Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 * y Poet i «4 I) UNCLASSIFIED ey T CRIME road EFTA00163486

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(U) Timeline 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) 07/09/19: Epstein placed with cellmate Nicholas Tartaglione 07/23/19: Epstein’s first suicide attempt 07/24-29/19: Epstein placed on suicide watch 07/29/19: Epstein removed from suicide watch 08/09/19: Cellmate Tartaglione released 08/09/19: Epstein last observed on video returning to Special Housing Unit (SHU) at approximately 7:40pm 08/10/19: MCC staff discovered Epstein hanged in cell at 6:33am EFTA00163487

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(U) Epstein Housing Unit Details s - Camera out of service on” Guard Station J. SRI x 4 J Lf 47 A Ww 4 WA ™ Epstein Cell A #220 CY? Cameras mee— \ a \ r — \ TR \ — \ “San, > qd Oo EFTA00163488

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(U) Epstein Housing Unit Details UNCLASSIFIED EFTA00163489

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#3 by SHU Officer Camera Controlor Key Be — Key held Key Access Only oN Held by SHU Officer // \ a Y Key Access Only Held.by XY Offizer Control + #1 Access only Control or Key Access — Key held by Visiting Officer Key ACCOSS (Gee Only Held by Visiting Officer Control Access only #2 Camera UNCLASSIFIED EFTA00163490

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(U) Epstein Housing Unit UNCLASSIFIED EFTA00163491

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(U) Epstein Housing Unit UNCLASSIFIED EFTA00163492

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(U) Epstein Cell Area UNCLASSIFIED EFTA00163493

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(U) MCC Incident Log ~ —_ Type of Incident Bi INMATE SUICIDE Type of Incident | INMATE SUICIDE | Date and Time of Incident _ | 08 10/2019 6 33 AM Date and Time ¢ f Incident YY, Inmate Name / Reg. No. | EPSTEIN, JEFFERY REG#76318-054 Inmate Name / Reg. No EPSTEIN, JEFFERY REG#7631 8-054 | Location of Incident | ZA Location of Incident | ZA Photograph(s) by | Lt | Photograph(s) by im _—i| | Date and Time of Photo | 08/10/2019 6:49 AM Date and Time of to 08/10 2019 6:49 AM UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163494

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(U) MCC Incident Log Date and Time of Photo UNCLASSIFIED EFTA00163495

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(U) MCC Incident Log Type of Incident INMATE SUICIDE Date and Time of Incident 8/10/2019 @ 6:33 AM 1 Time of Incident 18/10/2019 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #763 18-054 nmate Name / Reg. No EPSTEIN, JEFFERY REG#76318-054 Location of Incident photographs taken at outside hospital Location of Incident ZA Photograph(s) by Photograph(s) by L Date and Time of Photo UNCLASSIFIED 08/10/2019 6:49 AM EFTA00163496

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(U) MCC Incident Log Type of Incident N/A Date and Time of Incident Inmate Name(s) / Reg. No 8/10/2019 @ 6:33 AM Jeffrey, Epstein #763 18-054 Location of Incident Photograph(s) by photographs taken at outside hospital UNCLASSIFIED of Incident Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No Jeffrey, Epstein #763 18-054 Location of Incident I photographs taken at outside hospital Photograph(s) by | | OrIZHIVSSS 4592 ae EAN, JEFFREY a2 ost ye EFTA00163497

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(U) Inside Epstein's Cell UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163498

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\ # i UNCLASSIFIED EFTA00163499

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(U) OCME Epstein Autopsy Report i. Hl. IV. V. Vi. Vil. Vill. IX. Xl. 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 F. RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM ABRASIONS OF LEFT FOREARM CUTANEOUS CONTUSIONS OF WRISTS SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE 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 HEPATIC STEATOSIS (2480 GM) CERVICAL LYMPHADENOPATHY REMOTE FRACTURE OF RIGHT FIRST RIB REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) SEE TOXICOLOGY REPORT SEE NEUROPATHOLOGY REPORT m 900 @> UNCLASSIFIED CAUSE OF DEATH: MANNER OF DEATH HANGING SUICIDE (HANGED SELF = samedi ~ “emmees Yoelisse Matias EFTA00163500

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(U) OCME Epstein Autopsy Report Continued CLOTHING: The body is received clad in a hospital gown INJURIES, E RNAL 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 UNCLASSIFIED EFTA00163501

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(U) OCME Epstein Autopsy Report Continued 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 supenor horn (Figures | 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 RIGHT 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 BACKGROUND: On LDA were removed by Dr. Kristin R 1 2019, the Forensic Anthropology Unit received a hyoid and larynx that an during the autopsy of a 66-year-old male and submitted for @ 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 rem facilitate examination. The specimens were Hyoid Thyroid Cricoid Figure 1. Diagram of the submitted hyoid and laryax (anterior view) showing the approximate fracture locations (red lines). Figure 2. Overview of the submitted hyoid bone exhibiting a fracture to the left greater horn (white arrow FINDINGS: Hyoid The greater horns of the hyoid are bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures | and 2 UNCLASSIFIED EFTA00163502