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t:Ikle lem mottoa:omsatte tla decollant Mein trensperted to tie ~cal ExteCnive Dttica. Version LO Lut sevised MAX& e..7r ii•eiteent L 2018 8504592 EPSTEJN, JEFFREY 08/10/2019 Tole 01/20/1953 M 421948243 07 27AM 0 M EFTA00063554 DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL E
ice of the Chief Medical Examiner: M19-19432 I am writing to request the complete Medical Examiner's case file associated with the death of inmate Jeffrey Epstein, Metropolitan Correctional Center, New York, Federal Bureau of Prisons. Specifically, please provide the OIG with a copy of the complete Medical Exa
g the examiner's notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein's cause of death. Please provide the documentation digitally to Special Agent Office of the Inspector General, U.S. Department of Justice, a or v
copies provided here represent all requested documents which are contained in: OCME medical examiner case file #: M-19-019432 concerning decedent: Jeffrey Edward Epstein K OCME forensic biology case file #: I have examined the original records maintained by OCME's Records and I attest that the records attached to t
0 EFTA00063528 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): Th
9-03508-001 W Typo: FT'R43334:600 Bid Source: PamOral M.E. CAS"' M-19-019432 DATE OF DEATIt 08/10/2019 7:36 AM NAME OF DECEDENT: Epstein, Jeffery Ape 86 Years Race White hoc F N AUTOPSY U NOAUTOPSY (Exam} U PURSUANT TO UAW • a MEOICAL EXAMINER: Dr. Roman, Kristin ME EXAM DATE: 0
isse Matins Page 5 of 5 EFTA00063550 Notice of Death Borough: Manhattan Report Date: 08/10/2019 Time: 08:31 polo M-19-019432 Name: Epstein, Jeffrey Edward Sex: Male Race• White Place of Death: 170 William Street, New York, NY 10038 Cross Street: Current Location of Decedent: Veteran: No Age: 66 Years
n inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport t
dent 08/10'2019 6:33 AM Inmate Name / Reg. No. EPSTEIN JEFFERY REG#76318-054 Location of Incident Z.4 Photogr
ution count announced 758 72/5 6:33 AM on Board at approximately 5:30am relievidg Lt o duty. Medical emergency announced for Unit 9 South inmate Epltein #76318-054 found unresponsive in cell 106-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health
ece of brown paper ( I Return to owner ( ) Destroy immediately bag with writing "SW U2 dinner0,1-bible CHAIN OF CUSTODY ( ) ( ) ,1- receipt Lab Analysis FBI DATA/TIME' DESTINATION; EVIDENCE RALUISmA TO: ETTOENCN RUSES= DX' 08-12-19 1:10PM SIS Office SIS Office PDF FEDERAL BUREAU OF PRISONS
M FOR ASSISISTANT DIRECTOR, REENTRY SERVICES DIVISION FROM: SUBJECT: Warden, MCC New York Institution Response to Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein, Jeffrey (76318-054) dated September 17, 2019. I.S
NT DIRECTOR, REENTRY SERVICES DIVISION FROM: SUBJECT: Warden, MCC New York Institution Response to Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein, Jeffrey (76318-054) dated September 17, 2019. I.Single Cei
ion Response to Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein, Jeffrey (76318-054) dated September 17, 2019. I.Single Ceiling: It is recommended that all inmates be double-celled unless safety concerns or an
ould have been conducted within 24 hours of his entry into Bureau custody which was on July 6, 2019, according to P6031.04, Patient Care. 4: Inmate Jeffery Epstein #76318-05, arrived in the Receiving and Discharge (R&D), area, on July 6, 2019, at approximately 9:24 p.m. His medical Intake Screening was conducte
on Review Team On August 14, 2019, a team of staff will arrive at MCC New York to perform an After Action Review on the apparent suicide of Inmate Jeffrey Epstein Reg. No. 76318-054. The duration of this visit will be fluid and conclude once the assessments are complete. During this visit, the teams will work lar
scription. On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special Housing Unit, staff observed inmate Epstein, Jeffrey Reg. No. 76318.054, lying in the fetal position on the floor with a homemade fashioned noose around his neck. Inmate Epstein was breathing heavily, howe
rocedures Manual. 3. Cellmate Assignments: When Mr. Epstein was placed in SHU on July 7, 2019, Executive Sta
) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date & Time: Witness:(printed name) DISPOSITION: ( ) Hold as evidence ( ) Return to owner Lab Analysis 1 ) Return to finder ( ) Destroy immediately FBI ( ) Other REMARKS (condition of evidence): CHAIN OF CUSTODY EVIDENCE RRIIKASE4 BY: DATE/TINE
08-09-2019 01:20:18 GRP. SPECIFIC.. REG LN FN ARSD ARS 2052 205-539L 78107-054 ENGLISH CLAUDIUS 05-15-2018 A-HLD 204A Z04-206LA0 76318-054 EPSTEIN JEFFREY 07-08-2019 A-PRE K042 K04-129L 86918-054 ESPI.NAL GYANCARLO 05-23-2019 A-PRE IO4N I04-932L 81357-053 ESPINAL-GOMEZ JOSE ARNUL 05-16-2
FEDERAL BUREAU OF PRISONS CHAIN OF CUSTODY LOG (Enclose with/attach to evidence) ECN a: ITEM CASE ID NUMBER: SUSPECT (If Known): Epstein. Jeffrey Hetr. No. 76318-054 DESCRIPTION OF ITEM; Special I lousing Unit 30 Minute Rounds Sheets for 8/10/I9 DATE/TIME ITEM FOUND: 8/10/19 8:10 am LOCATION:
EDERAL BUREAU OF PRISONS CHAIN OF CUSTODY LOG (Enclose with/attach to evidence) ECN N: ITEM II: CASE ID NUMBER: SUSPECT (If Known): Epstein. Jeffrey Rest. No. 76318-054 DESCRIPTION OF ITEM: Special Dousing Unit 30 Minute Rounds Sheets for 8/9/19 DATE/TIME ITEM FOUND: 8/10119 8:10 am LOCATION: MC
15-2018 A-HLD 204A Z04-206LA0 76318-054 EPSTEIN JEFFREY 07-08-2019 A-PRE K042 K04-129L 86918-054 ESPI.
N: ( ) Hold as evidence ( I Return to owner ( ) ( ) Return to finder ( I Destroy immediately ( ) ( ) Other REMARKS (condition of evidence): Lab Analysis FBI CHAIM OF CUSTODY INIDENCE RELEASED NY' 2 1#22Va DESTINATION: IDli nt BE I JAAHlia Sic CrEbbek g- Vkalt 1 oz,-,-ato. 09 crAP-439-1:84 Pr
Extra strength pain relief,l-Box Advi1,1-Vitamin C-500 DATE/TIME ITEM FOUND: 08/12/19 12:55 P.M LOCATION: 9 South 206-220-LAD SUSPECT (If known) Epstein,Jeffery 76318-054 Box methylprednisolone tablets,l-bottlemilk of magnesia SIGNATURE Of COVERING EVIDENCE: PRINTED MANE EVIDENCE PLACED IN OVERNI
HAIN OF CUSTODY LOG CDFRM AUG 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU 76318-054 mcm z NYM-19-0178 to evidence) SUSPECT (If known) Epstein,Jeffery ITEM f NYM-19-00198 (Enclose with/attach CASE ID NUMBER: DESCRIPTION OF ITEM: 1-small bible book,l-letter mail,)-AED envelope,l-orange material
DISPOSITION: ( ) Hold as evidence ( ) Return to owner ( ) Return to finder ( ) Destroy immediately ( 1 Other REMARKS (condition of evidence): Lab Analysis FBI CHAIN OF CUSTODY EVIDENCE RELEASED BY: DATE/TIME• l ift? f3A0ki DESTINATION; EVIDENCE REpEASED TO: PDF ;routribed by PS510 EFTA00120038
Extra strength pain relief,l-Box Advi1,1-Vitamin C-500 DATE/TIME ITEM FOUND: 08/12/19 12:55 P.M LOCATION: 9 South 206-220-LAD SUSPECT (If known) Epstein,Jeffery 76318-054 Box methylprednisolone tablets,l-bottlemilk of magnesia SIGNATURE Of SONRECOVERING EVIDENCE: PRINTED MANE: EVIDENCE PLACED IN O
G 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU ECM z NYM-19-0178 ITEM 8 NYM-19-00198 (Enclose with/attach to evidence) CASE ID NUMBER: Epstein,Jeffery SUSPECT (If known) 76318-054 DESCRIPTION Or ITEM: 1-small bible book,l-letter mail,)-AED envelope,l-orange material DATE/TIME ITEM POUND: 08/12/
Return to owner finder ( ) Destroy immediately ition of evidence): own paper bag with writing "SW U2 dinner",1-bible ,1- ( ( receipt ) ) Lab Analysis FBI CHAIN OF CUSTODY EVIDItNat RELEASED BY- DATE/TIME. DESTINATION: EVIDENCE RELEASED TO. 08-12-19 1:10PM SIS Office SIS Office PO, Prescri
1-orange material DATE/TIME ITEM POUND: 08/12/19 12:55 P.M LOCATION: 9 South 206-220-LAD (Enclose with/attach to evidence) SUSPECT (If known) Epatein,Jeffery 76318-054 SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:(printed name) Date
Extra strength pain relief,l-Box Advi1,1-Vitamin C-500 DATE/TINE ITEM FOUND: 08/12/19 12:55 P.M LOCATION: 9 South 206-220-LAD SUSPECT (If known) Epstein,Jeffery 76318-054 Box methylprednisolone tablets,l-bottlemilk of magnesia SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NANJIIIIIIIII EVIDENCE
DISPOSITION: ( ) Hold as evidence ( ) Return to owner ( ) Return to finder ( ) Destroy immediately ( 1 Other REMARKS (condition of evidence): Lab Analysis FBI CHAIN OF CUSTODY OATE/TXML• (6:110A1( DESTINATIDAL POP SDN Prescribed by P5510 00000828 EFTA_00000052 EFTA00134591 BP-A0971 CHAIN OF
:20:18 FN. . . . . . . . ARSD . . . . . . ARS .•••••• l(ii~0::: 0 :::: ~=-:==-==-------==== - --=-==---=-=--=~ ~-_JI Z04A Z04 - 206LAD 76318-054 EPSTEIN JEFFREY 07-08-2019 A- PRE ,uz o» au l.o <O_ .er--.~ ~ ~ I c Q) Cl (1l 0... Page 3003 NYMH3 530*05 * PAGE 001 OF 001 CATEGORY: OCT
--=~ ~-_JI Z04A Z04 - 206LAD 76318-054 EPSTEIN JEFFREY 07-08-2019 A- PRE ,uz o» au l.o <O_ .er--.~
DATE£TIHE: DESTINATION : \ 'I s., l..t )(6), (b)<7){C) 8Ja,lt ct \7c.>,J Cnr-o:f'- ~t>I~ PDF Prescribed by PSSlO EVIDENCE , b)\61; (bi(7)(C; Lab Analysis E'BI RELEASED TO: I I Page 3052 BP-A0971 CHAIN OF CUSTODY LOG CDFRM AUG 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ECN # --
Entities connected to both Jeffrey Epstein and Lab Analysis

Ghislaine Maxwell
PERSON
John F. Kennedy
PERSON
NEW YORK NY
LOCATION
George W. Bush
PERSON
Prince Charles
PERSON
Department of Justice
ORGANIZATION
Julie K. Brown
PERSON
Bradley Cooper
PERSONFederal Bureau of Prisons
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONPark Row
LOCATIONSpecial Housing Unit
ORGANIZATIONNicholas Tartaglione
PERSONReyes
PERSONComputer Services
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONSIS Office
ORGANIZATIONTopcare
ORGANIZATIONCRAIN OF CUSTODY
ORGANIZATIONNYMGI
ORGANIZATION