4 7 df P oi /, “Sf DEPARTMENT OF JUSTICE |OFFICE OF THE INSPECTOR GENERAL March 2, 2022 Office of the Chief Medical Examiner City of New York New York, NY 10016 M19-19432 Dear Office of the Chief Medical Examiner: lam writing to request the complete Medical Examiner's case file associated with the death of inmate Jeffrey Epstein, Metropolitan Correctional Center, New York, Federal Bureau of Prisons. Specifically, please provide the OIG with a copy of the complete Medical Examiner's report, digital files including the examiner's notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein’s cause of death. Please provide the documentation digitally to Special Agent a. Office of the Inspector General, U.S. Department of Justice, ii i or via digital storage mailed to him a New York, NY 10004, Thank you, and if you have any questions, please feel free to contact me, or my. ii” Sincerely, Digitally signed by ———, 10:19:39 -0500" By ycrflogal at 11:00 am, Mar 02, 2022 Special Agent in Charge OK Per F. Hutner New York Field Office EFTA00063517

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OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK | 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 §§17-201 — 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 (0 OCME forensic biology case file #: | have examined the original records maintained by OCME’s Records and | 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, | certify these copies as genuine and as business records of the OCME Department of Records. Yvelisse Matias Electronic Signature Name of Certifier: Yvelisse Matias Title of Certifier: Clerical Accociate IV OCME Business Records Certification Form, rev. 6/2021 EFTA00063518

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OFFICE OF CHIEF MEDICAL EXAMINER City oF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein MLE. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: |. HANGING: . LIGATURE FURROW OF NECK PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAE AND LEFT HYOID CORNUA WITH ACCOMPANYING SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT . RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM ll. ABRASIONS OF LEFT FOREARM Ill. CUTANEOUS CONTUSIONS OF WRISTS \V. 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) Vil. CERVICAL LYMPHADENOPATHY Vill. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOXICOLOGY REPORT Xl. SEE NEUROPATHOLOGY REPORT m 90 @> EFTA00063519

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{e) HANGING SUICIDE (HANGED SELF) EFTA00063520

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OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY case NO. 7 | hereby certify that |, Kristin Roman, M.D., City Medical Examiner - Il, 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 Ib 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. 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 mi of liquid blood thinly coating the serosal EFTA00063521

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FY JEFFREY EDWARD EPSTEIN Page 4 surfaces of the intra-abdominal organs, and an oblique, 6.5 cm laceration of the liver to the left of the falciform ligament (artifacts of resuscitative chest compressions). CLOTHING: The body is received clad in a hospital gown. INJURIES, EXTERNAL AND INTERNAL: These injuries are described in reference to standard anatomic planes. These injuries are grouped and labeled for descriptive purposes only; no sequence is implied. A. HANGING: There is a depressed, focally dried and abraded, noncircumferential ligature furrow of the neck that peaks slightly on both sides of the neck, more steeply on the right side than on the left. On the right side of the neck, the furrow bifurcates anterior to the ear, with one arm that peaks behind the right ear and one arm that extends to the right side of the back of the neck. On the back of the right side of the neck at the end of the lower arm of the furrow is a 1/2" x 1", irregular, red abrasion. The furrow ranges from 13-3/4" to 15” long (measured from both ends of the furrow on the right), and ranges from 1/8" to 1/2" wide. Anteriorly, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the chin is an adjacent, % x 1", inverted V-shaped, linear abrasion that ranges in width from 1/8” to 1/4". Beneath the left side of the mandible is a faint, 1/2" x 1-3/4", irregular, red abrasion with multiple, interspersed, deeper, red abrasions that measure up to % x 3/8”. The face and head are plethoric above the furrow, with petechial hemorrhages of the face that are most marked within the eyebrows. There are multiple, petechial hemorrhages of the palpebral conjunctivae of both eyes, and confluent hemorrhages on the periphery of the right bulbar conjunctiva. There are faint petechial hemorrhages on the mucosal surfaces of the upper and lower lips. Within the parenchyma of the tongue are multiple, focal, spotty, purple hemorrhages. There is diffuse, purple hemorrhage at the base of the tongue. There are no hemorrhages of the anterior strap muscles of the neck. Posteriorly, there is a single hemorrhage in the left, deep, paraspinal muscles. Both thyroid cartilage cornuae are fractured, and the left cornua of the hyoid bone is fractured, all with accompanying soft tissue hemorrhages. See also “Anthropology Report.” There are no fractures of the cervical vertebrae. B. OTHER INJURIES: On the back of the left forearm is an oblique, 1”, linear, red, abrasion with an adjacent, 1/2" x 1-1/4", faint, red abrasion. On the medial aspect of the back of the right wrist is a 1/8” x 1/2", faint, red contusion, and on the medial aspect of the back of the left wrist is a EFTA00063522

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FY JEFFREY EDWARD EPSTEIN Page 5 similar, % x %", faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. ERNAL : HEAD: The scalp is without contusion or laceration. The skull is without fracture. There is no epidural, subdural or subarachnoid hemorrhage. The brain weighs 1520 gm. The brain, spinal cord, and dura mater are submitted for neuropathologic evaluation. NECK: See "Injuries." BODY HABITUS: The abdominal pannus is 1-1/4" thick. The body mass index is 27. BODY CAVITIES: The pleural and pericardial cavities are free of abnormal fluid accumulations or adhesions. See also "Therapeutic Procedures." CARDIOVASCULAR SYSTEM: The heart weighs 440 gm and has a normal distribution of right dominant coronary arteries with slight atherosclerosis (left main and left circumflex arteries, no stenoses; left anterior descending artery, multiple, focal, less than 50% stenoses; right coronary artery, multiple, focal, less than 50 to 60% stenoses). The myocardium is brown and diffusely fibrous. There is no focal fibrosis, hemorrhage, or pallor. The free wall of the left ventricle and the interventricular septum are each 1.9 cm thick, and the free wall of the right ventricle is 0.5 cm thick. The four valves and endocardial surfaces are unremarkable. The pulmonary vessels and the venae cavae are free of thrombus and embolus. The aorta has moderate atherosclerosis. RESPIRATORY SYSTEM: The right lung weighs 560 gm and the left weighs 510 gm. Both lungs have spongy, maroon and pink parenchyma that is free of masses. The distribution of bronchi and vasculature are unremarkable. The bronchi are empty. LIVER, GALLBLADDER, PANCREAS: The liver weighs 2480 gm and has soft, brown parenchyma. The gallbladder is unremarkable and contains approximately 30 ml of brown bile without stones. The pancreas is tan, lobular, and free of hemorrhage and mineralization. HEMIC AND LYMPHATIC SYSTEMS: The spleen weighs 270 gm and has an intact, purple capsule and an unremarkable distribution of red and white pulp. There are multiple, enlarged, cervical lymph nodes, measuring up to 1.5 cm in greatest dimension. The remainder of the lymph nodes is unremarkable. There is no thymus. The bone marrow is unremarkable. GENITOURINARY SYSTEM: The right kidney weighs 180 gm and the left weighs 160 gm. Both kidneys have granular, brown surfaces and otherwise unremarkable architecture and vasculature. The ureters maintain uniform caliber into an unremarkable EFTA00063523

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FY JEFFREY EDWARD EPSTEIN Page 6 bladder that contains approximately 5 ml of cloudy, yellow urine. The prostate is slightly and diffusely enlarged, with marked enlargement of the verumontanum. The testes are unremarkable. ENDOCRINE SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The esophagus and gastroesophageal junction are unremarkable. The stomach contains approximately 5 ml of opaque, brown fluid without recognizable food or pills. The gastric mucosa is unremarkable. The small intestine and large intestines and rectum are unremarkable. The vermiform appendix is surgically absent. MUSCULOSKELETAL SYSTEM: See “Therapeutic Procedures.” On the anterior, inner surface of the right, first rib is a slightly displaced, healed, fracture callus. The vertebrae, clavicles, remainder of ribs, and pelvis are without fracture. The musculature is well developed and normally distributed. MICROSCOPIC DESCRIPTIONS: Tissue or Organ x # of fragments and/or levels = (#= slide ID number) Histology # HT19-003396 HEART x 2 (#2): Myocardial and perivascular fibrosis. Slightly hypertrophied myocytes. LUNG x5 (#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. ; Intramuscular and fascial hemorrhages consisting of intact erythrocytes. EFTA00063524

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PY JEFFREY EDWARD EPSTEIN Page 7 LEFT DELTOID MUSCLE x 1 (#10): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. TOXICOLOGY: Specimens are submitted for toxicologic analysis. A separate report will be issued. FORENSIC BIOLOGY: Blood spot card, clippings from right and left fingernails, and swabs of the back and front of neck and right and left hands are submitted. NEUROPATHOLOGY: A separate report will be issued. ANTHROPOLOGY: A separate report will be issued. EVIDENCE: Received separately are a ligature and clothing. The items are examined, photographed, and submitted to Evidence. See also “Additional Autopsy Notes’. RADIOGRAPHY: Post-mortem radiographs are taken. PHOTOGRAPHY: Autopsy photos are taken. This report is reviewed by Dr. Jason K. Graham, First Deputy Chief Medical Examiner. The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by Kristin Roman on Aug 27, 2019 07:38:00 AM EFTA00063525

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FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No : 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(Femoral): FT19-03508-002, Blood(Femoral): FT 19-03508-003, Blood(Heart): FT19-03508-004, Blood(Heart): FT19-03508-005, Blood(Heart): FT19-03508-006, Bile: FT19-03508-007, Urine: FT19-03508-008, Gastric Contents: FT19-03508-009, Brain: FT19-03508-010, Liver: FT19-03508-011, Vitreous: FT19-03508-012 Date Received : 08/12/2019 Blood(Femoral) : FT19-03508-001 Ethanol Not Detected HSGC Benzoylecgonine, barbiturates, oxycodone, opiates, amphetamines, Not Detected 1A benzodiazepines, methadone, cannabinoids, fentany! Gabapentin, pregabalin Not Detected Basic Drugs Not Detected GC/MS Blood(Femoral) : FT19-03508-002 Synthetic cannabinoids Pending Report Vitreous : FT19-03508-012 Ethanol Not Detected This Report has an associated Forensic Toxicology case file. Contact FTOX_Mgreqpocrne myc. gov if you have questions relating to the content of thin report. Detnitions of tonne used in ths report can be located at itipawww1 nyc gov/site/ocme/services/toxicology-technical-manuals page EFTA00063526

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NMS Labs CONFIDENTIAL NMS 200 Welsh Road, Horsham, PA 19044- TABS Phone: ¢ “2972 Robert A. Middleberg, PhD, F-ABFT, DABCC-TC, Laboratory Director Toxicology Report Patient Name FT19-03508 M19-019432 . Patient ID NP Report Issued 08/22/2019 17:09 Chain 10064740 Age Not Given DOB Not Given To: 10074 Gender Not Given New York Office of Chief Medical Examiner Workorder 19244749 " of Toxicology 0016 Page 1 of 2 Positive Findings: See Detailed Findings section for additional information Testing Requested: Analysis Code Description Synthetic Cannabino! in (2019 Scope), Blood Specimens Received: 1D Tube/Container Volume/ Collection Matrix Source Miscellaneous Mass Date/Time Information 001 Gray Top Tube 4.25 mL Not Given Femoral Blood All sample volumes/weights are approximations. Specimens received on 08/14/2019. NMS v.18.0 EFTA00063527

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CONFIDENTIAL Workorder 19244749 N M S Chain 19244749 Patient ID 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), | certify that this report was made by me or is a true copy thereof for testing conducted at NMS Laboratories. | further certify that | 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 piv mynd High Performance Liquid Chromatography/Tandem Mass Spectrometry QTRAP (LC-MS/MS [TRAP) for: Compound Bot. Limit Compound Bot. Limit 4-cyano-CUMYL-BINACA 0.10 ng/mL AMB-FUBINACA 4.0 ngimL 4-fluoro-MOMB-BINACA 0.10 ng/mL CUMYL-THPINACA 0.10 ng/mL 5-fluoro-EDMB-PINACA 0.10 ng/mL MDMB-CHMCZCA 0.10 ng/mL 5-ftuoro-MDMB-PICA 0.10 ng/mL MDMB-CHMICA 0.10 ng/mL S-fuoro MOMB-PINACA/ S-fuore- _0:20.ngimL MDMB-CHMINAC 0.10 ngimL MOMB-FUBICA 0.10 nim §-fucn-MME-PINACA 0.050 ng/mL. MDMB-FUBINACA / EMB- 0.10 ng/mL 5-fluoro-NA-PIC 0.10 ng/mL FUBINACA 5-fluoro-QU-PINAC 0.10 ng/mL MMB-CHMICA 0.10 ng/mL ADAMANTYL-FUBINACA 0.20 ng/mL MMB-CHMINACA 0.20 ngimL ADMB-CHMINACA 0.10 ng/mL MMB-FUBICA 1.0 ng/mL ADMB-FUBICA 4.0 ngimt MMB-FUBINACA 0.10 ng/mL ADMB-FUBINACA 1.0 ng/mL NA-FUBIC 1.0 ngimt AMB-CHMINACA 4.0 ng/ml NA-FUBIM 0.20 ng/mL NMS v.18.0 EFTA00063528

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THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): The unfixed brain weighs 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 hemiation, or other surface abnormalities are seen. External brainstem landmarks and cranial nerves are normal. Vessels at the base are distributed normally, and have no atherosclerosis. The cerebellum is normal. Coronal sections of the cerebral hemispheres reveal normal cortical ribbon, white matter, and deep gray nuclei. There is no midline shift. Hippocampi are symmetrical and of normal volume. Ventricles are normal in size and appearance. Axial sections of the brainstem and cerebellum en bloc show the substantia nigra and locus ceruleus to be well-pigmented. The aqueduct and fourth ventricle are normal. Cerebellar cortex, white matter, and dentate are normal. Cranial dura from the convexities, tentorium, and base shows falcine ossification (comment: common age-related finding). The venous sinuses and tributary (bridging) veins are patent. Spinal cord and dura from upper cervical to cauda equina levels show no abnormality, externally or on midsagittal section. PHOTOGRAPHS: YES MICROSCOPIC EXAMINATION: NO FINAL NEUROPATHOLOGIC DIAGNOSIS: |. NORMAL BRAIN AND SPINAL CORD REBECCA FOLKERTH, MD The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by Rebecca Folkerth on Aug 20, 2019 05:41:27 PM EFTA00063529

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OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10016 Barbara A. Sampson, MD-Ph.D., Chief Medical Examiner Department of Forensic Pathology Forensic Anthropology Unit M-19-19432 212) 447-2763 ANTHROPOLOGY | BACKGROUND: On 12 August 2019, the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-year-old male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the thyroid and cricoid were manually removed to facilitate examination. The specimens were examined radiographically, macroscopically and microscopically. Hyoid Thyroid Cricoid Figure 1. Diagram of the submitted hyoid Figure 2. Overview of the submitted hyoid and larynx (anterior view) showing the bone exhibiting a fracture to the left greater approximate fracture locations (red lines). horn (white arrow). FINDINGS: Hyoid The greater horns of the hyoid are bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures | and 2). The Forensic Anthropology Unit is accredited in Forensic Inspection under ISOMEC 17020 issued by ANSI National Accreditation Board. Refer to certificate and scope of accreditation FI-0014. EFTA00063530

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M-19-19432 Larynx The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right superior horn (Figures 1 and 3). The fractures to both the left and right superior horns occur just superior to the junction with the lamina. The cricoid does not exhibit any fractures. Figure 3. Microscopic (10x) posterior views of fractures (white circles) to the left and right superior horns of the thyroid. SUMMARY: The hyoid bone exhibits a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Date:___21 August 2019 Ang€la Soler, PhD, D-ABFA Forensic Anthropologist Page 2 of 2 EFTA00063531

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MLE. CASE #: NAME OF DECEDENT: Age Race SEX * ~=AUTOPSY - x M JNO AUTOPSY (Exam) Epstein, Jeffery 66 Years White uF | __ PURSUANT TO LAW u PM 08/11/2019 PARTI: DEATH WAS CAUS! Pending Further Studies or. Roman, Kristin U NATURAL U_THERAPEUTIC COMPLICATION U ACCIDENT U SUICIDE U_UNDETERMINED PLACE OF DEATH: (Name of hospital, facility or street address) Any Hospice TYPE OF PLACE: care in last 30 New York Presbyterian Lower Manhattan days Hospital in-patient Nursing home/iong term care Hospital, 170 William Street, New York, NY Hospital ED / outpatient Hospice facility 10038, United States % Hosp DOA Decedent's residence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM Other, specify: TYPE OF PLACE: (Home, Street, etc.) usYES u NO HOW INJURY OCCURRED: IF TRANSPORTATION INJURY: © DRIVER/OPERATOR O PEDESTRIAN OC PASSENGER O OTHER, SPECIFY IF FEMALE: if within one year of death, outcorne of pregnancy nae Uve birth U Not pregnant within one year of death Spontaneous termination Date of outcome Induced termination LU Pregnant at time of death None LI Not pregnant at time of death, but pregnant within 42 days of death LU Not pregnant at time of death, but pregnant 43 days to 1 year before death (Unknown if pregnant within one year of death Did tobacco use contribute to death? For infant under 1 year: Name and address of hospital or other place of birth u u Ne EFTA00063532

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Name oF Decevent:_ Epstein, Jeffery , me. case #:__M-19-019432 MEDICAL EXAMINER: DR Roman, Kristin DATE OF DEATH: __08/10/2019 U HOMICIDE LU PRISONER = ‘MVA(Driver/Operator) U OTHERRUSH Topas paTe:__ 08/11/2019 COMPONENTS OF MEDICOLEGAL CASE RECORD NEEDED COMPLETION. 2 P MRUROPATHOLDSYS R CARDIAC PATHOLOGY Q Pouce U FIRE MARSHAL JQ mu CULTURES: U~ BLOOD use U OTHER: CONSULTANTS x) ANTHRO J RADIOLOGY Us sOTHER: HOSPITAL OR MEDICAL RECORDS: INFANT DEATH SCENE INVESTIGATION f 4 \ eee a sommes Nos uv wo(Ipe s FINGERNAIL SCRAPINGS/CLIPPINGS VULVAR OR PENILE VAGINAL SWABS AND SWABS AND SMEAR SMEAR EFTA00063533

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FT19-03508-001 Type: Bid FORENSIC TOXICOLOGY REQUEST FORM ml. Source; Femoral Office of Chief Medical Examiner MLE, CASE #: DATE OF DEATH: M-19-019432 08/10/2019 7:36 “Ee NAME OF DECEDENT: 6 AUTOPSY Epstein, Jeffery ES ESE: NO AUTOPSY (Exam) PURSUANT TO LAW MEDICAL EXAMINER: ME nut Moen Dr. Roman, Kristin Moen INDICATED: LJ NO X) Yes COMPREHENSIVE MANNER OF DEATH Uvomiave U suiape L) en U waturat L! THERAPEUTICCOMPUCATION _L! UNDETERMINED LSUBDURAL J) OTHER LJ CHEMISTRY REQUEST VUN/Cr |_|] DEComP DURATION OF HOSPITALIZATION: signature: Roman, Krist Sst EFTA00063534

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° | OFFICE OF CHIEF MEDICAL EXAMINER et Sat THE CITY OF NEW YORK Nei AUTOPSY NOTES : ae arn! : Epsteing Jeffery M.E.4 M-19-019432 ¢ 1 P Sim COLOR: WOMWN.;_ i eee Eves: mpes st comnul LZ tn — aaa > EFTA00063535

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Naue of Decevent: Epstein, Jeffery _ mea; M-19-019432 . a | ; Exammeo ey: _Roman, Kristin Dare: EFTA00063536

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OFFICE OF s& CHIEF MEDICAL EXAMINER j CITY OF NEW YORK EXAMINED BY DR. | DATE ro) Al 20 ( "4 EFTA00063537

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OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES M.E. CASE # EXAMINED BY DR. DATE / /20 EFTA00063538

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OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME oF Decepent:\_} J me.case# (V\-_(7\-INGS$ 2 \- | by, 0 OME” “lg atue / beds hact watevell skew “4 BU = 15/7, ~ [° t1~ rs, S ef EXAMINED BY DR. WW Yus—— pare_S eo 4. _s20l|_ EFTA00063539

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OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK ADDITIONAL AUTOPSY NOTES NAME OF Decepent:_() 4 cS M.E. Case# (/\_- AF_-_194¢32_ winte Net pay nile aaaaiiad hyownn a - }enor le aa $C Ye Hes" NEN \ Lome SW ree | ut _— ( our laste Larrdout, Oug r BY etdy ge | gudre ig, Klwyote Pellet S ~ fomnyer Jeep IT (thc (een 2 IAT prs 2e Foyhen ry 14 BZ} pws oF Mott iy ft wES™ fom OZ low cebyey —— ii DATE _S- AF /20(9 EFTA00063540

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DEPARTMENT OF HEALTH AND MENTAL HYGIENE Re OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10023 Office of Chief Official Website: www. nyc.aov/ocme Medical Examiner Barbara A. Sampson, M.D.-Ph.D, Chief Medical Examiner Case No. M-19-019432 Documented By: Driver's License West Palm Beach, FL 3341 (Cross ), New York, NY 10013, Phon State that: |am the Brother of the person whose body was removed to the Office of Chief Medical Examiner from | New York, NY 10038 on 08/10/2019, that | have seen the photo of the said deceased, and believe that the body recorded at said office as: |, Mark Epstein, residin Street: Epstein, Jeffery Of Age: 66 Years Race: White Sex: Male Is: Epstein, Jeffrey Edward New York, NY 10021 Of Age: 66 Years Race: White Sex: Male es Signed: on this 11 day of August, 2019 Identified to Sabrina Shelby a TT. .. York, New York 10016 Printed on 8/11/2019 at 10:46 AM by Sabrina Shelby Page 1 of 1 EFTA00063541

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OFFICE OF CHIEF MEDICAL EXAMINER Name of deceased: J OFFA A 5 TW” Address: (a si YO Date and place of birth: SORA UA > 7/ 20/53 Closest known famil name: GH SP / [SeoTn=? Address: W Teepe: cet Phone: i Did the deceased live with another person? A/V If yes: Name: Relationship: Address: Telephone: (___) Cell Phone: (____) To your knowledge did the deceased have any of these following conditions: Q High blood pressure Q) Cancer Q Pregnant in the last year OQ Heart problems QO HIV infection If yes, the outcome was: Q) Diabetes Q aAIDs OQ Live birth Q Seizures AD Hepatitis (liver) C++? O Induced termination OQ Lang problems Q Alcohol Abuse Q Spontaneous termination Q Tuberculosis Q Dmg Abuse Ci None OQ Tobacco use QO) Psychiatric illness Date of outcome: QO) Brain infection/disease O Methadone treatment: if yes, where: QO Radiation Treatment OQ Other: OQ) Recent hospitalizations or travel: if yes, where and when: QO Dentist name/address): Q) Tattoos or scars (e.g., old surgery), describe; Q Any Hospice care in last 30 days? If so, where: If the deceased was treated for any of the above conditions, please describe the conditions and list the doctor’s name/telephone, hospital, clinic, and dates of treatment: 0 TIA e/4 [/7 Relationship Date EFTA00063542

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NYVG Medico-Legal Investigations New York, New York 10016 Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Investigation Report Name of Decedent Epstein, Jeffery Case No; M-19-019432 Report Date & Time. August 11, 2019 00:31 Disposition’ ME Case Place of Death: aa Signet, Naw Vorms NY, 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 fF were also present at the scene conducting their investigation. As _ at MCC the decedent was detained at MCC since 07/06/2019 on charges of sex trafficking conspiracy and sex trafficking of minors as inmate # 76318054. He was placed in a cell on 07/07/2019, but was moved for psychology evaluation Page 1 of 3 EFTA00063543

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07/08/2019 — 07/10/2019. His psychologist 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 He started banging on the cell door to alert the corrections officers. responded at 01:27 hours and observed the decedent to be either seated or laying in a fetal position on the cell floor (unclear history) with a “loose homemade noose” around his neck made from a torn orange bedsheet. At this time the decedent was found to have erythema around two-thirds of the circumference of his neck, two inches wide, with sparing of the back of the neck. There were also some “friction marks". The decedent was transferred to Suicide Watch from 07/23/2019 — 07/29/2019. He was transferred to the SHU again on 07/29/2019 where he remained until the DOD. He was in cell # 206 originally this last time in SHU, but was switched to cell # 220 at an unknown date and time. The decedent had a cellmate, inmate Reyes. However, on the morning of 08/09/2019 inmate Reyes went to court and was released through the court. No cell mate was present at the time of the incident leading to the decedent's death. Information was taken from m7 and HE -s2:cing this incident. Regular rounds of the inmate cells are conducted by the corrections officers every 30 minutes, but no longer than at 40-minute intervals. It is unknown when the decedent was last seen alive pending interview of MCC personnel. On the morning of 08/10/2019 at 06:33 hours during these regular rounds Officer 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 j laced him on the cell floor. The officer started CPR. In the meantim 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 The scene was within the decedent's cell, # 220 on Tier L of the SHU within the MCC. Of the scene photos INV-Scene 003 depicts the sealed cell door to # 220. Photo 004 depicts a straight- ahead view from the now opened cell door. Photo 005 represents the left side of the room. Beyond the right-sided wall of Photo 004 the right side of the room can be viewed in Photo 009. There is bedding material strewn in the middle of the floor including a mattress, presumably from the top bunk, and orange blanket and sheets. There was a CPAP machine on the floor with an electric cord reportedly provided by the MCC staff at bedtime ~ 22:00 hours and plugged into an outlet to the right outside of the cell door. Adjacent to the toilet and sink is a small table and stool on the right side of the cell. There was a handwritten note. It was not a suicide note, but it’s content vented frustration about conditions and experiences at the facility. There was a bunk bed. The mattress was removed and personal items were kept on the top bunk. Amongst these were medications and supplements including Vitamin C 500 mg, Tolnaftate Cream 1%, Vascepa Omega 3, two boxes of Acetaminophen 500 mg which were both sealed closed, Multivitamins, a sealed container of Milk of Magnesia, Methylprednisolone 4 mg Dosepak also sealed, and Docusate Sodium 100 mg. The bottom bunk had rumpled up orange bedding. There were strips of orange cloth presumably from the bedding located in different spots in the room. Included amongst these was what appeared to be a makeshift clothesline tied between the bunk bed Page 2 of 3 EFTA00063544

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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) ~ 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 — was collected by the undersigned and entered into the evidence locker cage at in As he was made aware by MCC staff that when the decedent's celimate 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 HE confirmed that the decedent's NOK, his brother, Mark Epstein was notified of the decedent's death. The undersigned called the brother and discussed OCME policy and procedure with regard to a ME case. He does not object to an autopsy, however, he has requested to have present a private independent physician (pathologist) as a second opinion for the findings at the OCME autopsy. Dr. 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 m— that the — ME discuss the -_— autopsy findings with FB! Special Agent Disposition: ME Case/Hospital with ML! 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. EFTA00063545

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Case Notes 4 Office of Chief Medical Examiner, New York City Bae Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Note Type: Status Management Department: RRU DateTime: 03/02/2022 15:15 Entered By: Yvelisse Matias Notes: Request No: 2201214() ‘Note Type: email Department: Legal —~dDateTime: 01/05/2022 11:25 _ Entered By: Melanie Rios Notes: MLR received FOIL request for autopsy report and toxicology report for decedent. ee a Note Type: ME Supplemental Note Department: Pathology DateTime: 11/14/2019 13:55 Entered By: Kristin Roman Notes: Spoke today with AUSA attorney ii EEN ond our counsel Florence Hutner via conference call. kr ‘Note Type: Status Management Department: RRU DateTime: 11/08/2019 17:35 Entered By: Cms System Notes; Request No: 1907065( Lawyers ) Note Type: Status Management Department: RRU DateTime: 11/08/2019 17:25 Entered By: Yvelisse Matias Notes; Request No: 1907065( Lawyers ) Note Type: incoming Call Dopartment: Pathology DateTime: 10/25/2019 11:16 Entered By: Mishah Jahangir Notes: Communications forwarded a cail from Mark Epstein decadents brother. He wented to bnow why he heen’ recolved the complete case file and only the autopsy report. Spoke at Records and asked Mr. Epstein to send another notarized fequesting the complete case file (not only the autopsy report, as his previous letter), and also gave him the number for the Legal department. Note Type: Status Management Department: RRU ~ DateTime: 10/04/2019 15:31 Entered By: Cms System Notes: Request No: 1906273( Government Agencies ) Note Type: Status Management Department: RRU = —~dDatteTime: 10/04/2019 15:29 Entered By: Yvelisse Matias Notes: Request No: 1906273( Government Agencies ) Note Type: Status Management Department: RRU . DateTime: 09/17/2019 16:36 Entered By: Cms System Notes: Request No: 1905056( Family ) Note Type: Status Management Department: RRU —s«DatoTime: 09/12/2019 15:24 Entered By: Cms System Notes: Request No: 1905768() Note Type: Status Management Department: RRU =———=«éDateTime: 09/12/2019 15:11 Entered By: Yvelisse Matias Notes: Request No: 1905768( ) ‘Note Type: Status Management Department: RRU =——DateTime:: 08/28/2019 11:33 Entered By: Cms System Notes: Request No: 1905197() Note Type: Status Management Department: RRU DateTime: 08/27/2019 16:17 Entered By: Yvelisse Matias Notes: Request No: 1905419( Government Agencies ) Note Type: ME Supplemental Note Department: Pathology DateTime: 08/27/2019 13:16 Entered By: Kristin Roman Notes: This moming, | attempted to call the cell phone of Stacey Richman, to tell her that | would be finalizing the autopsy report. Voice mail answered, with a message stating that the mailbox was ‘would not be able to leave a message. kr Noto Type: ME Supplemental Note Department: Pathology DateTimo: 08/27/2019 13:15 Entered By: Kristin Roman Notes: This moming,| called the office of Stacey Richman ot MEM to tt her hat | woutdfnatze the autopsy report today She was not available, so | left a message with the answering Ls Note Type: Status Management © Department: Mortuary -—«dDateTime: 08/20/2019 16:43 Entered By: Steven Lindsay Notes; M1919432H010 - Neuro-Brain Stock 1 Note Type: Status Management Department: Mortuary ~~ DateTime: 08/20/2019 16:43 Entered By: Steven Lindsay Printed on 3/3/2022 at 11:16 AM by Yvelisse Matias Page 1 of & EFTA00063546

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Case Notes Office of Chief Medical Examiner, New York City Of: 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: ~~ DateTime: 08/20/2019 16:43 Entered By: Steven Lindsay Notes; M1919432H020 - Neuro-Other Stock 1 Note Type: Status Management Department: DateTime: 08/20/2019 13:35 Entered By: La-Shaunde Williams Notes: M1919432H010 - Neuro-Brain Stock 1 Note Type: Status Management Department: Mortuary DateTime: 08/20/2019 13:35 Entered By: La-Shaunda Williams Notes: M1919432H013 - Neuro-Brain Stock 2 Note Type: Status Management Department: ~~ DateTime: 08/20/2019 13:35 Entered By: Le-Shaunda Williams Notes: M1919432H020 - Neuro-Other Stock 4 Note Type: Status Management Department: a DateTime: 08/19/2019 12:29 Entered By: La-Shaunda Williams Notes: M1919432H006 - Neuro-Other 1 Note Type: Status Management Department: ~~ DateTime: 08/19/2019 12:29 Entered By: La-Shaunda Williams Notes: M1919432H005 - Neuro-Brain Note Type: Status Management Department: —_ DateTime: 08/19/2019 10:57 Entered By:MargieVega Notes: Request No: 1905197() Note Type: Status Management Department: Pathology DateTime: 08/17/2019 11:15 Entered By: Edrs Service Notes: 19136788_UPDATE_20190817_111227.pdt Note Type: Status Management Department: Pathology DateTime: 08/17/2019 11:15 Entered By: Cms System Notes: AMENDED DC Note Type: ME Supplemental Note Department: Pathology ‘DateTime: 08/16/2019 17:29 _ Entered By: Kristin Roman Notes: “case note entered late* | placed a call to the family's attomey, Richman, at to inform her that | would like to contact the decedent's brother, Mark Epstein, to tell him the cause and manner of death. She my desk number, and then she cailed him, called me back, and the three of us had a discussion about the cause and manner of death. | told Mr. Epstein that | wanted to talk to him about this before | amended the death certificate. We had a very long and detailed phone conversation, as they had many questions for me about how | reached the determination. kr ‘Note Type: Status Management Department: Pathology DateTime: 08/16/2019 17:28 Entered By: Cms System Notes; AMENDED DC Noto Type: Status Management = Department: Pathology DateTime: 08/16/2019 1725 Entored By: Cms System Notes: DC Amendment/Correction Started Note Type: General ~~~Department: investigations DateTime: 08/16/2019 12:30 Entered By: Nicholas Schultz 8/16/19, Dr. Roman and | responded to 26 Federal Piaza to meet with | | of the FBI . There we watched a short video was titled 11 a 0/19, however we were informed the actual camera name was 116 L South. Per VCS the video we watched came from the camera located near the upper level office (upper tier opposite side of the room from where cell was located). The video captured areas outside the upper level office, some of the guard common area, and what appeared to be a smail section of the staircase leading to the upper tler where Epstein’s cell was located. The upper tler and cell where Epstein’s cell wes located could not be seen in the video. e video. The video was blurry and the identity of the person(s) in the video were indiscemible. Note Type: General Department: Investigations DateTime: 08/13/2019 18:33 Entered By: Nicholas Schultz Printed on 3/3/2022 at 11:16 AM by Yvelisse Matias Page 2 of 5 EFTA00063547

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Case Notes Office of Chief Medical Examiner, New York City O40) & Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: The following documents Photos & Documents section of CMS were received v ail on YPD _ office, > OUP} eport (others or Medical 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, following received from James Saunders, Esq ffice, of the FDNY Bureau of Legal Affairs: “Hospital or Medical Records" 014 & 015. Note Type: Status Management Department: RRU DateTime: 08/13/2019 10:02 Entered By: Margie Vega Notes: Request No: 1905056( Family ) Note Type: General Department: |nvestigations DateTime: 08/13/2019 09:36 Entered By: Aden Naka Notes: Bronx RHIO queried for medical records to support death investigation - no match to records. Note Type: General Department: \nvestigations DateTime: 08/12/2019 17:14 Entered By: Nicholas Schultz Notes: DONA swabs collected on 08/11/19 from autopsy observer, Dr. Michael Baden, submitted to OCME HR for processing. Note Type: General Department: |nvestigations DateTime: 08/12/2019 11:50 Entered By: Kathleen Liggio Notes: Di rds on the decedent from MCC were submitted to my email by Special Acort | had requested repeatedly from at MCC the decedent's documentation of demographic information and PMH/medications information from the Medical Health Services unit. However, the documents submitted focused chiefly on the suicide attempt incident from 07/23/2019. These were entered into the CMS record. Note Type: Status Management Department: Pathology DateTime: 08/11/2019 19:40 Entered By: Edrs Service Notes: 19136788_UPDATE_20190811_193631 pdf Note Type: Status Management Department: Pathology DateTime: 08/11/2019 19:40 Entered By: Cms System Notes: NEW DC Note Type: Status Management Department: Mortuary DateTime: 08/11/2019 18:11 Entered By: Sneyder Desousa Notes: Check-Out Borough: Manhattan Note Type: FQS Time out Department: cueey DateTime: 08/11/2019 17:41 Entered By: Joe! Mudd surance Notes: Timeout complete, Documentation, photos and tags were checked. New ME tag made at checkout to match updated confirmed ID. Release was authorized Note Type: Status Management Department: Pathology DateTime: 08/11/2019 17:24 Entered By: Cms System Notes: Exam: AutopsyExam Completed By: Kristin Roman Note Type: ME Supplemental Note Department: Pathology DateTime: 08/11/2019 16:48 Entered By: Kristin Roman Notes: Before the autopsy and this evening, | spoke to Detective omeram from the FBI liason unit at NYPD. | explained to him what information | need (full investigation) and asked that the decedent's clothing be brought to me for examination. | told him that the ligature is at OCME, but is at the DNA building and it will not be brought to me until {omorrow, so | have not examined it yet. kr Note Type: Status Management Department: Pathology DateTime: 08/11/2019 15:27 Entered By: Cms System Notes: NEW OC Note Type: Status Management Department: Fingerprints DateTime: 08/11/2019 15:05 Entered By: Fingerprint Service Notes: FingerPrint FB! XML Sheet Added Note Type: Status Management Department: Fingerprints DateTime: 08/11/2019 14:54 Entered By: Fingerprint Service Printed on 3/3/2022 at 11:16 AM by Yvelisse Matias Page 3 of 5 EFTA00063548

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Case Notes Office of Chief Medical Examiner, New York City Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: FingerPrint RAP Sheet Processed. Transaction!D: 34388328 Note Type: Status Management — Department: Fingerprints DateTime: 08/11/2019 14:54 Notes: Finger Print Response from DCJS = Hit. NYSID : 046148790 Note Type: Status Management Department: Mortuary _ DateTime: 08/11/2019 14:44 Entered By: Ligia Ceja Notes: M1919432H005 - Neuro-Brain Note Type: Siatus Management Department: Mortuary —«dDateTime: 08/11/2019 14:44 Entered By: Ligia Ceja Notes: M1919432H006 - Neuro-Other 1 Note Type: Status Management Department: Mortuary DateTime: 08/11/2019 14:44 Entered By: Ligia Ceja Notes: M1919432H006 - Neuro-Brain Note Type: Status Management Department: Mortuary _—dDateTimo: 08/11/2019 14:44 Entored By: Ligia Ceja Notes: M1919432H006 - Neuro-Other 1 . Note Type: Status Management Department: Fingerprints DateTime: 08/11/2019 14:43 Entered By: Fingerprint Service Notes: Finger Prints Submission Acknowledged by DCJS Note Type: Status Management Department: Fingerprints DateTime: 08/11/2019 14:43 Entered By: Fingerprint Service Notes: Finger Print submitted to DCJS. Fingerprint Acquired By : LCEJA(via Livescan). TCN: NYCME0110178 Note Type: Status Management Department: Fingerprints DateTime: 08/11/2019 14:43 Entered By: Fingerprint Service Notes: Fingerprint Acquired By : LCEJA(via Livescan) Note Type: Status Management Department: Other DateTime: 08/11/2019 11:54 Entered By: Kareem Wiggins Notes: Entered case to determine if Mortuary access was ready to be rescinded. Note Type: Status Management — Department: identifications ~~ DateTime: 08/11/2019 11:02 Entered By: Cms System Notes: 1D confirmed with the information provided by Informant: Epstein, Mark Note Type: ID Event Department: identifications DateTime: 08/11/2019 09:56 Entered By: Sabrina Shelby Notos: Or. Michael Baden presented to our office with the Decedent's brother to watch the autopsy. He was given an observer form to complete and was swabbed before he went to observe the autopsy Note Type: Status Management Department: X-Ray DateTime: 08/11/2019 08:20 Entered By: Benjamin Criss Notes; Type of X-ray: Full Body Note Type: Status Management Department: Pathology DateTime: 08/11/2019 08:20 Entered By: Cms System Notes: Exam: Autopsy Note Type: Ouigoing Cail Department: investigations DateTime: 06/10/2019 17:39 | Notes: MLI Ligglo informed me she has been in contact with the NOK/brother. He has no objection to privately retained pathologist (unknown who at this time) be allowed to be present to observe the tomorrow moming. Graham and he approved this request #8 8 courtesy to the fay. He Informed me the pathologist needs to be al 620 at 9am tomorrow moming for security processing, swabbing and completion. ML! Liggio will call back the brother and update me with the name of the private pathologist. Note Type: Status Management Department: investigations DateTime: 08/10/2019 17:17 Entered By: Nicholas Schultz Notes: Departure from MCC. Note Type: Status Management ; jigations DateTime: 08/10/2019 17:15 Entered By: Nicholas Schultz Notes: Arrival to MCC, Note Type: Status Management : stigations DateTime: 08/10/2019 17:14 Entered By: Nicholas Schultz Printed on 3/3/2022 at 11:16 AM by Yvelisse Matias Page 4 of 5 EFTA00063549

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Case Notes Office of Chief Medical Examiner, New York City OF: & Case No: M-19-019432 Decedent: Epstein, Jeffrey Edward Report Date: 08/10/2019 Report Time: 08:31 Borough: Manhattan Notes: Following notification regarding this case, | responded to the office and accompanied ML! Liggio to Metropolitan Correctional Center. | ‘remained with her throughout the entire MCC scene investigation. A Note Type: Scene Visit Event Department: investigations DateTime: 08/10/2019 16:33 Entered By: Nicholas Schultz Notes: A total of four scans were performed Inside cell 220 at Metropolitan Correctional Center using a Leica BLK360 scanner. At this time, due to the file size and software used, the scans are unable to be uploaded to CMS and are being held by the Anthropology Department. Scans will be made available to the medical examiner on Mon. 8/12. poche Department: Pathology ~ DateTime: 08/10/2019 15:06 Entered By: Corinne Ambrosi Remains checked in to Manhattan OCME factity Full body xrays eehe by L. Radulov (Xray) unable to access case due to HP nature. Emailed the following: “Recovery tag received sealed. radiographic procedures. Full body x- OCME Investigations still at the scene. ML! report not in CAmbrosi. rk Epstein CMS. Case will be handied tomorrow per Drs. Graham, Sione ee Note Type: Status Management Department: Mortuary DateTime: 08/10/2019 13:24 Entered By: Kareem Wiggins Notes: Check-in Borough: Manhattan Note Type: Status Management Department: investigations DateTime: 08/10/2019 10:35 Notes: High Profile Note Type: Status Management Department: Transportation DateTime: 08/10/2019 10:25 Notes; Mett at scene before they could be assigned - ADOMS Wiggins aware Note Type: Body Pickup Department: investigations DateTime: 08/10/2019 10:05 ‘Entered By: Russell Czvekus . vod By: Renee Coan Notes; Reason: Paperwork not ready still on floor — — Note Type: General Department: investigations = DateTime: 08/10/2019 09:52 Entered By: Kathleen Liggio Notes: The undersigned discussed this case with Dr. Dajer of York Presbyterian Lower Manhattan Hospital and this will be documented in the ML! Report. | attempted to call Steen tehaeeart NY, NY seven times. Voice mail messages offices anda (?). The facility telephone repeatedly transferred my calls to the office of which was up by voice messaging, even though } explained to her repeatedly that | needed to speak to a live person. with Tour Commander Russell Czevekus and Deputy Director of Investigations/Operations Nicholas Schultz about this case. Nicholas Schl and myself wll be go to te soene for an investigation Naeem Cees Department: Communications DateTime: 08/10/2019 09:29 Entered By: Sandra Sykes-Mcmikie Geraldine from Lve On NY requested a hold according to Director of MLI unable to give them one because ofthis case being high profi. Note Type: Department: Communications DateTime: 08/10/2019 08:19 _ Entered By: Shirley Canty Notes: Calliocaton MCC prison posse hanging SE Printed on 3/3/2022 at 11:16 AM by Yvelisse Matias Page 5 of 5 EFTA00063550

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) Notice of Death Bae M-19-019432 Decedent Information: Name: Epstein, Jeffrey Edward Age: 68 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: [i 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: Dajer, Dr Shield : Tel: (212) 312-5070 Sixty-One No: Aided No: Chart No: 8504592 App. Manner: Undetermined Hospital and Physician Information Facility: New York Presbyterian Lower Manhattan Hospital Date; 08/10/2019 Time: 07:25 Pronounced By: Date: 08/10/2019 Time: 07:36 Physician: Tel: MLI Contact, Scene and Disposition: Scene Investigation: 08/10/2019 at 10:53 by Schultz, Nicholas Case Disposition; WE Case (Desousa, Sneyder) EFTA00063551

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Initial Call Recorded By: Canty, Shirley Printed: 93/03/2022-11:16 EFTA00063552

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io. (iii Fax to OCME Communications 24/7 at ican why the hu» vary r ’ Worksheet Wo communications ep ‘OCME has accepted Jurisdiction of this decedent ac a \tedical Examiner (ME) casa c has requeited the plzptidien submit this farm 2 for review, loose conplete sections A, d, COG & remains, This is considered a as Comalete Section £) The decedent; neat-of-tin is requesting City Sala! fora decedent whase death Is dive extiasively ta natural dvease. This considered a City Syris! caso where tha matiod of dispasition Is “Intarment” and the placs (s "Cty Burlel", Please submk the letter wuthorizing Cty Barlal signed by the NOK with this form, Piesse camslete sections A, 8, C & 0 (D0 Not Cormolete Sectian ea tyme MINE FSO S92 Veteran Ciy/ Cins L_} Unknowe a feaoemetns =n ate ILIn [timtemnpmease few’) C= Cece Burial wishes a identified by the NOK(Checkench | CJtySurial [C]Priveve Guriel [_jNeads Additonal tme—Uaknowa nl Bey Baste, pau mwat promis yb eriaettoe fer City Serttl stewed by cha MK ce petven eviberaed BM Srcl E>eesilen ferrewessnestontind WOM few Onjection teAutoper? C]y¥/ C)n/ C/A |ifyeawhy?icheckOne: [C]rolixious []Pemona []other ; C. Heatch Care Fecit fawennanverne VP Loan Pomhefinn ain nton eet Elna Dna Se a 0 eS Ts —— ae jasttome Oe ireatame AT DA) O Pronounsing Physician Contact Information: ra IDesth Pronounced: [pgw (minfdd/yryy*: F/O / [StTaceshant [7] As Pattent Report (Pc) | [7] oischarge Sermmnery or Har (required for ALL cartes) {required for ME cosas) (required for MME cases) wired documents must be attached: |_} Ceath Certificate L_) Authorisation for City Burial (required for Cty Burial and (required whenever City Gaim Oniy) Surtal is requested) Please do not attach additional medical records or otherwise unsolicited documentation. A Denoguphks Why are yousubmitdng this fort? C Weatth Cane Factity Data ‘THIS ($4 NEW YORK CITY GOVERNMENT RECORD AND SHOULD BE ACCURATELY COMPLETED SY HOSPITAL STAFF. NOTE: This form must accempacy the decedent whan transported te the Medical Barnlner’s Office. Version 2.0 Last revised 5/8/2002) Effective august 1 2018 aote 01/20/1953 FFF crrrey M 08/10/2019 421948243 MDM AEN o7-27am EFTA00063553

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Fax to OCME Communications 24/7 at A yes = a Does the decedent naw 9 spinal cord injury, hip fracture, burns, gunshot or stab wounds or any other trauma? oC Did the decedent die fram un overdose or intaxicaticn fram drugs, aizahol chemicals or prescription drugs? — ol] casean CeeaE navaray tent cl mel br sengiel procedne Laat Ei known or swspeced to have uses cr contributed to the ves Td no] Waste cocedest under police custody, datalned, prisoner er Invekutariy committee for payehlatrie cara? yes C] no L) oid anvironmnantal temparuture (high ar tow) contribute to the death? , yes CL] no Li) sthe decedent's identity unkagwn? £. Clive! Seammury: SEQ8 - Connp'ate thi, surutaucy fer Medleal Exner Cogs andy! Please DONQT complete this snetion for claim only or city Surtal casas! Please surtunerize the chreumstence wad reasons for admikstons, pask medical history, dlagnosuc work, sungical procedures und findings forall reportable deaths. Piease report any bullets, alterations of wounds and ology studies. Found down et mec. Frag inhel rhyhn asyste/e fell MCLS, in hhh wf Good &S biloF ; c- Collen placed - ay, ring, loreer 2 A wy 9Nen - 42 arms PSe $6: Toh. 4, of Crp Template this section for ME casas only Per wedk f—P ih asyshole ke 7T f bcemene~ Cont ved wl gro ry In‘la — Eig, Deus, Lrard > App 9A re. Ab Yih a Suskole Throghaf - Bet svde fone Conk CoV sac er. asl - Tw O76 J? BARGER £ fro fzo/y Prepared by a. ): en Berartag eon ey Tile Department Contact @ ” THIS IS A NEW YORK CITY GOVERNMENT RECORD AND SHOULD BE ACCURATELY COMPLETED BY HOSPITAL STAFF. NOYE: This farm must accompany the decedent when trassparted to the Medical Examiner's Office. Version 2.0 Last revised §/6/2018; fective Aupest 1, 2018 2ef2 8504592 01/20/1953 EPSTEIN, JEFFREY uM 08/10/2019 421948243 (WMA ornare EFTA00063554

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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 York, New York 10016 Telephone: Official Website: www.nyc.gov/ocme Mortuary Release Document Case No: M-19-019432 Time of release: 18:11 Date of release: 08/ 9 I, Stephen Schubert i. representing the firm of Frank E Campbell the Funeral Chapel, located at 1076 Madison Avenue, New York, New York, 10028, Telephone No. hereby certify that | have received from the Office of Chief Medical Examiner the body of Epstein, Jeffrey who died at New York Presbyterian Lower Manhattan Hospital. I have been d uly authorized to ive the same by the brother of the decedent, Epstein, Mark, who resides at a , West Palm Beach , Florida, 33411 . I have checked the identifying wristband, toe tags, photo and verified that they correspond with the decedent that | have been authorized to remove. Released By: Released To: Desousa, Sneyder a a (Mortuary Technician) (Funeral Director) (License No.) Verified by: Mudd, Joel (Forensic Quality Specialist) EFTA00063555

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FUNERAL DIRECTOR'S STATEMENT OF AUTHORITY ‘THE CITY OF NEW YORK ‘Tha statemem 1 made tor tho purpose of imduany the Y OLPARTIMENT OF HOSPITALS hospital tw eoloase the desth cemtcete end/o: (he remamns cf No death concave and/or body wil be roleased the deceased below named and wath che knowledge that the by he henpael te 0 funeral devetor unet 9 copy of hosp:tal well rely © the uth of the statermants made herein. ‘bes form property exeaited. 1 on fe £77 1G O19 73 (11S HEREDY CERTIFIED THAT TH MD To ‘The remains of Olume of decoesed) Fonidatel pl! J Wa & Ter eke Herel ethos MAA! A= i ‘hospital or rl hs $5 [ . —~ {4 [~~ Name of Firm O Abbey Funeral Directors, Th O Andrett Funeral Homo O Becker Undertaking C © Btau, Abraham Funers! OC Bouteverd - Riverside Cha; OC Boulevard. Riverside Chapots 1450 Broadway - Howlett, NY. 11557 O Boyd, Cloude R. - Caratozzoto Funerat Rem 4785 Deer Park Avenue - Deer Park, N.Y. 11729 OC Boyd, Claude R. - Spencer Funeral Home 448 Main Street - Babylon, N.¥. 11702 O Burr - Davis - Sharpo 584 Gramatan Avenue - Mt. Vernon, N.Y. 10552 1076 Madison Avenuc - New York, N.Y. 10028 353 Second Avenue - New York, N.¥. 10010 352 East 87th Street - Now York, N.Y. 10028 152 Second Avenue - New York, N.¥. 10003 1895 Flatbush Avenue - Brooklyn, N.Y. 11210 O Campbell, Frank E.- The Funeral Chapol 1076 Madison Avenue- New York, N.¥. 10028 O) Casey Funeral Home 380 Stosson Avenue - Staten Istand, N.Y. 10314 O Casey - McCaltum-Rice 30 Nelson Avenue - Staten Istand, N.Y. 10308 O Cooke, Walter B.- Kennedy Funeral Home 353 Second Avenue - New York, N.¥. 10010 CO D'Andrea Brothers Funeral Home 90 Oak Street - Copiague, N.¥. 11726 CO Davis George ¥. Funcrat Home 14 Le Count Place - Now Rochelle, N.Y. 10801 O Dwyer Funeral Home 90 North Broadway - Tarrytown, N.¥. 10591 © Fogurty funeral Home 136-25 410t Avonuo - Flushing, N.Y. 11355 © Gartick Funeral Home 1094 Yonkors Avenne - Yonkers, N.Y. 10704 CG Gramercy Park Chapel 152 Second Avonue - New York, N.Y. 10003 O Hottman Memorial Chapels 415 State Street - Spring Valley, N.Y. 10977 O Morris J, tne. 1895 Flatbush Avenue - Brooklyn, N.¥. 11210 O Morris LJ. ine. 24 Bast Door Park Avonue - Dix Hills, N.Y. 11748 O Morris 1.J, ine. 48 Greenwich Street - Hompstoad, N.Y. 11560 O Nagel, Charles P. Funeral Home 352 Bast 87th Street - New York, N.Y. 10028 OC Rovaky Momortal Chapel 1700 Conoy island Avonee - Brooklya, N.¥. 11230 CO Park West - Riverside Chopets 333 Amsterdam Avenue - New York, N.¥. 10023 O auina- Fogarty 162-44 Sanford Avenuo - Flushing, N.Y. 11358 ©) Quinn, Thomas M. & Sons Funeral Home 35-20 Broadway - LIC New York 11106 OC Riverside Memoriat Chapel 180 West 76th Street - New York, N.Y. 10023 OC Riverside Memoria! Chapel 24 West Broad Street - Mt. Vernon, N.Y. 11552 O Riverside Memoria! Chapel 114-03 Quoens Boulevard - Forest Hills, N.Y, 14375 O Riverside - Nassau North Chapels 55 North Station Plaza - Great Neck, N.Y. 11024 O Schwartz Brothors - Jetier Memoria! Chapet 114-03 Queens Boulevard - Forest Hills, N.Y. 11375 O Univeret Funeral Chapel 1076 Madison Avenue - New York, N.Y. 10028 O Virginia Funeral Chapet 1707 Hylan Boulevard - Staten Island, N.¥. 10305 O Woterbury & Kolly Funeral Home 45 South Hightand Avense - Ossining, N.Y. 10562 CO Waterbury & Kolly Funeral Home 1300 Pleasantville Rond - Briercliff Mancr, N.Y. 10510 CO Werst, Goorge Funorai Directors 71-41 Cooper Avenue + Glendalo, N.Y. 11305 O Whalen & Baill Funoral Home, Inc, 168 Park Avenve - Yonkers, N.Y. 10703 O Otmen EFTA00063556

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EFTA00063557

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- be Lek 2: } sie OWN, ll, epee a _ SR Naa EFTA00063558

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UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, ny DAILY LIEUTENANT’S LOG Shift-Day-Date: M/W Saturd ugust 10, 2019 | Beginning Count: 798 | SHU: 73/5 Daily tive Information: I/M Felix’ on Psych Obs, w/inmate companion I/M Williams on Psych Obs. w/inmate companion I/M Gentile on Psych Obs. w/inmate companion M/W I/M Ramos MEM Psych Obs. w/inmate companion I/M Fernandez on Dry Cell w/inst. Staff (R-A) 7a :00 AM assumes duties as the Morning We Operations Lieutenant. The fire alarm and sprinkler system operational w/exception of Control Center Fire Panel. P announcement conducted via the Institution Public Address S and/or Radio. Restraint Equipment Cage inventory conducted. equipment accounted for. Metal Detector checks conducted. operative w/the exception of Rear Gate/Facilities/R&D. Roof completed. All secure. Temporary Chit Inventory: #1:2; #2:5; 4:6; #5:5; #6:0; Hosp:0 # Institution Count in progress 1 AM | Good AM] Clear Institution count announced AM | Institution Count in progress AM | Good Verbal count announced AM| Clear institution count announced AM| Institution Count in progress AM|Good Verbal count announced AM|Clear Institution count announced on Board at approximately 5:30am AM|Medical emergency announced or Unit 9 South inmate Ep #76318-054 found unresponsive in cell 206-220 CPR in progress Epstein #76318-054 inuation of CPR is stil ambulance to local hospital cont 736 AM|Bop staff called to notify institution that inmate Epstein f STG International Terrorist phone calls monitored: y tour of du The fo Name Ending Count: 758 SHU: 71; - g ; Po Local Hosp: 00; H/A OBS: 04; B/A OBS: 00; Dry Ol; H/A(PBS); 00; H/A_(PCLAS); 00 EFTA00063559

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UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT’S LOG | Beginning Count: 757 SHU: 71/5 SHIFT-DAY-DATE: D/W - Friday, August 09, 2019 Daily Sensitive Information: D/W aily Ss e fo) I/M Gentile NNN on Psych obs w/inmate companion I/M Ramos my co even obs. w/inmate companion. I/M Fernandez # on DRY Cell w/staff watch in R&D. Assumes duties as the Day Watch Operations ] 757 | 71/5 Lieutenant. The fire alarm and pump system is inoperable at this Unable to conduct PREA | | | 8:00 AM time. Fire Watch is in Progress. announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All Roof Check completed. | operative w/the exception of Rear Gate. All secure. Temporary Chit Inventory: #1:0; #2:5; 83:5; #4:6; #5:6; #6:5; Hosp:0 Hand Stamp :DJBE/LEFT HAND Dail NYPD Phone Check #3371 Body Alarm Test Initiated. i Body Alarm Testing Complete. Institutional count in progress 757 | 71/5 Good verbal count announced _ Clear institutional count 757 | 71/5 Institutional lockdown for count. +1; I/M Mutimura 757 | 71/5 I/M Fernandez transferred to special housing (dry cell) | 757 | 72/5 -] Bail Bond; Carreon-Macias - [756 | 7275 Relieved of duties by E/W Operations Lieutenant, ia a Visitation: CANCELLED Children Total ION SCANNING TESTED HITS: 0 $1G/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: () Reason | Unit | TIME A/D Order Ending Count:756 ; SHU:72 ; 10-South: 05; SHU OBS: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 00 EFTA00063560

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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/£ D. y Sensitive Information. I/M Gentile w/inmate companion. I/M Ramos if in W/inmate companion. I/M Felix n /inmate companion. I/M Wiliams q w/ inmate companion. CHRONOLOGICAL EVENTS SHU assumes duties as the Evening Watch Operations Lieutenant. Unable to conduct PREA announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment 756] 72/ accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate. Roof Check completed. All secure. Temporary Chit Inventory: W124; #2:4; #3:5; #4:5; 85:5; 46:3; E/W 4:00 PM Institution count in progress. NYPD Phone Check #1980 Body alarm testing in progress. Body alarm testing completed Good verbal count Clear institutional count. Watch call in progress I/M Williams and Felix transferred to special 756 | 74/5 housing (psych observation) ~ Trash run in progress Trash run complete Institutional count in progress. Good verbal count announced. Clear institutional count announced. Relieved of duties by as the M/W Lieutenant. 'o] Ke a} = 756 | 72/5 as) = PM PM PM PM PM z VISITING: CHILDREN 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 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; B/A SHU: 00 EFTA00063561

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ae eee weryeu sey mM ONNIOs Yoog pay z EFTA00063562

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| EFTA00063563

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BP-A0288 INCIDENT REPORT corrm JUN 10 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Part I - Incidont Report 1. Institution: MCC New York 2. Inmate’s Name 3. Register Number 4, Date of Incident }. Time Bpstein , Jeffery 76318-054 07/23/2019 :30 am 6. Place of Incident 7, Assignment SHU M-Tier Cell 124 Unassigned 8. Incident 10. Prohibited Act Code(s) Self-Mutilation 228 11. Description Of Incident (Date: 07/23/2019 Time: 1:27 am_ Staff became aware of iincident) On July 23,2019 at approx. 1:27am While working in the Special Housing Unit 1f and heard noise coming from the M tier Cell 124.Upon arrival inmate Bpstein‘s cell mate (I Tartaglione MMMM was at the door stating I/M Epstein #76318-054 had attempted to |hang himself. I kept a visual while grabbed door and called for ass: neq After securing I/M Tartaglione and removing him from the cell, I entered then placed I tpstein on his side and removed an orange homemade rope from his neck. I/M was breathing at this time unresponsive.Addition staff and larrived I/M was then removed from the SHU. 12. Name/Signature of Reporting Employee 13.Date And Time 7/23/2019 1:30 am 14. Incident Report Delivered to Above Inmate By 15. Date Incident ncident (Type Name/Signature) Report Delivered 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: | B. The Committee is referring the Charge(s) to the DHO for further Committed the Prohibited Act as charged. Hearing. Did not Commit a Prohibited Act. Cc. The Committee advised the] inmate of its finding and of the right to file an appeal within 20 calenfiar days. Committed Prohibited Act Code(s} 19. Committee Decision is Based on Specific Evidence as Follows: 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act) 21. Date And Time Of Action. (The «UDC Chairman’s signature certifies who sat on the UDC and that the completed report accurately reflects the UDC proceedings.) —— ee Chairman (Typed Name/Signature) Member (Typed Name) Member (Typed me) INSTRUCTIONS: All tems outside heavy rule ere for staff use only, Begin entries with the aumber | and work up, Entries not completed will be voided weft, DISTRIBUTE: ORIGINAL-Central File record; COPY-1- DHO: COPY-2- Inmate After UDC Action; COPY-3- inmate within 24 howrs of Part I Pr POF Prescribed by P5270 Replaces 2-GIEAOSBO! MAY 84 EFTA00063564

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Suicide Timeline: 8:00 am: inmate Reyes Efrain, Reg. No. WOU departs fdr 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: inmate Epstein departs attorney conference and returns to SHU. 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 Epptein 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: RN, aw notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, IO initiated. No jpulse found, no shock advised, inmate prepared for transport to llocal hospital. 7:00 am: Institution placed on modified operations 7:10 am: EMS departs institution enroute to Beekman Hospital. 7:19 am: USMS notified of incident. EFTA00063565

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7:20 am: SIS Lt notified. 7:30 a Ss arrives at institution. | notified. 7:32 7:36 7:40 8:00 PIO notified of incident by the Warden. Official time of death reported by ER physician. Acting Chief Psychologist notified. AW and PY Captain arrives |/at institution. 8:10 8:10 8:34 9:00 9:00 9:00 with 9:15 9:30 9:50 Hospital. 10:00 am: CMC and IDO arrive at Beekman Hospital, fingerprints am: SIS Lt arrives at institution. cMC and scss notified. FBI notified. AUSA notified. WM arrives at institution. SIS Lt. Reports to SHU. Interviews will be conducted inmates assigned to tier. am: CMC arrives at institution. Acting Chief Psychologist arrived to the institution. SCSS arrives at institution. CMC and IDO depart institution En route to Beekma and photographs taken of inmate Epstein. Inmate clothing s cured and brought back to institution. 10:00 am: 10:15 am: 10:45 am: Judge Berman notified. CMC returns to institution. PIO arrived to the institution. EFTA00063566

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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 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 remove hard drives (Computers) from SHU. And replaced with ones. Sunday, August 11, 2019 8:00 am: Resumed normal operations. Attorney conference vi and social visits (Unit 3) resume. an to new its 12:15 am: Computer Services Manager departs the institution. 10:40 on Ss TT 2: at institution. ives 11:15 am: RN. departs institution with fwo computers FPS 021407270 and FPS 0214207268. EFTA00063567

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2:00 pm: O1G NNN 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 EFTA00063568

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10", 2019 TO: Lieutenant || FROM: na Correctional Officer SUBJECT: Response to Institution | On August 10, 2019 at approximately g:45 am 1, once Up to MCC NY at the request of the Operations Lieutenant for emergency hosp mi detail. Upon artiving I was detail to New York Presbyterian hospital room ‘Ad in emergency room wher" ! inmate Epstein, Jeffrey # 6318-054 remains where located. 1 was responsible for ‘vatelling the remains until further instruction Was given along with another correctional officer} Shortly thereafter Institution Duty Officer (aiDO) arrived and took command of detail. The timeline for detail is as followed (times are approximate) . { 1030 Remains was prepared by hospital staff to be moved to hospital morgue 1045 Hospital staff escort remains to hospital morgue aren cooling unit | 1050 Area is ensured as secure by officers on detail at direction of 1po | 1135 IDO communicates with Director Wiggins of Office of City Medical Examiner (OCME) in regards to receiving remains to be transported to city morgue j 1137 AW notified by 1pO 1138 IDO attempts to communicate with Director Wiggins of OCME (left messhge) 1139 IDO receives return communication from Director Wiggins (OCME) | 1204 IDO receives communication from 1208 IDO receives communication from A/W in regards to instruction on remains 1210 IDO communicates with Director Wiggins of OCME and coordinate movement 1257 Staff from OCME depart from New York Presbyterian hospital and transport remains to city morgue location | 1303 Hospital detail staff arrive back at MCC New York edera! ‘orrection Officer US Dept of Justice Federal Bureau of Prisons — EFTA00063569

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U. S. Department of Justic Federal Bureau of Prison Metropolitan Correctional Center 150 Park Row, New York, 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 told inmate Epstein I was leaving the facility around 7:00 p.m. Inmate Epstein agreed to shorten attomey 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 (G) Tier and escorted the phone for him to make a social call. I placed the phone in the first jack to the left on G tier. Inmate i 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. I remember dialing a number starting wit but the number was note notated. Inmate Epstein began talking on the phone. I told the end inmate Epstein’s call after 15 minutes. They complied. EFTA00063570

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BP-A0S71 CHAIN OF CUSTODY LOG CDFRM Os" DEPARTMENT OF JUSTICE sex ¢ NYU-19- OY 7 ITEM @ NVM - 19 OV CASE ID NUMBER: SUSPECT (If known) aif; TON OF ITEM hoy, ) aShest. MiSHel\loneou BG (OM Aasor Lal (One Ky Og = with/attach to evidence) XSIGWATURE OF F PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date & Time: Witness: (printed name) BVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date & Time: Witness: (printed name) DISPOSITION: ( ) Hold as evidence ( ) Return to owner { ) | Lab Analysis ( ) Return to finder { )} Destroy immediately ( ) | PBI { ) Other REMARKS (condition of evidence): Peeperrrrerrrrrrrrrrrrrrr TTT TTT Tir iti tii iti tiie h lke) bh iliiebiebiielel CHAIN OF CUSTODY Prescribed by P5510 EFTA00063571

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BP-A0971 CHAIN OF CUSTODY LOG CDFRM AUG 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU |OF PRISONS ‘ —_ M 5 (Enclose with/attach to evidence) Trem # \ MW -19-00 S CASE ID NUMBER: SUSPECT (I£ known) (\) | OvYY Made N DOS € camernum azgq roo: —& 11) 1G/a) ON Pm excuarore oF COVERING EVIDENCE: SORINTED NAME: EVIDENCE PLACED IN OVERNIGHT DRO DESCRIPTION OF ITEM: DROP-BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Witness: (printed name) DISPOSITION: {( ) Hold as evidence { ) Return to owner ()| Lab Analysis ( ) Return to finder ( }) Destroy immediately ( )) FBI { ) Other REMARKS (condition of evidence): PPePerrrrrrrrrrrTerrrTrirrTirriiiiiti titi tte iii) Li iil CHAIN OF CUSTODY WATERS? Prescribed by P5510 EFTA00063572

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BP-A097] CHAIN OF CUSTODY LOG CDFRM ix . %5\* nepARTMENT OF JUSTICE neu g NYM-19-0176 : —————eS Encl th/attach ide g N¥M-19-00196 (Enclose with/attach to evidence) — CASE ID NUMBER: SUSPECT (If known DESCRIPTION OF ITEM: 1 Box methylprednisolone tablets, 1-bottlemilk of magnesia 2-boxes Topcare Extra strength pain relief, i~Box Adv Vitamin c-500 plus DATE/TIME ITEM FOUND: 08/12/19 12:55 P.M 9 South 206-220-LAD FEDERAL BUREAU OF PRISONS ) Epstein, Jeffery 6318-054 LOCATION: SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY: (printed name) Date & Time: Witness: (printed name). EVIDENCE RECOVERED FROM 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 owner () |Lab Analysis ) Return to finder () Destroy immediately () ) Other REMARKS (condition of evidence): . l-Tolaftate cream, 1-AdvanceUltra plus,1-Bottle Docupate Sodium, 2-bottles Omega 3, a-- "a o pprrrrrrrrrrrrrrrrT TTT Titi itt titted lela aneeeerenene CHAIN OF CUSTODY 08-12-19 1:10PM IIs NF lk mili (UR Prescribed by P5510 EFTA00063573

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BP-A0971 CHAIN OF CUSTODY LOG CDFRM {5° DEPARTMENT OF JUSTICE FEDERAL BUREAU |OF PRISONS new g NYM-19-0178 trem @ NYM-19-00198 (Znclose with/attach to evidence) CASE ID NUMBER: suspect (rf known) Epstein, Jeffery |76318-054 DESCRIPTION OF yzem: 1-small bible book, 1-letter mail, 1-AED envelope, l-orange material DATE/TIME ITEM FOUND: 08/12/19 12:55 P.M LOCATION: 9 South 206-220-LAD SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NAME EVIDENCE PLACED IN OVERNIGET DROP BOX: DROP-BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Witness: (printed name) DISPOSITION: (7) Hold as evidence () Return to owner () Lab Analysis ) Return to finder () Destroy immediately () ( ) Other . REMARKS (condition of evidence): PeerrrrrrrrrrrrrrrrrTrr TTT TTT iti ii tii t tied iii CHAIN OF CUSTODY | EVIDENG) Dffice 08-12-19 1:10PM SIS Office : MN MN HL EFTA00063574

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BP-A0971 CHAIN OF CUSTODY LOG CDFRM zen g NYM-19-0177 rrem g NYM-19-00197 (Enclose with/attach to evidence) CASE ID NUMBER: SUSPECT (If known) Epstein, Jeffery |76318-054 —_—_——————— pescrrprron or rrem: S~books,2-packs cotton swabs, 2-bars of soap, 6~AAA batter l-glasses,1-chap stick, i-headphones, Orientations pamphlet, | DATE/TIME ITEM FOUND: 08/12/19 12:55 P.M 9 South 206-220-LAD LOCATION: SIGNATURE OF PERSON RECOVERING EVIDENCE: parerep vaxe : EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY: (printed name) Date & Time: Witness: (printed name) EVIDENCE RECOVERED FROM 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 owner (}| Lab Analysis ) Return to finder () Destroy immediately ()| PBI () Other : REMARKS (condition of evidence): ‘ 1-piece of brown paper bag with writing "SW U2 dinner",1-bible ,1- receipt PPerrrrrrrrrTrrTT TIT TTT Titi iii titi ii el eee eee r eee CHAIN OF CUSTODY 08-12-19 1:10PM SIS Office LL nN Prescribed by PSS10 EFTA00063575

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Date: Time: 12:39 Pm Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 Alpha Code: NYM End Date: 08/10/2019 Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: All Entered Date Alpha Code Level 1 Location Level 2 Location _—_Level 3 Location No data found. “No information was found for the given criteria.** User 1D: 125431 08/13/2019 Shift: Morning User: All Reg #: All Events: Count Events Only Shift User Event Base Count Page 1 oft EFTA00063576

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Date: 08/13/2019 Time: 12:38 Pm Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 Alpha Code: NYM End Date: 08/10/2019 Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: All Entered Date Alpha Code Level 1 Location Level 2Location Level 3 Location Event Date Shift Bi02019 7:01 PM NYM SHU Housing Unit, Special 9 SOUTH SHU 8/70/2018 4:00 PM Evening (SHU) 8/10/2019 17:58 PM NYM SHU Housing Unit, Special S SOUTH SHU 8/10/2019 10:00 PM Evening (SHU) & 10/2019 14:59 PM NYM SHU Housing Unit, Special 3 SOUTH SHU B/102018 11:00 PM Evening (Siu) User WD: TRRS431 Shift: Evening User: All Reg #: All Events: Count Events Only User TF 13647 TFI3647 TF13647 Event Official Count Official Count Base Court Vetified Base Count M Page tof? EFTA00063577

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Date: 08/13/2019 Time: 12:37 Pm Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 Alpha Code: NYM Shift: Day End Date: 08/10/2019 Level 1: SHU User: All Level 2: Housing Unit, Special (SHU) Reg #: All Level 3: All Events; Count Events Only ee Entered Date Alpha Code Level 1 Location _Level 2 Location Level 3 Location Event Date Shift User Event Base Count 80/2019 10:31 AM NYM SHU Housing Unit, Special = 9 SOUTH SHU 8102019 1:30AM Day TF42028 Official Count (SHU) 8/10/2019 11:20 AM NYM SHU Housing Unit, Special © 9 SOUTH SHU 8/10/2019 11:19 AM Day 1F420¢8 Base Count Verified m4 (SHU) User ID: 125431 Page 1 of 1 EFTA00063578

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 Location of Incident | _ Z Date and Time of Photo EFTA00063579

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3) r .S ee \ EFTA00063580

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METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 76318-054 PHOTOGRAPHS TAKEN 8-10-19 EFTA00063581

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident EFTA00063582

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EFTA00063583

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 EFTA00063584

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Date and Time of Incident — 08/10/2019 6:33 AM a EPSTEIN, JEFFERY REG#76318-054 Date | Time of Photo EFTA00063585

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. m7 Date and Time of Photo 08/10/2019 6:49 AM Soft EFTA00063586

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EFTA00063587

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office INMATE SUICIDE EPSTEIN, JEFFERY REG#763 18-054 - : ; EFTA00063588

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM \ EFTA00063589

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EFTA00063590

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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#763 18-054 - Location of Incident Photograph(s) by Lt || Date and Time of Photo 08/10/2019 6:49 AM EFTA00063591

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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 r«08020196:334M |__| Inmate Name / Reg. No. ! EPSTEIN, JEFFERY REG#763 18-054 | Location of Incident ZA a ee eee ~~ Date and Time of Photo 08/10/2019 6:49 AM ~~ EFTA00063592

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Lieutenant 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident INMATE SUICIDE Date and Time of Incident | 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 | Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM rm EFTA00063593

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by nm Date and Time of Photo 08/10/2019 6:49 AM r ft EFTA00063594

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA 08/10/2019 6:49 AM EFTA00063595

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office INMATE SUICIDE Ds ate and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:49 AM EFTA00063596

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 a TT Date and Time of Photo 08/10/2019 6:49 AM EFTA00063597

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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. — Location of Incident Photograph(s) by EFTA00063598

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 Location of Incident So ee ee BESET A Date and Time of Photo 08/10/2019 6:49 AM \ | EFTA00063599

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Lieutenant 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office | __InmateName/Reg. No. _| EPSTEIN, JEFFERY REG#76318-054 | EFTA00063600

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant’s Office Type of Incident | INMATE SUICIDE EPSTEIN, JEFFERY REG#763 18-054 Date and Time of Photo 08/10/2019 6:49 AM EFTA00063601

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name(s) / Reg. No. Location of Incident | Photograph(s) by EFTA00063602

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section N/A 1 8/10/2019 @ 6:33 AM Jeffrey, Epstein #763 18-054 photographs taken at outside hospital EFTA00063603

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident 8/10/2019 @ 6:33 AM Jeffrey, Epstein #76318-054 [ photographs taken at outside hospital 3504592 EPSTEIN, JE 981042 (WH EFTA00063604

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident N/A Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #76318-054 Location of Incident photographs taken at outside hospital Photograph(s) by L — JEFFREY 4219483 MENON 8/10/12 EFTA00063605