICA | 0.10 ng/ml. | MDMB-CHMICA | 0.10 ng/ml. | | 5-fluoro-M0MB.PINACA/ 5-fluoro- | 0.20 nghnL | M0MB-CHMINAC | 0.10 ng/mL | | EMB-PINACA | | M0MB-FUBICA | 0.10 ng/mL | | 5-fluoro-MMB-PINACA | 0.050 ng/mL | MDMB-FUBINACA/ EMB- | 0.10 ng/mL | | 5-fluoro-NA-PIC | 0.10 ng/mL | FUBINACA | | | 5-fluoro-OU-PINAC | 0.10 nghnL | MMB-CHMICA | 0.10 ng/mL | | ADAMANTYL-FUBINACA | 0.20 ng/mL | MMB-CHMINACA | 0.20 ng/mL | | ADMB-CHMINACA | 0.10 ng/mL | MMB-FUBICA | 1.0 ng/mL | | ADMB-FUBICA | 1.0 ng/mL | MMB-FUBINACA | 0.10 rig/mL | | ADMB-FUBINACA | 1.0 ng/mL | NA-FUBIC | 1.0 ng/mL | | AMB-CHMINACA | 1.0 ng/mL | NA-FUBIM | 0.20 nghnL | ![](_page_12_Picture_0.jpeg) ### THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER ![](_page_12_Picture_2.jpeg) #### 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 1520g (expected, 1200-1500g). Examination of the fixed brain (minus the left occipital pole, removed at the time of autopsy for possible toxicology) shows normal leptomeninges. No contusions, stigmata of herniation, or other surface abnormalities are seen. External brainstem landmarks and cranial nerves are normal. Vessels at the base are distributed normally, and have no atherosclerosis. The cerebellum is normal. Coronal sections of the cerebral hemispheres reveal normal cortical ribbon, white matter, and deep gray nuclei. There is no midline shift. Hippocampi are symmetrical and of normal volume. Ventricles are normal in size and appearance. Axial sections of the brainstem and cerebellum en bloc show the substantia nigra and locus ceruleus to be well-pigmented. The aqueduct and fourth ventricle are normal. Cerebellar cortex, white matter, and dentate are normal. Cranial dura from the convexities, tentorium, and base shows falcine ossification (comment: common age-related fincing). The venous sinuses and tributary (bridging) veins are patent. Spinal cord and dura from upper cervical to cauda equina 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 ![](_page_13_Picture_0.jpeg) #### OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10016 Barbara A. Sampson, MD-Ph.D., Chief Medical Examiner ![](_page_13_Picture_2.jpeg) Department of Forensic Pathology Forensic Anthropology Unit M-19-19432 (212) 447-2763 #### 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. ![](_page_13_Figure_6.jpeg) Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red ![](_page_13_Picture_8.jpeg) Figure 2. Overview of the submitted hyoid bone exhibiting a fracture to the left greater horn (white arrow). #### FINDINGS: #### Hyoid The greater horns of the hyoid arc bilaterally fused to the hyoid body. 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 17020 issued by ANSI National Accreditation Scant Refer to certificate and scope of accreditation F1.0014. #### 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. ![](_page_14_Picture_3.jpeg) ![](_page_14_Figure_4.jpeg) #### 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 Antla Solhi, PhD, D-ABFA Forensic Anthropologist | CASE WORKSHEET | f: E. CASE 4: | M-19-019432 | | | | | | ------------------ | ------------- | ----------- | --- | --- | ---- | ----------------- | | NAME OF DECEDENT: | Age | Race | SEX | | B | AUTOPSY | | | | | X | M | J | NO AUTOPSY (Exam) | | Epstein, Jeffery | 66 Years | White | U | F | J | PURSUANT TO LAW | | MEDICAL EXAMINER | DATE | | | | TIME | AM | | | | | | | | PM
J | | DR. Roman, Kristin | 08/11/2019 | | | | | | | | PART I: DEATHN WAS CAUSED BY: | | Xl) | Pending Further Studies | | | | | --- | --------------------------------------- | --------- | -------------------------- | --------------------------------------------------------------------------------------------------------------------- | --------- | ---------- | -------------- | | | Immediate cause | | | | | | | | b. | Due to or as s consequence of | | | | | | | | c. | Cue to or as a consequence of | | | | | | | | | | | | PART II:Other significant conclitionscoatributing to death but not resulting in the underlying cause glyee in part 1: | | | | | d. | | | | | | | | | | | | | | | | | | | MANNER OF DEATH:
i'\_/PENDING STUDIES | 3 NATURAL | . THERAPEUTIC COMPLICATION | | . SUICIDE | 3 HOMICIDE | U UNDETERMINED | | PLACE OF DEAN: (Name of hospital, facility or street address) | Any Hospice
cam in last 30 | TYPE OF PLACE: | | | ----------------------------------------------------------------------------------------------------------- | ----------------------------- | ----------------------------------------------------------------------- | ----------------------------------------------------------------------- | | New York Presbyterian Lower Manhattan
Hospital, 170 William Street, New York, NY
10038, United States | days
Yes | J
U
MORALS impatient
U
Nosoue ED/outpatient
Pow DOA
U | Nursing home/long term care
Hospice facility
Decedent's residence | | DATE AND HOUR OF DEAN 08/10/2019
7:36 AM | NO ),? unk | Other. sceneN: | | | AM
Dote
Time:
INPJRY:
PM | | AT WORK | | TYPE Of PLACE: Ireame, Street, etc. I | | | ------------------------------------ | ----------------- | -------------------------- | ------- | ------------------------------------- | --- | | | | sl
YES | U
NO | | | | LOCATION: | | | | | | | HOW INJURY CaURRED: | | | | | | | IF TAANSPORTATON INJURY: | C DRIVER/OPERATOR | 0 PASSENGER
C. MISTKLAN | :: | OTHER, SPECCY | | | IF FEMALE: | If within one year of death, outcomeof pregnancy | | | ----------------------------------------------------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------------------------- | ---------------------------------------- | | U Not pregrunt wit Nn ore year of death
U Preplan; at time of death
U NO; pregnant at time of death, but pregnant within 42 days of death | live birth
O
Spontaneous (emanation
•
U
Induced termination
None
O | Date of outcome
men/dd./WYE
/
/ | | U Not pregnant at time of death, but pregnant 43 days to 1 year before death
U Unknown if Pregnant withM one year of death | | | | Did tobaccousecontribute to death? | | | | | For infant under 1 war: Name and address of hospital a otter plate | | ---------------------------------- | --- | --- | ------- | ---- | ------------------------------------------------------------------ | | U
Yes | U | No | Probaby | Unk. | of birth | NAME OF DECEDENT: _ Epstein, Jeffery | M.E. CASE #:\_\_\_ M-19-019432 | | --------------------------- | | DATE OF DEATH: 08/10/2019 | | TODAY'S DATE: _ 08/11/2019 | MEDICAL EXAMINER: DR. ROMan, Kristin MVA (Driver/Operator) U HOMICIDE U PRISONER U OTHER RUSH ..... | FOR CERTIFICATION | FOR FILE
COMPLETION | | | --------------------------------------------------- | ---------------------- | --- | | 2 | | | | 8 | | | | Q | | | | 0 | | | | | | | | | | | | HOSPITAL OR MEDICAL RECORDS | | | | INFANT DEATH SCENE INVESTIGATION
some the affilm | | | | A
C | | | | | | | | For Pediatric Cases: Is there suspicion of abuse at this time?
NO
0
YES
0 | | | | | | | | ------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------- | --- | --- | --- | --- | --- | | If yes, Call 1 (800) 635-1522 | | | | | | | | AUTOPSY INVENTORY | | | | | | | | CONSULT SERVICE | X-RAYS:
ANTHRO
PHOTOS:
U NO
U NO
U HEART
મદર
BRAIN
પ્રદર | | | | | | | HISTOLOGY: | BOTTLE(S) REQUESTING
3
STOCK JAR(S):
4
2
SUDES: | | | | | | | MICROBIOLOGY | SPECIMEN SOURCE
OTHER STUDIES:
T YES | | | | | | | EVIDENCE | PERSONAL
ப
U CLOTHING
U BALLISTICS X
(4)
OTHER:
YES
NO
U
PROPERTY | | | | | | | FBIO | LJ HAIR
LIRNA LATER
U SWABS
SCALP-
U OTHER
U BONE
INGERNAILS
PUBIC
O-A-V | | | | | | | | CLOTHING/UNDERWEAR
DEBRIS
BUCCAL SPECIMEN
TRACE EVIDENCE
ORAL SWABS/SMEAR | | | | | | | FBIO
SEXUAL ASSAULT
KIT | FINGERNAIL
DRIED SECRETIONS
PULLED PUBIC HAIRS
PULLED HEAD HAIRS
PUBIC HAIR COMBINGS
SCRAPINGS/CLIPPINGS
AND/OR BITE MARKS | | | | | | | | VULVAR OR PENILE
CERVICAL SWABS AND
VAGINAL SWABS AND
PERIANAL AND ANAL
OTHER
SWABS AND SMEAR
SMEAR
SMEAR
SWABS AND SMEAR | | | | | | | | SIGNATURE> | | | | | | Roman, Kristin . | M.E. CASE N:
M-19-019432 | | | | DATE OF DEATH:
08/10/2019
7:36 AM | | ------------------------------------------------- | ------------------------------------------- | ---------------------------- | ---------- | ----------------------------------------------------- | | NAME OF DECEDENT:
Epstein, Jeffery | Age
66 Years | Race
White | MX
F | ಸು
AUTOPSY
NO AUTOPSY (Exam)
PURSUANT TO LAW | | MEDICAL EXAMINER:
Dr. Roman, Kristin | | | | ME EXAM DATE:
08/11/2019 | | INDICATED:
U NO | YES
BASIC | YES
COMPREHENSIVE | | | | MANNER
HOMICIDE SUICIDE
OF DEATH
001-109 | L ACCIDENT
J NATURAL
004:120
61:00 | THERAPEUTIC COMPLICATION | | UNDETERMINED | | SAMPLES SUBMITTED: | 06:10 | | | | | BLOOD
FEMORAL
540 | CHEART
LJ CAVITY | | L SUBDURAL | OTHER | | BILE | ONTENTS | | | DECOMP
OTHER:
FLUID | | VITREOUS | | CHEMISTRY REQUEST | | | | | ਹ
VUN/Cr | Glucose | | Other: | | | | | | | | | | | | | | | | | | nanch | | PRISONER
ப | | | | DECOMP | | MOTOR VEHICLE COLLISION DRIVER | | DURATION OF HOSPITALIZATION: | | | | | | | | | | | | | | | OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK AUTOPSY NOTES 5238 NAME OF DECEDENT: Epsteing Jeffery M.E.# M-19-019432 HERGHT: WEIG SKIN COLOR: וא ટે I Gene IN EYES: IRIDES HAR:TXTH GENITALIA EXTREMTIES: UPPER TORSO: ANT Post LOWER RIGOR MORTIS: JULL & TEMPERATURE: LIVOR MORTS 0 Scars: w Tattoos: Clothing: Therapeutic Procedures: 10 Injuries: Head! Brain am Neck Cavities 0 Vessels her Heart C gm DIAGNOSES: L.V. Cin R-Lung QIT -Lung am Liver Citi Bile m Pancreas Spleen Lymph nodes Thymus: YVN 6 gm R-Kidney's L-Kidney| C gm Urine ... Gonads Endocrine Digestive Tract Gastric = App: Y/N S Musc. Sket INO Examined by: Roman, Kristin Date • ) Epstein, Jeffery Roman, ristin ![](_page_20_Picture_0.jpeg) EFTA00063537 ![](_page_21_Picture_0.jpeg) # OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ![](_page_21_Picture_2.jpeg) # ADDITIONAL AUTOPSY NOTES NAME OF DECEDENT: M.E. CASE # - ![](_page_21_Picture_6.jpeg) ![](_page_22_Picture_0.jpeg) OFFICE OF CHIEF MEDICAL EXAMINER ADDITIONAL AUTOPSY NOTES www.energray contrains. The University of the University. " () En Stean CUSTAN " " ESM R = 2873 ( " ) = ) = ) Short = " 2 . I forser shorts, warge, cut 3 - I while plastic handantly, and 1/2 % to the as - I plashi take "New York Pieslayters" 2. option Bedding "Bully been " form on 2 longredges A 885 - 1 ![](_page_23_Picture_2.jpeg) EXAMINED BY DR. ![](_page_24_Picture_0.jpeg) ![](_page_24_Picture_1.jpeg) DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10023 Official Website: www.nyc.90WOCale Barbara A. Sampson. M.D.-Ph.D, Chief Medical Examiner ![](_page_24_Figure_5.jpeg) | OFFICE
OF
CHIEF
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Name
deceased:
of
Address:
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EXAMINER
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A/X-- | | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | /deal
and
birth:
Date
place
of
4ff
Closest
known
lazuli
nam •
Address: | //Zak
7
/1./>y-
(15RdWz773
/1/
dr
3y// | | Telephone:
Did
the
deceased
live
with
another
person?Ni)
Relationship:
Telephone:
(
)
\_\_\_ | Cell
Phone:
If
yes: Name:
Address:
Cell
Phone: | | To your knowledge
did
the
deceased
have
any of
0
High
blood
Cancer
0
pressure
❑
Heart
problems
0
HIV
❑
Diabetes
0
AIDS
❑
Seizures
"Er Hepatitis
❑
Lung
problems
0
Alcohol
0
Tuberculosis
❑
Drug
Tobacco
0
0
Psychiatric
use
O
infection/disease
Brain
❑
Methadone
Radiation
O
Treatment
0
Other:
hospitalizations
O
Recent
or travel:
if
yes, where
❑
Dentist
name/address).
O
Tattoos
or scars (e.g.,
old
surgery),
describe:
0
Any
Hospice
care in
last
30
days?
If
so, where: | these
following
conditions:
0
Pregnant
in
the
last
year
infection
If
yes, the
outcome was:
❑
Live
birth
(liver)
CS:
0
Induced
termination
Abuse
Spontaneous
0
termination
Abuse
0
None
illness
Date
of
outcome:
treatment if
yes, where:
and
when: | 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 Prig Relationship ![](_page_26_Picture_0.jpeg) ![](_page_26_Picture_1.jpeg) Kathleen Liggio Medico-Le al Investigations New York. New York 10016 www:nyc.govlocme 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 | | Place of Death: | 170 William Street, Now York, NY,
10038 | Date & Time of Death: August 10, 2019 07:36 | #### Case Synopsis The decedent is a 66-year-old White male prison inmate who was found hung by the neck within his cell and was later pronounced dead at the hospital ED despite resuscitative efforts. The NOK does not object to an autopsy. PMH information is pending on receipt of the correction facility medical health services records. #### Subjective Findings As per Dr. Dajer of the ED at New York Presbyterian Lower Manhattan Hospital (212) 312-5070 on 08/10/2019 EMS found the decedent to be in cardiac arrest and with ligature markings of the neck following an unknown "down" time at the Metropolitan Correction Center (MCC). The decedent was intubated and was given epinephrine x 4 and bicarbonate x2 along with CPR. ACLS was continued at the ED. The decedent was given an additional epinephrine x 1 and bicarbonate x 1. However, the decedent was in asystole by cardiac monitor and in cardiac standstill by ultrasound. He was pronounced dead at 07:36 hours. Ligature markings of the neck were observed by Dr. Dajer in the ED as well as by EMS. However, no ligature material was observed by either EMS or by Dr. Dajer in the ED. No bloods were drawn and no fentanyl was administered in the ED or by EMS. Dr. Dajer was instructed to submit to OCME a completed ME Clinical Summary Worksheet the EMS ACR, and the ED Notes. These were received except the ACR. An email was sent to Evidence Request with cc's to Evidence Pickups and OCME Tour Commanders requesting that the ACR be obtained. The undersigned was accompanied by Nicholas Schultz, Deputy Director of Forensic Investigations and Operations. for a MLI scene investigation. FBI Special Agents- unknown contact info.), were also present at the scene conducting their investigation. As per at MCC the decedent was detained at MCC since 07/06/2019 on charges of sex trafficking conspiracy and sex trafficking of minors as inmate # 76318054. He was placed in a cell on 07/07/2019, but was moved for psychology evaluation Page 10f 3 07/08/2019 - 07/10/2019. His psychologist was nknown 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 started banging on the cell door to alert the corrections officers. responded at 01:27 hours and observed the decedent to be either seated or laying in a fetal position on the cell floor (unclear history) with a "loose homemade noose around his neck made from a torn orange bedsheet. At this time the decedent was found to have erythema around two-thirds of the circumference of his neck, two inches wide, with sparing of the back of the neck. There were also some "friction marks". The decedent was transferred to Suicide Watch from 07/23/2019 - 07/29/2019. He was transferred to the SHU again on 07/29/2019 where he remained until the DOD. He was in cell # 206 originally this last time in SHU, but was switched to cell # 220 at an unknown date and time. The decedent had a cellmate, inmate Reyes. However, on the morning of 08/09/2019 inmate Reyes went to court and was released through the court. No cell mate was present at the time of the incident leading to the decedent's death. Information was taken from and 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 M n . n 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 personne "removed' the decedent from an unknown fixed object and placed 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 straightahead 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 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 p the AED revealed no shockable rhythm on the decedent. The ligature was collected by the undersigned and entered into the evidence locker cage at in Manhatt 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 As per 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 r uested that the assi ned ME discuss the reliminary 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 ![](_page_29_Picture_0.jpeg) ![](_page_29_Picture_1.jpeg) ![](_page_29_Picture_3.jpeg) | Case No:
M-19-019432 | Decedent: | | Epstein, Jeffrey Edward | | | | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------- | ----- | ----------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------- | --- | | Report Date: 08/10/2019 | Report Time: 08:31 | | | Borough: Manhattan | | | | | | | | | | Note Typo: Status Management | Deportment RRU | | Da forlmo: 03/02/2022 15:15 | Entered By: Yvellsse Matlas | | | Notes: Request No: 2201214() | | | | | | | Note Typo: email | Deportment | Legal | Dafe77mo: 01105120221126 | Entered By: Melanie Rios | | | Notes:
MLR received FOIL request for autopsy report and toxicology report for decedent. | | | | | | | Note Type: ME Supplemental Note Deportment: Pathology | | | Darer: me: 11/14/201913:55 | Entered By: Kristin Roman | | | Notes:
Spoke today wdn AUSA at | | | | and Olt canal Florence HuMer de conference call. kr | | | Note Type: Status Management | Department: RRU | | DatoTime: 111622019 1726 | Entered By: Cms System | | | Notes: Request No: 1907065( Lawyers ) | | | | | | | Note Type: Status Management | Department RRU | | Dere7kno: 11/06/20191776 | Entered By: Yvelisse Mates | | | Notes: Request No: 1907085( Lawyers ) | | | | | | | Note Type: Incoming Call | Department Pathology | | Dateline: 10251201911:16 | Entered By: Kahan Jahanglr | | | Notes:
Communications forwarded a call torn Mark Epstein | | imp, | | decedent's brother. He wanted to know why he hasn't received the | | | complete case file and only the autopsy report. Spoke | | | at Records and Naked Mr. Epstein to send another notarized letter | requesting the complete case file (not only the autopsy report. n his previous letter), and also gave him the number for the Legal department. | | | Note Typo: Status Management | Department RRU | | Detellme: 10/04/2019 15:31 | Entered By: Crns System | | | Notes: Request No: 1906273( Government Agendas ) | | | | | | | Note Typo: Status Management | Department: RRU | | Detellnet: 10/04/2019 1529 | Entered By: YvetIsse Matta, | | | Notes: Request No: 1906273( Government Agendas ) | | | | | | | Note Type: Status Management | Department RRU | | Detelme: 09/17120191696 | Stewed
Can System | | | Notes: Request No: 1905052 Family ) | | | | | | | Note Type: Status Management | Department RRU | | Detelkne: 09/1220191524 | Entered By: Cms System | | | Notes: Request No: 19057680 | | | | | | | Note Type: Status Management | Department: RRU | | Dere7Inte: 09/12/201916:11 | Entered By: Yvonne Mattes | | | Notes: Request No: 19057680 | | | | | | | Note Two: Status Management | Department RRU | | Dettakm: 06126801911:53 | Entered By: Cms System | | | Notes: Request No: 19051970 | | | | | | | Note Type: Status Management | Department: | RRU | Dateline: 08272019 1217 | Entered By: Webs, Makes | | | Notes: Request No: 1905419( Government Agencies ) | | | | | | | Note Type: ME Supplemental Note Department: Pathology | | | Menne: 0827/201913:16 | Entered By: Kristin Roman | | | Notes: | | | | | | | This morning, I attempted to cat the cell phone of Stacey Richman,mu to tell her that I would be finalizing the autopsy report.
Voice mall answered, with a message stating that the mottoes was
would not be able to leave a message. kr | | | | | | | Note Type: ME Supplemental Note Deperbnent: Pathology | | | Datellmo: 08/27/2019 13:15 | Entered By: Kristin Roman | | | Notes:
This montng, I called the office of Stacey RIchmahiest=
available. so I left a message with the answering | | | | to tell her that I woutie finalize tixi autopsy report today. She ties not | | | Nom Type: Status Management | Department: Mortuary | | Daterbne: 0820201916/41 | Entered By: Seven Lindsay | | | Noes: M1911M3211010 • Nem-Wain Stock 1 | | | | | | | Not Type: Stein Monagenwrit | Department: Monary | | DetelInte: 08/2612019 18:43 | Entered By:Seven Undsay | | | | | | | | | ![](_page_30_Picture_0.jpeg) ![](_page_30_Picture_1.jpeg) ![](_page_30_Picture_3.jpeg) | Case No:
M-19-019432 | Decedent: | | Epstein, Jeffrey Edward | | | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------- | ------------------ | ---------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Report Date: 08/10/2019 | | Report Time: 08:31 | | Borough: Manhattan | | | | | | | | Notes: M1919432H013 - Neuro-Brain Stock 2 | | | | | | Note Type: Status Management | Department: Mortuary | | Datonme: 08/2312019 16:43 | Entered By: Steven Lindsay | | Notes: M1919432H020 - Neuro-Other Stock 1 | | | | | | Note Type: Status Management | Department: Mcduary | | DeteTIme: 08/20/2019 1315 | Entered By: La-Shaunda ~lams | | Nobs: M1919432H010 Neuro-Brake Stock 1 | | | | | | NO\* 7»e: Status Management | Deputnent Moduary | | Dateffme: 08/202019 1325 | Entered By: La-Shaunda Williams | | Notes: M19194321013 - Neuroandn Stook 2 | | | | | | Note Type: Status Management | Department Moebary | | Detellme: 081201201913:33 | Entered By: La-Shaunda Moans | | Notes: M1919432H020 - Neuro-Other Stock 1 | | | | | | Note Tom: Status Management | Department Mods/ | | Date17me: 08/19201912:29 | Entered By: La-Shaunda VVIIIIams | | Notes: M1919432H008 - Neuro-Other 1 | | | | | | Note Type: Status Management | Department: Mortuary | | DateTtme: 08/1920191229 | Entered By: La-Shauncla Williams | | Notes: M1919432H005 Neuro-Brain | | | | | | Note Type: Status Management | Department: RRU | | DeteTime: 08/19201910:57 | Entered By: Margie Vega | | Notes: Request No: 1905197O | | | | | | Note Type: Status Management | Department: Pathology | | Datellmo: 08117201911:16 | Entered By: Edra SertAce | | Notes: 19136788_UPDATE_20190817_111227.pdf | | | | | | | | | | | | Note Type: Status Management | Department: Pathology | | Dete7lmo: 08/17/201911:16 | Entered By: Ctn. System | | Notes: AMENDED DC | | | | | | Note Type: ME Supplemental NOte Department: Pathology | | | Datellme: 06/16/2019 1729 | Entered By: Kilsen Roman | | Notes:
'case note entered late' I placed a call to the family's attorney. Stacey Richman, at
decedent's brother, Mark Epstein, to tell him the cause and manner of death. She aisliM
readied the determination. kr | | | nyesk i | 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 | | Note Type: Status Management | Department: Pathology | | Date77mo: 08/16/20191728 | to Inform her that I would like to contact the
number. and then she called him, called
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
Entered By: Gene System | | Notes: AMENDED DC | | | | | | Note Type: Status Management | Department: Pathology | | Date77mo: 0816/2019 1725 | SSW By: Can System | | Notes: DC Amendment/Como:5w Started | | | | | | | Department: Investigations | | Date7Tme: 08/16/2019 12 30 | Entered By: Nicholas Soto& | | Note Typo: General
Notes:
8116/19. Dr. Roman and I responded to 26 Federal Plaza to meet with
of the Faligel
was titled 1
a
located could not be seen in the video. The video was blurry and the identity of the person(s) in the video were Indtacerrelge. | | | n11. There we watched a short vide~g
10/19. however we were Worried the actual camera name was 116 L South. Per VCS | er~IPRIP
the video we watched came from the camera located near the upper level office (upper tier opposite side of the room (rom where
s.ein 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 or the staircase leading to the upper tier where Epsteln's cell was located. The upper tier and cell where Epstein's Gee was
. \_ | ![](_page_31_Picture_0.jpeg) ![](_page_31_Picture_1.jpeg) ![](_page_31_Picture_3.jpeg) #### Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: The following documents ail on S Photos & Documents section of CMS were received YPD office upp emen a eport (others ' 00 i t and osp ta 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, received from James Saunders, Esq of the FDNY Bureau of Legal Affairs: following ffice, °spite Of Medical | records" 014 | | | | | | ------------------------------------ | --------------- | -------------------------- | -------------------------- | ----------------------- | | Note Type: Status Management | Department: RRU | | Datenme: 08/13/2019 10:02 | Entered By: Margie Vega | | Notes: Request No: 1905056( Family ) | | | | | | Note Type: General | | Department: Investigations | Da:071mo: 08/13/2019 09:36 | Entered By: Men Naka | | Notes: | | | | | Bronx RHIO queued for medical records to support death investigation • no match to records. Note Typo: General Department: Investigations Defoilme: 08/12/2019 17:14 Entered By: Nicholas Schultz Notes: DNA swabs coaected on 08/11/19 from autopsy observer, Dr. Michael Baden. submitted to OCME HR for processing. Note Typo: General Department: Investigations De forlmo: 08/12/2019 11:50 Entered By: Kathleen Ligglo Notes: Do rds on the decedent from MCC were submitted to my email by Special Agent I had requested repeatedly from at MCC the decedent's documentation of demographic information and PMHImelici•!ormation from the Medical Health Services uni . owever, the documents submitted focused chiefly on the suicide attempt incident from 07/23/2019. These were entered into the CMS record. | Note Type: Status Management | Department: Pathology | | DateTime: 08111201919:40 | Entered By: Edrs Service | | --------------------------------------------------------------------------------------- | --------------------- | --------- | --------------------------- | ------------------------------------------------------------------- | | Notes: 19136788_URDATE_20190811_i 93631.pdf | | | | | | Note Typo: Status Management
Notes: NEW DC | Department: Pathology | | Date mire: 08/11/2019 19:40 | Entered By: Cms System | | Note Type: Status Management
Notes: Check-Out Borough: Manhattan | Department: Mortuary | | DateTime: 08/112019 18:11 | Entered By: Sneyder Desousa | | Note Type: FQS Time out | Department: Quality | Assurance | Date Time: 08111201917:41 | Entered By: Joel Mudd | | Notes: Timeout complete. Documentation, photos and tags were
Release was authorized. | | | | checked. New ME lag made at checkout to match updated confirmed ID. | | Note Type: Status Management | Department: Pathology | | Date Time: 08/11/2019 1724 | Entered By: Cms System | Notes: Exam: AutopsyExam Completed By: Kristin Roman Note Type: ME Supplemental Note Department: Pathology Notes: Information I need gull Investigation) and asked that the deco be brought to me for examination. I told him that the ligature is at Before the autopsy and this evening. I spoke to Detective from the FBI liason unit at NYPD. I explained to him what Date Time: 08/11/2019 16:48 Entered By: Kristin Roman | OCME. but is at the DNA building and it imll not be brought to me until tomorrow. so I have not examined it yet. kr | | | | | | ------------------------------------------------------------------------------------------------------------------- | ------------------------ | -------------------------- | ------------------------------- | --- | | Note Type: Status Management | Department: Pathology | DafoTime: 08/11/2019 15.27 | Entered By: Cms System | | | Notes: NEW DC | | | | | | Note Typo: Status Management | Department: Fingerprints | DatoTime: 08/11/2019 15 05 | Entered By: Fingerprint Service | | | Notes: FingerPrint FBI XML Sheet Added | | | | | | Note Type: Status Management | Department: Fingerprints | DateTime: 08/11/2019 14:54 | Entered By: Fingetpdnt Service | | Painted on 332022 et 11:18 AM by Yveasse Mellen Page 3 of 5 ![](_page_32_Picture_0.jpeg) ![](_page_32_Picture_1.jpeg) ![](_page_32_Picture_3.jpeg) | 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 | Date 7frim: 08/11/2019 14.54 | Entered By: Fingerprint Service | | | | Notes: Finger Print Response from DCJS — Hit. NYSIG : 048148790 | | | | | | | Note Type: Status Management | Department: Mottary | DateTIme: 08/11Ø19147M | Entered By: Ugla Ceja | | | | Notes: M1919432H005- Neuro-Brain | | | | | | | Not. Type: Status Management | Department Mortuary | Detains\*: 09/112019 1411 | gnawed By: Ligka Ceta | | | | Notes: M1919432H006- Nam-01W 1 | | | | | | | Note Type: Status Management | Department Mommy | DateMmia: 08/11201914:44 | Entered By: 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 | Entered By: 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 | Clete Time: O8/11Ø91134 | Entered By: Kan3em Wiggins | | | | Notes: Entered case to determine if Mortuary access was ready to be resdnded. | | | | | | | Note Type: Status Management | Department: Identifications | getellmc O8/11201911Ø | Entered By: 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:
wet swabbed before he went to observe the autopsy | | | 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 | | | | Note Type: Status Management | Department X-Ray | Datellma: 08/1112019 0820 | Entered By: Benjamin Criss | | | | Rolm Type ot X-ray: AA Body | | | | | | | Note Type: Status Management | Department PelMlogy | Datellme: 0B/11201908Ø | Entered By: Can System | | | | Notes: Exam: Autopsy | | | | | | | Note Te
: Outgoing Call | Department: Investigations | Date77me: 08/1040191729 | Entered By: Nkhotas Schultz | | | | Notes:
name of the private pathologist. | | 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
Graham and he approved this request as a courtesy to the farnlly. He Inf oared me the pathologist needs to be al 520 at 9am tomorrow | privately retained pathologist (unknown wto at this time) be allowed to be present to observe the autopsy tomorrow mantle. I contacted Dr.
morning fcr security processing, swabbing and observer document ccinpletion. MU Uggio wet call back the brother and update me With Re | | | | 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 | Entered Ely: Nicholas Schultz | | | | Notes: Arrival to MCC. | | | | | | | Nom 1».: Status Management | Department:
Investigations | Dettellatts 00/10/2011) 17:14 | Entered By: Nkholas Schultz | | | ![](_page_33_Picture_0.jpeg) ![](_page_33_Picture_1.jpeg) ![](_page_33_Picture_3.jpeg) ### 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 accompanied MU Ugglo to Metropolften Correctional Center. I remained with her throughout the entire MCC scene investigation. Note Type: Scene Visit Event Department: Investigations Datenme: 081101201918:33 Entered By: Nicholas Schultz •-• Notes: A total of four scans were performed Inside cell 220 al Metropolitan Correctional Cartier 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 Petro hold by the Anthropology Department. Scans will be made available to the medical ex:treble on Mon. 8/12. Note Typo: Gemara/ Dsparthrant: Pathology NOM= 00/102019 15= Snared By: Corinna Arnbrosi Notes: Remains checked In to Manhattan OCME facaily. Full body xrays requested. L. Radulov (Xray) unable to access case due to HP nature. Emeled the following. 'Recovery tag received sealed. Seal was breached by X•Ray Tech to perform radlograpnic procedures. Fug body xrays competed. Locked out of ems for this case. Unable I es'. //At lime 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, S an n. CArnbrosl. Note Type: Statue Management Department: Notes: Check-In Borough: Manhattan Mortuary Datelkne: 00/10/2019 1324 Entered By: Kareem Wiggins Note Type: Status Management Deparbnent: Investigations Notes: High Profile Drifenneu05I102(H9 1025 Ening By: Russet Czvekus Note Type: Status Management Department: Transportation Datelbne: 0&%000191025 altered Ety: Russell Czvekus Notes: Mott at scene before they could be assigned - ADOMS Wiggins aware Note Type: Body Pickup Department: Investigations &donne: 08/10/2019 10:06 Entered By: Shed Pltters Notes: Reason Paperwork not ready still on floor . _ Note Type: General Department: Innegations &nanny: 0811012019 09:52 Entered By: Kathleen Lipp Notes: The undersigned discussed this case with Dr. Dater 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 e offices o and a (2). a litytelephone operator repeatedly transferred my calls to the office of which was up voice messaging, even though I explained to her repeatedly that I needed to speak to a live pe with Tour Commander Russell Czevekus and Deputy Director of Forensic Investigations/Operations Nicholas Schulz about this case. Nicholas Schutt and myself will be going to the scene for an investigation. Note Type: General Deportment: Communications Datenne: 08/10/20190929 Entered By: Sandra Sykes-Mcmilde 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: Communication Daterime:08/10/201908:19 Entered By: Shirley Canty Notes: CPI location MCC prison possible hanging | | Notice of Death | polo | | ------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------ | | Borough: Manhattan | Report Date: 08/10/2019 | M-19-019432
Time: 08:31 | | | | | | 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 : | (212) 312-5070
Tel: | | Sixty-One No: | Aided No: | Chart No:
8504592 | | Circumstances of Death: | | | | Undetermined
App. Manner. | | | | | | | | Facility. | New York Presbyterian Lower Manhattan Hospital | Date: 08/10/2019
Time: 07:25 | | Pronounced By: | | Date: 08/10/2019
Time: 07:36 | | | | Tel: | | Physician:
Address: | | | | MLI Contact, Scene and Disposition: | | | | | | | | | | Activity | | Name | Date Time
08110/2019 08:46 Assigned | | | | | | | | | 08/10/2019 09:63 Additional Investigator | | | 08110/2019 10:04 Accepted | | | | 08/10/2019 10:04 ME Case | | | | | 08/10/2019 10:34 Make the Case High Profile | | | | 08/10/201910:63 MLI at Scene
08/10/2019 16:34 MLI Leaves Scene | | | | 08/11/2019 00:31 MLI Completed Report Generated | | | | | | Case Disposition: ME Case (Desousa, Sneyder) | Scene Investigation: 08110/2019 at 10:63 by Schultz, Nicholas | Date: 08/10/2019 Time: 10:06 | | | | | | | | | | Schultz, Nicholas
Schultz, Nicholas
Schultz, Nicholas
Department | Date Time
08/10/2019 09:29 | Entered By | | Czvekus, Russell
Communications
Notes: | | Sandra Sykes-Mcmikle
Geraldine from Live On NY requested a hold according to Director of MU unable to give them one because | | AtKathleen ,
Pitters, Sheri!
Pitters, Sheril
Ligglo, Kathleen
Case Notes:
of this case being high profile.
Communications | 08/10/2019 08:19 | IShirley Canty | | Notes:
Call location MCC prison possible hanging | | | Initial Call Recorded By: Canty, Shirley printed: 03/03/20221116 | 144 | | | | | --- | --- | --- | --- | | | AX | 1 | | | | | | | | | OCME Cilnical Summary Worksheet | | Fax to OCME Communications 24/7 at | | | | | --------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------------- | --- | --- | --- | | | | Please indicate why the healthy (HCF) is salimiting the Clinical Summary Workshocct to OCME Commonications.
Please theck andy one of the following options: | | | | | | | OCME has acceptur is intelled of this decedent as a Madical Examiner (MS) case or has requested this form
for review, Plaase complete sections A, B, C, D & E | | | | | | | Why are you submitting this | | The HCF is requesting scanage us OCME for a decedent until the next-of-ide are ready to claim the remains. This is considered a
Claim Only case where the nechod of disposition is "interim" and the place is "OCKE Marguo".
Flease complete sections A. B, C & D (Do Not Complete Section E) | | | | | | | | The decedents next-of-kin is raguesting City Burlal for a riseadent whouse death is due exclusively to ratural disease. This is
considered a Cly Burisi case where the mathod of dispasition is "Interment" and the place is "Cly Buttel". Plazas submit the
letter authorizing City Burial signed by the NOK with this form.
asa complete sections A, B, C & D (Do Not Complete Section E) | | | | | | | A. Desertions IN mographiest
please complete ail fields | | | | | | | | Last Name: | FINE NAME: | Middle Name: | | | | | | Allass | DOS (mm/dd/vwy
"Par intrastra facil demige (VIPD), whense are with | | | | | | | Reflgion:
rovele / | race: | atoran | | | | | | B. Neat-of-Kin (NCK) Infusserations please compseer all printe | | | | | | | | NOK Lust Neme: | NOK First Name: | Call: \[ | | | | | | Relationship to decadent: | Was NOX Notified ? Y /
N
If No, attempts made: | Tel: ( | | | | | Heat-af-Ki | If NOK is uniknown was NYPD notified ? Y / N | Last Name: | Shinkle:
Pet #: | | | | | | If NOK Is unienown was PA notified? LIY/ IN | Last Name: | Tals ( | | | | | | Burist wishes as identified by the NOK (Chack one): | Needs Additional time- Unknowa
aty Burial
Private Burla
o for Clay auctri also as the front or action as the or anyon as threat direct direct disposition | | | | | | | Family requests additional time? /
RESSORI | | | | | | | | Objection to Autopay? | If yea, why? (Chack One):
Nellxlous | Othur. | | | | | | . Health Care Facility Data: please complear off Selds | | | | | | | | Health Care Facilly (KCF) Name | | | | | | | | Admission Type (Check one):
Inpatient | Long Term Care
Transpartad by (Check ane): | | | | | | | When was the patient admitted? | DIE | Tichel | | | | | | Address from where decedent was transported. | | | | | | | | Primary Medical Doctor (PMD) Contact Info: | Last Names | First Names | | | | | Care Facility | | Tel: ( | cell: ( | | | | | | Pronouncing Physician Contact Informations | Last Names | Frst Name: | | | | | 20
C | | Tail ( | CALL ( | | | | | | Desth Pronounced: | DOD (mm/dd/yyyy)":
7019
·For lannester fetal classise fil
e provide the date af delivery | TITS #2
0736 | | | | | | | Sace Sheat
EMS Patient Report (PCR)
(required for ALL cases)
(required for MB coses) | Dischange Summery or Hår
(required for ME cases) | | | | | | Required documents must be attached; | Daath Cartificate
Buriai Parmit
(required for City Burlat
frequired for aty Burlal and
and Clairn Only)
Claim Only) | Authorization for City Burlal
(required whenever City
Burloi is requested) | | | | | | | Please do not attach additional medical records or otherwise unsollated documentation. | | | | | THIS IS A NEW YORK CITY GOVERNMENT RECORD AND SHOULD BE ACCURATELY COMPLETED BY HOSPITAL STAFF. NOTE: This form must accompany the decedent when transported to the Medical Examiner's Office. Version 2.0 Last revised 5/8/2020 Effective August 1, 2018 1 of Z ![](_page_36_Picture_4.jpeg) 01/20/1953 421948243 07:27AM EFTA00063553 OCTAE Clinical Summary Worksheet Fax to OCME Communications 24/7 at D. 2004 (call stuminar Fegorized Death Probeth Par walt question in Tection D, plennessagles Yours the rang parting parting rate transition in the rature regulating. The Office of Chief Medial Examinar [OCM] may choose to seent \]uradicilon over deaths occarring under the following drumst See OCNE Wabite for further guldance: [ttr]/www.nyc.neviews/reporting-a-case.page is this death the reast of a recest or sid injury, accident, salcide, homicide, eassuit or therapeutic compliestion? 10 Does the decedent have any type of head travito such as subdural hematoria or known salzure disorderi ખેત Ab 10 18 Does the decedent have a spinsi cord lajury, hip fracture, burns, gunshot or stab wounds or any other trauma? WES Did the decedent die from un overciose or intextcation from drugs, alcohol, chemicals or prossaription drugsi na Did the decedent have any type of medial braungisal procedure that is inown or suspected to have caused or the no death7 Reportable Death Cr Was the docedent under police custody, datained, a prisoner or involuntarily committed for psychierric cara? no Does the desam pose a suspected threat to gublie health, such as bacterial meningtus? Ves no NES סמ Did anvironmantal temperature (high or low) contribute to the death? yes 2 Was the decedent transported from his or har workplace? s is the decedent under the age of 13 years old (excluding introutesine fetal demistr)? (f yes, oge Is the decedent's Identity unkcomen'? Ves n Was the decedent in apposent good health with no explanation for the death? 10 no | For intrautes fatal dumise, did maternal transmal transmissions contribute to the death? Ves The Office of Chief Milical Evariliser (OCME) does not exert jurisdiction over deaths dun axclusively to nature ves Or selecting "yes" I hercloy cortify that this cleath was caused exclusively by naturel dis-E. Clinical Sermany: Side - Complete this sommary for Medical Examilities Cases unly! Please OO NOT complete this section for claim anly or dty burfal a Please summer the che creams for admissions, past macked history, clieprosic work, sugged procedures and findings for all right of or all report able day Please report any bullets, alterations of wountis and roxicology study Chinical Succem esusé, 2000 2000 2000 2000 2000 2000 2000 200 Benartment Title THIS IS A NEW YORK CITY GOVERNMENT RECORD AND SHOULD BE ACCURATELY COMPLETED AN HOSPITAL STAFF! NOTE: This form must accompany the decedent when transported to the Medical Examiner's Office. Version 2.0 Last Tevised 5/8/2018; Effective August 1, 2018 2 af 2 8504592 01/20/1953 M 421948243 07:27AM ![](_page_38_Picture_0.jpeg) ### DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL EXAMINER Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner 520 First Avenue New Yorc.New York 10016 Telephone: Official Website: www.nyc.gov/ocme # Mortuary Release Document Case No: .11V1-19-0 19432 Time of release: 18:11 Date of release: 08/11/2019 I, Stephen Schubert MI), representing the firm of Frank E Campbell 1, located at 1076 Madison Avenue, New York, New York, 10028. Telephone No. hereby certify that I have received from the Office of Chief Medical Examiner the y pstein, Jeffrey who died at New York Presbyterian Lower Manhattan Hospital. I have been d 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. Decease, Sneyder (Mortuary Technician) Verified 1w: udd, Joel (Forensic Quality Specialist) Released By: Released To: ![](_page_38_Picture_15.jpeg) (Funeral Director) (License Nn.) EFTA00063555 FUNERAL DIRECTOR'S STATEMENT OF AUTHORITY THE CITY OF NEW YORK This statement is made for the purpose of inducing the DEPARTMENT OF HOSPITALS hoseital to roloase the death certificate and/or the remains of No death certificate and/or budy will be roleased the deceased below-named and with the knowledge that the by he hospital to a funeral duretor unal a coov of hospital will rely on the Inuth of the statemants made herein this form, properly executed, is on file IT IS HEREBY CERTIFIED THAT N AUTHORIZED TO TAKE CHARGE OF The samains of: (Nume of dacogsed) who diod at West Palm Bon MA Any SOLICITATION BY or in BEHALF of THE UNIDERSIGNED UTHORIZATION HAS NOT BEEN THE RESUIT of Signature: (Funaral Director) New York Stato Funoral Name of Firms Abbey Funeral Directors, The Andrett Funeral Homo O Becker Undertaking Company Blau, Abraham Funeral Diroctors Boulevard - Riverside Chunols Boulevard- Riverside Chapols Boyd, Claude R. - Caratozzoto Funeral Romb Boyd, Claude R. - Spencer Funeral Home Burr - Davis - Sharpo O Campbell, Frank E .- The Funeral Chapel Casey Funeral Homo Casey - McCallum - Rice Cooke, Walter B .- Kennedy Funeral Home D'Andrea Brothers Funeral Home Davis Gaorge T. Funeral Home Dwyer Funeral Home Fogarty Funeral Home Garlick Funeral Home Gramercy Park Chapel Hallman Memorial Chapels O Marris I.J. Inc. Morris I.J. Inc. Marris L.J. Inc. O Nagel, Charles P. Funeral Home Rovsky Momorial Chapel P Park West - Riverside Chapels Quinn - Fogarty Quinn, Thomas M. & Sons Funeral Home Riverside Memorial Chapel O Riversido Momorial Chapel O Riversido Memorial Chapel O Rivorsido . Nassau North Chapets Schwartz Brothers - Jeffer Memorial Chapel O Universi Funeral Chapel O Virginia Funeral Chapel Waterbury & Kelly Funeral Home O Waterbury & Kelly Funaral Home O Worst, Goorgo Funoral Directors O Whaten & Ball Funoral Home, Inc. O Others. Address 1076 Madison Avenue - New York, N.Y. 10028 353 Second Avenue - New York, N.Y. 10010 352 East 87th Street - Now York, N.Y. 10028 152 Second Avonus - New York, N.Y. 10003 1895 Flatbush Avenuo - Brooklyn, N.Y. 11210 1450 Broadway · Howlett, N.Y. 11557 1785 Deer Park Avenue - Deer Park, N.Y. 11729 448 Main Street - Babylon, N.Y. 11702 584 Gramatan Avenue - Mt. Vernon, N.Y. 10552 1076 Madison Avenue- New York, N.Y. 10028 350 Slosson Avenue - Staten Island, N.Y. 10314 30 Nelson Avenue - Staten Island, N.Y. 10308 353 Second Avenue - New York, N.Y. 10010 99 Oak Street - Copiaque, N.Y. 11726 14 Le Count Place - Now Rochelle, N.Y. 10801 90 North Broadway - Tarrytown, N.Y. 10591 136-25 41st Avonuo . Flushing, N.Y. 11355 1091 Yonkors Avenue - Yonkers, N.Y. 10704 152 Second Avonue - New York, N.Y. 10003 15 State Street - Spring Valley, N.Y. 10977 1895 Flatbush Avenue - Brooklyn, N.Y. 11210 21 East Door Park Avonue - Dix Hills, N.Y. 11746 46 Greenwich Street - Hempstoad, N.Y. 11550 352 East 87th Street - New York, N.Y. 10028 1700 Coney Island Avonue - Brooklyn, N.Y. 11230 333 Amsterdam Avenue - New York, N.Y. 10023 162-14 Sanford Avenuo - Flushing, N.Y. 11358 35-20 Broadway . LIC New York 11106 180 West 76th Street . New York, N.Y. 10023 21 West Broad Street - Mt. Vernon, N.Y. 11552 114-03 Queens Boulevard - Forest Hills, N.Y. 11375 55 North Station Plaza - Great Neck, N.Y. 11021 114-03 Queens Boulovard . Forest Hills, N.Y. 11375 1076 Madlson Avenue - New York, N.Y. 10028 1707 Hylan Boulevard - Staten Island, N.Y. 10305 45 South Highland Avenue - Ossining, N.Y. 10562 1300 Pleasantville Road - Briarcliff Manor, N.Y. 10510 71-41 Cooper Avenue - Glendalo, N.Y. 11385 168 Park Avenue - Yonkers, N.Y. 10703 ![](_page_40_Picture_0.jpeg) . t . ار س 11 11 11 11 \: . . . . . · Sales Comments of Children . . . . . . . . . . . 1 10.00 ### EFTA00063558 #### UNITED STATES DEPARTMENT OW JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG | | 1 Beginning Count: 7\$8 I
Shift-Day-Date: M/W Saturday, August 10, 2019 | | SHU: 73/5 | | | -------- | ------------------------------------------------------------------------------------------------------------------------------- | ------- | --------- | -------- | | | | | | | | | Daily Sensitive Information:
on Psych Obs. w/inmate companion | | | | | | I/14 Felix
on Psych Obs. w/inmate companion | | | | | Mot | I/M Williams
on Psych Obs. w/inmate companion | | | | | | I/M Gentile
Pa ch Obs. w/inmate companion | | | | | | I/M Ramos
on Dry Cell w/inst. Staff(R-A)
I/M Fernandez | | | SHU | | TDB | CHRONOLOGICAL EVENTS | | BC | | | 12:00 AM | Morning
the
duties
as
assumes | Watch | 758 | 73/5 | | | 10!!!!!!!'ll!!!!!!!gililhe fire alarm and sprinkler system | are | | | | | Panel.
Fire
of Control Center
operational w/exception | PREA | | | | | announcement conducted via the Institution Public Address System | | | | | | and/or Radio. Restraint Equipment Cage inventory conducted. | All | | | | | equipment accounted for. Metal Detector checks conducted. | All | | | | | Roof Check
operative w/the exception of Rear Gate/Facilities/R&D. | | | | | | completed. All secure. Temporary Chit Inventory: #1:2; #2:5; 13:5; | | | | | | | | | | | | #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.
12:35 AM -1 SHU(correction): Fernandez #86824-054(DRY CELL R-A) | | | 72/5 | | | | | | | | | 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 | | | | | | on Board at approximately 5:30am relieving Lt
u y.
o | | | | | | inmate
9 South
for Unit
emergency announced
6:33 AM Medical | Epstein | | | | | #76318-054 found unresponsive in cell Z06-220 CPR in progress | | | | | | 6:35 AM 911 Emergency service notified | CPR | | | | | 6:43 AM E.M.S ambulance arrives to the Health Service Area, continuer | | | | | | in progress by E.M.T.
176318-054 | via | 757 | 71/5 | | | Epstein
inmate
with
staff
depart
7:10 AM E.M.S/BOP | in | | | | | ambulance to local hospital continuation of CPR is still | | | | | | progress by EMT. | | | | | | 7:36 AM Bop staff called to notify institution that inmate Epstein #
STO International Terrorist phone calls monitored: | | | | | | | | | | | | MITRED inquiry(s) was/were received during my tour of duty:
The following Inmato(s) were placed in Administrative Detention: | | | | | | Unit
Reason
Reg: Number | Time | | AD Order | | Name | | | | | | | Ending Count: 758 SHU: 71; 10-South: 05; SHU OBS: 00; | | | | | | Local Hosp: 00; H/A OBS: 04; B/A OBS: 00; Dry Cell: 01; | | | | | | H/A(PBS); 00; H/A (PCLAS); 00 | | | | | | | | | | #### UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG | | | SHIFT-DAY-DATE: D/W - Friday, August 09, 2019 | | \[Beginning Count: 757 | | SHU:71/5 | | ------- | -------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------------------------------------------- | ------------------------------------ | ----- | --------- | | Diw | Daily Sensitive Information:
I/M Gentile
I/M Ramos | | on Psych obs w/inmate companion
on Psych obs. w/inmate companion.
on DRY Cell w s aff watch in R&D. | | | | | 8:00 AM | Fernandez
Lieutenant. The
05:6; 116:5; Hosp:0 | ire alarm and pump.system is inoperable at this
time. Fire Watch is in Progress. Unable to conduct PREA
announcement over the Institution Public Address System, due to,
system malfunction. Restraint Equipment Cage inventory conducted.
All equipment accounted for. Metal Detector checks conducted.
operative w/the exception of Rear Gate.
All secure. Temporary Chit Inventory: 11:0; 12:5; 13:5; 14:6;
Daily Hand Stamp :DJBE/LEFT HAND | assumes duties as the Day Watch Operations | Roof Check completed. | All | 757 71/5 | | | 8:00 AM NYPD Phone Check #3371 | | | | | | | | 8:00 AM Body Alarm Test Initiated. | | | | | | | | 8:20 AM Body Alarm Testing Complete. | | | | | | | | | 10:00 AM Institutional count in progress | | | | 757 71/5 | | | 11:22 AM Good verbal count announced | | | | | | | | 11:24 AM Clear institutional count | | | | | 757 71/5 | | | | 3:45 PM Institutional lockdown for count. | | | | | | | 3:57 PM +1; I/M Mutimura | | | | | 757 71/5 | | | 3:58 PM I/M Fernandez | | transferred to special housing (dry cell) 757 72/5 | | | | | | 3:59 PM -1 Bail Bond; Carreon-Macias | | | | | 756 72/5 | | | 4:00 PM Relieved of duties by | | E/W Operations Lieutenant. | | | | | | | Visitation: CANCELLED | | | | | | | Inmates | Adults | Children | | Total | | | | ION SCANNING TESTED HITS: 0
STG High Alert phone calls monitored: | WITSEC inquiry(s) was/were received during my tour of duty: 0
The following Inmate(s) were placed in Administrative Detention: 0 | | | | | | | | | | Unit | TIME | A/D Order | | Name | Reg Number | | Reason | | | | | | | Ending Count:756
Local Hosp: 00; | ; SHU:72 ; 10-South:
H/A OBS: 02; B/A OBS: | 05; SHU OBS: 00;
00; Dry Cell: 00 | | | | | | | | | | | #### UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG | | SHIFT-DAY-DATE: E/W - Saturday, August 10, 2019 | | | ;Beginning Count: 756 | | | SHU:72/! | | ------- | ----------------------------------------------------------------------- | -------------------- | --- | ------------------------------------------------------- | ---- | ----- | --------- | | | | | | | | | | | | Daily Sensitive Information.
i ' - q. I ,. I: | ow: | | | | | | | | ., | | | w/inmate companion. | | | | | E•/W | I/M Gentil | | | N/inmate companion. | | | | | | n
I/M Ramos | | | inmate companion. | | | | | | n
I/M Felix | | | w/ inmate companion. | | | | | | I/M Wiliam | CHRONOLOGICAL EVENTS | | | | B/C | SHU | | TIME | | | | | | | | | | | | | assumes duties as the Evening Watch Operations | | | | | | Lieutenant. Unable to conduct PREA announcement over the | | | | | | | | | Institution Public Address System, due to, system malfunction. | | | | | 756 | 72/! | | 4:00 PM | Restraint Equipment Cage inventory conducted. All equipment | | | | | | | | | accounted for. Metal Detector checks conducted. | | | All operative | | | | | | w/the exception of Rear Gate. | | | Roof Check completed. All secure. | | | | | | Temporary Chit Inventory: N1:4; #2:4; #3:5; #4:5; #5:5; #6:3; | | | | | | | | | 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 | | | | | | | | | 7:24 PM I/M Williams | and Felix | | transferred to special | | 756 | 74/5 | | | 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. | | | | | | | | | 10:38 PM Clear institutional count announced. | | | | | | 756 74/5 | | | 12:00 AM Relieved of duties by | | | as the MAI Lieutenant. | | | | | | | VISITING: | | | | | | | | | ADULTS | | CHILDREN | | TOTAL | | | | INMATES | | | | | | | | | STG/High Alert phone calls monitored: | | | | | | | | | WITSEC inquiry(s) was/were received during my tour of duty: 0 | | | | | | | | | The £ollowinQ Inmate(s) were placed in Administrative Detention: 0 | | | | | | | | | REG NUMBER
NAME | REASON | | UNIT | TIME | | A/D ORDER | | | | | | | | | | | | | | | | | | | | | | | | Ending Count:756 ; SHU: 74; 10-South: 05; SHU OBS: 00; | | | | | | | | | Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 00; | | | | | | 8/A SHU: 00 | | | | | | | | | | | | | Other Visitors | | --------- | ---------------------- | ------- | ------ | -------------- | ----------------------- | | | | | | | Unit Team 9N/9S/IIN/IIS | | | | | | | Unit Team 5N/5S/7S | | | | | | | Unit Team 2/3/7/N/10 | | | | | | | Trust Fund | | | | | | | SIS/AIS | | | | | | | Safety | | | | | | | Religious Services | | | | | | | Psychology | | | | | | | Physician Assistant | | | | | | | Legal | | | | | | | ਅਮ | | | | | | | Health Services | | | | | | | Food Services | | | | | | | Financial Management | | | | | | | Facilities | | | | | | | Education/Rec | | | | | | | OHQ | | | | | | | Duty Officer | | | | | | | Combuter Services | | | | | | | Correctional System | | | | | | | IN.E-W | | | | | | | Li. D-w | | | | | | | רו א-א-א | | | | | | | Captain | | | | | | | Exec. Assistant | | | | | | | AW Operations | | | | | | | WW Programs | | Satur | | | | | uəpiem | | CASHING C | Thursday
Wednesday | Tuesday | Monday | Sunday | Department | | | Thru: | | | Starting Date: | | | | | | | | | | Page 136 | Weekly Signature Sheet | | | | | | | | | | | | | | | | Thru: | | | | | | | | | -------------------- | ------ | ------ | ------- | --------- | --- | ------ | -------- | --- | --- | --- | | | Sunday | Monday | Tuesday | wOneritla | | Friday | Saturday | | | | | Warden | | | | | | | | | | | | AW Programs | | | | | | | | | | | | AO' Operations | | | | | | | | | | | | Exec. Assistant | | | | | | | | | | | | Captain. | | | | | | | | | | | | M-W | | | | | | | | | | | | Lt. D-W | | | | | | | | | | | | Lt. E-W
\_ | | | | | | | | | | | | Correctionai System. | | | | | | | | | | | | Computer Services | | | | | | | | | | | | Duty Officer | | | | | | | | | | | | DHO | | | | | | | | | | | | Education/ Rai | | | | | | | | | | | | Facilities | | | | | | | | | | | | Financial Management | s | | | | | | | | | | | Food Services | | | | | | | | | | | | Health Services | | | | | | | | | | | | | | | | | | | | | | | | Legal | | | | | | | | | | | | Physician Assistant | | | | | | | | | | | | Psychoion | | | | | | | | | | | | Religious Services | | | | | | | | | | | | Safety | | | | | | | | | | | | SLAYS'S | | | | | | | | | | | | This: Fund | | | | | | | | | | | | it Team 2./.3f7N/I0 | | | | | | | | | | | | Team 5V5S/7S | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | #### RP-A0268 INCIDENT REPORT CDFFN | JUN 10 | | | | ------ | --- | --- | | | | | U.S. DEPARTMENT OF JUSTICE | | FEDERAL BUREAU qF PRISONS | | | --- | ------------------------- | --- | | | | | | | Part I - Incident Report | | | | | | | | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------- | ------------- | ----------------------------------------- | --- | ------------------------------------------------------------------------------------------------------------------------------------------------------- | --- | ---------------------------------------- | | 1. Institution: MCC New York | | | | | | | | | 3. Register Number
2. Inmate's Name
Epstein, Jeffery
76318-054 | | | 4. Date of Incident
07/23/2019 | | | | 5.
Time
1:30
am | | 6. Place of Incident
EMU M-Tier Cell 124 | | 8. Unit
EA | | | | | | | 9. Incident
Self-Mutilation | | | 228 | | 10. Prohibited Act Code(s) | | | | 11. Description Of Incident (Date: B7/23/2019 Time: 1:27 am
On July 23.2019 at approx. 1:27am While working in the Special Housing Unit Myself and | | | | | | | Staff became aware of incident) | | heard noise coming from the M tier Cell 124.Upon arrival inmate Epstein's cell mate (I/e | | | | | | | | | Tartaglione | was at the door stating I/M Epstein \*76318-054 had attempted to hang | | | | | | | | himself. I ke.t a visual while | grabbed door keys and called for assistance.After | | | | | | | | securing I/M Tartaglione and removing him from the cell, I entered than placed I/M Epstein on his
side and removed an orange homemade rope from hie neck. I/M was breathing at this time,fut | | | | | | | | | unresnsive.Addition staff and | | | arrived I/M was then removed from the SW. | | | | | | d Name/Signature of Reporting Employee
12. T | | | | | 13.Date And Time
7/23/2019 1:30 am | | | | 14. Incident Report Delivered to Above Inmate By
(Type Name/Signature) | | | 15. Date Incident
Report Delivered | | 16. Time
Report | | ncident
Delivered | | | Part II - Committee Action | | | | | | | | 17. Comments of Inmate to Committee Regarding Above Incident | | | | | | | | | | | | | | | | | | | | | | | | | | | 18. A. It is the finding of the committee that you:
Committed the Prohibited Act as charged.
---- Did not Commit a Prohibited Act.
Committed Prohibited Act Ccdels) | | B. | Hearing. | | The Committee is referring the
Charge(\*) to the DHO for
The Committee advised the
its finding and of the right
an appeal within 20 calenlar | | further
inmate of
to file
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
committed prohibited act) | | | | | | | inmate | | | | | | | | | | | 21. Date And Time Of Action
sat on the UDC and that the completed report accurately reflects the UDC proceedings.) | | | (The UDC Chairman's signature cart | | | | ties who | | Chairman (Typed Ramo/signature) | Member (Typed Name) | | | | Member (Typed NaMe) | | | | INSTRUCTIONS: AS Wow outside heavynek sec far staff we osli. Magi. entries with the awmb • r I sad wort up. Entries ace completed w8! ho voided
ORIGINAS.Ccrwal Fat record; COPY4-DHO:COPY4. Waste Mier UDC AMIGO: COPY-3. Ineme within 24 hoots of Psa I Prep
DISTRIBUTE: | | | | | | | YWa
neon. | POF Prey:nod by P5270 Replaces EterRESERCES2-EIMICESSCE MAY 94 #### Suicide Timeline: ### RE: E•stein, Jeffre Edward Re •. No. 76318-154 #### Friday, August 9, 2019 8:00 am: inmate Reyes Efrain, Reg. No. INIIIIIIIIdeparts f r court (WAB-USMS-SDNY). Reyes is Epstein's cellmate. 8:30 am: inmate Epstein arrives in Attorney Conference. He is visited by several attorneys throughout the day. 6:45 pm: to SHU. inmate Epstein departs attorney conference and re urns 7:00 pm: inmate Epstein provided a social call by IDO. IDO reports inmate Epstein was in good spirits, nothing unusual #### Saturday, August 10, 2019 6:33 am: Body alarm activated in SHU. Staff found inmate Ep tein unresponsive in cell. Staff reported to bedside of inmate a d attempted to wake him. Control announced medical emergency. CPR initiated 6:35 am: Medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IC) initiated. No pulse found, no shock advised, inmate prepared for transport to ocal hospital. 7:00 am: Institution placed on modified operations 7:10 am: EMS departs institution enroute to Beekman Hospit 7:19 am: USMS notified of incident. 7:20 am: SIS Lt notified. 7:30 am: arrives at institution. notified. 7:32 am: PIO notified of incident by the Warden. 7:36 am: Official time of death reported by ER physician. 7:40 am: Acting Chief Psychologist notified. 8:00 am: AW and on. Captain arrives at institut 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. 9:00 am: SIS Lt. Reports to SHU. Interviews will be conduct d with inmates assigned to tier. 9:15 am: CMC arrives at institution. 9:30 am: Acting Chief Psychologist arrived to the institut n. 9:50 am: SCSS arrives at institution. 9:55 am: CMC and IDO depart institution En route to Beekma Hospital. 10:00 am: CMC and IDO arrive at Beekman Hospital, fingerpr nts and photographs taken of inmate Epstein. Inmate clothing s cured 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 11:00 am: Next of kin (brother) notified by Case Management Coordinator. 11:12 am: Press Release released to media. 11:15 am: Press Release provided to Judge Berman. 11:15 am: Crisis Support Team activated. 12:15 pm: Body released to Medical Examiner (ME) for autops 12:19 pm: FBI arrives. 1:35 pm: FBI arrives in Special Housing Unit. 1:40 pm: OIG notified by the Warden and they will be sendin an Agent to NYM. 2:15 pm: Crisis Support Team debrief conducted. 2:45 pm: OIG arrived in Special Housing Unit (SHU) 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. 10:15 pm: Computer Services Manager arrives at institution to remove hard drives (Computers) from SHU. And replaced with new ones. #### Sunday, August 11, 2019 8:00 am: Resumed normal operations. Attorney conference vi its and social visits (Unit 3) resume. 12:15 am: Computer Services Manager departs the institutio | 10:40 am:
at institution. | nd | arrives | | ---------------------------- | ------------------------------------------------------------------------- | ------- | | 11:15 am: | , departs institution with
computers FPS 021407270 and FPS 0214207268. | wo | 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 - 7:30 am: Department Head meeting conducted - 8:45 am: Regional Director arrives ![](_page_52_Picture_0.jpeg) | | U. S. Department of Justic
Federal Bureau of Prison | | | ------------------- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------- | | | Metropolitan Correctional
150 Park Row, New York, | enter
Y | | | August 10, 2019 | | | MEMORANDUM FOR FILE | METROPOLITAN CORRECTIONAL CENTER | | | FROM: | | | | SUBJECT: | Inmate Epstein, Jeffery Reg. No. 76318-054 | | | | This memorandum is in regards of inmate Epstein, Jeffery Reg. No. 76318-054. On
August 9, 2019, I spoke with inmate Epstein concerning him making a call to his family. I t Id | | August 9, 2019, I spoke with inmate Epstein concerning him making a call to his family. I t Id inmate Epstein I was leaving the facility around 7:00 p.m. Inmate Epstein agreed to shorten is attorney visitation to make his social call. I escorted inmate Epstein to Special Housing Uni around 7:00 p.m. I placed inmate Epstein in the shower on (O) Tier and escorted the phone or him to make a social call. I placed the phone in the first jack to the left on O tier. Inmate tem explain to me that he didn't have his phone set up to use his Pac and Pin number. I asked i Epstein who he was calling, he stated his mother. 1 remember dialing a number starting wi but the number was note notated. Inmate Epstein began talking on the phone. I told the stal to end inmate Epstein's call after 15 minutes. They complied. | BP-A0971
TMENT OF JUSTICE | | CHAIN OF CUSTODY LOG CDFRM | FEDERAL BUREAU | OF PRISONS | | -------------------------------------------------- | ---------- | -------------------------------------------------------------------------------- | --------------------- | -------------------------- | | DATE/T
LOCATION | | ose with/attach to evidence) | | | | PERSON RECOVERING EVIDE
SIGNATURE OF | | | | | | | | | | | | APRINTED NAME | | | | | | EVIDENCE PLACED IN OVERNIGHT DROP BOX: | | | | | | DROP-BOX BY: (printed name) | | | | | | Date & Time : | | | | | | Witness: (printed name) | | | | | | BUIDENCE RECOVERED EROM OVERNIGHT DROP BOX BY: | | | | | | (printed name) \_ | | | | | | Date & Time : \_ | | | | | | Witness: {printed name}. | | | | | | EVIDENCE PLACED EVIDENCE SAFE BY: | | | | | | (printed name) | | | | | | Date & Time : . | | | | | | Witness: (printed name)\_ | | | | | | DISPOSITION : | | | | | | Hold as evidence
Return to finder
Other
) | ( )
( ) | Return to owner
Destroy immediately | ್ | Lab Analysis
FBI | | REMARKS (condition of evidence) : | | | | | | | | 我有我的身边发出会会的变变的重要的意见的意识的有效的有效的有
CHAIN OF CUSTODY | \*\*\*\*\*\*\*\*\*\*\*\* | 安全安安委会会会议会议会会 | | | | | | | | EVIDENCE RELEASED BY: | DATE/TIME: | DESTINATION: | EVIDENCE RELEASED TO: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | PDF | | Prescribed by PS510 | | | | BP-A0971 | | CHAIN OF CUSTODY LOG CDFRN | | | | | --------------------------------------------------------- | ----------------------- | --------------------------------- | ------------------------- | ----------------------- | --- | | AUG 11
U.S. DEPARTMENT OF JUSTICE | | | FEDERAL BUREAU OF PRISONS | | | | -01-75
ECN | | | | | | | #
ITEM
NiyH
-OOIK2)
- | | (Enclose with/attach to evidence) | \_\_\_" | | | | CASE
ID
men: | | SUSPECT (If known) '17e | | In | | | (I)
DESCRIPTION OF ITEM: | Inn lent | 1\\10'03.P
merle | | | | | DATE/TIME IT 'M FOUND: | (0 | 3
I)
ern | | | | | LOCATION: | | | | | | | IIISIGNATDRE Or PE | | | | | | | S4PRINTED NAME: | | | | | | | EVIDENCE PLACED IN OVER | | | | | | | DROP-BOX BY:(printed name) | | | | | | | Date & Time' | | | | | | | Witness:(printed name) | | | | | | | EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: | | | | | | | (printed namo) | | | | | | | Date & Time: | | | | | | | Nitness:(printed name) | | | | | | | EVIDENCE PLACED EVIDENCE SAFE BY: | | | | | | | (printed name) | | | | | | | Date 6 Time: | | | | | | | Nitnaas:(printad nave) | | | | | | | DISPOSITION: | | Return to owner | | Lab Analysis | | | ( ) Hold as evidence
( ) Return to finder
( ) Other | ( ) | ( ) Destroy immediately | | FBI | | | REMARKS (condition of evidence): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | CHAIN OF CUSTODY | | | | | | | EVIDENCE RRLE ED
- | DATE/TIME' | DESTINATION\* | | EVIDENCE RRT.RA\$F11 TO: | | | Sheet | io
gi
3
4
e | mE
oc | iiitts | m
LI 12 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Prescribed by P5510 | | | | | Per | | | | | | | BP-A0977 | | CHAIN OF CUSTODY LOG CDFRM | | | | | | ------------------------------------------------------------------------------------------------------------------------------- | ------------------ | ------------------------------------------------------- | -------------- | --------- | ---------- | ------------ | | AUG 11
U.S. DEPARTMENT OF JUSTICE | | | FEDERAL BUREAU | | | F PRISONS | | NYM -19 -0176 | | | | | | | | ECN d
ITEM #NYM-19-00196 | | (Enclose with/attach to evidence) | | | | | | | | SUSPECT (If known) Epstein,Jeffery 6318-054 | | | | | | CASE ID NUMBER: | | Box methylprednisolone tablets,l-bottlemilk of magnesia | | | | | | DESCRIPTION OF ITEM: 1
2-boxes Topcare Extra strength pain relief,l-Box xdid1,1-Vitamin C-500 plus, | | | | | | | | DATE/TIME ITEM FOUND: | 08/12/19 12:55 P.M | | | | | | | 9 South Z06-220-LAD | | | | | | | | LOCATION:
SIGNATURE OF PERSON RECOVERING EVIDENCE: | | | | | | | | PRINTED RARE | | | | | | | | EVIDENCE PLACED IN OVERNIGHT DROP SOX: | | | | | | | | DROP-BOX BY:(printed name) | | | | | | | | Date 6 Time• | | | | | | | | Witness:(printed name) | | | | | | | | EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: | | | | | | | | (printed name) | | | | r,' • | | | | Date 6 Time: | | | | | | | | Witness:(printed name) | | | | | | | | EVIDENCE PLACED EVIDENCE SAFE BY: | | | | | | | | (printed name) | | | | | | | | Date 6 Time: | | | | | | | | Witness:(printed name) | | | | | | | | DISPOSITION: | | | | | | | | ( )
Return to owner
( )
(/) Hold as evidence
( )
Destroy immediately
( )
( ) Return to finder
( ) Other | | | | | FBI | Lab Analysis | | REMARKS (condition of evidence):
1-Tolaftate cream,l-Advanceultra plus,1-Bottle Docupate Sodium,2-bottles Omega 3, | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | CHAIN OF CUSTODY | | | | | | | | ninaz w4LEASAD EX.; | DATE/TIME: | DZSTINATIQN• | | WIDEN= RR | | ➢A TO: | | | 08-12-19 1:10PM | SIS Office | | | SIS O'fice | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | PDF | | Prescribed by P5510 | | | | | | BP-A0971 | | CHAIN OF CUSTODY LOG CDFRM | | | | | | --------------------------------------------------------------------------------------------------------------- | ------------------ | --------------------------------- | ---------------------------------- | --------------------- | --- | --- | | AUG 11
U.S. DEPARTMENT OF JUSTICE | | | FEDERAL BUREAU OF PRISONS | | | | | EON 9 NYM-19-0178 | | | | | | | | ITEM aNYM-19-00198 | | (Enclose with/attach to evidence) | | | | | | | | | SUSPECT (If known) Epstein,Jeffery | 76318-054 | | | | CASE ID NUMBER:
DESCRIPTION OF ITEM: 1-small bible book,l-letter mail,l- RED envelope,l- orange | | | | | | | | material | | | | | | | | DATE/TINE ITEM FOUND: | 08/12/19 12:55 P.M | | | | | | | 9 South Z06-220-LAD
LOCATION: | | | | | | | | SIGNATURE OF PERSON RECOVERING EVIDENCE: | | | | | | | | 1
PRINTED NAME:1 | | | | | | | | EVIDENCE PLACED IN OVERNIGHT DROP BOX: | | | | | | | | DROP-BOX DY:(printed nano) | | | | | | | | Date 6 Time' | | | | | | | | Witness:(printed name) | | | | | | | | EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: | | | | | | | | (printed name) | | | | | | | | Date 6 Tice: | | | | | | | | witness:(printact name) | | | | | | | | EVIDENCE PLACED EVIDENCE SASE BY: | | | | | | | | (printed name) | | | | | | | | Date 6 Time: | | | | | | | | Witness:(printed name) | | | | | | | | DISPOSITION: | | | | | | | | Return to owner
( )
(e) Hold as evidence
Destroy immediately
( )
( ) Return to finder
) Other | | | | Lab Analysis
FBI | | | | REMARKS (condition of evidence): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | CHAIN OF CUSTODY | | | | | | | | naaliKEE-B3M9P17JIL | OATH/EMIR. | DESTINATION- | | EVIDENCE RELEASED TO: | | | | | 08-12-19 1:10PM | SIS Office | | SIS Office | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Prescribed by P5510 | | | | | | PDF | | | | | | | | BP-A0971 | | CHAIN OF CUSTODY LOG CDFRM | | | | -------------------------------------------------------------------------- | ------------------ | --------------------------------------------------------- | ---------- | ------------------------- | | AUG 11
D.S. DEPARTMENT OF JUSTICE | | | | FEDERAL BUREAU OF PRISONS | | ecu 8
NYM-19-0117 | | | | | | ITEM 8 NYM-19-00197 | | (Enclose with/attach to evidence) | | | | CASE ID NUMBER: | | SUSPECT (If known) Epstein,Jeffery 76318-054 | | | | DESCRIPTION OF ITEM: | | 5-books,2-packs cotton swabs,2-bars of soap,6-AAA battery | | | | 1-glasses,l-chap stick,l-headphones,1-Admission and orientations pamphlet, | | | | | | DATE/TIME ITEM FOUND: | 08/12/19 12:55 P.M | | | | | 9 South 206-220-LAD
LOcATION: | | | | | | SIGNATURE OF PERSON RECOVERING EVIDENCE: | | | | | | PRINTED NAME: | | | | | | EVIDENCE PLACED IN OVERNIGHT DROP BOX: | | | | | | DROP-BOX BY:(printed name) | | | | | | Date 4 Time' | | | | | | witnoss:(printed name) | | | | | | EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: | | | | | | (printed name) | | | 6
or | | | Date 6 Time: | | | | | | Witneas:(printed name) | | | | | | EVIDENCE PLACED EVIDENCE SAFE BY: | | | | | | (printed name) | | | | | | Date 4 Time: | | | | | | Witness:(printed name) | | | | | | DISPOSITION: | | | | | | (e) Hold as evidence
( ) Return to finder
( ) Other | )
( ) | Return to owner
Destroy immediately | ( )
( I | Lab Analysis
FBI | | REMARKS (condition of evidence): | | | | | | 1-piece of brown paper bag with writing "SW 02 dinher°,1-bible ,1- receipt | | | | | | | | | | | | | | | | | | | | | | | | | | CHAIN OF CUSTODY | | | | MILLMTAAS
SPII
ENC
• | DATR/TIKE• | °BHT/NATION. | EVIDENCE | LEASED TO: | | | 08-12-19 1:10PM | SIS Office | | SIS Office | | | | | | | | | | | | | | | | | | | | | | | | | | | | | I | | | | | | | | | PDF | | Prescribed by P5510 | | | | Date.
T:me: | 08/11/2019
12:39 PM | Federal Bureau of Prisons
TRUINTEL
Log Entries By Event Date
Sensitive But Unclassified | | | | | | | -------------- | ------------------------------------------ | ------------------------------------------------------------------------------------------------ | ---------- | ----- | --------- | ------------------------- | ---------- | | | Start Date: 08/1072019 | Alpha Code: NYM | | | | Shift: Morning | | | | End Date: 08710/2019 | Level 1: SHU | | | User: All | | | | | | Level 2: Housing Unit, Special (SHU) | | | Reg 8:All | | | | | | Level 3: All | | | | Events: Count Events Only | | | | Alpha Code Levert Location
Entered Date | Level 2 Location
Level 3 Location | Event Date | Shift | User | Event | Base Count | No data found. "No information was found for the given criteria." Use' ID: 11754II Page 1 e11 | 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 | End Date:0B/10/2019 | | Alpha Code: NYM
Level 1: SHU
Level 2: Housing Unit, Special (SHU)
Level 3: All | | | | User: All
Reg g:All | Shift: Evening
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
(Situ) | 9 SOUTH SHU | 8,10,2019 4:00 PM Evening | | 1F13617 | OelkialCoLetv | | | 8/10,2019 11 58 PM | NYM | SHU | Housing Unit. Special
(51119 | 9 SOUTH SHU | &10201910:00 PM Evenog | | IFI3G47 | areal Coon | | | /9102019 11 59 PM | NYM | SHU | Flowing Unit. Speed
(SHU) | 9 SOUTH SHU | SAO/2019 11.00 PM Evening | | IF 13647 | Ease Count Veiled | 74 | | 08/13/2019
Date: | | | | | | | | | | | ------------------- | --------------------- | --------------------------- | ----------------------------------- | -------------------------- | --------------------- | ----- | ---------- | ------------------------- | ---------- | | 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 | | &1020191031 Na | | NYM
SEW | Nanny Unit Special
(SHU) | 9 SOUTH SHU | 8/1012019 10 30AM Day | | TF42048 | OfficialCow% | | | 8,10/2019 1120 N.t | | Silo
NYM | Katising (inn. Special
(Silt I) | 9 SOUTH SHU | &10,2019 11 19 AU Day | | TF42048 | Base Coin: Ve,i ci | 74 | ![](_page_62_Picture_0.jpeg) # 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 물 원 등 관 및 1 128.6 1 - 12-201 # 24 S किसी को संपर्या कर रहे हैं. बाहरी EFTA00063580 ਾ ਦੂਜਾ ਹੈ ਅਤੇ 1497 - 1 ్రామెల్లో రే ( ![](_page_64_Picture_0.jpeg) ![](_page_65_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA ![](_page_65_Picture_6.jpeg) ![](_page_66_Picture_0.jpeg) ![](_page_67_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 08/10/2019 6:49 AM Lt. ZA 8 EFTA00063584 ![](_page_68_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA ![](_page_68_Picture_9.jpeg) ![](_page_69_Picture_0.jpeg) ### Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo ZA Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ![](_page_69_Picture_6.jpeg) ![](_page_70_Picture_0.jpeg) ![](_page_71_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo /NW TE SUICIDE 08/10/2019 6:33 AAI EPSTEIN, JEFFERY REGO-6318-054 ![](_page_71_Picture_8.jpeg) ![](_page_72_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. 08/10/2019 6:49 AM 81 EFTA00063589 ![](_page_73_Picture_0.jpeg) ![](_page_74_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office ![](_page_74_Picture_3.jpeg) ![](_page_75_Picture_0.jpeg) # 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 | | | | | | ![](_page_76_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA ![](_page_76_Picture_8.jpeg) ![](_page_77_Picture_0.jpeg) 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,176318-054 Location of Incident ZA Photograph(s) by Lt Date and Time of Photo 08/10/2019 6:49 AM ![](_page_77_Picture_4.jpeg) 1 C U it 0 i J. ![](_page_78_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM Lt. ![](_page_78_Picture_11.jpeg) EFTA00063595 ![](_page_79_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo ZA Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ![](_page_79_Picture_8.jpeg) ![](_page_80_Picture_0.jpeg) ### 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 | Li. | | Date and Time of Photo | 08/10/2019 6:49 AM | ![](_page_80_Picture_4.jpeg) ![](_page_81_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 08/10/2019 6:49 AM ZA ![](_page_81_Picture_10.jpeg) Lt. 8 ![](_page_82_Picture_0.jpeg) EMT Lieutenant's Qat # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office I... c:\\ Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name I Reg. No. EPSTEIN JEFFERY REGit76318-05.1 Location of Incident L Z.4 Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM a I ![](_page_82_Picture_8.jpeg) ![](_page_83_Picture_0.jpeg) # Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM Lt. INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA EFTA00063600 ![](_page_84_Picture_0.jpeg) # Metropolitan Correctional Center New Yor1L N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 /1,11 Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-0.54 Location of Incident Z4 Photograph(s) by Lt. Date and Time of Photo 08/10/2019 6:49 AM ![](_page_85_Picture_0.jpeg) Lieurenam'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 (it 6:33 AM | | Inmate Namc(s) / Reg. No. | Jeffrey, Epstein W76318-054 | | Location of Incident | photographs taken at outside hospital | | Photograph(s) by | CMC | ![](_page_85_Picture_4.jpeg) ![](_page_86_Picture_0.jpeg) ### 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 | ![](_page_86_Picture_4.jpeg) ![](_page_87_Picture_0.jpeg) ### 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 | ![](_page_87_Picture_4.jpeg) ![](_page_88_Picture_0.jpeg) ### 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
i | | Inmate Name(s) / Rcg. No. | Jeffrey, Epstein #76318-054 | | Location of Incident | photographs taken at outside hospital | | Photograph(s) by | 'CMC | ![](_page_88_Picture_4.jpeg)