BOARD OF MEDICOLEGAL INVESTIGATIONS

OFFICE USE ONLY

Re Co I hereby certify that this is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By Date

OFFICE OF THE CHIEF MEDICAL EXAMINER

Central Office 901 N. Stonewall Oklahoma City, Oklahoma 73117 (405) 239-7141 Fax (405) 239-2430 Eastern Division 1115 West 17th Tulsa, Oklahoma 74107 (918) 582-0985 Fax (918) 585-1549

REPORT OF INVESTIGATION BY MEDICAL EXAMINER

DECEDENT First-Middle-Last Names (Please avoid use of initials) MAH-HI-VIST GOODBLANKET Age 18 Birth Date 4/11/1995

Race AmINDIAN

Sex M

HOME ADDRESS - No. - Street, City, State 10354 NORTH 2200 ROAD, CLINTON, OK
EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) DATE TIME

LIEUTENANT STAGGS - CUSTER COUNTY SHERIFF'S OFFICE

INJURED OR BECAME ILL AT (ADDRESS) CITY COUNTY TYPE OF PREMISES

12/21/2013
DATE

21:00
TIME

10354 NORTH 2200 ROAD

LOCATION OF DEATH CITY

CLINTON CLINTON
CITY

CUSTER
COUNTY

RESIDENCE
TYPE OF PREMISES

12/21/2013
DATE

19:58
TIME

10354 NORTH 2200 ROAD

BODY VIEWED BY MEDICAL EXAMINER

CUSTER
COUNTY

RESIDENCE
TYPE OF PREMISES

12/21/2013
DATE

19:58
TIME

901 NORTH STONEWALL

IF MOTOR VEHICLE ACCIDENT: TYPE OF VEHICLE: DRIVER

OKLAHOMA CITY

OKLAHOMA

MORGUE

12/23/2013

9:00

PASSENGER LIGHT TRUCK

PEDESTRIAN HEAVY TRUCK BICYCLE MOTORCYCLE OTHER: NOSE BLOOD OTHER MOUTH EARS

AUTOMOBILE

DESCRIPTION OF BODY
EXTERNAL PHYSICAL EXAMINATION Jaw Neck Arms Legs

RIGOR Color

LIVOR Beard Eyes: Color Opacities Pupils: R Lateral Posterior Anterior Regional

EXTERNAL OBSERVATION Hair Mustache L Body Weight

Complete Absent Passing Passed Decomposed

Body Length

Significant observations and injury documentations - (Please use space below) SEE AUTOPSY PROTOCOL

Probable Cause of Death: MULTIPLE GUNSHOT WOUNDS

Manner of Death:
Natural Suicide Unknown Accident Homicide Pending

Case disposition:
Autopsy Authorized by Pathologist YES MARC HARRISON M.D. MARC HARRISON M.D.

Other Significant Medical Conditions:

Not a medical examiner case

MEDICAL EXAMINER:
Name, Address and Telephone No.

MARC HARRISON M.D. 901 N. STONEWALL OKLAHOMA CITY, OK 73117

I hereby state that, after receiving notice of the death described herein, I conducted an investigation as to the cause and manner of death, as required by law, and that the facts contained herein regarding such death are true and correct to the best of my knowledge.

Date Signed Signature of Medical Examiner Computer generated report MARC HARRISON M.D.

12/23/2013
Date Generated

1305640

CME-1 (REV 7-98)

Board of Medicolegal Investigations

CERTIFICATION
I hereby certify that this document is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By____________________________ Date__________________________

Office of the Chief Medical Examiner

901 N. Stonewall Oklahoma City, Oklahoma 73117 (405) 239-7141 Voice (405) 239-2430 Fax

REPORT OF AUTOPSY
Decedent Age Birth Date Race Sex Case No

MAH-HI-VIST GOODBLANKET
Type of Death

18
Means

4/11/1995

AM

1305640
Authority for Autopsy

ID By

Violent, unusual or unnatural

Present at Autopsy

MARC HARRISON, M.D.

FINDINGS I. Multiple gunshot wounds (x 7), distant type, to the head, torso, and right upper arm (see Evidence of Injury Section). II. Heart. a. Cardiomegaly, mild (weighs 450 g). b. No significant atherosclerosis of the coronary arteries. III. Liver with fatty metamorphosis, mild.

Comment: Toxicology analysis of heart blood revealed an ethyl alcohol (ethanol) level of 0.10% W/V. Vitreous showed an ethanol level of 0.13% W/V. This 18-year-old American Indian male was reportedly shot multiple times by law enforcement after they responded to a domestic disturbance and the decedent reportedly threatened officers with a knife. The cause of death is multiple gunshot wounds. The manner of death is homicide.

CAUSE OF DEATH: MANNER OF DEATH:

MULTIPLE GUNSHOT WOUNDS HOMICIDE

The facts stated herein are true and correct to the best of my knowledge and belief.

OCME Central Division

MARC HARRISON, M.D. CME-2 Page 1 Pathologist Location of Autopsy

12/23/2013 9:00 AM
Date and Time of Autopsy

CASE NO. 1305640

EXTERNAL EXAMINATION
DESCRIPTION
Height Weight Eyes Pupils Opacities, Etc. Hair Black, Beard Slight Mustache Circumcised

80 in.

231 lbs.

Brown

R 6 mm L 6 mm

No

long

chin hair Slight

Yes
Body Heat

RIGOR (jaw, neck, back, legs, arm, chest, abd., complete)

LIVOR (color, anterior, posterior, lateral, regional)

Complete

Purple, posterior, fixed

COOL

DESCRIPTION OF CLOTHING Clad in: Black-red sneakers (Air Jordan). Black socks. Black sweatpants. Black T-shirt (long sleeve). Black/gray sweatpants ($100 dollar bills pattern). Purple shorts. Black boxer briefs. EVIDENCE OF MEDICAL TREATMENT No evidence of medical treatment noted. EXTERNAL EXAMINATION The body is that of an unembalmed, well-developed, well-nourished American Indian male appearing consistent with the reported age of 18 years. The scalp shows an entrance gunshot wound which will be described in detail below. The conjunctivae are clear with no petechial hemorrhages. There is periorbital ecchymosis, bilateral. The sclerae are white. The ears are normal. There are bilateral earlobe piercings (x 2 each). The patent ear canals contain no blood or fluid. The nose is intact with hemorrhage exuding from the external nares. The teeth are natural and in good condition. The lips and oral mucosa are intact with no evidence of injury. There is blood exuding from the mouth. There are multiple gunshot wounds involving the head and torso which will be described in detail below. There are multiple (approximately 6) superficial linear incisions over the left anterior forearm (ranging from approximately 5 to 8 cm in length). There is an irregular, diagonal, abrasion over the left lower abdomen/hip region (measuring approximately 26 x 2 cm). There is a 6 x 0.5 cm curvilinear abrasion over the left shin, anterior. There is a 4 x 0.3 cm abrasion over the anterior surface of the right lower shin. The hands are bagged and handcuffed behind the back. Upon removal of the hand bags, there is an area of superficial laceration (approximately 4 x 3 cm) over the dorsal aspect of the right hand, near the knuckles. There is also a reddish contusion involving the area of abrasion. The palmar aspect of the right hand (near the ring and little finger) has an area of superficial abrasions (approximate 2 x 2 cm). The right hand is wrapped in an elastic bandage (torn). There is well-healed scarring of the knees, bilateral, anterior. There are multiple tattoos involving the upper arms, chest, fingers, and back of the right hand (see photos and diagram).
2

CASE NO. 1305640

EVIDENCE OF INJURY As noted above and including the following gunshot wounds: Gunshot wound #1 to the left occipital region of the head: 6 inches from the top of the head, 10 inches left of midline, 1 x 1 cm hole with a 0.2 cm circumferential abrasion ring. No apparent soot blackening, gunpowder stippling or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is forward, upward and slightly to the right. The bullet enters the left occipital region of the scalp, enters the skull and brain, perforates the left hemisphere of the brain and is recovered within the left frontoparietal region (near the midline). The recovered bullet is an apparent jacketed hollow point with a 0.45 inch base, mushroomed. Gunshot wound #2 to the right chest: 15 inches from the top of the head, 4 inches right of midline, 1.1 x 1.1 cm hole with a 0.2 cm abrasion ring. No apparent soot blackening, gunpowder stippling, or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is backward, downward and slightly to the right. The bullet enters the right upper chest, perforates the right lung (upper, middle, and lower lobes) and is recovered within the right chest cavity (loose). Gunshot wound #3 to the left upper abdomen: 23 inches from the top of the head, 5 inches left of midline, 1.7 x 2.2 cm hole with a 0.3 cm abrasion ring. No apparent soot blackening, gunpowder stippling, or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is backward, downward, slightly to the right. The bullet enters the left upper abdomen, perforates the transverse colon, left side. It is recovered within the soft tissue of the left abdomen, posterior. Gunshot wound #4 to the left flank: 27 inches from the top of the head, 9 inches left of midline, 1.3 x 1.4 cm hole with a 0.3 cm abrasion ring. No apparent soot blackening, gunpowder stippling, or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is slightly backward, slightly upward to the right. The bullet enters the left flank and is recovered within the soft tissue of the lower mid back (posterior). Gunshot wound #5 to the left abdomen: 27 inches from the top of the head, 2 inches left of midline, 1.3 x 1.1 cm hole with a 0.2 cm abrasion ring. No apparent soot blackening, gunpowder stippling, or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is slightly backward, slightly downward and to the right.

CASE NO. 1305640

EVIDENCE OF INJURY (Contd) The bullet enters the left abdomen soft tissue anterior, proceeds to the right across the abdomen superficially and exits out the right lower abdomen soft tissue (no bullet recovered). Gunshot wound #6 to the right lower abdomen: 29 inches from the top of the head, 2 inches right of midline, 2.3 x 1 cm hole with a 0.3 cm abrasion ring. No apparent soot blackening, gunpowder stippling, or muzzle impression noted - consistent with a distant gunshot wound. The bullet track is backward, downward and slightly to the right. The bullet enters the right lower abdomen and penetrates the right lower hip bone, where it is recovered. Gunshot wound #7 to the right upper arm: 12 inches from the top of the head, 10 inches right of midline (measured from the back). The bullet track is slightly forward, slightly downward and to the left. The bullet enters the right upper arm, perforates the right humerus (fractured) and is recovered within the right upper back soft tissue. NOTE: All recovered bullets are similar i.e. apparent jacketed hollow points with 0.45 inch base, mushroomed. NOTE: The numbering of the gunshot wounds is arbitrary, i.e., it does not necessarily indicate the order of fire or the degree of lethality. An apparent Taser wound #1 to the right chest: 14 inches from the top of the head and inch right of midline, 0.6 x 0.4 cm, superficial perforation. An apparent Taser wound #2 to the left chest: 20 inches from the top of the head, 1 inch left of midline, 0.7 x 0.2 cm, superficial perforation.

CASE NO. 1305640

GROSS EXAMINATION The body is opened through the customary Y shaped incision. The subcutaneous fat is normally distributed, moist and bright yellow. The musculature through the chest and abdomen is rubbery, maroon, and shows no gross abnormality (apart from the gunshot wound defects). The sternum is removed in the customary fashion. The organs of the chest and abdomen are in their normal position and relationship. The liver edge extends to approximately the right costal margin at the midclavicular line. The diaphragms are intact bilaterally.

PARIETAL PLEURA: Smooth, glistening membrane with approximately 1300 cc of blood within the right chest cavity (gunshot wound #2). The left chest cavity shows no significant blood. There are no adhesions within either chest cavity.

PERICARDIUM: Is a smooth, glistening, intact membrane, and the pericardial cavity contains the normal amount of clear, straw-colored fluid.

PERITONEUM: Smooth, glistening membrane in both the abdominal and pelvic cavities. The peritoneal cavity contains no abnormal fluid or adhesions.

HEART: Mildly enlarged and weighs 450 g (average adult male heart weight = 350 g). It has a normal configuration and location. There are no adhesions between the parietal and visceral pericardium, and the latter is a smooth, glistening, fat laden characteristic membrane. The coronary arteries arise and distribute normally with no significant atherosclerosis. The coronary ostia are normally located and widely patent. The chambers and atrial appendages are unremarkable. The valves are normally formed and measure as follows: tricuspid 12.0 cm, pulmonic 6.5 cm, mitral 12.0 cm, and aortic 6.5 cm. The endocardium is a smooth, gray, glistening, translucent membrane uniformly. The myocardium is intact, rubbery, and red-tan. The left ventricle measures 1.7 cm, the septum measures 2.0 cm, and the right ventricle measures 0.6 cm. The papillary muscles and chordae tendineae are intact and unremarkable. The arch of the aorta is classically formed with no significant atherosclerosis. Other great vessels also arise and distribute normally and are widely patent.

CASE NO. 1305640

NECK ORGANS: Musculature is normal, rubbery, and maroon, and the organs are freely movable in a midline position. The tongue is intact and normally papillated, without evidence of tumor or hemorrhage. The hyoid bone is intact. The thyroid cartilage is intact and without abnormality. The thyroid gland is symmetric, rubbery, light tan to maroon, and in its normal position without evidence of neoplasm. The epiglottis is a characteristic plate-like structure which shows no evidence of edema, trauma, or other gross pathology. The larynx is comprised of unremarkable vocal cords and folds, is widely patent without foreign material, and is lined by a smooth, glistening membrane. There are no petechiae of the epiglottis, laryngeal mucosa, or thyroid capsule.

THYMUS: Weighs approximately 20 g. It is of normal configuration, soft, tan, and intact. The cut surface shows no pathology.

LUNGS: The right lung weighs 410 g, and the left weighs 530 g. Visceral pleurae are smooth and glistening with minimal anthracosis and no bleb formation. There is contusive laceration along gunshot wound track #2 through the right lung. The trachea is widely patent and lined by a characteristic pink membrane. Likewise, the major bronchi and bronchioles bilaterally are patent, normally formed, and contain no significant occlusive material. The pulmonary arterial tree is free of emboli or thrombi. The parenchyma varies from pink-tan to dark purple, and exudes moderate amounts of blood and clear, frothy edema fluid from its cut surfaces. There is no evidence of consolidation, granulomatous, or neoplastic disease. Hilar lymph nodes are within normal limits with relation to size, color, and consistency.

G.I. TRACT: The esophagus shows an unremarkable mucosa, a patent lumen, and no evidence of gross pathology. The esophagogastric junction is unremarkable. The stomach is of normal configuration, is lined by a smooth, glistening, intact mucosa, has an unremarkable wall and serosa, and contains approximately 30 cc of tan liquid (small apparent lettuce fragments). The duodenum is patent, shows an unremarkable mucosa and no evidence of acute or chronic ulceration. Jejunum and ileum are unremarkable and contain soft brown fecal material. There is no Meckels diverticulum. The ileocecal valve is intact and unremarkable. The appendix is present. There is a perforation of the transverse colon, left side (along gunshot wound track #3).

CASE NO. 1305640

LIVER: Weighs 2040 g. It is of normal configuration, rubbery, tan, and intact. Cut surface shows mild fatty change.

GALLBLADDER: Lies in its usual position, contains liquid bile, no calculi, and shows a normal mucosa. The biliary tree is intact and patent without evidence of neoplasm or calculi.

PANCREAS: Lies in its normal position, shows a normal configuration, is pink-tan and characteristically lobulated with no apparent gross pathology.

SPLEEN: Weighs 200 g. The capsule is intact. The organ is rubbery, maroon, and shows a characteristic follicular pattern.

ADRENALS: Lie in their usual location, show yellow cortices and tan to gray medullae.

KIDNEYS: The right kidney weighs 130 g and the left weighs 130 g. Both are configured normally with no abnormality. Sections show the organs to be moderately congested with unremarkable cortices, medullae and pelves. Ureters and blood vessels are patent and unremarkable.

URINARY BLADDER: Contains approximately 250 cc of pale yellow urine. Its serosa and mucosa are unremarkable.

MALE GENITALIA: The prostate is symmetric, rubbery, gray-tan, and of normal size. The prostatic urethra is unremarkable. The testes are bilaterally present and show no evidence of tumor, trauma, or inflammation. The investing membranes are unremarkable as is the epididymis.

CASE NO. 1305640

BRAIN AND MENINGES: The scalp is opened through the customary intermastoid incision and shows the previously mentioned entrance gunshot wound over the left occipital region (gunshot wound #1). The remainder of the scalp is unremarkable. The calvarium is removed through the use of an oscillating saw. There is no evidence of osseous disease. The brain weighs 1480 g. There is a contusive laceration involving the left hemisphere of the brain with a recovered bullet within the left frontoparietal region as stated earlier. Dura and leptomeninges are smooth, glistening, translucent, and unremarkable without evidence of trauma (apart from gunshot wound track). Cranial nerves and circle of Willis arise and distribute normally and show no significant pathology. Externally the brain is normally configured and symmetric, and multiple serial sections of cerebral hemispheres, pons, medulla, and cerebellum show no gross pathological change apart from contusive laceration along gunshot wound track (#1). The remainder of the base of the skull (excepting gunshot wound entrance) is intact without osseous abnormality.

RIBS: Intact.

PELVIS: Remaining pelvis (apart from gunshot wound #6) is intact. VERTEBRAE: Intact.

BONE MARROW: Moist and dark red. Unremarkable.

CASE NO. 1305640

MICROSCOPIC EXAMINATION Representative sections of the heart show scattered hypertrophic cardiac myocytes. Representative sections of the lungs show acute hemorrhage along gunshot wound track #2 within the right lung. Representative sections of the kidneys and pancreas show no significant histopathology. Representative section of the liver shows diffuse mild steatosis. Representative section of the brain shows acute hemorrhage along gunshot wound track (#1). Representative sections of skin from entrance gunshot wounds #1 through #7 show no significant sootlike, residue-like particles - consistent with distant gunshot wounds.

MH/kg

MARC HARRISON, M.D.

OFFICE USE ONLY

BOARD OF MEDICOLEGAL INVESTIGATIONS

Re. _____ Co. _____

OFFICE OF THE CHIEF MEDICAL EXAMINER

901 N.Stonewall Oklahoma City, Oklahoma 73117
I hereby certify that this is a true and correct copy of the original document. Valid only when copy bear im-print by the office seal. By ______________________ Date ____________________

REPORT OF LABORATORY ANALYSIS

ME CASE NUMBER: 1305640 DECEDENT'S NAME: MAH-HI-VIST GOODBLANKET

LABORATORY NUMBER: 134720 DATE RECEIVED: HOLD STATUS: 5 YEARS 12/27/2013

MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE, LIVER, BRAIN, GASTRIC

SUBMITTED BY:

JASON SNIDER

MEDICAL EXAMINER:

MARC HARRISON M.D.

NOTES: ETHYL ALCOHOL: Blood: Vitreous: Other: CARBON MONOXIDE Blood: TESTS PERFORMED: EIA - (Heart Blood) - Amphetamine, Methamphetamine, Fentanyl, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines (The EIA panel does not detect Oxycodone, Methadone, Lorazepam or Clonazepam) 0.10 % W/V (Heart) 0.13 % W/V

RESULTS: NONE DETECTED

01/16/2014 DATE Byron Curtis, Ph.D., DABFT, Chief Forensic Toxicologist