CUYAHOGA COUNTY MEDICAL EXAMINER Vital Statistics Report Case Number: lN2012-02024 Ge" Typist E'lZabe"' Name: Melissa Ann Williams A Paihoglsii Joseph A- AKA: Med Typist: Alberico, Agnes Autopsy Number: POST Investigator: Schaedler, Michael Address: 12025 Shady Oak Boulevard, Garfield Heights, Cuyahoga, Ohio, 44125 Morgue Fee: I Death Date and Time: 11/29/2012 11:10 PM VER Fin date: 1/8/2013 Probable Death Date: FPD Fin Date: 1/8/2013 Place of Death: in auto, in roadway, vicinity of 14001 Terrace Road, East Cleveland, Ohio Pronounced By: Dr. Haynesworth Body Received From: in auto, in roadway, vicinity of 14001 Terrace Road Convey By: St. Clair Auto Body Date and Time: 11/30/2012 11:13 AM- Viewed Date and Time: 12/1/2012 7:17 AM Gender: Female Race: Black Teeth: good Age: 30 years Height: 64 Weight: 133 I Beard: Mustache: -- Eyes: brown Hair: I black Marital: Single Name of Spouse: -- Place of Employment: own home - Occupation: homemaker Birth Date: 6/20/1982 I SSN: 297--78--7468 Funeral Director: Pernei Jones Sons Funeral Home, 7204 Cedar Avenue, Cleveland, Ohio 44103 Body Disposition: burial Indigent/Donate: Burial Place: Riverside Cemetery and Columbarium, 3607 Pearl Road, Cleveland, Ohio 44109 Associated Cases: (CCMEO #lN2012--02023) 0 Marks and Wounds: Cause of Death: Multiple (24) gunshot wounds of head, neck, trunk, and left arm with multiple visceral, vascular, and skeletal injuries. HOMICIDE. Injury Injury Date Injury Time Place of injury Location of Injury Describe How - Injury City and Injury Occurred State 11/29/2012 1050 in auto, in roadway, 14001 Terrace Was shot during East Cleveland- approximateiy vicinity of - Road legal intervention; Cuyahoga--OH Manner: Homicide DC Orig Date: 12/13/2012 DC Pend Date: DC Supp Date: DC Filed At: East Cleveland DC Affi Date: DC Comment: Body Disposition Comment: VER Amended Date: 1/25/2013 FPD Amend Date: Amend Comment: VERDICT AMENDED TO REFLECT BODY TRANSPORTATION CORRECTION. Case Number: IN2012-02024 Gen Typist: Nugent, Elizabeth Name: Melissa Ann Williams . Med'Typist: Alberico, Agnes Page 1 of1 CUYAHOGA COUNTY MEDICAL OFFICE Thomas P. Gilson, M.D. 1001 Cedar Avenue Cleveland, Ohio 44106 January 25, 2013 Re: Melissa Ann Willians Date of Death: November 29*, 2012 Cor0ner's Case #2 Please be advised that the Medical EXaminer's Verdict regarding the above mentioned decedent has been amended. A copy of the amendment is attached. If you have any questions or concerns regarding this report, feel free to contact this office. 1.. - ''Thomas P. Cilson, MD. Medical Examiner Phone: (216) 721-5610 - Fax: (216) ?21-2559 - Ohio Relay Service (TTY) Cuyahoga'County Medical Examiner's Office 11001 Cedar Avenue, Cleveland, Ohio 44106 DOCUMENT AMENDMENTS Thomas Gilson. M.D. Medical Examiner THE STATE OF OHIO, SS. CUYAI-HIOGA COUNTY CASE NUMBER: NAME: Melissa Ann Williams Following further review, the Medical Exaininefis Verdict is amended as follows: Medical Exarniner's Verdict: Page 1 of 1, lines 28 and 29. Reads as: ..aforementioned time and date. The County Medical Examinefs Office was notified and Esposito ..Mortuary Services was dispatched. This woman was then transported to the Medical Examiner's' Office. .. Should read as: ..aforementioned time and date. The 'County Medical Exaininer's Office was notified and St. Clair Auto was ..dispatched. This woman was then transported, in the Vehicle, to the Medical Examiner's Melissa Ann Williams '.'Cuyahoga County Coroner (Name of Deceased) - Page 1 of'l _Cuyahoga County Medical Examiner's Office 11001 Cedar Avenue, Cleveland, Ohio 44106 MEDICAL VERDICT Thomas P. ilson, MD. Medical Examiner THE STATE OF OHIO, ss. CUYAHOGA COUNTY CASE NUMBER: Be it Remembered, That on the day of November, gQ_1_2_ information was given to me, Thomas P. Gilson, M.D., Medical Examiner of said County, that the dead body of a woman supposed to have come_to death as the result of criminal or other violent means, or by casualty, or by suicide, or suddenly when in apparent health, or in any suspicious or unusual manner, (Sec. 313-11, 313-12 R.C. Ohio) had been foundin auto, in roadway. vicinity of 14001 Terrace Road in East Cleveland of Cuyahoga County, on the g_S_Jt_h day of November, viewed orcaused to be viewed the said body at the Medical Examiner's Office. After the viewing and making inquiry into the circumstances that caused the death of the said person, I obtained further information, to-wit: (ECPD #12-07399) (CCMEO #lN2012-02023). i also carefully examined or caused to be examined the said dead body at on the day of December, $112 and I find as follows: to wit: I, Thomas P. Gilson, M.D., Medical Examiner of said county, having diligently inquired, do true presentment make in what manner Melissa Ann Williams whose body was at the Medical Examiner's Office on the day of December, came to death. The said Melissa Ann Williams was single, 30 years of age, a resident of Garfield Heiqhts, Cuvahoqa C-ountv, Ohio, and a native of Cleveland, Ohio; was of the Black race, and had brown eyes, black hair, beard, mustache, was 64 inches in height, and weighed 133 pounds. Upon full inquiry based on all the known facts, I find that the said Melissa Ann Williams came_ to _h_g death officially on the day of November, '1 in auto, in roadway, vicinity of 14001 Terrace Road and was officially pronounced dead at 11:10 P.M., by Dr. Haynesworth. There is history that on November 29th, 2012 at about 10:50 P.M., the East Cleveland Police and Paramedics responded to calls of shots fired "by Cleveland Police Officers at the aforementioned location. On arrival, a female, later identified as the said Melissa Ann Williams, 12025 Shady Oak Boulevard, was found expired in the front passenger's seat of the vehicle with serious visible injuries, and was pronounced dead at the aforementioned time and date. The County Medical Examiner's Office was notified and Esposito - Mortuary Services was dispatched. This woman was then transported to the Medical Examiner's Office where an autopsy was performed. There is further history that Timothy Ray Russell, the driver of the auto', was also found to have expired with serious visible injuries and was pronounced dead at the aforementioned time and date. That death in this case was the end result of multiple (24) gunshot wounds of head, neck, trunk,- and left arm, and was homicidal in nature. Cause of Death: Multiple (24) gunshot woundsof head, neck, trunk, and left arm with multiple visceral, vascular, and skeletal injuries. HOMICIDE. Melissa Ann Williams @1412 g/ (Name of Deceased) - Cuyahoga/__County Medical Examiner - Page 1 of1 Toxicology Laboratory Report Cuyahoga County Regional Forensic Science Laboratory 11001 Cedar Avenue, Cleveland, Ohio 44106 COUNTY REGIONAL FORENSIC Page 1 of 3 Case Number Report Date Wednesday, January 02, 2013 Name Melissa Williams Receipt Date Saturday, December 01, 0 Agency Cuyahoga County (CCMEO) Pathologist JFEL - J. A. Felo, . ., I Specimen Received A1 - Cavity Blood F1 - Femoral Blood I1 - Bile L1 - R1 - Longterm Storage U1 - Urine V1 - Vitreous Humor COMMENT: A1 and R1 right pleural blood A1: Pleural Cavity Fluid Analysis Drug Grouplclass Acetaminophen Screen Salicylate Screen Result None Detected None Detected Quantitation Analyte(s) See Page 3, Group 9 See Page 3, Group 10 F1: Femoral Blood Analysis Drug Grouplclass Result Quantitation Analyte(s) Volatile Screen 8. Confirmation None Detected See Page 3. Group 1 Acid Neutrals by GCIMS None Detected See Page 3. Group 2 Opiate ELISA Screen None Detected See Page 3= G'?up 7 Basic Drugs Positive See Page 3. Group 8 Caffeine Positive Cocaine 0.19 Cotinine Positive Ecgonine Positive CocaineIMtb GCIMS Positive Benzoylecgonine -Cocaine. 233 ng/mL "Ecgonine Methyl Ester Positive Methyl Ester Positive Cannabinoids GCIMS Amphetamine ELISA None Detected None Detected See Page 3, Group 13 See Page 3, Group 7 Barbiturates ELISA Screen None Detected See Page 3. Group 7 Benzodiazepines ELISA Screen None Detected See Page 3, Group 7 Cannabinoids ELISA Screen Positive See Page 3. Group 7 Carisoprodol ELISA Screen None Detected See Page 3. Group 7 Cocaine Mtb. ELISA Screen Positive See Page 3. Group 7 Fentanyl ELISA Screen None Detected See Page 3. Group 7 Methamphetamine ELISA Screen Oxycodone ELISA Screen ELISA Screen None Detected None Detected None Detected See Page 3, Group 7 See Page 3, Group 7 See Page a, Group 7 Toxicology Laboratory Report Cuyahoga County Regional Forensic Science Laboratory 11001 Cedar Avenue, Cleveland, Ohio 44106 SCIENCE LABORATORY Page 2 of 3 Case Number lN2012--02024 Report Date Wednesday, January 02, 2013 Name Melissa Williams Receipt Date Saturday, December 01, 2012 Agency Cuyahoga County (CCMEO) Pathologist JFEL - J. A. Felo, DO F1: Femoral Blood Analysis Drug Grouplclass Result Quantitation Analyte(s) Tricyclic Antidepressants ELISA Screen None Detected See Page 3. Group 7 Methadone ELISA Screen None Detected See Page 3. Group 7 1 1: Bile Analysis Drug Group/Class Quantitation Analyle(s) No Test Performed 1: Liver Analysis Drug Grouplclass Quantitation Analyte(s) No Test Performed 1: Long Term Storage Blood Analysis Drug Group/Class Quantitation Analyte(s) No Test Performed 1: Urine Analysis Drug Group/Class Result Quantitation Analyte(s) GlucoselKetone bodies None Detected CocaineIMtb GCIMS Positive Benzoylecgonine Positive Cocaine Positive Ecgonine Methyl Ester Positive Methyl Ester Positive Cannabinoids GCIMS Positive 599 Page 3. Group 13 TOTAL Positive Basic Drugs by GCIMS Positive I See Page 3. Group 8 Levamisole Positive Cocaine - Positive Nicotine Positive Ecgonine Methyl Ester Positive 1: Vitreous Humor Hospital Post Analysis Drug Grouplclass Quantitation AnaIyte(s) No Test Performed Toxicology Laboratory Report Cuyahoga County Regional Forensic Science Laboratory 11001 Cedar Avenue, Cleveland, Ohio 44106 Page 3 of 3 Analytes included in Drug Groups I Class 1} ~59 10 11) 12) 13) 14) 15) 15) 17) 13} VOLATILES: Acetaldebyde, Acetone, Aoetonitcile',Butane, Chlorofonn', Didtlommethane'. Ethanol, Ethyl Methane. Methanol, Pataldehyde". Propane. Toluene'. ETHANOL, and METEANOL confirmation by alternative GC column andfor alternative specimens. ETHANOL is differentiated by Coiorimeuy (Qualitative). Sedatives, Bypnotics, Anti--EpiIepIie and Other Acirlicl'Neutral Drugs Amobarbital. Butalbital, Caffeine, Carbamazepine. Carisoprodol. Glutetbimide. Ibuprofen. Levetiracetam. Mephenytoin. Meprobamate. Metaxalone, Naproxen. Pentobarbital, Penroxifylline, Phenobarbital, Phenytoin, Primidone, Secobarbiral, Iheophyliine, Topimmate; ACID NEUTRAL Confinuationby GCIMS- Carbon Monoxide*(Carboxyhemog1ohin) by Co-Oximetry: Carbon Monoxide, Methmtoglobin. Hemoglobin; CARBON MONOXIDE confinnation by spectrophotometry andlor Microdiffusion. Glycols"': Ethylene Glycol. Propylene Glycol screened and quantified by GC and confirmed by Cyanide-*: Screened and quantified by GC and confirmed by EMITO: AMINES (target d-Amphetamine); BENZODIAZEPINES (Targt-.t= Oxazepam); COCAINE (1'argct= Benzoylecgonine (a cocaine metabolite); CANNABINOIDS (Target= (a marijuana metabolite); OPIATES (Target= Morphine); (Target-*= ELISA @muno?orbent gssay)-Screen: SMAS (Target cl-Amphetamine); Ba:-biturates (Target Pentobarbital); Benzodiazepines (Target Alprazolatn); Cannabinoids (Target 1l-norad'-9-THC-C0OH (.1 marijuana metabolite); Carisopmdol (Target Carisoprodol); Cocaine" Metabolite (Target Benzoylecgonine); Fentanyl (Target Fentanyl); Mefltampbetamine (Target d-Methamphetamine); Oxyeodone (Target-= (Target Tricyclic Antidepressants (Target Llethadone (Target Methadone); Opiates (Target Morphine). BASIC DRUGS (Qnantitalinn and Confirmation) Amantadine,Aminiptyline. Atnoxapine, Amphetamine, Atropine. Benztropine, Brompheniramine, Bupivacaine. Bupropion.'Bupropion Metabolites. Buspirone. Caffeine. Carbinottatnine. Cbloropbenyipipetazine. e. Chlorpromazine. Citalopram. Clomipramine, Clozapine, Cocaethylene. Cocaine. Codeine, Cocaine and metabolites, Cotinine, Cyclizine, Cyclobenzapxine. Desipsamine, Dethyl Cblordiazepoxide. Desmethyl Clomipaamine. Desmethyl -Clozapine. Dextrotnetboztphan, Diazepam, Diethyipropion. Dis opyramide. Diltiazem. Doxepin, Doxylamine. Eegonine methyl ester. Fentanyl, Fluoxetine. Fluvoxamine, Guaifenesin, I-Ialopetidol, Hydrocodone, Hydroxyzine, Imipramine, Ketamine, Landanosine, Lidoeaine. Lidocaine (MEGX), Lo:-tapine. Maprotiline. Meclizine, Mepelidine. Mephentetmine, Mesotidazine, Methadone. Methadone primary secondarymb Methamphetamine. Methylene- dioxyamphetamine (MDA), Methylenedioxymethamphetamine (MDMA). Metoprolol, Mexiletine, Midazolam, Mirtazapine, Nefazodone, Nicotine. Nordiazepam,Nordo:tepin. Notptopoxypb . Namiptyline, Norverapamil, Olanzapine. Orphenadrine. Oxycodone. Papavetine, Paroxetine, Pentazocine, Pentoxifylline, Petpbenazine, beta--Phenethy1a.rnine, Pheniramine, Phendimettazine, Phenmetrazine, Phenretmine, Phenytoloxamine. Procaine. Promethazine. Propoxypbene. Pnopranolol, Ptottiptyline. Pseudoehedrine. Quetiapine. Quinidine. Quinine. Sern'al.ine_ Ibioridazine, Tramadol. Trazodone, 'Itipeleunamine, Venlafaxine, Vetapamil, Zolpirlem- ACETAMDIOPHEN SCREEN: AcetaminophenbyCo1orimetty (Qualitative). SAIJCYLATE SCREEN: Salicylare(Aspi1in) by Calorimetry (Qualitative). SALICYLATE CONHRMAHON by Gas Chromatography. XANTEINES by HPLC: Acetaminophen. Caffeine,'I'heophy'iline. Clinical Chemistries: Ketones, pH. Specific Gravity. and Electrolytes (Sodium. Potaum. Chloride. TCO2. Glucose. Urea, Creatinine). CANNABINOIZDS Gems: Cannabinoids (ng.'mL; D9-THC, (a marijuana metabolite). I1-nor- D9-THC-coon (a marijuana metabolite). TOTAL I1-nolt- D9--THC-COOH (a marijuana metabolite). OPIATES (ngfn1L): Morphine, 6-Aeetylmorphine (heroin metabolite). Codeine. Dibydrocode, Hydromorphone, Norcodeine'. Oxyeodone; TOTAL OPIATES by GCIMS-Hydrolysis followed by OPIATES by GCIMS. BENZODIAZEPINE by GCIMS: Alprazolatn! metabolite. Diazepamf-metabolites. Clonazepam. Lorazepam, Midazolamimetabolite, Triazolam. SYMIPATHOLIBJIETIC AMINES GCIMS analysis (ng/n1L). Amantadine. Amphetamine. beta-Pltenethylamiue. Mephentermine. Methamphetamine, Methylenedioxyamphetamine (MBA), Methylenedioxymethamphetamine (MDMA), Phentennine. Pseudo ephedrine. GHB by (mgi'L): Gamma-hydroxybutyric add (gamma Fentanyi, sn?em:aniL alfenranil. 19) SENT OUT TO REFERENCE LABS: Epinephrine, 7-amino Flunitrazepam, Insulin. LSD. Nefedipine, Rispetidone, Watfazin. Valproic Acid. HEAVY METAL SCREEN: (Antimony, Arsenic. Lead. Barium. Cadmium. Bismuth. Mercury. Selenium) or any other drugs not listed above. REQUEST ABBREVIATIONS: unsuitable for testing; QNS=Quantity for analysis; Done; chemistry: =less thangiemer thainfi lower reporting UNITS FOR VOLATILES: l00mg!dI.# 0.100 5 0.100 UNITS: 1 mgfi. 1000 1000 ngfmI.- . I certify that the specimen identified by this case, number lN2012-02024 have been handeled and analyzed in accordance with all applicable requirements. The result in this report relate to the items tested. For purposes of identification and -. numbers exclusively. Name is subject to change based on receipt of information. This report shall 1 written approval of the Cuyahoga County Regional Forensic Science Laboratory. tracking the Toxicology Lab uses case - be reproduced exce in full, Chief Forensic Toxicologist Cuyahoga County _MedicaI Examiner's Office 11001 Cedar Avenue, Cleveland, Ohio 44106 REPORT OF AUTOPSY Thomas Gilson, MD. Medical Examiner I THE STATE OF OHIO, ss. CUYAHOGA COUNTY CASE NUMBER: REPORT OF-AUTOPSY OF: Melissa Ann Williams ADDRESS: 12025 Shadv Oak Boulevard, Garfield Heiqhts. Ohio I, 'Thomas P. Gilson, M.D., Medical Examiner of Cuyahoga County, Ohio, Certify that on the 1_s.t day of December, 2012 at 8:20 AM in accordance with Section 313.13 of the Revised Code, of the State of Ohio, an autopsy was performed on the body of Melissa Ann Williams. The following is the report of autopsy to the best of my knowledge and belief: This person was a female, single, aged 30 years, of the Black race; had brown eyes, black hair, good teeth, was inches in height, weighing 133 pounds; a native of Cleveland, Ohio. ANATOMIC DIAGNOSES: I. Multiple (sixteen) penetrating gunshot wounds of head, neck, trunk, and left upper arm Lacerations o.f the skin and subcutaneous soft tissues of the left temporal scalp, left - eyelids, neck, thorax, abdomen, right pelvis, and left upper arm Lacerations of the left ear pinna, left eye, and left maxillary gingiva Lacerations of the left temporal dura and left temporal cerebrum Lacerations of bilateral intercostal soft tissues, right fifth rib cartilage, both lungs, pericardial sac, heart, aorta, superior and inferior venae cavae, right diaphragm, liver, stomach, pancreas, small intestinal mesentery, right kidney, and right renal artery E. Serosal of the cecum F. Bilateral hemothorax: right 400 ml, left 600 ml 1.0.0.03 Hemoperitoneum, 100 ml . Fractures of left temporal skull, left periorbital skull, ieft maxilla, at least two cervical vertebrae, sternum, left sixth rib, right ninth rib, and left humerus Multiple (eight) perforating gunshot wounds of head, left 'breast, and left upper arm A. Lacerations of skin and subcutaneous soft tissues of the left frontal and left parietal scalp, left breast, and left upper arm Fractures of left humerus and left radius Blunt impacts to head, trunk, and extremities A . Abrasions of face, left anterior axilla, anterior abdomen, right lower arm, left . elbow, both hands, both index fingers, left middle finger, and right upper leg B. Cutaneous contusions of right upper leg . C. Cutaneous lacerationsof right lower arm, both hands, left index finger, and left middle _finger IV. Multipie superficial incised wounds of face, right lower arm, both hands, left index finger, and left middle finger Cause of Death: Multiple gunshot wounds of head, neck, trunk, and left arm with multiple visceral, vascular, and skeletal injuries. HOMICIDE. Joseph a -(Name of Pathologist) thologist signlaihr Melissa Ann Williams -- - -- - (Name of Deceased) C/Cuyahoga County Medical Examiner Page 1 of1 Case: County: Cuyahoga Name: Melissa Ann Williams GROSS ANATOMIC DESCRIPTION As" initially viewed at the scene of death, the body is clothed and seated in the passenger front seat of an automobile with a decedent male in the driver's seat position. The automobile has innumerable bullet holes. Both bodies in the automobile are delivered to the Cuyahoga County Medical Examiner's Office. The bodies are removed by members of the Cuyahoga County Medical Examiner's Office Receiving Department. The body is undressed by members of the Cuyahoga County Medical Examiner's Office Trace Evidence Department. EXTERNAL EXAMINATION: The nude body is that of a normally developed and adequately nourished black female, whose appearance is consistent with the reported age of 30 years. The body weighs 133 pounds and is 64 inches in length. The body is in full rigor mortis. Lividity is dorsal and fixed. The skin temperature is cold. The scalp hair is short, black, curly, and has a normal distribution. The left is traumatically collapsed. The conjunctivae are clear, the corneas are clear, and the irides are brown. The right pupil is circular. Both earlobes have two pierced holes, and the ears are otherwise unremarkable. The nose and mouth show no abnormalities. The teeth are natural and in good condition with multiple edentulous spaces. The neck is of normal configuration, and there are no palpable masses. The thorax is symmetrical and normal i_n configuration. The breasts are of normal adult female configuration, and there are no palpable masses. The abdomen is soft and flat. The external genitalia are of normal adult female conformation, and there are no external lesions. The extremities appear normal, and the joints are not deformed. All digits are present. Chipped pink and silver nail polish is applied to all ten fingernails. The skin is of normal pliability and texture and presents no significant lesions. There is no icterus. Two irregular, flat, copper-metal fragments are recovered from the surface of the body when removing the body from the body bag. The metal fragments are 5116" 3/16" 1/16" and 1/16". Neither of the metal fragments are specifically marked for identification. The metal fragments are submitted to the Cuyahoga County Medical Examiner's "Office Property closet following the autopsy. SCARS AND IDENTIFYING MARKS: 1. A 4" 2" multicolor tattoo of a tiger is over the lateral right upper arm. 2. Multiple oval and irregular scars are over the anterior right knee in a" 3" 2" area. - . 3. Multiple oval and irregular scars are over the anterior left knee in a 3" 2" area. EXTERNAL AND INTERNAL EVIDENCE OF RECENT THERAPY: None noted. EXTERNAL AND INTERNAL EVIDENCE OF RECENT INJURY: I. Sixteen penetrating gunshot wounds: 1. Gunshot wound of head: I. Entrance: A 374" irregular laceration is in the left temporal scalp, and is centered on a point 3" below the scalp vertex and 3" left of the facial midline. A triangular laceration is in the upper margin of the left ear helix. The irregular temporal laceration has an eccentric black-red abraded margin that is wide at the superior and anterior margins of the laceration and wide at the posterior margin of the laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular- laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. ll. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left temporal scalp, the left temporal skull, the left temporal dura, and penetrates the left petrous ridge. Ill. Injuries associated with bullet path: Page 1 of 14 Case: IN2012-02024 County: Cuyahoga Name: Melissa Ann Williams a. A irregular fracture with internal beveling is in the left temporal skull and a 1" and deep oval fracture is in the left petrous ridge. b. A 1" wide and deep, non-hemorrhagic laceration is in the left temporal lobe of the brain. Recovery of projectile: A ms" irregular gray metal fragment and a x-3/16" irregular gray and copper-color metal bullet are recovered from the left temporal cerebral lobe on a point centered 3" below the scalp vertex and 2 left of the facial midline. The irregular gray and copper metal bullet is etched on a smooth concave surface of the copper metal. . The irregular gray metal fragment is not specifically marked for identification. Both metal fragments.are submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right with no up or down deviation and no front or back deviation. 2. Gunshot wound of head: IV. Entrance:.A 1 1 irregular laceration and fracture involve the skin of the left eyelids, the left eye, and the left periorbital bones. The irregular laceration is centered on a point approximately 4 below the scalp vertex and 1 left of the facial midline. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues or on the bones of the underlying irregular laceration. Path or projectile: The bullet fragments with most of the bullet perforating the bones of the posterior left orbit and penetrating the upper right paracervical spinal soft tissues. Smaller fragments of the bullet perforate the left maxilla and the posterior left maxillary gingival mucosa. Recovery of projectiles: Two irregular metal fragments are recovered from the oral cavity between the posterior left maxillary gingival mucosa and the left buccal mucosa. A gray and copper metal fragment and a irregular gray metal fragment are recovered from the mouth and neither are marked specifically for identification. A deformed copperjacketed bullet is recovered from the right posterior base of the skull soft tissues on a point centered 8" below the scalp vertex and right ofthe spinal midline. The copperjacketed bullet has a length, a maximal diameter, a gray-black metal core, and parallel and longitudinal striations around the jacket circumference. The 5/16" diameter flat base of the bullet is etched during the autopsy. All three metal fragments are submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. 3. Gunshot wound of neck: Entrance: A irregular laceration is in the left lateral upper neck, and is centered on a point 5 below the scalp vertex and 3" left of the anterior neck midline. A irregular laceration is in the inferior margin of the left earlobe. A red-brown abrasion is at the inferior margin of the irregular laceration in a maximal width. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left upper neck and fractures at least two left transverse processes of the cervical spine. Page 2 of 14 Case: County: Cuyahoga Name: Melissa Ann Williams IV. Recovery of projectile: A deformed, copper jacketed bullet with gray metal core is recovered from the subcutaneous soft tissues of the posterior neck midline on a point centered 7" below the scalp vertex. The jacketed bullet has a maximal length, a maximal diameter, and focal parallel striations on a curved surface. The 5l'i6" diameter base of the bullet is etched - during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. 4. Gunshot wound of neck: IV. Entrance: A irregular laceration is in the right posterolateral neck, and is centered on a point 56" above the sole of the left foot and 2 right of the anterior neck midline. The irregular laceration has an eccentric brown abraded margin that is wide at the superior margin of the irregular laceration and wide at the posterior margin of the irregular laceration. White-red fibers are in the wound. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the laceration. Path of projectile: The bullet perforates the subcutaneous soft tissues of the right lower paracervical spine. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the right lower paracervical spine soft tissues on a point centered 55" above the sole of the left foot and right of the spinal midline. The bullet has a 7/16" length, a 7/a" maximal diameter, and circumferential parallel and longitudinal striations around the jacket. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Right to left, front to back, and downward-. 5. Gunshot wound of neck and thorax: - Entrance: A 5/3" irregular laceration is in the |eft_|atera| neck, and is centered on a point 55" above the sole of the left foot and 2" left of the anterior neck midline. The irregular laceration is surrounded by a concentric brown abraded margin that has a uniform width. Scatte-redbrown abrasions are in the skin adjacent to the inferior margin of the irregular laceration within and adjacent to the posterior margin of the irregular laceration within 1 No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left posterior neck, the paramedian left posterior upper- thorax, and the right posterior thorax. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the posterior right paramedian upper thoracic subcutaneous soft tissues on a point centered 54" above the soie of the left foot and 1/2" right of the spinal midline. The bullet has an 11/16" maximal length, a maxima|_diameter, and circumferential longitudinal and parallel striations around the jacket. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. Page 3 of 14 Case: lN2012-02024 Name: Melissa Ann Williams County: Cuyahoga 6. Gunshot wound of posterior thorax: IV. Entrance: A 3/8" oval laceration is in the posterior and lateral left upper thorax, and is centered on,a point 57" above the sole of the left foot and 5" left of the spinal midline. An eccentric brown- gray abrasion is around the margins of the oval laceration with sparing at the superior margin. The abrasion is wide at the lateral margin, wide at the inferior margin, and 3/16" wide at the medial margin. No black powder or stipple wounds are deposited on the skin adjacent to the oval laceration, and no black powder is visible within the subcutaneous soft tissues beneath the oval laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left posterior thorax and the right posterior thorax. Recovery of projectile: A copper metal jacketed bullet with gray . metal core is recovered from the posterior right lower thoracic subcutaneous soft tissues on a point centered 45 above the sole of the left foot, 1 right of the spinal midline, and 1" beneath the surface of the skin. The bullet has a length, a maximal . diameter, and circumferential longitudinal and parallel striations around the jacket. The 5l'l6" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, back to front, and downward. 'Gunshot wound of the left thorax: V. Entrance: A Va" 5/a" irregular laceration is in the anterior left axilla, and is centered on a point 53 above the sole of the left foot and 6" left/of the anterior thoracic midline. The irregular laceration is surrounded by a concentric red-black-yellow abraded margin that is me" wide at the superior margin of the irregular laceration, 3116" wide at the medial margin of the irregular laceration, and wide at the inferior and lateral margins of the irregular laceration. White-black fibers are present within the wound. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no biack powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the anterior and lateral left thorax and the lateral left sixth rib. Injury associated with bullet path: An irregular fracture is in the lateral left sixth rib and is centered on a point 49" above the sole of the left foot and 5" left of the spinal midline. Recovery of projectile: A black-copper color metal jacketed bullet a-nd core is recovered from the left pleural cavity. The bullet has a 3/3" length, a maximal diameter, and faint longitudinal and parallel striations around the circumference of the jacket. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. 8. Gunshot wound of right thorax: Entrance: A irregular laceration is in the anterior right upper thorax and is centered "on a point 53" above the sole of the left foot and 1 right of the anterior thoracic midline. An irregular, eccentric brown-red abrasion is around the irregular laceration with sparing of the superior margin. The abrasion is Page 4 of 14 Case: County: Cuyahoga Name: Melissa Ann Williams wide at the inferior margin of the irregular laceration and wide at the medial and lateral margins of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the anterior right upper thorax, the anterior right third intercostal soft tissues, the upper lobe of the right lung, and the posterior right fourth intercostal soft tissues. Injuries associated with bullet path: a. A diameter cylindrical laceration is through the upper lobe of the right lung. b. Hemorrhagic lacerations are in the anterior right third intercostal soft tissues and the posterior right fourth intercostal soft tissues. Recovery of projectile: A deformedcopper metal jacketed bullet with gray metal core is recovered fro_m the soft tissues between the posterior right ribs and the right scapula on a point centered 53" above the sole of the left foot and 3" right of the spinal midline. The bullet has a length, a 13/16" maximal diameter and focal parallel striations on 'curved edges. The 5118" diameter base of the jacketed bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, front to back, and no significant deviation upward or downward. 9. Gunshotwound ofthorax: Entrance: A irregular laceration is in the anterior left upper thorax and is centered on a _point 52" above the sole of the left foot and 1 left of the anterior thoracic midline. A brown- black concentric abrasion is around the margin of the irregular laceration and is wide at the inferior margin of the irregular laceration and wide around the remainder of the margins of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powderis visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft _tissues of the anterior left upper thorax, the sternum, the medial upper lobe of the left lung, the ascending aorta, and the posterior right ninth rib, and penetrates the subcutaneous soft tissues of the posterior right lower thorax. Injuries associated with bullet path: a. A circular fracture is in the sternum between the fourth and fifth rib insertions. b. A 1" irregular laceration is in the medial margin of the upper lobe of the left lung. - c. Two irregular lacerations are in opposing walls of the ascending aorta. d. An irregular fracture is in the posterior right ninth rib. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the posterior right lower thoracic subcutaneous soft tissues on a point centered 47" above the sole of the left foot and 3" right ofthe_spina| midline. The bullet has a length, a maximal diameter, and circumferential parallel and longitudinal striations around thejacket. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. Page 5 of 14 Case: County: Cuyahoga Name: Melissa Ann Williams 10. 11. Gunshot wound of right thorax: V. Entrance: A irregular laceration is in the anterior right paramedial thorax and is centered on a point 50 1/2" above the sole of the left foot and 3/1" right of the anterior thoracic midline. An irregular eccentric yellow-brown and red-black abrasion is around the margin of the irregular laceration with sparing of the superior margin. The abrasion is wide at the medial margin of the irregular laceration and wide at the lateral and inferior margins of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no -black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the anterior right paramedial thorax, the anterior right fifth rib cartilage, the superior vena cava, the posterior right tenth intercostal soft tissues, and penetrates the subcutaneous soft tissues of the posterior right lower thorax. Injuries associated with bullet path: a. A diameter circular laceration is "in the anterior right fifth rib cartilage. b. The pericardial sac and superior vena cava near the junction with the right atrium are lacerated. c. A hemorrhagic laceration is in the intercostal soft tissues of the posterior right tenth space. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the posterior right thoracic subcutaneous soft tissues on a point centered 47" above the sole of the left foot and 2" right of the spinal midline. The bullet has a length, an 11/16" maximal diameter, and circumferential parallel andlongitudinal striations around the jacket. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. Gunshot wound of lower thorax: IV. Entrance: A irregular laceration is in the anterior left lower thorax, and is centered on a point 47" above the sole of the left foot and 1 left of the "anterior thoracic midline. The irregular laceration is surrounded by a 1/16" wide concentric black abraded margin. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. - Course and direction: The bullet sequentially perforates the subcutaneous soft tissues of the anterior and inferior -left lower thorax, the parasternal left sixth intercostal soft tissues, the heart, the right diaphragm, the right kidney, and penetrates the posterior right thoracic soft tissues lateral to the right twelfth rib. injuries associated with bullet path: a. A 1 irregular laceration is in the anterior wall of the right ventricle and a 2" irregular laceration is in "the posterior wall of the right ventricle. b. A 1" laceration is in the right diaphragm. c. A 1 irregular laceration is in the inferior pole of the right kidney. d. An irregular laceration is in the posterior right thoracic soft tissues lateral to the end of the right twelfth rib. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the-posterior right lower thoracic subcutaneous soft tissues on a point centered 43" above the sole Page 6 of 14 Case: IN2012-02024 County: Cuyahoga Name: Melissa Ann Williams V. of the left .foot and 2 right of the spinal midline. The bullet has a length, a maximal diameter, and circumferential parallel and longitudinal striations around the jacket. The 5/16" diameter base of the bullet is etched 1" during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. 12. Gunshot wound of left thorax and left abdomen: V. Entrance: A irregular laceration is in the anterior left medial inferior costal margin of the thorax, and is centered on a point 45" above of the sole of the left foot and 1 left of the anterior thoracic midline. A black-tan-pink concentric abrasion is around the irregular laceration and is 1/16" wide at the superior and inferior margins, wide at the medial margin and 1/e" wide at the lateral margin. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left anterior lower thorax, the apex of the heart, the liver, and the stomach. - Injuries associated with bullet path: a. A 2" long and deep laceration is in the apex of the heart. b. A 2 1 1/2" irregular laceration isthrough the left lobe of the liver. - c. Two transmural lacerations-are through opposing walls of the stomach. Recovery of projectiie: A copper metal jacketed bullet with gray metal core is recovered from the left anterior margin of the second lumbar vertebral body on a point centered 42" above the sole of the left _foot and left of the spinal midline. The bullet has a length, an 11/16" maximal diameter, and circumferential' longitudinal and parallel striations around the jacket. The 5116" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, front to back, and downward. 13. Gunshot wound of right abdomen: Entrance: A irregular laceration is in the right paramedian upper paraumbilical abdomen, and is centered on a point 40"_ above the sole of the-left foot and right of the anterior abdominal midline. The irregular laceration is surrounded by a brown-black and pink concentric abrasion that is wide at the- superior margin, 1/16" wide at the inferior margin, and Mr" wide at the rig_ht lateral and left lateral margins. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the anterior right abdo_men, the omentum, the pylorus, the pancreas, the inferior vena cava, and the right renal artery. Injuries associated with bullet path: a. A 1" diameter laceration is through the small intestinal mesentery. b. Two transmural lacerations are in opposing walls of the pylorus and are and 1" in diameter. c. A hemorrhagic laceration is through the body of the pancreas. d. Lacerated transections are through the inferior vena cava and the right renal artery. Page 7 of 14 Case: County: Cuyahoga Name: Melissa Ann Wi_lliams IV. Recovery of projectile: A copper metal jacketed bullet with gray metal core is recovered from the right paraspinal connective tissues adjacent to the first lumbar vertebral body on a point centered 44" above the sole of the left foot and right of the spinal midline. The bullet has a length, an 11116" maximal diameter, and circumferential longitudinal and parallel striations around the jacket. The 5116" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. Course and direction: Left to right, front to back, and upward. 14. Gunshot wound of superior right pelvis: IV. Entrance: A irregular laceration is in the anterior right pelvis, and is centered on a point 35 1/2" above the sole of the left foot and 4" right of the anterior abdominal midline. A ye-||ow-red- black concentric abrasion is around the irregular laceration and is wide at the superior margin of the irregular lacerati_on, 1/16" wide at the lateral margin of the irregular laceration, wide at the medial margin of the irregular laceration, and 1" wide at the inferior margin of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. Path of bullet: The bullet perforates the subcutaneous soft tissues of the right pelvis without perforating the right peritoneum. - Recovery of projectile: An irregular, copper metal jacketed bullet with gray--black metal core is recovered in the soft tissues adjacent to the superior right pelvis on a point centered 40" above the sole of the left foot and 2" right of the spinal midline. The bullet has a length, a 73" maximal diameter, and striations on a curved side. The 5116" diameter flat base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy. "Course and direction: Right to left, front to back, and upward. 15. Gunshot wound of inferior right pelvis: IV. Entrance: A 1" oval laceration is in the right inguinal pelvis, and is centered on a point 33 above the sole of the left footand" 3" right ofthe anterior abdominal midline. A yellow-black abrasion is at the inferior margin of the oval laceration and has a maximal thickness. No black powder or stipple wounds are deposited on the skin adjacent to the oval laceration, and no black powder is visible within the subcutaneous soft tissues beneath the oval laceration. Path or projectile: The bullet perforates -the subcutaneous soft tissues of the right pelvis without perforating the peritoneum. A dark red is on the serosa of the cecum. Recovery of projectile: A copper jacketed bullet with gray--black metal core is recovered adjacent to the right pelvis on a point centered 39" above the sole of the left foot and 3" right of the spinal midline. The bullet has a length, a maximal diameter, and circumferential longitudinal and parallel striations on the jacket. The 5116" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiner's Office Property closet following the autopsy.. Course and direction: Front to back and upward, with no right or left deviation. Gunshot wound of left upper arm: Page 8 of 14 Case: County: Cuyahoga Name: Melissa Ann Williams I. Entrance: A 3/a" diameter circular laceration is in the skin of the anterolateral mid--section of left upper arm, and with the arm in normal anatomical position, is centered on point 53" above the sole of the left foot. The circular laceration is surrounded by a concentric brown-gray--red abrasion that is 3/16" wide at the proximal margin of the circular laceration, and 1/16" wide around the remainder of the circular laceration margin. No black powder or stipple wounds are deposited on the skin adjacent to the circular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the circular laceration. ll. Path of projectile: The bullet sequentially perforates the subcutaneous soft tissues of the left upper arm and the left humerus and penetrates the posterior mid-section of the left upper arm skin. - Ill. Injuries associated with bullet path: a. A comminuted fracture is in the left-humerus. b. A oval cutaneous laceration is in the posterior mid- section of the left upper arm and is centered on a point 53 1/2" above the sole of the left foot with the arm in normal anatomical position. IV. Recovery of projectile: A deformed, copperjacketed bullet with gray metal core is recovered from the subcutaneous soft tissues beneath the oval laceration of the posterior mid-section of the left upper arm. The bullet has a 3/3" length, a %".maximal diameter, with focal parallel striations on a curved side. White-red fibers are also in the subcutaneous soft tissues adjacent to the bullet. The 5/16" diameter base of the bullet is etched during the autopsy. The bullet is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. V. Course and direction: Right to left, front to back, and upward. Eight perforating gunshot wounds: A 2 1/2" laceration is in the left frontal and left parietal scalp. The curved frontal aspect of the laceration has an abraded margin, the parietal margin of the laceration has an acute angle configuration, and both medial and lateral margins of the laceration are irregular with skin tags directed in the frontal direction. The curved frontal abraded margin of the laceration is centered o_n a point below the scalp vertex and 2" left of the scalp midline. A 1/16" irregular gray metal fragment is recovered from the_subcutaneous soft tissues of the frontal scalp beneath the laceration, and is not specifically marked for identification. The irregular gray metal fragment is submitted to the Cuyahoga County Medical Examiners Office Property closet following the autopsy. Gunshot wound of left breast: I. Entrance: A 1/2" irregular laceration is in the superior and medial left breast, and is centered on a point 51" above the sole of the left foot and 4" left of the anterior thoracic midline. A brown concentric abrasion is around the irregular laceration margin and is 1/16" wide at the medial margin of the irregular laceration and wide around the remainder of the irregular laceration margin. No" black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. ll. Path of projectile: The bullet perforates the superior and medial left breast tissues. Exit: A irregular laceration is in the inferior and medial left breast, and is centered on a point 49" above the sole of the left foot and 2 left of the anterior thoracic midline. IV. Course and direction: Left to right and downward, with no front or back deviation. Page 9 of 14 6. Case: Name: Melissa Ann Williams County: Cuyahoga Gunshot wound of left areola: A irregular laceration is in the superior and medial left areola, and is centered on a point 50 1/2" above the sole of the |e_ft foot and 4" left of the anterior thoracic midline. A red- brown abrasion is around the circumference of the irregular laceration and is 1/16" wide at the medial margin of the irregular laceration and wide around the remainder of the margin of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the . subcutaneous soft tissues beneath the irregular iaceration. A irregular exit wound laceration is in the inferior and medial left areola and is centered on a point 49 above the sole of the left foot and 4" left of . the anterior thoracic midline. A irregular brown~red abrasion is at the superior margin of the irregular exit wound. The path of the bullet is downward with no left or right deviation" or front or back deviation. Gunshot wound of left upper arm: IV. Entrance: A irregular laceration is in the lateral proximal left upper arm, and with the left arm in normal" anatomical position, is centered on point 56" above the sole of the left foot. The irregular laceration has a brown-pink abrasion at the anterior margin that has a maximal width. No black powder or stipple wou-nds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous - soft tissues beneath the irregular laceration. Path of projectile: The bullet perforates the subcutaneous soft tissues and the left humerus of the proximal left upper arm. Exit: A oval laceration is in the posterior proximal left upper arm, and with the left arm in normal anatomical position, is centered on a point 56 above the sole of the left foot. Course and direction: Left to right, front to back, and L1K3Wal'd. Gunshot wound of the left upper arm: IV. Entrance: A oval laceration is in the anterior proximal left upper arm, and with the left arm in normal anatomical position, is centered on a point 54" above the so|e_of the left foot. The oval laceration is surrounded by a brown-red concentric abrasion that is Mr" wide at the proximal margin of the oval laceration, 1/16" wide at the posterior and distal margins of the oval laceration, and wide at the anterior margin of the oval laceration. No black powder or stipple wounds are deposited on the skin adjacent to the oval laceration, and no black powder is visible within the subcutaneous soft tissues beneath the oval laceration. Path of projectile: The bullet perforates the subcutaneous soft tissues and the left humerus of the proximal left upper arm. Exits: Two lacerations are in the skin of the posteriorproximal left upper arm. Theproximal laceration is and is centered on a point with the left arm in normal anatomical position 53" above the sole of the left foot. The distal laceration is and is centered on a point with the left arm in normal anatomical position 52" above the sole of the left foot. Course and direction: Left to right, front to back, and downward. Gunshot wound of left upper arm: Entrance: A diameter circular laceration is in the anterolateral mid-section of the left upper arm, and with the left arm in normal anatomical position, is centered on a point 52" above the sole of the left foot. A wide yellow-red abrasion is at the anterior and distal margins of the circular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the circular laceration, and no black powder is visible within the_subcutaneous soft tissues of the circular laceration. Page 10 of14 Case: County: Cuyahoga Name: Melissa Ann Williams 7. Exit: A irregular laceration is in the posterolateral mid- section of the left upper arm, and with the left arm in normal anatomical position, is centered on a point 53" above the sole of the left foot. IV. Course and direction: Right to left, front to back, and upward. Gunshot wound of left upper arm: I. Entrance: A $33" irregular laceration is in the lateral distal left upper arm, and with the left arm in normal anatomical position, is centered on a point 49 above the sole of the left foot. The irregular laceration is surrounded by a brown--red abraded margin that is 3/16" wide at the distal margin of the irregular laceration, and wide around the remainder of the margins of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. ll. Path of projectile: The bullet perforates the subcutaneous soft tissues and the distal humerus of the left upper arm. Ill. Exit: A irregular laceration is in the posteromedial distal left upper arm, and with the left arm in normal anatomical position, is centered on a point 49 above the sole of the left foot. IV. Course and direction: Left to right, front to back and in a horizontal plane. Gunshot wound of distal left upper arm: I. Entrance: A 1" irregular laceration is in the lateral.|eft elbow, and with the left upper arm in a normal anatomical position, is centered on a point 45 above the sole of the left foot. The irregular laceration is surrounded by a red-brown abrasion that is wide at the proximal margin of the irregular laceration, wide at the radial margin of the irregular laceration, and 1/16" wide at the dorsal and distal margins of the irregular laceration. No black powder or stipple wounds are deposited on the skin adjacent to the irregular laceration, and no black powder is visible within the subcutaneous soft tissues beneath the irregular laceration. ll. Path of projectile: The bullet perforates the subcutaneous soft tissues of theleft elbow and fractures the left humerus and left radius. Ill. Exit: A irregular laceration is in the dorsal distal left upper arm, and with the left arm in normal anatomical position, is centered on a point 47" above the sole of the left foot. IV. Course and direction: Left to right, front to back, and upward. Blunt and sharp force injuries: Multiple punctate superficial incised wounds, red-purple abrasions, and superficial lacerations are on the face, more prominently on the right,- in a 10" transverse diameter and 7" longitudinal diameter. - A red-black irregular abrasion is over the left anterior axilla, and is centered on a point 54" above the sole o.fthe left foot and 5" left ofthe anterior thoracic midline. - A 1 yellow-red abrasion is over the anterior left upper abdominal quadrant, and is centered on a point 42 above the sole of the left foot and 1 left of the anterior abdominal midline. A yellow-red abrasion is over the anterior right paramedian lower paraumbilical abdomen, and is centered on a point 38" above the so.le of the left foot and right ofthe anterior abdominal midline. Multiple punctate superficial incised wounds, red--purp|e abrasions, and superficial lacerations are over the dorsal distal right lower arm and the dorsal right hand in a 5 4 area. Page 11 of14 Case: lN2012-02024 County: Cuyahoga Name: Melissa Ann Williams . 6. A 1/16" dark red abrasion is over the dorsal right index finger distal interphalangeal joint. 7. A 1/s" ms" brown abrasion is over the left hypothenar eminence of the hand. 8. Two white-pink abrasions are over the dorsal left elbow in a 'Zr' area. 9. Multiple punctate superficial incised wounds, red-purple abrasions, and superficial lacerations are over the dorsal left hand, the dorsalleft index finger and the dorsal left middle finger in a 6" 3" area. . 10. A purple-pink contusion is over the medial mid-section of the right upper leg. 11. A 3/16" 1/a" dark red-purple abraded contusion is over the anterior distal right upper leg. - 12. A dark red and purple-pink abraded contusion is over the medial - distal right upper leg. - The above wounds and injuries are numbered by convention from the top downward, and the numbering is not intended to imply the sequence in which the wounds and injuries may have been sustained. The above wounds and injuries, once having been described, will not be referred to below. The remainder of the external examination of the head, neck, trunk, and extremities is unremarkable. INTERNAL EXAMINATION: The body is opened by means of the usual and biparietal incisions. The viscera of the thoracic andabdominal cavities occupy their normal sites. The serous surfaces are smooth and glistening. Liquid blood is present within the right pleural cavity, left pleural cavity, and abdominal cavity in measured volumes of 400 ml, 600 ml, and 100 ml, respectively. There are no abnormal masses present. The diaphragmatic leaves are normally situated. The . margins of the liver and spleen are in proper relationship to their costal margins. The weights of the organs are as follows -and, unless specified below, show no additional evidence of congenital or acquired disease. - Heart - 240 grams Right lung -- 320 grams Left lung -- 230 grams Spleen 90 grams Liver - 1110 grams Right kidney - 100 grams Left kidney - 100 grams Brain -- 1100 grams NECK: The neck organs are excised e_n $9 and examined separately. The surface of the tongue and serial cross sections through the tongue show no gross abnormalities. The larynx and trachea have a normal caliber and are free of obstruction. The laryngeal and tracheal mucosa is soft and tan-brown. The" paravertebral musculature is unremarkable. The cervical spine, hyoid bone, and tracheal cartilage are intact. CARDIOVASCULAR: Heart: T-he heart is normal in configuration. The coronary arteries have a normal anatomic distribution, and multiple cross sections through the coronary arteries show no narrowing of lumina. The epicardium is smooth and glistening. There is a normal amount of epicardial fat and its distribution is normal. The great vessels enter and leave the heart in a normal manner. The cardiac chambers have a normal . configuration. The septa are intact, and there are no congenital abnormalities. The myocardium is of normal consistency and appearance. The left and right ventricles are 1.2 cm and 0.3 cm thick, respectively. The heart valves are thin, pliable, and - delicate, and are free of deformity. Valve circumferences are as follows: tricuspid valve 10.0 cm, pu|mo_nic valve 6.5 cm, mitral valve 9.0 cm, and aortic valve 6.0 cm. Aorta and its major branches: The aorta and its principal branches are patent throughout. There are no thrombi, areas of erosion, or zones of narrowing present. Venae cavae and their major tributaries: The superior and inferior venae cavae and their major tributaries are patent throughout. No areas of extrinsic or intrinsic stenosis are present. RESPIRATORY: The major bronchi have a normal caliber and are free of obstruction. The right and left lungs have a normal lobar configuration. The visceral Page 12 of 14 Case: County: Cuyahoga Name; Melissa Ann Williams pleura is smooth and glistening and mottled moderately with black streaks. There are no subpleural bullae. The pulmonary arteries are free of emboli and thrombi. The lungs are crepitant throughout. The is unremarkable. RETICULOENDOTHELIAL: The spleen has a normal configuration. The capsule is blue-gray and smooth, without areas of thickening. On section, the splenic pulp is of normal consistency and appearance. No abnormal nodes are encountered. DIGESTIVE: The esophagus is free of lesions. The stomach has a normal configuration. The serosa is smooth and glistening. The wall is of normal thickness and the mucosa is thrown into rugal folds. There are no areas of ulceration. The stomach is empty. The duodenum is free of ulceration and other intrinsic lesions. The remainder of the small bowel, the colon, and the rectum are normal in appearance. The appendix is present and is unremarkable. HEPATOBILIARY: Liver: The capsule. is smooth andglistening. The liver configurationis normal. Multiple cross sections through the liver reveal a normal lobular pattern. Gallbladder: The gallbladder is of normal size and configuration. "The wall is thin and the mucosa is bile-stained. it contains approximately 7 ml of bile. No calculi are present. - PANCREAS: The pancreas is soft and normally lobulated. Multiple cross sections through the pancreas reveal normal brown~red. intrinsic lesions. GENITOURINARY SYSTEM: Kidneys: The right and left kidneys are similar. The capsules strip with ease to reveal smooth subcapsular surfaces. The renal arteries and veins are patent and free of stenosing lesions. On section, the renal cortices are of normal thickness and the cortico-medullary demarcations are distinct. The medullae are unremarkable. The pelvo-calyceal systems are normal in appearance. The ureters are unremarkable. Bladder: The bladder is of normal configuration. The mucosa is intact and free of ulcerations or other lesions. it contains approximately 40 ml of urine. Gynecological system: The vaginal mucosa is smooth, tan, and free of lesions. The cervical os and cervical mucosa are unremarkable. The endometrial cavity is of normal configuration and the endometrium is tan and flat. The myometrium is normal. There are no parametrial lesions. The fallopian tubes are thin--wa|led, pliable, and free of lesions. The ovaries are symmetrical and unremarkable. ENDOCRINE SYSTEM: No abnormalities are present_in the pituitary, thyroid, or adrenal glands. MUSCULOSKELETAL: The axial and appendicular skeleton show no abnormalities. The exposed musculature is unremarkable. The scalp shows no evidence of contusions or galeal hemorrhages. Most of the skull is intact. The dura is smooth and glistening. The convexities of the cerebral hemispheres are symmetrical. The leptomeninges are thin and transparent. The subarachnoid space does not contain any hemorrhage. The cerebrum presents normal convolutions, with no flattening of the gyri or deepening or widening of the sulci. There is no evidence of subfalcial, uncal, or cerebellar tonsillar herniation present. The major cerebral arteries show no atherosclerosis or congenital anomalies. The roots of the cranial nerves are unremarkable. Serial coronal sections through the cerebral hemispheres show a grossly normal cortical ribbon and underlying white matter. The basal ganglia and diencephalon show no gross abnormalities. Serial cross sections through the brainstem and sagittal sections through the cerebellum fai|_to show any gross lesions or abnormalities. The .ventricular system is symmetrical and of normal size and configuration. After removal of the brain," most of the base of the skull does not demonstrate any fractures. SPINAL CORD: The spinal cord is smooth, white-tan, and glistening, and serial cross sections through the spinal cord show no gross abnormalities. - Page 13 of14 Case: County: Cuyahoga "Name: Melissa Ann Williams Detective Scott Gardner and Patrolman Kevin Harvey of the East Cleveland Police Department were present during the autopsy. MICROSCOPIC DESCRIPTION HEART: Mild intramyocardial arteriosclerosis with increased perivascular fibrosis LUNG: Goblet cell hyperplasia of bronchial epithelium Mild ectatic air spaces - Prominent pigment-laden macrophages within air spaces and within interstitium Mild autolytic and putrefactive changes BRAIN: No significant pathological changes /4/ymaagats (/Date Page 14 of 14 CUYAHOGA COUNTY MEDICAL EXAMINER Cause Of Death Report - Internal Use Only Case Number: lN2012-02024 Name: Malissa Williams Post Type: POST Death: 11/29/2012 On orAbout Death Date: Pathologist: Felo Joseph A. fig./G29: Nugent, Elizabeth I Cause Of Death: - fz4n5Ig.~.7" Noam 5 )7 Cg' /gfl fa.) ms 2% Mal . 3a23/Q I .M. D. Date Cuyahoga COUT4 Medical Examiner Revisions: . M. D. Cuyahoga County Medical Examiner Date Page 1 of1 669660 Ohio Department of Health Reg Dist No_ 13 VITAL STATISTICS Primary Reg. Dist. No. 1804 CERTIFICATE OF DEATH Type or print in permanent blue or black ink State File NO. Registrar's No. 1.Decedent's Legal Name(Inc|ude AKA's it any)(First Middle. LAST. suffix) 2_ sex 3_ Date of Death MELISSA ANN WILLIAMS 12 Fem ale -- - 4. Social Security Numbe 5a. Age 51:. Under 1 Year 5c. Under 1 day 6. Date of Bi 7. Birthp|ace(City and State or Foreign Country) Hours Minut 297-78-7468 June 20,1982 CLEVELAND, OHIO Ba. Residence State 8b. County Bc. City or Town OHIO CUYAHOGA GARFIELD HEIGHTS 8d. Street and Number Be. Apt. No. 8f. Zipcode 8g. Inside City Limits? 12025 Shady Oak 44125 Yes 9. Ever in US Armed Forces? 10. Marital Status at Time at Death 11. Surviving Spouse's Name (If wife. give name prior to first marriage) No Never Married 12. Decedent's Education 13. Deoedent of Hispanic Origin 14. Decedent's Race 9TH THRU 12TH NO No Black DIPLOMA 15. Father's Name 16. Mother's Name (prior to first marriage) MAHAMED UNKNOWN MARTHA MAE WILLIAMS 17a. Informant's Name 17b. Relationship to Decedent 17c. Mailing Address (Street and Number. City. State. zip Code) MARTHA MAE WILLIAMS Mother 12025 Shady Oak 18a. Place of Death 18b. Facility Name (If not Institution. give street 8t number) 13c. City or Town. State and Zip Code 18d. County of Death 14001Terre?e Reed EAST CLEVELAND, on CUYAHOGA 19. Signature of Funeral Service Licensee or Other Agent 20. License Number (of licensee) 21. Name and Complete Address of Funeral Facility 003590 PERN EL JONES 3. SONS FUNERAL 3 22a. liitethod of Disposition 22b. Date of Disposition HOME INC Burial December 15, 2012 8 22?. Place of Disposition (Name of Cemetery, Crematory, or other place) 22? Location (Cityfrown and state) 7120 o. . . 3 Riverside Cemetery CLEVELAND, OH 44103 :5 23. Registrar's Signature . 24. Date Filed 25a. Name of Person Issuing Burial Permit 2513. District No. 25:; Date Burial Permit Issued A GILSON. THOMAS 1800 December 12, 2012 26 . rt'f' - - - death occurred at the time. date, and place; and due to the causets) and manner stated. IE Coroner On the basis of examination andiror Investigation. in my opinion. death occurred at the time. date. and place: and due to the cause(s) and manner stated. 26b. Time of Death 26c. Date Pronounced Dead (l'ii|or'Dayi'Year) 26d. was case referred to coroner? 1110 - 11/29/2012 Yes 0 26e. Signature and Title of Certifier 261. License number 269. Date Signed 351352125 December 12;: 2012 27. Name (Last. First. Middle) and Address of Person who Completed Cause of Death GILSON, THOMAS P, 11001 CEDAR AVENUE CLEVELAND, OH 44106 23_ plan Enter the disea_scT.iniuries. or commp . Do not en'fir the mode of dying. such as or respiratory arrest, shock. or heart failure. List Ap mxjmate |n1en,ra| only one cause on each line. Type or print in permanent blue or black ink. ween Onset and Death 3- Multiple (24) Gunshot Wounds of Head, Neck, Trunk, And Left Arm With Multiple UNKNOWN Visceral, Vascular, And Skeletal Injuries. Sequenlially list b. Due to (or as Consequence of) conditions, if any. leading to immediate causeConsequence of) Enterunderlying Cause {Disease or injury that initiated events resulting d. Due to (O, as Consequence of) in a deathII. Other significant condfions contributing to dea'tFI but not resufiirig in HE cause given In Part I. 29a_ was Autopsy 29b_ were Amopsy Findings Perfomted? Available Prior To Completion Of cause of Death? Yes Yes 30. Did Tobacco Use Contribute to Death? 31. It Female, Pregnancy Status 32. Manner or Death Unknown UNKNOWN Homicide 333. Date oi Injury (I'illoi'Dayi'Year) 33b. Time of Iniury 330. Place 01 Injury Decedent's home, construction site, restaurant, wooded area) 33d. Injury at Work? November 29 2012 . . . 22:50 In Auto, In Roadway, Vicinity Of No 33e. Location or lniury (Street and Number or Rural Route Number, city or Town, State) 14001 Terrace Fioad, EAST CLEVELAND, OHIO 33!. Describe How injury occurred: 339. It Transportation Injury, Specify: Was shot during legal intervention. HEA 2?24 Rev. 011137 Vvunaa. IJ .. ?s?ancr, _11001 Cedar Avenue, Cleveland, Ohio 4-4106 - Fax 215-707-3124 This form must be completed and submitted to the Coroner, prior to the release of any person in the custody and' control of the Cuyahoga County Coroner's Office. 57;, THE UNDERSIGNED HEREBY AUTHORIZES THE CUYAHOGA COUNTY UFFICE TO RELEASE THE Melissa mm Williams . WHO EXPIRED om more or worsen n=mrr.oa wee} on-re or on-rm i . Pernel Jones 8: Sons Funeral Home 7120 'Cedar Ave Cleveland, Ohio 44103 - The undersigned, hereby afier REPRESENTATIVE, requests that the Cuyahoga County Coroners Ojffice release the above referenced deceased to the above referenced agency whose business is to arrange for the burial or cremation of the deceased. The undersigned represents that he/ she is the next-of-kin of the deceased or;_other person authorized by law to receive the remains and has fixil authority to give permission for the release of the body. The REPRESENTATIVE acknowledges that he/ she has read and understands the below "Statement of Policy" regarding the autopsy process; the notification procedures required to request the return of organs/ tissues/ fluids removed and retained during the autopsy process, and the time limits associated therewith. STATEMENT OF POLICY We, at the Cuyahoga County Coroncr's Oflice understand that you and your family have - sustained a significant loss and we offer our condolences.' Though we understand that this is a time of great sorrow for the family, Ohio law mandates that the Coroner become involved and inquire into the circumstances surrounding the above referenced death. Ohio law further requires the Coroner to establish the true cause and manner of death. Not -'withstanding, the Coroner is bound by law to inform you that as a. part of a forensic examination, if an autopsy is performed, certain organs, fluids and tissues may be retained by the Coroner's Office in order to perform a complete and thorough examination_ Depending upon various factors, these items may be held for at least three (3) years. Upon known to the Coroner-'s Office in writing, thirty (30) days of this notice, the County of Cuyahoga will respectfully assume and take care of this matter for the REPRESENTATIVE in - a dignified and respectful fashion. Again, we offer our condolences to you and your family. If anyone has any questions, please 'contact us at 216-721-5610. DECEDENZVS . - my-zwgs Tflagehi mes - Date . . signatfi/of . Ma. th Mae Williams - In a I [(3014 -7 Print 01' T313: Name P-L - - 1 31'' Telephone Number of Witness 1 1/200? U5- CUYAHOGA COUNTY MEDICAL EXAMINER 11001 Cedar Avenue - Cleveland, OH 44106 (216)721-5610 T"?m55 I Case Number" lN2012-02024 Medical Examiner - - - Name: Malissa Williams View Sheet Cuyahoga County Medical Examiner lN2012-02024 it 0 0 A Melissa Williams Vlewed By 7 1 Zeb Viewed Da U. Autopsy Type: OST HOSPITAL NOPOST wwuw-J9 c7? 1 investigator: Schaedler, Michael Cart: 59 A A ma /e wsur W91 A Address. I qr? S. Death Date and Time: 11/29/2012 11:10 PM Body Date and Time: 11/30/2012 11:13 A 9' 2 Pronounced By: Dr. Haynsworth Death County: Cuyahoga A1 Age: 30 years Height: -64 1 Hair: black Race: Black Weight: 133 I Beard: -- Gender: Female Teeth: fair Mustache: Marital: Eyes: brown Next of Kin: Dan Wutsch- Lifebanc Status: RIO Transfusion: No Additional Tox: Tox Request: None full tox CO chem 7 and volatiles Investigation: Scene Vii:-sit: Yes MENTAL MHS I Puyne Avenue 9 01-144114 - 2us.<