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ORIGINAL DATE INCIDENT NO.

Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009
WORK UNIT COUNTY
MSP HART Oceana
COMPLAINANT TELEPHONE NO.
PATROL
ADDRESS: STREET AND NO. CITY STATE ZIP CODE
3793 W POLK ROAD HART MI 49420-
INCIDENT STATUS
Open

DOA
SUMMARY:

was discovered deceased this morning in the driver seat of his rental car.

INFORMATION:

I was in Baldwin on patrol. I was contacted by Sgt. David Johnston of the Hart Post to respond to the MSP
Command Center located on Cleveland Road at the Electric Forest Festival in Rothbury. I was advised a
subject had been found deceased in a vehicle and I was being requested to conduct Evidence Technician work
at the scene. Upon my arrival, I was advised I would be the primary investigator assigned to the complaint.

TIME/DATE/VENUE:

FRI, JUN 29, 2012 AT 0820


OCEANA COUNTY, GRANT TWP, ROTHBURY, AT OR NEAR: ELECTRIC FOREST FESTIVAL
GROUNDS, JJ RANCH PROPERTY WEST PARKING/CAMPING LOT AREA

OTHER PERSONS/DECEASED:
NAM: RAC:
NBR: DIR: SEX: OPS
STR: DOB: SSN
SFX: HGT: SID:
CTY: ST: WGT FBI:
TXH: ZIP HAI: MNU:
TXW: EYE: PRN:
CT
CT:

was identified from his Connecticut Driver's License located in his wallet.
The wallet was located in right rear cargo shorts pocket.

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. DOUG TANNER #469
1 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009

VEHICLE INVOLVED:

2012 Toyota Yaris, Black in color, bearing Connecticut license plate 877 ZAD.
VIN JTDBT4K38CL017369 leased by National.

DIGITAL PHOTOGRAPHS:

Made of scene.

EXAMINATION OF BODY:

body was seated in the driver seat, in approximately a 45 degree reclined position.

arms were both in a bent position, and his head was tilted slightly back and to the right.

A brown sleeping back was positioned behind head/neck area.

There were no outward signs of trauma noted upon initial examination.

Livor mortis and rigor mortis were present at time of initial examination.

was barefoot. sandals and shoes were present on the driver side floorboard under the
brake/gas pedals.

was wearing a t-shirt, green cargo pants with side pockets, and boxer shorts.

EVIDENCE SEIZED:

An empty plastic baggie was observed next to right cargo pocket on the driver seat surface.
I seized this plastic baggie as evidence at 1018 Hours.

Three (3) cell phones were also present in the passenger compartment of the vehicle at the time of
examination.
1) Samsung AT&T phone, silver in color, was on the top surface of the front passenger seat.
INVESTIGATED BY REPORTED BY REVIEWED BY
PAGE TPR. DOUG TANNER #469
2 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009
2) HTC brand phone, on the top surface of the front passenger seat next to the Samsung phone.
3) LG brand phone, located in a pocket on the passenger side of the front center console

CHECK CARGO SHORTS POCKETS OF

I checked the cargo shorts pockets of I removed the following items from pockets:

Right front pocket: multicolored cigarette lighter. Lighter was left with vehicle.

Right front cargo pocket: Zig Zag brand rolling papers and a knotted plastic baggie containing green plant
material consistent in appearance with marijuana. Seized at 1015 Hours.

Left front pocket: open box of "Maverick" brand cigarettes in box. Seized at 1020 Hours.
Sealed plastic baggie containing multiple unknown types/quantities of pills/suspected narcotics. Seized at
1024 Hours.

Left side cargo pocket: Two plastic pill capsules containing unknown white crystal powder substance.
Seized at 1023 Hours. Pill capsules are contained inside a small plastic resealable bag container. Stainless
steel scissors and a Lil' Wayne CD case were removed from this pocket. The scissors and CD case were
examined, and left inside vehicle.

Right rear pocket: Wallet containing CT Driver's License, assorted credit cards, assorted papers, and $665
cash. Seized at 1030 Hours. Counted/verified with Detective Rios. DD-020 completed.

Left rear pocket: multicolored lighter contained in left rear pocket. Lighter was examined and left with
vehicle.

ADDITIONAL OBSERVATION:

I noted in the center console of the vehicle a digital scale containing an unknown brownish residue on its
surface. This item was not seized and was returned to the center console.

UD-14B/TOWING COMPANY:

Eagle Towing
89 Pine St.
Shelby MI 49455
TX: 231-894-5424

Eagle Towing took possession of rental car at 1014 Hours on 6-29-12.


UD-14B was signed by Eagle Towing employee
I was advised the vehicle was to be stored in the Eagle Towing Shelby garage location.
INVESTIGATED BY REPORTED BY REVIEWED BY
PAGE TPR. DOUG TANNER #469
3 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009

WITNESSES:

A witness at scene was contacted by D/Sgt. Scott Rios. This interview will be added in a supplemental
report.

RENTAL AGENCY:

National Car Rental - New Haven


290 State St
New Haven CT 06510-3
TX: 203-776-0690
TX: 800-468-3334
"Barb" customer service
RA#920935861
INV#10009789478

At 1345 Hours on 6-29-12, I notified "Barb" of National Car Rental Customer Service of the location of their
rental vehicle at Eagle Towing. The vehicle was confirmed to have been rented by

CONTACT FORENSIC PATHOLOGY SPECTRUM HEALTH BLODGETT CAMPUS:

I attempted to telephone the Forensic Pathology laboratory on the afternoon of 6-29-12, and received an
answering machine. I left a voicemail message.

I later attempted contact again via the hospital switchboard and spoke with "ELIZABETH" at the Forensic
Pathology laboratory at 1420 Hours on 6-29-12. I was advised that an autopsy was already underway and
that a complete toxicology report was in process at this time. The estimated wait time on toxicology results is
estimated to be 4-6 weeks.

PATHOLOGIST CONTACT:

Physician contact is:


Dr. Stephen Cohle M.D.
Spectrum Health - Blodgett Campus
Forensic Pathology Lab
1840 Wealthy St SE
Grand Rapids MI 49506
TX: 616-774-7499
INVESTIGATED BY REPORTED BY REVIEWED BY
PAGE TPR. DOUG TANNER #469
4 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009

PROPERTY SEIZED LIST:

SEIZED BY: TROOPER TANNER


Prop 0001 - Qty: 4.000 UOM: Gram Type: Marijuana
Obtained From: Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
RIGHT FRONT CARGO PANTS POCKET OF DECEASED

Prop 0002 - Desc: PLASTIC BAGGIE CONTAINING UNKNOWN SUSPECTED NARCOTIC RESIDUE
FOUND NEXT TO DECEASED ON TOP SURFACE OF DRIVER'S SEAT INSIDE VEHICLE Type:
Drug/Narcotic Paraphernalia
Descrp: PLASTIC BAGGIE CONTAINING UNKNOWN SUSPECTED NARCOTIC RESIDUE FOUND
NEXT TO DECEASED ON TOP SURFACE OF DRIVER'S SEAT INSIDE VEHICLE
Obtained From: Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
ON DRIVER SEAT TOP SURFACE NEXT TO OUTSIDE OF RIGHT FRONT CARGO PANTS POCKET
OF DECEASED

Prop 0003 - Desc: OPEN BOX OF MAVERICK BRAND CIGARETTES Type: Cigarette
Descrp: OPEN BOX OF MAVERICK BRAND CIGARETTES
Obtained From:Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INSIDE LEFT FRONT SHORTS POCKET OF DECEASED

Prop 0004 - Qty: 1.000 UOM: Gram Type: Unknown


Descrp: PLASTIC SEAL BAGGIE CONTAINING TWO PLASTIC CAPSULES WHICH CONTAIN AN
UNKNOWN OFF-WHITE SUBSTANCE SUSPECTED AS NARCOTICS
Obtained From:Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INSIDE LEFT FRONT CARGO SHORTS POCKET OF DECEASED

Prop 0005 - Qty: 93.000 UOM: Dosage Units/Items Type: Other Narcotics
Descrp: KNOTTED PLASTIC BAG CONT: 2-M AMPHET SALTS 30MG, 2-AMPHETAMINE
DEXTROAMPHETAMINE 30MG, 23-OXYCODONE/HYDROCLORIDE 15MG, 2 UNK BROKEN TABS,
4-OXYCODONE/HYDROCHLORIDE 30MG, 39-ACETAMINOPHEN AND OXYCODONE
HYDROCHLORIDE 325MG/10MG, 5-ALPRAZOLAM 1MG ("605"), 9-ALPRAZOLAM "MYLAN A1", 2
BAGS UNK BROWN POWDER
Obtained From: Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INSIDE LEFT FRONT CARGO SHORTS POCKET OF DECEASED

Prop 0006 - Qty: 1 Type: Federal Reserve Note (money) Issue Date: 0000 Maturation Date: 0000
Value: $665.00 Recovered Value: $665.00 (SEE DD-020)
Descrp: $665.00 CASH, 1-$100 BILL, 24-$20 BILLS, 4-$10 BILLS, 6-$5 BILLS, 1-$2 BILL, 13-$1 BILLS
Obtained From: Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INVESTIGATED BY REPORTED BY REVIEWED BY
PAGE TPR. DOUG TANNER #469
5 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009
TXH ZIP: HAI: MNU:

CONTACT NEXT OF KIN:

I contacted MSP East Lansing Operations Desk via LEIN and forwarded a message regarding
passing. I provided Post 62 contact information, as well as Harris' Funeral Home contact information. The
message was forwarded to East Haven, CT Police Department to make a death notification to family.

I received a telephone call at Post 62 from advised she was the mother of
asked if was "all right." I asked if the officer there had explained anything, and
advised "no." I explained to that had passed away this morning in Rothbury. A subject
identifying himself as uncle then took the phone call, and advised that was hysterical and
unable to continue the call. I explained again about passing. The uncle advised I would receive
a call back when things calmed down.

At 1655 Hours, I received a call back from who advised he was stepfather. I explained
the facts of passing as I knew at this point, and provided Harris Funeral Home contact
information. I was advised that did not know to use any narcotics or have any medical
issues. was last seen by "a couple of weeks ago."

CONTACT HARRIS FUNERAL HOME:

I contacted , and provided him contact information for the family.


advised he would call and make arrangements with the family.

Harris Funeral Home - , Director


267 N Michigan Ave
Shelby MI 49455
TX: 231-861-2360
TX: 888-216-9744
www.harrisfhome.com

EXTERNAL DOCUMENTS:

DD-020 Seized Cash form


UD-14B Receipt for vehicle to Eagle Towing
Photocopies of wallet contents (papers, receipts credit cards, etc.)
Scene sketch
Copy of LEIN message to ELOP.

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. DOUG TANNER #469
7 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009
STATUS:

Open. Pends autopsy reports, disposition of property.

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. DOUG TANNER #469
8 of 8
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0001 Fri, Jun 29, 2012 98009
INCIDENT STATUS
Open

DOA
JOURNAL:
None.

ARRIVAL ON SCENE:
At 0756 we were dispatched to a possible deceased person in a car. Trooper Groya and I arrived on scene,
medical was already there. A white male subject was seated in the driver's seat of a rental car, medical staff
had pronounced him dead.

SCENE SECURITY:
I began taking photographs of the scene while Sgt. Schmitz and Trooper Groya put out crime scene tape.

PHOTOGRAPHS OF SCENE:
Utilizing my department issued digital camera I took photographs of the scene, the body and anything relevant
to the scene. The photographs were turned over to Trooper Tanner from the Hart Post.

ROTHBURY STAFF ON SCENE:


Over night EMS manager:
Day time EMS manager: Jonathan Keogh
Mounted patrol supervisor: Jim Weisbeck
Security: Richard Loger

INVESTIGATION:
Sgt. Schmitz contacted the command staff who sent D/Sgt. Rios to complete the investigation. Once all
photographs and personal on scene were identified Trooper Groya and I cleared the scene.

STATUS:
Open

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. S ZIESMAN #1835
1 of 1
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0002 Fri, Jun 29, 2012 98009
INCIDENT STATUS
Open

DOA
JOURNAL:
None.

ARRIVAL ON SCENE:
At 0756 we were dispatched to a possible deceased person in a car. Trooper Nobliski responded to the scene
and arrived after medical. Medical staff had already declared him dead on arrival prior to us arriving.

EMS / MEDICAL FIRST ON SCENE:

National Event Services EMS:

Jason John Scholten


Kristin Marie Scholten

Jason and Kristin are EMS for Montcalm County EMS and are currently working for National Event Services
for the Electric Forest Festival. The arrived on scene and observed the deceased in the driver's seat of a black
rental car. They checked his pulse on his left wrist and neck with no response. Rigor had set in and he was
ashen in color. They declared him dead on arrival and did not continue with medical.

OTHER PERSONS:

NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB: SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
CT:

NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
CT:

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. THOMAS FICK
1 of 2
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0002 Fri, Jun 29, 2012 98009
INTERVIEW /

and were sharing a tent located behind (east) of the deceased's vehicle. They advised that
they had not had contact with the individuals but had seen them around 2:00pm 6/29/12 setting up camp. They
did not see them the rest of the day or night because and were not at their camp. The next
time they saw the deceased law enforcement was already on scene.

FURTHER INVESTIGATION:

Sgt. Schmitz contacted the command staff who sent D/Sgt. Rios to complete the investigation.

STATUS:

Open

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. THOMAS FICK
2 of 2
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0003 Fri, Jun 29, 2012 98009

UNKNOWN:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
MB:

NAM:
RAC: ETH:
NBR DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY ST WGT: FBI:
TXH ZI HAI: MNU:
TXW: EYE: PRN:
MB:

NAM:
RAC ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP HAI: MNU:
TXW: EYE: PRN:
MB

NAM:
RAC ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
MB:

NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB: SSN:
SFX: HGT: SID:
CTY: ST WGT: FBI:
TXH: ZI HAI: MNU:
TXW: EYE: PRN:
MB:
INVESTIGATED BY REPORTED BY REVIEWED BY
PAGE TPR. MATTHEW NOBLISKI
3 of 4
ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0003 Fri, Jun 29, 2012 98009

STATUS:

Open.

INVESTIGATED BY REPORTED BY REVIEWED BY


PAGE TPR. MATTHEW NOBLISKI
4 of 4

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