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r i -I 2- 10 'Nile tioAie_— . Suzyklitv- ratAtt1/42 Ileth :1-Ate Tu1.r4 141 Fra 743.Z1-14, OS 0 1)lx. ' 12.i2_ altos -716 2 i‘S 1 20 I 4.2fr--.> 7/2 7/Air T. .12,3_ ittS `23 .4. /173 t 3 )2i Iv; eTh es? P-tarre.._ 114 4infr _IVAfel isvnedi--- _Thn*-4 CS kAIWIl _ t ol o_v) f‘ in .-CX7I-I-NC . 1/ 44.4±_e ollAla t osah.......\ .. etm,....? Row 9.p. tc..tt..# loan tikeic; _ --6 - cot"- _. . • .,. ... 1 1.-))."- CI_ *ale; . Cr6 7 /2 , oti A s- coci.e.Lfirr- _ ?.+5 1 kb. €1. st a f2A-0 -oriCte, AVIV* _Sot _ F i c . if-6 Fir-- a.a trgs---ce_. _ .171 /7-7_ ri- :.-_ _ . i.?• ny kriv ii_..; ,,--NP44-1\`'"" / 9-b 2 ro -wry U:4- t--- 74Iog - a r-.47 U=HF e!- Ve4411er\, RtZtaieN arai t J. kin_ 11 - 0 CSC tit . 801ii OV-i--/Li t -i-nc i#313'_-t_A1M ice Sr w_o.cci (too __ _ . _ cis. in L....-:4-)6S OS 6.32. -05-4 i i: To - 16 -- th we. Li Of? 47 -air a ., Ithe I Cs'i - ifc CIA SAC* 662rIt' arl I tiO 3:11' 114,4Z5 7 o(8 *IDA 40a scnass I a _53%417 cya 1_O:an fen Lt_s, )- ... zre‘a3-4- . -031 e tit* Vio _ E _ 1-44 ZliC — EFTA00049577

7 glia 3. .2_ I _ s_oi n_____ --1?.-yvitin cot* c_o_ii.t eer- \kfr4Nra_ Kr4110frN j r lei[_ 919 2, ro -or', 741 f5 o - ?Dv_ if 24- Alla_ /-- 2----- __ tx-kikin 2e-- ,_ - 1-c_slifts ate _at,_ — _ . _ 9‘ Sly-ors istINJ t-ci c LI ii:m .rzlikz_ a. TO 'too 7• skin 65 832 -4:Yei I z: Ta tikak ta.--. AtieS JO L1113__- ___ ___(v I / Mari - 4, Ate 476 •35-120-as7 13-5-769 Mtli m-`71- .. 7-2:i3c2- ("2 __SICDO I ? -047 ff. /7__ i — 5 34 / -` 7/z3 C ta-ra‘toca-- _aced_ _ _ .-,-1 lir i, 3:/1 ipsd4L.6 Ciiki-4.,A 66 2rie - ar l it-7a &t 'O -04(0% 1142.5- ate *DS aca sc.:yaws cs‘t t7 cya , i *A2-\25), ibl. ye•sake-n - al" 0> °E' etos.-.4 _iotth_•__- ..: tr_Lek._ *142 --al 703/ ig- —.SW_ - — — -- - - ty_51, lao — 4 ):4; _ _74.11.8-_•PSP- sq 3 1 G 7”5- - - tz-_2:-____ _3294,_&_. -- - --- EFTA00049578

NAME S valtre.. tmmocig- flei.s.. T, me c,„ Ti out pirrE NIUE. me -e S_IptiNd uce agile' Th.dt ,p4 p 1/41 Ark_ I. .i ,..1 `:•;)4,1 Ycii -7. 1 i‘ 7 .-( (-Iv FE' 1 3"" 7fre AcM3 rc$ cc, saywe.-0 v-,\ kwA_ scair..cri (7: t..> • • • - • • 7A7 it2oge 2_ f72-00 0 sy.3 /22r i coo, A. b--61) __.- 1.... • &OW-Del (Az, `1O,4-7 &Ink' ICANDA 7/ OP 2 {.2.c %Gigs% •-694 12-- tic % ,sof • py ,e-s_: Irt 0 . 1 h a G ,.„ . 5rii " 411 Axel._ D.,,,., Gw:;. J 9/260013 8625i -4114 ac Lit ^ 04 /2.2) — Its' r - CL r- 5 XL( 0, (Ai Goti2a(C2_ 34014 7 -aril C30 tail 7I14 Cr i . e + (2_ ( :: , ,, i 342 ft- 45-4 fi r: cOrital aii GCM-111(1 154" 'CV 830 41-1. 1/21 tZweSem ,_./ c----) 9" aa,..--, -0.1004.! 74.200-osi 'a:90 ?-4(1/1"1 Gt4._ ", /./A/it_ Zen"-Cr, p- pe -.,1/2., 6,...,.., C€ "I' - •-•-• Plat.IC Sq134-a•OLN 4 47-0%14 /e.co "45" kelVtlAIL 77/4/414 78-0(Sq g-34/6:30, --X24 A - e..4...4, — ,, c. o ;47../S...49 Yid A -Mc. W -33 6 2.7 :42-$ I, Lei- ., hycIC • igl-b-oSti I iciC 6 .Te7 / J 516n l&stic-of 7: 3q- . i/ 9 eMit...x(r- e--2-74— z .7), -6:1 (•3a 23:46,(4,. Opel., lilt( ocz ris fi nn . 47-, 0-%„4. ,_...ci....-- 1, - --- 5.11,76.. ar ('J ClelSOCL. kA Guo_vific, &Or r-- (Zo (c nn Ci e cry-tvi ir`,O70.0-A4q° ( -)..1 r..4 MI , s r , I II-Ai - c-, 4-_, Cart.c.cdatz 1— -"•- c-,4-...e- .. c$ osi e?C5 e1/40-44-eck (I ....-r-----> • '1 cisivro-ver•.- S AN77-1 I>) 4104:it?) 5?-)2 -054 9 ,-- O• -.4 . --411it S. c-,,A4— etsicA) etarRA -CC1-t k'.46' lA rn . CLA4, -- "1 / 1"'" 6 t an5-7 e 1 1 - 0 7312— . 1 ‘,.11%,..-t-c... c-c-Sa4T- taqq -urf I:It 3/4t• t5 f Lc:Tr (1_0 It—. Arts_ 67 I P 'cc) 7 let.: eff 7r -- .mk 1?"( C I rsyk coy 5-5-(( Y 9,33 cp t Sr F C.e-`713 G-;:------- Q ic-i-ril-• 4372 371 ' t il CAA 1-. SK, Pik% gboThosi. pzs- roeux, PL., 0 i 5-5-, 42_ /0 ' 7124 1 7/#4 lia4Q.L.,-_,-, I? NOCC4 el/ ' a() TM( 40,A,a_z_ 7 / 7 0/0y 536 3“0( 10:VO I-- t)c ) I? ..." t "-÷i If . " S.K. I n---1.-- Frain /to..., ,yer.st- 05123..0 2: 5_, sl37 t --. ..- e AA*. .00, At . 5)4•W00* rater , ,.....R.. c— 17% Ap•-k._ ic:c..fr 3 e..., •) ••••5 -L-e r li #7 et.° 4-t>" , %----------- i lite r 5 ,4A1) pee.,,vg....„.74,f7-03-v , kyle (kr, A) Fs S48O71( i Z.: /427 -0J\ /O A-,3).._il:0% r /OX— 0:601 112.(c, . fiA r? Xsc5414— sc,9., Ma Ls -- ra/014e2 0,41);.1.4;tAL,01.A.Q1 Ashu .36C.C., "bir1/4' 7R-ti7.01 546 - 5.,.0 ..5.-46 Ge-c-;_, AVAitg.e.5C .4 rAm-ml-e- lc.) L., , 7 bit 3_1;i,, ..r---, PUG— SZni•er7 5:414- 2)5414 -ant 0 'C..mti ...- ft/c,a2- SLIM- OSCI Co :p (" 0 4r- eel/WC 2 .Cs.:211-•,. 11410LIFII4Syd Zan- oi Sila II P., .1a,01tr I . p,...‘..ts c5-6361-csy iv ; 47 1 -4 3/4 ills ' 7...2.1...27-:,.t.k. • :-;;;. -- ...a:, c.,,k s-o&c4-4 s7.e ._ LaY c-. Ls- 2:Y5 Lr— IND 6;c6 EFTA00049579

_ _ GS!) n 15irkGve y ts-po *72-jr:fl P: TiLAIA410/0 23%ftiOW_ .1.6 klizi bea:a 6? 7 4-421-«20s_V.37-- ... _ `c&- ►LIff_on rzr _QW"" ~4 Ks TM Mtt1t» ert Ir5Q70 --- NPAYAbn._ il'Ass—" 6 to?9,67 P . _nekterf _—<•••=C _ _AC,1) 5r. — iS-3-.° IQ_ _104e 2.1W 34r 0 2 I 4 KO ke"eassc..% - 71.21.3.14 iori .1.&2 .752n1 _ .53611 10:.2P. 51~-z.t. Pg: SD/d2, /O OS, rid/ -N 7c/PI trj; » tymcQrs; lb) "I&L10(- 0 01 (6^¢3« - tpsaciPti 7 ra 1)IS -Or? epsketvi 7Cistirg w t.trqb &e.b.e 4.- Or _Par [Pt( 7631, -OW (1..2.4 _.74449-6W 7.4a my . 77; C ^-4 ):at„_)% if•Nt _ Swat. • /7t1-1 1-FN 5. sr!~ _ • b.tkor--e. Piqe, 4.4, "; c • 2:35 7 re, 2 r 2: is Q., f; .‘"; ae EFTA00049580

)12 "") 2 7 7 7/ 2 71 1 l' NAME . iStd.crlide 3-7., SI t-kote. a , ie a 110 .1- frill(' '74 3/; /7,07./S 7 idi fl e..4._ itn ,C. D. 1440-- 1 Anti tnin TISE r h- a/on- Yanto. QC !siods, Oa v..) 39); 81.4; 25 lianAt it 01.---e- Gott., SC 3' r A,) J-AAIKedi- •C'tip J .,. '1/4- 119,-.....4- 4.' r ) CI d / tri4 pl_ "0 / 2 Iva ,) y Kh 2 sior i-') ). Gay", g6 4( I Zi Cl,t A --eC S5 co- la I S V 14-4-7°4-*-Ar1/2- ' .--- g I (1.,-- Z0120,11 &to-L., e-7 1 zr A • Co /2...,i, I- Sos 4 ,/4: Z. V ' S 7Ziemio - an/ 16; 5 0(4-t C<,51' N0 51i( 5 ,. k i,e) zae --=: '-Nees"., c o,-- (et)! %ill; r-s.,---F,..- 5163 7 --) to Ai 76_4/ cotv-eil • . Wel al core 7cli as 'at .> Ut. -c -2: 7- - MAH ibc J- /.)• 3,4,56 friNI3"-‘13“ 1 tic, it t Fr MJf -'l t/.1 >--" 8rq 1 \4-'I 4i j,. 4 I no c., ,-&---,---- --fr.k.e\l‘ote lid' it i22/it(c) _ a MQ4-Out . . 90. _ _ 0 g 2 1/ 3-0 t co 7 ‘7 i i ,k N Tu.4e / kl-N-4.2.. S. tr-csdre. onaFfir_ atm- tt": 6-1/ it'aS /MI5 1,5 im/amep., cr o..A.--, 3. fricoroc,c10", 14.z63-45t )1.1'5 3 /7... S -2 8:30 C:.61- 7/Z-= Its 10.5 Its. iJts P. (1./6" ." UkLuke4L., AA c.r.mto let it It\ r . ( ii tr ti r D. S',11 . t'1/41 • to / Viro-2-,a, ciord-on 4'.10 r-lqrs-moitzo , 3`49 it". 8.7..,4,,," g .,/,03?* 2J.) C, i n 0h, di)* II" 4 39 5 • A- --qtr 4, 1O" tc.A.0,43s---).- te, h 45 f., r-12 z----- —. 4.-• —44.....4.-- Tim Pa Lin tli 0..."„s5_, -at ) -7 ) In -t4 17:31te zit 531 631 7 C:51 M., A11.- /I"- 7 1111 Q,7 6 0 (14---P ivrt vs4 01-- ja-vis---y s-c,9q b/w 7(4,04.4.1 S3‘ S3% --C- ---- cli 0.5.S- "PVC(/' -S cel-- lo zAir-4.-S.31 -c , 104.1 Pa' 1()c (4-7 rR--_, i- .-%ril-- 0 ISM.-96 c )) ) .. a /C /1).1 54.11--- a -1=, rte.., I' L_ 7b 71..fros-cf .01 , 0 / ?Rs- Sism,,o- Gt. -7-zncosti , NY tzr MoskutoilL 6 Phl Jifrn c-busnatt s-Thi -Ds -o - .6 re* 427 Or 4.1a t; A S i „.f„„\,,,,c 200 -Jr ; ')i.i 3)Ot( s: io f<"4, b 1)/ )1 pt 11th, Hz!) ( ( I 'is tr.(5 --) 0- C „...------,--- vicicixs 4m4al z.3992.0, rthrir 06,-Dsli copy, et.? A.)c-r- v.. cmati krou4--% ii 0 /or i' lib 7rLir--44-eifr, ZS ntzinEt - ,,,.. c"--------- --- cres,.., ,O77-r)Lx1 ids/6-a" 5-3 94 2 4:6 °SY le f/ 0:t° 14 DC9 ISM- -7D Co, — ErsptorAk. SiA18-6-4 gitl . off -sty r7t, ens Etc #6 6. Tab A. j. g Veit/ 6-3e-1.45y, WA:0 eg V- --an fig 3/2: lu Ski 7- nj3/4 11colic 2_7.1./, Ut-C-i-CfCce cfs lh...4 Iona ci. ' rat -0 54( eN\--/\ I D 10-4 J1 :Sd 3:3c 3 'se C.-4D EFTA00049581

7 1 Hz( Sc W.5 Zr 'I 2r 7 7/c— aAr 71, 9 5._ kr l. lb_ z•5 bre43nak$4.4 __Arnstattq W di 12 z th l ot jPoie! . _ 5.9262,2f calcial_vb, iota pag, 13511 - Zs.):•d219 i63? • ..14, —(Av) ekn+xit__. . . A. tttat.44..tv C044 7Z.Aertici . fitYisp,( . -21.41-521/ '#3. nA cry-otkl' it& -o 1, ;IL __UV- S.110_ el "11) 420k13 _ x Atoieptudz_. . . . kr-.4 ...mtvogrn_ rLbSs 15103.24;ra. . ftac •:to..7 b asir- Ssi;cr mica__ _Wasp' .4 t.L .6 Tr pw-f-srt art crc ert, 'Mee_ 7664-QC, 1_2 1s A"%e /01#0 -00/a40 1 i tAkosi r264- S ..ryas. i P__ .0.; '14 ice_ wird— • b _rtsi_ _ Ibitni scit.-s t•:- V/ 149 (2,;s4;2 4 Mg • ;to 7 -5-1 61i 531 S3t sat -tt EFTA00049582

EFTA00049583

• • 4. iregian • C • . A "- `4; .0. . .±jer • C" . .1V4 1. i • • • • . • .. a. ..• . • •••1,r , . . „ ... ...f. • ••'• • k • • • • . i ( `ek. 'I ,: .14 „"i t ....• ' .• s . • ye 2. ''• .. . • • • •• • J .: I+ ''..••• 't. • : .... „ .ww....° • : i ... ;I: • .. t.- : .." •:••1 ` —: kV' ...; I. , •• • r , ere • ... -• 1•••• 7 ,A. - • t • • • 4 'Z. J. . . , .... ,* • /Pk .a" 1.4.••• 'et EFTA00049584

tbro Nal& casetwastre-- .vatio.pkAyouy: c_cfemo Joel- '74 _74 __Scceet o. %Oa Sci9-4.-1 .;zta /24;:n.7 'lock) mini9 12* 4-7 ex C1 C- PA' 529 A Lew t 6-43 -rfirskaio&t friaaant ) rorP 41/4 15- ti rel ialbS1 j1 Set's °&1/ 3 7sZot-oc, 1. 2 igk osy egetr-3 h-rS 96,514.-OP 127332 ( - 633Yet laTe-4-s- sag' x_vr or' g';`) Q (Pc C7,PetrAl% )zosl SO) 1-6) 337hon I n . Qt1(01 POO VA4.409{11:2? EFTA00049585

V wik-m-E- so3N Toe& itoma-k Q2 544— "*- LA , , 1` - ttli 9,7 e (11 tifil 1,1. 116 4.goe Lozil „-- aided, V I ol f — A. naryciovi- peltesyt!„,„, rum _ (\ jel&7___ (2036.05( . np_y-ofi orp __ ickls _ 1673 or _ __ a i--A-04 •Figiosy _ . r-057 7 On -1 (L'S- (Rea Id ! ty SL_.64g3 gjAA -A- 12—> ..--Ce5Pi "71 )fp- 17q_ V _5=7-__ , a _ sr - 67: 3.2) :7:4_,SZisfAip?...)r -L-3W_ 7'130 gseoct-os-v Intl Si_t i-mc ., 44o_ ter) Ma \c_ ic- 4) 1 :7,41±sa_oa To c L St 0 & t , 999 1-03' ) it-6- , Me--z2f :Ai .1:72ife7r ez-s-errer S`,4- rAn. TY,Pok) --81k ‘ gC_setz-erS'?16" -rotary- _Uoren.Ple yr tpv S 5ccien031 ea° or Zipte) Oil_ fit yi, sel s_ _pith_._ ., Ncz_a. ,_esyziwg!,:Lty .licgnci Rua? Q-c-cce ri. or ife 770ygorp ii),.s72,f0;to (is_ l c? sedute,. lik 71)±ty_c,...- a . 7 34,112 P-:' 14) Inc7(3-- MACK Wq)eek Arty-0p, Ficar. 7's7 ij 1 t(t !hi litot 26/141ili-- _ twiler-- . vett a 3o_ cc _ --77,- . _ _Pi 3qr-04-Qter: 6.) :-or Clete -Uri 3!9/ g 31 art.° . - . nc, 10 %0 7 / 7 /1 i ''A __:_/ -:trj S- : . - -----, T1 ADA 4--rw S :--- : - - Mr-- 7r7-)e-Lt' 14 2-T,)-17 ? v qzguer-- R_A=4.s•st -2 7 f0q ST-S. _g_I_LS/ 1. ii4 t--)-& 0. n . 2 4 27D- oy C 1,16.t Leo _T; O e) et ...a If )1 PI _ n AI f Alt au-r, ' 1 (;"10 AI :et- EFTA00049586

Ltt_a_ Rissi'f4 gAambin, _ q.63. As ti glq5o5Y aec 1?-s- co,irtz as ()Li o - :4o i5Pt } " gC8_527!:rt fAcigetvt frao pre; Sas5'rt-tsvg! gtc• (a.,_crjei* zer 7,O93 -or) 8 ?Lin fdli Po Pe P.V.1_ 34 FP-eciff: Or/ 3_1:9 goscoic_fris.9. 74w3-sy _g. isy 3 _ cr72.01 7127o.05y voo 53 `12:14 q;2-a 1?"71-054 4:2C. 3 78q7-05/ :- gitelcr-c./.3 50044 (O:00 No30-10Cf to C/O Al A's-1 /I/ EFTA00049587

911TC NAME SLAPATige ..liumas-E i2 9-tt-- . . Th.< Ti t/1/43 C 61 / • Oricle,Cci. 4a0A O. 111 166 1. 3 .111101 ( 6 N. filitc4VIM1 ISLAVA,k4 eV"--- 1?;.im-Ler VRN4 'ZOei,-LtV 901161-054 1I:011 u,: l/_ 713,-j(4 D: es......:.-a._ C A'q 3", 4 !:, 19 4k1- 09't ( I."' I 7/ii (It (Di Chcari. Co 4k6is W.11'1- bq 1C/" / 3.1_511r) cyr2-L.R fis*cer4"'" -6 90 ci-Ca zuy'4z, y ---0 Or 6--&244 44,,,i 76kecrio-3 /rct6 /: I . -7/3//li. eiZe:ercio _ C„,/ ypco-c&,41:O3 AZ: L 7/ W 7 4 id =.,..ed.,-,. Wa4bg iL) _ —, e 4107 .,,,- I I, ., ..., . 1:1 "i3E (t/ Silyetw., --X_ -4.__ le__, 3-62-77-.4v p_43 r _711V11 Pei Valk ‘)-- VaSe Z")..(.044,z. _7(635.7..,,z, iatys. 13 -4-1 3115_ . d i-i rt_ _ <1 1e,„_-______ .9 W1'1, ' 54 i 24' _ 1 7)-(1 0 1 fr 4d4^J .Cryilort_t,__:11P1 '44 15'2_ 4A^, — 36,,i_9-27 r)r) 19. IV ....--7----- IN n US-3 -691 ZZ5 1 --- li litLI .Z77-5 ----- 16-.2:72-ory -car- _4 1()_11t5v .i.---e-l-- -"m--r _ V\o•i.0-'4 t 00‘ 2i-,26\.SV 6 kie 9_,--2., ,,,,,/ /11-4- 6,q_;?4-4- ___y70,-, zsy - vo . til_f,0 . -Thb _ :In 4,1,2./.7 F4..x.:-.. F.6.54-0 .1' -7oli-Of..,? -7-: t ., 111- Wa„„ 4-754Y-,-5 1 1 (M)Yi 1 ,-L., A AV trA.-- ? 5-771--dY 9 II EFTA00049588

?area., co tett() oti2c0 -cire 41:03 (2" g PIM 12 '*) 3‘ Z77 12:re .3-41-17 _12"P 91113 _ _I 3o '0514_ b) ()C) asa 11%-ff Sear 3-zsY )Z3 he 4s_i_ C`3° cesi -0 Lit Sir 0 c‘Sli 'Way% -fr7v1V61 EFTA00049589

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a 1 Iv) IA al lye v . -v- --)14.0f( 1--'. / 7 ,e- va 231Allci,13 r691 /IAD _ . ThOrdi L . Ili. ii) __ Avreihfri .4_03ALica 11);el) II Vt-i), 194-to 6N )t.,0 _ : VL PlinVJA4\ gorro 1-- 13° ivy 449. 37(ifte ig‘gesit /a z 6.4._ L-Cwsz,(-7 (2,. 1- i ilg A /1 - v q l 22603 lalco Lt-17.: i719 -L: Ai • AL-- -.) ..c... I? 7 *Air hacs362:c 2117.W(b. 1:446 f. ' : 96, es - Q:ss 7, 6 Tab jeklb il 7 /6 - si t-. f 2: oct a, 32._EL.....-: 3:,0 ii 9.1‘. ). - ElatZtp.A, - 4, /0 aso,,, e4,„;-,e ,I.,a0 .ef.O2ae. Z76(34 Vit CO ecvvichs. • aNG‘ALL. Q-A-A-A. Nin '21'135'7.053 6!•c_t. • &tie& I q -rOactd- MO 63D gvp. 5 1 i °"-- 2 cc, Y/21 . c'tt .4,..."-r ___P---- (/ II- 2- ?War n0 % 9 7 b o :: vidoscil la 6C tI - C 4-. 8 __Mv c_c-z_R_ • /9T-ea nl e-e-ta 6 n rig? 33-01 6' t er-3> ao litir,,. C gtS1_24 /1/1 Aco-ciat y -. i(Ats64 44 it ,g ,., h ,.3 1 / i -666.-0(v • 6.:,-, .6o4A-04-1 rc2.0, I I Pare_a___ / all 9_frSZ-01. ejiC10)6 83-14c01: ilk. ti l 001 az Tall Hi:___ hi_ \*tel C2riZea .. / a” 7j cr i (i- ',dr 1.•_)3_ ilet -.1!.!**. 11/4"d warWing EFTA00049595

D fife Wovie, 5 Aikre_ =N 4- flee 1 1 7;3 -14 Yid( "1;4- Per-a‘• 1444, 1-fixod sky /1---witti t 4-6V \- to girie6ti Vel-- 0(1`5- 92d i?-1 Y(.1Ak‘ (\AV\ Tii410\ 1.-,theta _ L4A--1, 0O,..o., et.,L,-Oc nfrilj (-OA' (AAP:- /44/Lt_Cr.. attOreq (40 2,1/2k al lISANti-C- 1 9th _ -14P100_ ettS° 1 8,01 /9(0 14-044s Orila - 651 4 0 '4 0E WOO -AC . !IV_ ___ CM LACE rk(313.4Q15:) FLY IQ 114 1 in"( ?elk a . .PihrlaU fa r,641,4_ .. . . .cr Atwao__ -- _111-16,01_3_ ' Rwo-zu rt:= ("IL: Tr:. ;- ili k:24-5 Ake skits.' colo<N__ 4040__ ____ -7(p 3o -0.51-1 Vas .314koi biclq _ -212m;bt'NE 7i.37 (4- IL" fib• kftrJ__-__etk 78.153/1Kta :1-310, 1CL bones 3 CZ14-brit _a' :j 4 ± I 6_1/1____6_-__211:_________ 81s1-11— a _ _ i-Cilikt____ G ,EcTinebi ?camin-Fiec Sell.S-0,5u 17_ 8.5D _11, 10i -K-. cit.sisscIS. 3 5113_i_VaLeaS Es ' s cs-0- to CI k el a*A-z4:42.1-3\_ rtgirca issii---t _ . c' tc \ tel ail 4 i 0.1 41 % Di A: AN -4,634 0-.- 73r -wt. ic (61:{C% -- ‘7:- i /AY__e/E_Y6.06 ril -asz\ cA (1 41 %7(-`n-- II-kill" [od7! Tag6n 64362--ag z to to I _S. 1,464-"---- 4.-------_----sisattgo?\. 1)627104 % le; I. (Doio,c)., /lc samj ws Its 3/..ty:5 f 0 ___-_,16- sir V------- caoa-r&at_. /101-0141 l e° t iti __kJ:IN--- 4--7Vir 1€0,41t___ d'it57-05.(154) ft. efi ._ i.C. Alit. ^ 005 Ktit-3- -- AleY.et_der _ IL EFTA00049596

— ligi l'ilt/A PI, r14 Y • V iti 1 iq IN 1 yfict__ es--t - - q .._:_--- Cri1 K • Me6140eAs h\Censi fanctan,,. _ _ K 41-1--el4- --::- P kty. € , • - iiti___ _ 4.11 Ca staiao Epc-k.. I,Z _ cil, %ALL( ' . __. .gth --- AIL: 05 _7kacti 6 kk . . 65-TO-Cei $ti3I34Z5 3anC5T/ - , illitbl _ - 7/09Te / )S. (1.512 --0 libb 1(7.-)7 _ rt.:30 /.2 S $. P-15: ;2_, :c_ 1229-t 7/.8-2? t tax } 918 )., 4 1 i II -- --- .. _ __ - _ __/1/4 1A1 "2“Itott ocalLir 7.( 8O taco %.9(r- a, tin -o s• ts_y_ —Cc:" LA. 6- -ric r_.ser 3 vli:As A4, - -- +.5 _ eggs CT ODnes Jzipakb__ • Eic.pinail Esitil•-&-t ameNe^9-- _3_6 1O/ Ball_ lkili t i -s----.4",----‘ 1c1 et ii_c_o- 6s7) ti ad axa-zat.r4\ Ste- 41% to -IA /Van? atm ,0.61 7 -io tu; .4- SI Li) Ali.;\ to, cot__ i Aim1/2_ &net coA,E_TmLieputoo- L t ze(? "to ' i * , t i t _cleit60"-- - 6.‘-HPA-1--- toto -t ir--- ---sratroAkfr v eit.,), tie-- sa„....—Gks am3/•a _'it_ _sir- a6- 4W5 S• gts M _._ ir C ._______A____L") ' . .— 4---- 5 _._6m4„- \-- - VA c------- cA tees -noi-ory idittor-ac( rikientek i '-tso-7t i t° 15`) . _ 00 a I 4,1- _ 414, NV Aiaika"_ fr?- - pai YiuiAggir gn t •-•, --- (\At stcLef°rat kt‘a _ CO \c‘s nr71-tr-t _ gift eaeo•ter,-- 37397 fl-cfre- NM 23 -O (2t;) eltz,_ ±(20 p ap 1_45 ac i L 6A-4 - APttelz. aUF-r-g gi;PIZ I 9 - 5a-ett Cre,ssuktia, • ; 144\rtyputio\ . 4---" \----- Ge-7 eZ fe . .LA TV tAe est-Cc-1/2- —Li‘ la fr-s iP 3 o r I EFTA00049597

A1---E N) Pct-ke- Scptit-w- .ain-Le_ Oes..* Titg yr: .5.- 4.-. vow Le l e' er -A.,7!_ geta., ad Disaec-444 6629 0 -On I i :St) sCrT.:4e,; . /c - 16 2-"to I _ (n— at_ipt.re It-. "..... use b i-nin•Se di Mlsj if fi r - Qekti/4".Ni° I k . _ is a:SCAM:AC i - LiA„,,Ach,, MW 11 .1_,Yjneri P r 7::k i&z,5205, tit 05- - .... ( ifii, <499 5. tthilo as • a-- ocy %f L.-- cbAock4 ft• .4 irr-ot . / -• 1-tens-gi t:10 nP en? oe_e_Ca--- _.... /fr ( - ..._K.- era,..-a_fre.,_ I 'SRC-- a-a,•_-_ ext-e—:-..- yster et, 7.1) a sto 0; ciaric_osv 1:q.s 324r" i itawzp„ . e wctiy,E, 'OS ,6301:".0c-c int-, g__„,_ 1 3 4.4 0 1-CS1 tyc i 25 _, - 5 ---reti911 • it, Ander.051/ 1" 1 f 5*: (91, . P 71;,25.4. cci ( :Se r- `3:(16 6C--5 lavtepet I actlozi-att ( tcy atAbb__ WO -e(if 2 14 -3# ( 6 pOrtk eo e- C &Ida cif 19 Von VAi 110,0 36 -Qcflz G.:3 . 'eh. fi.7,4 I et. I 4—.1_2_1_ rap-- 7-evoist 2.:40 S'4- . tic ' -14.'366-w! 3' ca S.••0t - ,, Irsisycz a "t1 4 -0C1 q:•01) Cej-2O _ c45. tim-i-Atlaiv :S. e-Mtk./ 7r jelALIC-; 1 (1.0 1 _______ il-i"- sioss- csai 5-, ir- 1 toz . 9/5- NI clavier! m44.40- 81; ?AM tb 7 4 I 51-051 ....9.30 7 :0-0 S-15--- wse- ( - ni cappecif c., ft, yv C(5":- ----1-e7-{ tneA-e_ fit " 740°V PS-0' 7n gi 5 2socs-0 21 64,,,t5 _weakee / I , n _ A A . I C-,-.19„. —Vents It, ,04-ir 'R; &;•-* <2 :55 EFTA00049598

G. 4_,..isor,_ Ni&z.1.705c/ i • /8 7-s _Thge-34,- 5-- c-x43-, Qta0-9cy .t_., Itim r Fr a.a_fs la— , __ , dzava$3--. C.A.C___eraifirte-ryt _251/-r-0 762403_zsci I:11, 5 It CureCt-vi ei zoictly,E, 9 23-75-05ig i: LtS 92 CI 3S C_Jo*Jc-c AfriGN-- g,,,,,_ 13c-401-os-1 / : Y S . ?; 3S' (-5 .a-riiii ,(/5 ix.,__ )944t9_,(1 F-5 --lavypel( el_74/0 _4:11-306, 762,-6_05(.(:v r-e3:96 - C,kmmAliti GitzcQ9a.. go ozi-azt ( . If 6 oi)i-c+1\ ' 6'4 e- v61.O-4(t( c2 3 ° SC AYLTQL/____i Atio 0_ cw? Ge3n 9:-'30 1:00 : IS fi. 74 il ,/• '94 Site g 2.5/0 6:35 Z -- It CR-Sbc-.1-a._---74.--ata-cs)y. 3% ca 45 V-Itivist4MNA\-: etet-; niii‘g -OVA ce.a ce.A0 Pr (.`,L, . -HAL, 2-0(r 3 06 G.,4 ?/ J anwpc‘i. 17114•46- frio33- al nu-- 1,....) ';445 0645 1\ g --_ 0,- -z- yoge -osy 93o 74, gibe- _i_ ei nen nilp abfiril r e f b 70c, cir inef"-€ A 5574losy P p" 7 I A 815 si\jeAn 2s0c8-c2, &r..5 (a c0-i_fr J. cr 74 "24 9Sey -V-il SOL v n_____I it/ lk__ Ingkisty ilk' tki6 t. inik_ Biz5eff __ __ 70VA-1 15;5 'No 6 ___Cat--i. . --.Tr-inded6 fierce _ - 7rvy7.0rre_547i — f-th. 4 gryci _ 7.,99.-Ciecon °I c‘110 11-35- q.. 1-_ _ cr, ID CA4A 2 . i _ crn eilkstl, i AAA 53434* YC3/4db- . 4 V kni Atinm %WY Osif c?' .9 ions- - EFTA00049599

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OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK B. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA C. CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA D. PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE E. FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAE AND LEFT HYOID CORNUA WITH ACCOMPANYING SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT F. RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM II. ABRASIONS OF LEFT FOREARM III. CUTANEOUS CONTUSIONS OF WRISTS IV. SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE V. HYPERTENSIVE AND ATHEROSCLEROTIC CARDIOVASCULAR DISEASE A. CARDIAC HYPERTROPHY (440 GM) B. LEFT VENTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOXICOLOGY REPORT XI. SEE NEUROPATHOLOGY REPORT EFTA00049615

CAUSE OF DEATH: HANGING MANNER OF DEATH: SUICIDE (HANGED SELF) EFTA00049616

OFFICE OF CHIEF MEDICAL EXAMINER CrTY OF NEW YORK REPORT OF AUTOPSY CASE NO. M-19-019432 I hereby certify that t, Kristin Roman, M.D., City Medical Examiner - ii, have performed an autopsy on the body of Jeffrey Edward Epstein, on the 11 of August 2019, commencing at 9:21 AM in the Manhattan Mortuary of the Office of Chief Medical Examiner of the City of New York. EXTERNAL EXAMINATION: The body is received in a sealed, labeled, plastic body bag (seal #152384). The body is of a well-developed, thin, muscular, light skinned, 5110", 196 lb man whose appearance is consistent with the given age of 66 years. The scalp hair is wavy, predominantly grey with interspersed dark hairs, has slight male pattern balding, and measures up to 3". The facial hair is cleanly shaven. The eyes have light irides. The oral cavity has intact teeth in good repair. The tongue is free of natural disease. The finger and toenails are well groomed and free of polish. Striae are on the shoulders. The genitalia are atraumatic and of a normal, circumcised man. The anus is atraumatic. POSTMORTEM CHANGES: There is moderate, symmetric rigor mortis of the upper and lower extremities and the jaw. Lividity is fixed, purple, and unevenly distributed on the posterior surfaces of the body. The body is cool. SCARS: On the back of the left shoulder is an oblique, 1-1/2", well healed, linear scar. On the right lower quadrant of the abdomen is an oblique, 2", well healed, linear appendectomy scar. THERAPEUTIC PROCEDURES: An endotracheal tube is in the mouth, extending into the upper airway. On the lips are multiple, focal, red abrasions. A cervical collar encircles the neck. Electrocardiogram electrodes are on the torso. An intravascular catheter is in the left antecubital fosse. An intraosseous line is in the right shin. A blood pressure cuff encircles the upper, right arm. On the chest between the nipples is a 3" x 3", irregular, yellow abrasion. Internally, there are minimally hemorrhagic, parasternal, rib fractures of right ribs #4-6 and left ribs # 5-6, approximately 60 ml of liquid blood thinly coating the serosal EFTA00049617

M-19-019432 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 1/4 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 EFTA00049618

M-19-019432 JEFFREY EDWARD EPSTEIN Page 5 similar, 'A x W, faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. INTERNAL EXAMINATION: HEAD: The scalp is without contusion or laceration. The skull is without fracture. There is no epidural, subdural or subarachnoid hemorrhage. The brain weighs 1520 gm. The brain, spinal cord, and dura mater are submitted for neuropathologic evaluation. NECK: See "Injuries." BODY HABITUS: The abdominal pannus is 1-1/4" thick. The body mass index is 27. BODY CAVITIES: The pleural and pericardial cavities are free of abnormal fluid accumulations or adhesions. See also 'Therapeutic Procedures." CARDIOVASCULAR SYSTEM: The heart weighs 440 gm and has a normal distribution of right dominant coronary arteries with slight atherosclerosis (left main and left circumflex arteries, no stenoses; left anterior descending artery, multiple, focal, less than 50% stenoses; right coronary artery, multiple, focal, less than 50 to 60% stenoses). The myocardium is brown and diffusely fibrous. There is no focal fibrosis, hemorrhage, or pallor. The free wall of the left ventricle and the interventricular septum are each 1.9 cm thick, and the free wall of the right ventricle is 0.5 cm thick. The four valves and endocardial surfaces are unremarkable. The pulmonary vessels and the venae cavae are free of thrombus and embolus. The aorta has moderate atherosclerosis. RESPIRATORY SYSTEM: The right lung weighs 560 gm and the left weighs 510 gm. Both lungs have spongy, maroon and pink parenchyma that is free of masses. The distribution of bronchi and vasculature are unremarkable. The bronchi are empty. LIVER, GALLBLADDER, PANCREAS: The liver weighs 2480 gm and has soft, brown parenchyma. The gallbladder is unremarkable and contains approximately 30 ml of brown bile without stones. The pancreas is tan, lobular, and free of hemorrhage and mineralization. HEMIC AND LYMPHATIC SYSTEMS: The spleen weighs 270 gm and has an intact, purple capsule and an unremarkable distribution of red and white pulp. There are multiple, enlarged, cervical lymph nodes, measuring up to 1.5 cm in greatest dimension. The remainder of the lymph nodes is unremarkable. There is no thymus. The bone marrow is unremarkable. GENITOURINARY SYSTEM: The right kidney weighs 180 gm and the left weighs 160 gm. Both kidneys have granular, brown surfaces and otherwise unremarkable architecture and vasculature. The ureters maintain uniform caliber into an unremarkable EFTA00049619

M-19-019432 JEFFREY EDWARD EPSTEIN Page 6 bladder that contains approximately 5 ml of cloudy, yellow urine. The prostate is slightly and diffusely enlarged, with marked enlargement of the verumontanum. The testes are unremarkable. ENDOCRINE SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The esophagus and gastroesophageal junction are unremarkable. The stomach contains approximately 5 ml of opaque, brown fluid without recognizable food or pills. The gastric mucosa is unremarkable. The small intestine and large intestines and rectum are unremarkable. The vermiform appendix is surgically absent. MUSCULOSKELETAL SYSTEM: See "Therapeutic Procedures." On the anterior, inner surface of the right, first rib is a slightly displaced, healed, fracture callus. The vertebrae, clavicles, remainder of ribs, and pelvis are without fracture. The musculature is well developed and normally distributed. MICROSCOPIC DESCRIPTIONS: Tissue or Organ x # of fragments and/or levels (#= slide ID number) Histology # HT19-003396 HEART x 2 (#2): Myocardial and perivascular fibrosis. Slightly hypertrophied myocytes. LUNG x 5 (#3,4): Slight patchy emphysema. LIVER x 1 (#1): Steatosis involving approximately 50% of hepatic parenchyma. Slight periportal fibrosis. Marked congestion. KIDNEY x 1 (#1): Arteriolar sclerosis. Congestion. TESTES x 2 (#5,6): No pathologic abnormality. TONGUE x 1 (#7): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. MUSCLE ADJACENT TO HYOID BONE x 1 (#8): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. LEFT POSTERIOR NECK MUSCLE x 1 (#9): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. EFTA00049620

M-19-019432 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 EFTA00049621

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 IME Casa No: M-19-019432 Examination Date: 8/11/2019 Specimen Type : Blood(Femoral): FT19-03508-001, Blood(Femoral): FT19-03508-001 Blood(Femorag: F719-03508-003, Blood(Hoart): FT19-03508-004, Blood(Heart): FT19-03508-005, Rood(Heart): F719-03508-008, Bile: F719-03508-007, Urine: FT19-03508-008, Gastric Contents: FT19-03508-009, Brain: FT19-03508-010, Liver: FT19-03508-011, Vitreous: F(19-03508-012 Received By : April Galindez I Date Received : 08/12/2019 Results Blood(Feinoral) : F719-03508-001 Ethanol Not Detected HSGC Benzoylecgonine, barbiturates, oxycodone, opiates, amphetamines, Not Detected IA benzodiazepines, methadone, cannabinoids, tentanyl Gabapentin, pregabalin Not Detected LC- TOF/MS Basic Drugs Not Detected GC/MS Blood(Femoral) : F119-03508-002 Synthetic cannabinoids Pending Report NMS Vitreous : FT19-03608-012 Ethanol Not Detected HSGC This RIMS has an easoo—loci Saranac Tosiostogy case Ise Caned FTPXygtsSonse two gm Isola Ran suntans rating to the coittent N als opal. Dilthltions of teat used to ilia raw, can Do looted el hilierlowel.nyogontale/octsiSeracosnorlitelogyaaltreoaSintsuallpese Signed : Dr. Gail Cgdder BSc (Hone) M PhD CChem RSC FI-IEA Director of Forens: Toxicology Page 1 of 1 Date: 4/2019 EFTA00049622

/NMS LABS NMS Labs CONFIDENTIAL 200 Welsh Road. Horsham, PA 19044-2206 Phone: (215)657-4900 Fax: (215) 657-2072 e-mail: [email protected] Robert A. MIddleberg, PhD, PABFT, DABCC-TC, Laboratory Director Toxicology Report Report Issued 08/22/2019 17:09 To: 10074 New York Office of Chief Medical Examiner Attn: Department of Toxicology 520 First Avenue New York, NY 10016 Positive Findings: Patient Name FT19-03508 M19-019432 Patient ID NP Chain 19244749 Age Not Given DOB Not Given Gender Not Given Workorder 19244749 Page 1 of 2 None Detected See Detailed Findings section for additional information Testing Requested: Analysis Code Description Synthetic Cannabinoids Screen (2019 Scope), Blood 9580E Specimens Received: ID TubelContainer 001 Gray Top Tube Volume/ Collection MatrlicSource Miscellaneous Mass DatelTIrne 4.25 mi. Not Given Femoral Blood All sample volumes/weights are approximations. Specimens received on 08/14/2019. Information NMS v.18.0 EFTA00049623

NMS LABS CONFIDENTIAL Workorder Chain Patient ID Page 2 of 2 19244749 19244749 NP Detailed Findings: Examination of the spocimonNI submitted did not reveal any positive findings of toxicological significance by procedures outlined In the accompanying Analysis Summary. Unless alternate arrangements are made by you, the remainder of the submitted specimens will be discarded one (1) year from the date of this report and generated data will be discarded five (5) years from the date the analyses were performed. CERTIFICATION: Pursuant to New York Criminal Procedure Law Section 190.30(2). I certify that this report was made by me or is a true copy thereof for testing conducted at NMS Laboratories. I further certify that I am authorized by NMS Laboratories to make this certification. Workorder 19244749 was electronically signed on 08/22/2019 16:36 by: Sherri L Kacinko, Ph.D., F-ABFT Forensic Toxicologist Analysts Summary and Reporting Limits: All of the following tests were performed for this case. For each test. the compounds listed were induded in the scope. The Reporting Limit fisted for each compound represents the lowest concentration of the compound that will be reported as being positive. If the compound is fisted 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 Carnabinoids Screen (2019 Scope), Blood - Femoral Blood -Analysis by High Performance Liquid Chromatographyrfandem Mass Spectrometry QTRAP (LC-MS/MS QTRAP) for. Comm-km(1 Bal .Old command Eat-Limit 4-cyano-CUMYL-BINACA 0.10 ng/mL AMB-FUBINACA 1.0 ng/mL 4-ftuoro-PADMB-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-fluoro•MOMB-PICA 0.10 ng/mL MDMB-CHMICA 0.10 nghnl. 5-fluoro-MOMB-PINACA/ 5-fluoro- 0.20 ng/mL MDMB-CHMINAC 0.10 ng/mL EMB-PINACA MDMB-FUBICA 0.10 nghnL 5-fiuoro-MMB-PINACA 0.050 ng/mL MOMS-FUSINACA / EMB- 0.10 ng/mL 5-fluoro-NA-PIC 0.10 nghnL FUBINACA 5-fiuoro-QU-PINAC 0.10 ng/mL MMB-CHMICA 0.10 ng/mL ADAMANTYL-FUBINACA 0.20 ng/mL MMB-CHMINACA 0.20 r.g/mL ADMB-CHMINACA 0.10 ng/mL MMB-FUBICA 1 0 ng/mL ADMB-FUBICA 1.0 ngIrrL MMB-FUBINACA 0.10 ng/mL ADMB-FUBINACA 1.0 ng/mL NA-FUBIC 1.0 ng/mL AMB-CHMINACA 1.0 ng/mL NA-FUBIM 020 ng/mL NMS v.18.0 EFTA00049624

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 8120/2019): The unfixed brain weighs 1520g (expected, 1200-1500g). Examination of the fixed brain (minus the left occipital pole, removed at the time of autopsy for possible toxicology) shows normal leptomeninges. No contusions, stigmata of herniation, or other surface abnormalities are seen. External brainstem landmarks and cranial nerves are normal. Vessels at the base are distributed normally, and have no atherosclerosis. The cerebellum is normal. Coronet sections of the cerebral hemispheres reveal normal cortical ribbon, white matter, and deep gray nuclei. There is no midline shift. Hippocampi are symmetrical and of normal volume. Ventricles are normal in size and appearance. Axial sections of the brainstem and cerebellum en bloc show the substantia nigra and locus ceruleus to be well-pigmented. The aqueduct and fourth ventricle are normal. Cerebellar cortex, white matter, and dentate are normal. Cranial dura from the convexities, tentorium, and base shows falcine ossification (comment common age-related finding). The venous sinuses and tributary (bridging) veins are patent. Spinal cord and dura from upper cervical to cauda equine levels show no abnormality, externally or on midsagittal section. PHOTOGRAPHS: YES MICROSCOPIC EXAMINATION: NO FINAL NEUROPATHOLOGIC DIAGNOSIS: I. NORMAL BRAIN AND SPINAL CORD REBECCA FOLKERTH, MD The Information provided above is true and couect to the best of my knowledge and belief. Electronically signed by Rebecca Folkerth on Aug 20, 2019 05:41:27 PM EFTA00049625

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 (212)447-2763 [email protected] M-19-19432 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 and larynx (anterior view) showing the approximate fracture locations (red lines). 2 cm 1 in Figure 2. Overview of the submitted hyoid bone exhibiting a fracture to the left greater horn (white arrow). FINDINGS: Hyoid The greater horns of the hyoid arc bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures I and 2). The Forensic Anthropology Unit is accredited in Forensic Inspection under ISO//EC 17020 issued by ANSI National Accreditation Board. Refer to certificate and scope of accreditation F1-0014. EFTA00049626

M-19-19432 Lasystx 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 I 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 Icft greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Date: 21 Aueust 2019 ( .2$0.4 1 Angela So , PhD, D-ABFA Forensic Anthropologist Page 2 of 2 EFTA00049627

BP4358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE CDFRM FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. • I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Date _eda-c-r---/Zracc--- et f s Signature of Wan s Date 71,,e4clen. 7-4;c-Geaff/r&rie" NYM-NEW YORK MCC I 1 EFTA00049628

BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences andlor complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences andlor complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date Patien SignatTure Date s-68}-ur "7- to - Signature of Witness Date NYM-NEWYORK MCC EFTA00049629

BP-5356.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI . ROBERT MD 7-24-2019 Counseled by Dale 477 7r Signature of Witne s Date -225A4ona 7WA=7efates,4-es ....- NYM--NEW YORK MCC Date i EFTA00049630

BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS INA 1 2 3 4 5 8 7 8 0 10 11 12 13 14 15 16 32 31 30 23 28 27 26 25 24 23 22 21 20 19 • 18 17 a (so Occlusion: Oral Hygiene: Good Fair iz ,---- Poor CP1TN: 3 z 3 3 2- '7 Head 8 Neck /Soft Tissue: - D: 1O Classitimtion: C L -I- 24: 1 F: 1 Li Pain Scale: /10 Dental Prostheses at Intake: Yes No Type: Age: Conaion: Comrioni 4c, o IC 02 SS / Z.O--)e-s- C.--,. a. cin 01;i iSel an /r3 / Vr a StrUlt or Ca. -L.31/Ac O.1a SCAM-4 Intra-oral Photos Taken: Yes Radiographs Taken: (Document findings on A8O encounter) Yes No Instructed how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Priorities: Norte: Non-urgent J Urgent Referred to Sick Can: non-urgent Radiographs authorized: PM: Prophylaxis authorized: Yes I No (Approval veld 18 months from examination date) BWs: Panorex POent Name: S' -'-(4 n I J e_c-P-Qt/ E Institution: / MCC NEW YORK Dentist Signature: 0 Li-,,t,..c,,,,,,..L.. q)..5 fi‘ 76 Number. 3 1g- DS-1/4-1 Date: 7- z6 -/ 9. Signature Block/Stamp: C. Ancrum DDS. PDF Prescribed by P6400 e1 DentalOfficer MCC New York Rep'aces I1P-A0618 WA:4,110 EFTA00049631

BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (InitialClinical Dental Findings) FEDERAL BUREAU OF PRISONS Occlusion: • • r- 1 2 3 4 5 0 7 6 9 10 11 12 13 14 15 18 m 32 31 3D 29 28 27 26 25 24 23 22 21 20 10 • 18 17 all IXG°:enc Oral tlygiene: Good Fair Poor CPITN: 3 z 3 2- Head 8 Neck / Soft Tissue: D: Classification: CL Fain Scale: /10 Dental Prostheses at Intake: Yes Type: Age: Condition: Entra-cral Photos Taken: Yes 0 Mal 4O ) 5,\...ka Rce SS DI) Se1U-e- / a le' thr Ca0LiA5 oloSiti•e4 Radiographs Taken: (Document findings on A80 encounter) Yes No Instructed how to obtain urgent and nor. urgent dental care: Yes: No: Treatment Priorities: None: Radiographs authorized: PM: BWs: Pancrex: Pa ' nt Name: ig istiri Number i Institution: / 7(0 -3 (C"' ock MCC NEW YORK Non-urgent non-urgent Urgent Referred to Sick Cal: Prophylaxis authorized: Yes  No (Approval valid 18 months from examination date) Dentst Signature J6)-4,t_CA.-4.44t-t-- Dr)-5' Date: -7- z6 -/ 9 Signature Block/Stamp: C. Ancrum DDS. Chief Dental Officer MCC New York PDF Prescnxe by P6400 Replargs 11P-A0618 of JUN 10 EFTA00049632

BP-5350.060 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Dale 6:77,6,#r Signature of Witne s Date 715.efefidca aCste-li/re-rei Pa -nt's Sign- Date NYM-NEW YORK MCC EFTA00049633

O Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417.874-1621 ••• Sensitive But Unclassified ••s Name EPSTEIN. JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/201914:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results Negative FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 EFTA00049634

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouin, Robert MD on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00049635

BP-5358.C60 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUIN, ROBERT MD 7-24-2019 Counseled by Date 617 /7:r Signature of Witne s Date 4 11-a•sft-,6 6 re .6,,Gtes RYA.4--NEW YORK MCC ( t EFTA00049636

BP-A0618 JUN 18 U.S. DEPARTMENT OF JUSTICE • A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) S 22 3 1 5 6 7 8 32 9 1011 1213 14 15 18 m 30 29 28 27 26 25 24 21 22 21 20 19 18 17 4 cAL fib FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: CPITN: Head 8 Neck / Soft -tissue: Poor 3 Classification: CL_T- Pain Scale: /10 Dental Prostheses at Intake: Yes No Type: Age: Condition: Corm-Glatt: 4t, rfillPd. 1eC.e SS, 1_,...11-,-e-c a-% a. an va ki5 i 0,--) DI, Suu-el Act( or Can...SdJA 5 O.109 -Ale4 Intra-oral Photos Taken: Yes 0 Radiographs Taken: (Document findings on A80 encounter) Yes Do Instrucled how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Priorities: None: Non-urgent non-urgent Urgent Referred to Sick Call: Radiographs authorized: PM: Prophylaxis authorized: Yes I No (Approve; valid 18 months from examination date) EtWs: Panorer ;Pa ' nt Name: 7 s ---C4 . n i i e_ciVi*e_i f S Denfist Signature: 11 > DS gistli :rfitumber. 76 3 i e- Us-1/4i Institution: / MCC NEW YORK _62_,,,,c,„A,. Date: 7.-26 -/ 9 . Signature Block/Stamp: C. Ancrum DDS. PCF Prescobed by PS4C0 ter uental leer MCC New York Fit:pieces 8P-A0618 ol JUN ID EFTA00049637

SP-S358.060 MEDICAL TREATMENT REFUSAL COFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and ail liability for respecting and following my expressed wishes and directions. BEAUDOUIN, ROBERT MD 7-24-2019 Counseled by Dale Cf774/71 ° Signature of Witne s Date 711:e<cift,ct re6ee-e-S( 7recie NYM NEW YORK MCC Date EFTA00049638

BP-5358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date Patien Signature io Signature of Witness Date NYM-NEW YORK MCC Date EFTA00049639

BRA0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS 1 2 3 ♦ 5 6 7 6 0 1011 1213 14 15 18 r- ill 32 31 30 29 28 27 2825 24 21 22 21 20 19 • 18 17 21 Ito Occlusion: Oral Hygiene: Good Pair Poor CP:TN 3 2- Flead 8 Neck / Soft Tissue: C M: F: Classification: CL___ Pain Scaie: /1O Dental Prostheses at Intake: Yes No Type: Age: Condition: Comm cx i n _it, ..?.. P rl g i Rcess I Or) Db 1.4.,—,ter &Nicol car aW n c, 1 Lica ,J Sert.P2- Ce72a,-Ojii‘c OkSCILM4 Intra-oral Photos Taken: Yes 0 Radiographs Taken: (Document findings on A&O encounter) Yes No • Instil:tied how to obtain urgent and non-urgent dental care: Yes: I No: Treabnent Priorities: None: Non-urgent I Urgent Referred ID Sick Call- non-urgent i Radiographs authorized: PM: Prophylaxis authorized: Yes i No (Approval valid 18 months from examination date) Ms: Panorex-. Pa • nt Name: Pa' --) CV- -P•reti E Dentist Signature: (1 L) ,_44.x.m..a,.."... tzT25- istf s --Cfn i Number: 76 3 I (C..- OSN Institution: / MCC NEW YORK Uate: —.7 - 2 6 1 -19. Signature Btoa/Stamp: C. Ancrum DDS. PCF Prescribed by PCA07 fer tJental icer MCC New York Replaces UP-A6618o1JUN ID EFTA00049640

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76316-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Columbo, Joseph RN Unit: Z04 Emergency Code • Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: Columbo, Joseph RN Team Members: Provider Rate Team/Code Leader Mita Date Columbo, Joseph RN Code Events: Tvoe CPR Compressions 08/10/2019 06:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 Medications Epinephrine lmg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions 08/10/2019 07:11 Medications Sodium Bicarbonate 1 mEalkg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 ml 08/10/2019 07:12 Medications Epinephrine lmg IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEalkg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 CPR Compressions 08/10/2019 07:17 Comments: Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Continued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progress, 18g hep lock to L AC, 02 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 o' 2 EFTA00049641

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Columbo, Joseph RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedurp Target Date Scheduled Taraet Date Priority Translator Language Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Columbo, Joseph RN on 08/10/2019 08:10 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated Offn0/2019 08:10 by Colombo Joseph RN Bureau of Prisons • NYM Page 2 of 2 EFTA00049642

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 15:58 Provider. Beaudouin, Robert MD Unit: 201 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES. HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME OHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid OBJECTIVE: Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor. Cyanotic, Diaphoretic. Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/RIG Musculoskeletal Tibia I Fibula No: Edema Neurologic Corseted 07/30/2019 16:12 by Beaudouin, Robed MD Bureau of Prisons - NYM Page I of 2 EFTA00049643

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Provider. Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: Z01 Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 • Current PLAN: New Medication Orders: Medication INsulin REG - Human indication: Prediabetes Discontinued Medication Orders: Rat Medication 122148-NYM Insulin Reg (10 ML) 100 UNITS/Mt IN Order Date 07/30/2019 15:58 Order Date 07/30/2019 15:58 Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No TereptioneNerbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 16:12 Cosign Required: No prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "'pill linen* for 7 days Generated 07/3012019 16:12 by Beaudouin Robert MD Bureau of Prisons - NYM Page 2 of 2 EFTA00049644

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Beaudouin. Robert MD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT PATIEN ALSO STAT HE DEN SPEAKING HE REPORT HE REPORTS H TOPROL. HE AFIS A HX OF SLEEP ISNCE HE HASB EEN INFORME DHIM THAT WE R HIM TONIGHT.. HE REPORT OTHER NON-ME UES. STATES HE FEELS OTHERWISE Not Applicable Pain: S REFERRED BY THE WARDEN FOR EVALUATION. RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY OWING. IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING AND STATED HE HAS NOT SLEPT FOR 3 WEEKS CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I HIS CPAP MACHINE AND IT WILL BE GIVEN TO Seen for clinic(s): Endocrine/Lipid. Orthopedic/Rheumatology, Respiratory OBJECTIVE: Pulse: Date Time 07/30/2019 13:02 07/30/2019 09:40 07/30/2019 09:30 Respirations: nag 07/30/2019 Rate Per Minute Location 94 88 Via Machine Time 09:30 NYM Blood Pressure: Date Time 07/30/2019 13:02 NYM 07/30/2019 09:40 NYM 07/30/2019 09:30 NYM SaO2: Dale 07/30/2019 Weight: Rata Time Value 114/84 125/60 108/86 87 Via Machine Rate Per Minute Provider 12 Beaudouin. Robert MD Location, Left Arm Right Arm Left Arm Time Value(%) AIL 09:30 NYM 98 Room Air position Standing Standing Sitting Provider eaudouin, Robert MD e iouin, Robert MD i Robert MD Cuff Size Provider Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD Provider Beaudouin, Robert MD Lin Kg Waist Circum Provider Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons NYM Page 1 of 3 EFTA00049645

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z01 Data Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Lim Kg Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears Ob Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR)t1g S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Motor System-General Motor System-Strength Yes: Normal Exam Yes: Normal Muscular Strength 90 Cranial Nerves (CN) Yes: Within Normal Limits S 1 )401 ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, 26827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Bilq Medication Order Date Prescriber Order Generated 07/30/2019 14:05 by Beaudouin, Robert MO Bureau of Prisons - NYM Page 2 of 3 EFTA00049646

Inmate Name: EPSTEIN, JEFFREY EDWARD Dale of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Provider: Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: 201 New Medication Orders: Stiff Medication Order Date Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 MG/5ML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Medicatiort Order Date Prescriber Order 121836-NYM methylPR ne 4 MG Tab ( 21 count 07/30/2019 11:12 Take the tablet by mouth as Pack) directed x 6 day(s) Indication: is and neuritis. unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff ne Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details General Radiology-Spine / Cervical- General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Outcome 07/30/2019 Counseling Access to Care Beaudo Robert Verbalizes Understanding 07/30/2019 Counseling Plan of Care Beaudouin, Robert Verbalizes Understanding Frequency One Time Due Date 08/29/2019 Pi Ssty • Routine R 2-3 MINUTES 3 DAYS AGO. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin. Robert MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by Beaudouin. Robed MO Bureau of Prisons - NYM Page 3 of 3 EFTA00049647

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT PATIEN ALSO STAT HE DENT SPEAKING HE REPORT HE REPORTS H TOPROL. HE AHS A FIX OF SLEEP ISNCE HE HASB EEN INFORME DHIM THAT WE R HIM TONIGHT.. HE REPORT OTHER NON-ME STATES HE FEELS OTHERWISE Not Applicable Pain: S REFERRED BY THE WARDEN FOR EVALUATION. RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. SIDED WEAKNESS. DIPLOPIA. FACIAL DROOP, DIFFICULTY OWING. IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. NEY STONES. HX OF HTN FOR WHICH HE WAS TAKING AND STATED HE HAS NOT SLEPT FOR 3 WEEKS CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I HIS CPAP MACHINE AND IT WILL BE GIVEN TO ES. Seen for clinic(s): Endocrine/Lipid. Orthopedic/Rheumatology, Respiratory OBJECTIVE: Pulse: Dalt Time Rate Per Minute lactation 07/30/2019 13:02 94 07/30/2019 09:40 88 Via Machine 07/30/2019 09:30 87 Via Machine Respirations: Date Time 07/30/2019 09:30 NYM Blood Pressure: Rate Per Minute Provider 12 Beaudouin, Robert MD Pak Time Value Location Position 07/30/2019 13:02 NYM 114/84 Left Arm Standing 07/30/2019 09:40 NYM 125/60 Right Arm Standing 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Provider eaudouin, Robert MD ouin, Robert MD Robert MD Cuff Size Provider Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD SaO2: Date Time Valuer/,11 Provider 07/30/2019 09:30 NYM 98 Room Air Beaudouin, Robert MD Weight: Date Time um Kg Waistrjrcums Provider Generated 07/30/2019 14:05 by Beaudouin, Robed MD Bureau of Prisons - NYM Page 1 of 3 EFTA00049648

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: 201 Date Time U21 Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears Ob Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Motor System-General Motor System-Strength Yes: Normal Exam Yes: Normal Muscular Strength co Cranial Nerves (CN) Yes: Within Normal Limits s 4 0 ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Generated 07130/2019 14.05 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00049649

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Dale: 07/30/2019 11:12 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z01 New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 10 CC Orally - Two Times a MG/5ML Day PRN x 90 day(s) Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabetes Renew Medication Orders: Bast Medication Order Date Prescriber Order 121836-NYM methylPR o ne 4 MG Tab ( 21 count 07/30/2019 11:12 Take the tablet by mouth as Pack) directed x 6 day(s) Indication: a and neuritis, unspecified New Laboratory Requests: Details Frequency Lab Tests - Short List-General-CBC w/diff ne Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Freauency General Radiology-Spine / Cervical- One Time General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provi6PF Outcome 07/30/2019 Counseling Access to Care Beaudo Robert Verbalizes Understanding 07/30/2019 Counseling Plan of Care Beaudouin, Robert Verbalizes Understanding Due Date pue Date 08/29/2019 Priority Priority Routine R 2-3 MINUTES 3 DAYS AGO. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00049650

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Dale of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Facility: NYM Amendment made to this note by Beaudouln, Robert MD on 07/30/2019 16:12. Bureau of Prisons • NNW EFTA00049651

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Reg #: 76318.054 Sex: M Race: WHITE Facility: NYM Provider: Columbo, Joseph RN Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for FN after returning from attorney conference offers no new complaints or worsening S/S slats My R hand still has pins and needles sometimes' No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: RIM Time Rate Per Minute Jacatkm, Rhythm Provider 07/28/2019 20:28 81 Columbo, Joseph RN Respirations: Data Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 Colombo: Joseph RN Blood Pressure: Date lima Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 Columbo, Joseph RN SaO2: Data Time Value(Yol Aft Provider 07/28/2019 20:28 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/28/2019 20.30 by Columba. Joseph RN Bureau ol Prisons • NYM Page t at 2 EFTA00049652

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Dale of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider. Colombo, Joseph RN Unit: H01 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care Columbo, Joseph Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order No Completed by Columbo, Joseph RN on 07/28/2019 20:30 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 20.3D by Coaimbo, Joseph RN Bureau of Prisons NYM Page 2 of 2 EFTA00049653

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Facility: NYM Cosigned by Beaudouin, Robert MD on 07/28/2019 20:50. Bureau of Prisons • NYM EFTA00049654

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: " I woke up and I had no control over my Right arm for a few minutes it was just doing what it wanted to do" Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 06:57 82 Columbo, Joseph RN Respirations: Pala Time Rate Per Minute Provider 07/28/2019 06:57 NYM 14 Columbo, Joseph RN Blood Pressure: PAtt Time vain Location Position Cuff Size provider 07/28/2019 06:57 NYM 138/80 Columba, Joseph RN SaO2: Ltati Time Value/Vol Air provide( 07/28/2019 06:57 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battles Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Gene-fags:107/28/2019 0722 by Colombo. Joseph RN Bureau of Prisons - NYM Page 1 el 3 EFTA00049655

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rale Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R. Full Range of Motion R, Non-Tender on Palpation R Radius! Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R. Laceration(s) R, Abrasion(s) R, Contusion(s) R R.63 Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently CIO Right arm numbness after waking up from "sleeping on my side" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally. slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated, Format Handout/Tooic Pawkier Outcome 07/28/2019 Counseling Plan of Care Cotumbo, Joseph Verbalizes Understanding Generated 07/28/2019 07.22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 3 EFTA00049656

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Columbo, Joseph RN Unit: 1101 Date Initiated Format Handout/Tooic Provider Outcome Copay Required: No Cosign Required: Yes TetephoneNerbal Order: No Completed by Columbo, Joseph RN on 07/28/2019 07:22 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07'28/2019 07:22 by Cotumbo. Joseph RN Bureau of Prisons • NYM Page 3 of 3 EFTA00049657

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Facility: NYM Cosigned by Beaudouin, Robert MD on 07/28/2019 20:51. BommolPrisoln.NYM EFTA00049658

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 4: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/26/2019 08:57 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: Medication Order Date Docusate Sodium Capsule 07/26/2019 08:57 Indication: Constipation, unspecified Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/26/2019 08:58 Generated 07/264019 08.58 by Beaudouin. Robed MD Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Bureau of Prisons-NYM Page 1 of 1 EFTA00049659

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 16:10 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robe Cosign Required: No 0 24/2019 16:12 Generated 07/24/2019 16:12 by Beaudouin. Robert MO Bureau of Prisons - NYM Page 1 of 1 EFTA00049660

Cosign Required: No Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Note Date: 07/24/2019 16:10 Reg #: 76318-054 Sex: M Race:WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: I-101 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Rober q crrirD7 24/2019 16:12 Generated 07/24/2019 16 12 by Beaudouin. Robert MD Bureau of Prisons NYM Page 1 of 1 EFTA00049661

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07/26/2019 08:58. Bureau of Prisons • NYM EFTA00049662