WARNING The penalty for knowingly making a false statement in this form can be 2-10 years in prison and a fine up to $10,000. (Health and Safety Code, Sec. 195, 1989) VS-174 REV 1/2006 STATE OF TEXAS MEDICAL ABSTRACT OF DEATH CERTIFICATE STATE FILE NUMBER 139009 ENTER NAME OF DECEASED AND PLACE OF DEATH EXACTLY AS SHOWN ON THE ORIGINAL DEATH CERTIFICATE 1. LEGAL NAME OF DECEASED (Include AKA's, if any) (First, Middle, Last) GARRETT STEVEN MCKINNEY DATE OF DEATH SEPTEMBER 21. 2015 PLACE OF OR TOWN AND COUNTY) PARIS, LAMAR IS THE DATE OF DEATH BEING Yes No 26. CERTIFIER (Check only one) CI Certifying physician-To the best of my knowledge, death occurred due to the cause(s) and manner stated. 8 Medical Examiner/Justice OI the Peace - On the basis of examination. and/or Investigation. In my opinion, death occured at the time,date and place. and due to the cause(s) and manner stated. 27.Signature of certi?er: GENE C. HOBBS JR 28. DATE CERTIFIED DECEMBER 7, 2015 30. TIME OF or presumed) 07:35 PM 29. LICENSE NUMBER 31. PRINTED NAME, ADDRESS OF CERTIFIER (Street and Number, City,state,Zip Code) GENE C. HOBBS JR 119 NORTH MAIN B30, PARIS, TX, 75460 32. TITLE OF CERTIFIER JP cause given in PART I. 33, PART 1, ENTER THE CHAIN OF EVENTS - DISEASES. INJURIES, OR COMPLICATIONS - THAT DIRECTLY CAUSED THE DEATH. DO NOT ENTER Approximate interval TERMINAL EVENTS SUCH AS CARDIAC ARREST, RESPIRATORY ARREST, OR VENTRICULAR FIBRILLATION WITHOUT SHOWING THE onset 1? death I ETIOLOGY. DO NOT ABBREVIATE. ENTER ONLY ONE CAUSE ON A LINE. . ONSET TO Lu IMMEDIATE CAUSE (Final 0 disease or condition a- DEATH resulting In death) Due to (or as a consequence of): 2 Sequentially list conditions. if b. a_ny- wading I0 the cause Due to (or as a consequence of): listed on IIne 3. Enter the UNDERLYING CAUSE (disease or injury that G. initiated, the events resulting Due to (or as a consequence of): in death) LAST d. PART 2. Enter other WMbut not resulting in the undenying 34. WAS AN AUTOPSY 3 Yes No 35, WERE AUTOPSY FINDINGS AVAILABLE TO COMPLETE THE CAUSE OF Yes CI No 36. MANNER OF DEATH Natural CI Accident CI Suicide El Homicide Pending Investigation CI Could not be determined 37. DID TOBACCO USE CONTRIBUTE TO CI Yes No Probany Unknown 38. IF FEMALE: [3 Not pregnant within past year CI Pregnant at time of death CI Not pregnant, but pregnant within 42 days of death I3 Not pregnant, but pregnant 43 days to one year before death CI Unknown if pregnant within the past year 39. IF TRANSPORTATION INJURY, SPECIFY: Driver/Operator CI Passenger CI Pedestrian CI Other (Specify) 40a. DATE OF INJURY SEPTEMBER 21, 2015 40b. TIME OF INJURY 19:30 PM 40c. INJURY AT Yes No HOSPITAL GROUNDS 40d. PLACE OF INJURY (eg, Decedent?s home, construction site, restaurant, wooded area) 40o. LOCATION (Street and Number. City,State,Zip Code) 40f. COUNTY OF INJURY 600 BLK DESHONG DR. PARIS, TX, 75460 LAMAR 41. DESCRIBE HOW INJURY OCCURRED MULTIPLE GUNSHOT WOUNDS 42a. REGISTRAR FILE NO. 42b. DATE RECIEVED BY LOCAL REGISTRAR 42c. REGISTRAR 02-462 OCTOBER 1I 2015 REGISTRAR - CITY OF PARIS DATE 000001774776 QL11 REV. 11/04 America_rb\ Forensucs P.O. Box 550846 0 Dallas 0 Texas 0 75355 (214) 221-2700 - FAX (972) 692-6676 0 usaforensics.com Case number: AF15-0256 Name: GARRETT MCKINNEY Age: 21 years Gender: Male Race: White Authorization: Judge Gene Hobbs, Justice of the Peace, Pct. 5, Pl 2, Lamar County, Texas Date and Time of Death: 09-21-2015 at 7:30 pm. Date and Time of Examination: 09-22?2015 at 9:30 am. Forensic Pathologist: Amy C. Gruszecki, MSFS, DO Final Autopsy Report FINDINGS: l. Gunshot wound to the center chest. A. Entrance: A 1/2-inch round wound. B. Path: Through the skin and muscles. No further tract. C. Range: Gray discoloration around wound, soot versus contusion. ll. Gunshot wound to the right chest. A. Entrance: A 3/4-inch oval wound on right chest. 3. Path: Subcutaneously through chest; did not enter chest cavity. C. Exit: A l-inch oval wound on right side of chest. D. Range: No soot, stippling, or gunpowder particles. E. Course: Left to right. Gunshot wound to the left chest. A. Entrance: A 1-inch oval wound on left chest. B. Path: Contusion of left lung, through apex of heart (right ventricle); diaphragm, intestines, pancreas, Gleason?s capsule of right kidney, approximately 1 liter of blood in left chest cavity. C. Projectile: A large caliber copperjacketed projectile. Course: Left to right, downward, and backward. E. Range: No soot, stippling, or gunpowder particles. F7 Accredited by the National Association of Medical Examiners VI. VII. AF15-0256 2 Name: GARRETT MCKINNEY Gunshot wound to the right hand. A. Entrance: A 1/2-inch oval gunshot wound on right palm. B. Path: Through the hand, upward towards the wrist. C. Exit: A 1/4-inch laceration on right lateral wrist. D. Range: No soot, stippling, or gunpowder particles. Gunshot wound to left upper arm. A. Entrance: A 3/4-inch round wound on left upper arm laterally. B. Path: Through left upper arm, 1/4-inch. C. Exit: A 1/4-inch oval wound on left upper arm medially. D. Range: Stippling surrounding entrance wound. E. Does not easily line up with chest gunshot wounds. Three identifiable puncture sites consistent with Taser barbs on chest. A. One Taser barb recovered. Back and posterior neck dissection, no injuries noted. CAUSE OF DEATH: Multiple gunshot wounds. MANNER OF DEATH: Homicide. AF15-0256 3 Name: GARRETT MCKINNEY AUTHORIZATION This autopsy is performed at the request ofJudge Gene Hobbs, Justice of the Peace, Pct. 5, Pl. 2, Lamar County, Texas. Texas Ranger Rubin Mankin is present for the examination. EXTERNAL EXAMINATION The body is identified by a tag attached to the body bag. Photographs, fingerprints, and palm prints are taken. PERSONAL ITEMS Received with the deceased is a blue lighter, white earbuds, black shoes, black socks, gray T-shirt, blue shorts, an ear stud (jewelry) and green briefs. All of these items are retained for evidence. General: The unembalmed, well preserved body is that of white male that appears the reported age of21 years. The body is 76 inches in length and weighs 263 pounds. Rigor mortis has developed and is broken with difficulty/ease. Fixed purple livor mortis covers the posterior aspect of the body. The body is cool to the touch and has been refrigerated. The body is free of tattoo. The hands are bagged. Head and Neck: The scalp is covered by brown hair. The sclerae are free of icterus and injection. The irides are blue. The conjunctivae are pink and free of petechiae. The earlobes are pierced with large holes. The nares are patent. The teeth are natural. The frenula are intact. No fracture is palpable in the zygomatic arches. The neck is appropriately mobile. Chest: The chest is free of scar. Abdomen: The protuberant abdomen is free of scar. An area of apparent ink is on the left lower abdomen. Genitalia: The penis appears circumcised. Both testes are descended. Back: The back and anus are free of scar. Arms: The arms are free of scar and needle track. No fracture is palpable in the long bones. Five digits are on each hand. The nails extend to the tips of the fingers. Neither tissue nor fabric is evident beneath the nails. Neither soot nor powder is observed on the hands. Legs: The legs are free of scar and edema. No fracture is palpable in the long bones. Five toes are on each foot. AF15-0256 4 Name: GARRETT-MCKINNEY IDENTIFYING MARKS AND SCARS: A tattoo is on the anterior aspect of the right lower arm and the anterior aspect of the left lower leg. A 2-inch fine scar is on the lateral aspect of the left wrist. EVIDENCE OF TREATMENT: None. EVIDENCE OF INJURY: Multiple small abrasions are on the medial aspect of the right lower leg ranging in size from 1/8 to 1/4 inch. Gunshot wound to the center chest Entrance: A 1/2?inch round wound is on the center of the chest. It is surrounded by a grey purple discoloration which may represent soot or possible contusion. It is centered 1 inch left of midline and 14 inches from the top of the head. Path: The projectile passed Through the skin and muscles. No further tract. Gunshot wound to the right chest Entrance: A 3/4-inch oval wound is on right chest. It is centered 2 inches right of the midline and 16.5 inches from the top of the head. There is an eccentric area of abrasion on the medical aspect of the wound. It is not surrounded by soot, stippling or gunpowder particles. Path: The projectile passed through the subcutaneously tissues of the chest wall and did not enter the chest cavity. Exit: A 1-inch oval wound is on right side of chest (laterally). It is not surrounded by abrasion, soot, stippling or gunpowder particles. It is centered 18 inches from the top of the head and 9.5 inches right of the midline. The wound is not surrounded by soot, stippling or gunpowder particles. Course: Left to right and downward. Gunshot wound to the left chest Entrance: A l-inch oval wound on left chest. There is a slight rim of abrasion and an area of abrasion inferiorly. The wound is centered 17-1/4 inches from the top ofthe head and 5 inches left of the anterior midline. The wound is not surrounded by soot, stippling or gunpowder particles. AF15-0256 Name: GARRETT MCKINNEY Path: The projectile passed through left rib#7, caused a contusion of left lung, passed through pericardial sac, apex of heart (right ventricle); diaphragm, small intestines, mesentery, pancreas, and Gleason?s capsule of right kidney and impacted the pole of the right kidney. Associated with this wound is approximately 1 liter of blood in left chest cavity and approximately 100 ml of blood is in the peritoneal cavity. Projectile: A large caliber copper jacketed projectile is recovered from the right kidney. Course: Left to right, downward, and backward. Gunshot wound to the right hand Entrance: A 1/2-inch oval gunshot wound on right palm. It is surrounded by a slight abrasion. It is not surrounded by soot, stippling or gunpowder particles. Path: The projectile passed through the hand, upward towards the wrist. Exit: A 1/4-inch laceration on right lateral wrist. The wound is not surrounded by abrasion, soot, stippling or gunpowder particles. Gunshot wound to left upper arm Entrance: A 3/4-inch round wound is on left upper arm laterally. It is surrounded by dense stippling extending 2 inches superiorly, 1 inch laterally, 1-1/4 inch inferiorly. The wound is centered 21 inches from the top of the head. Path: The projectile passed through left upper arm and traveled 3-1/4 inches through the skin and musculature. Exit: A 1/4-inch oval wound is on left upper arm medially. There is no soot stippling or gunpowder particles surrounding the wound. Comment: This wound tract does not easily line up with chest gunshot wounds. Evidence of Taser wounds Three puncture sites consistent with Taser barbs are on the chest. One Taser barb recovered from the left neck stuck in the neck and clothes, 11 inches from the top of the head and 5 inches left of the midline. 5 AF15-0256 Name: GARRETT MCKINNEY Other injuries A 1/4 inch laceration surrounded by contusion is on the left chest. it is centered 16 inches from the top of the head and 2-1/2 inches left of the midline. A back and posterior neck dissection was performed with no injuries noted. EVIDENCE COLLECTED The following items were collected at the time of autopsy and sealed in appropriately labeled containers: Clothes. Blood standard card. Projectile. Taser barb. Head hair. Gunshot residue kit. Ear stud (jewelry). INTERNAL EXAMINATION Organ Weights Spleen: 180 grams Brain: 1488 grams Liver: 2046 grams Right Kidney: 172 grams Left Kidney: 168 grams Heart: 390 grams Right Lung: 578 grams Left Lung: 406 grams BODY See Evidence of Injury. The thoracic and abdominal organs are in their normal anatomic positions. HEAD: See Evidence of Injury. The reflected scalp is free of contusion. The calvarium is free of fracture. No thrombus is detected within the dural sinuses. The brain is covered by smooth, thin, glistening meninges. No blood is within either the epidural, subdural, or subarachnoid space. The hemispheres are symmetric, and the brain is free of tonsillar, uncal, and cingulate gyrus herniation. The vessels at the base of the brain are intact and free of both dilatation and atherosclerotic plaque. The midbrain, pons, cerebellum, and medulla are free of cystic scar, hemorrhage, and mass. The cerebral hemispheres are composed of grey and white matter that forms an intact ribbon free of cystic scar, hemorrhage, and mass. The ventricles are not enlarged and contain no blood. The spinal cord as viewed from the cranial cavity is unremarkable. NECK: The soft tissues and the superficial and deep strap muscles are free of contusion. The hyoid bone and laryngeal cartilages are free of fracture. The lumen of the larynx is not 6 AF15-0256 7 Name: GARRETT MCKINNEY obstructed. The laryngeal mucosa is smooth and pink. The tongue is free of laceration and contusion. CARDIOVASCULAR SYSTEM: See Evidence of Injury. The intimal surface of the abdominal aorta is free of significant atherosclerosis. The aorta and its major branches and the great veins are normally distributed. The pericardium, epicardium, and endocardium are smooth and glistening. The endocardium is smooth and free of mural thrombi. The coronary arterial system is free of significant atherosclerosis. The atrial and ventricular septa are intact. The cardiac valves are thin, pliant, and morphologically normal. The myocardium is dark red-brown and free of softening, discoloration, and scar. RESPIRATORY SYSTEM: See Evidence of Injury. The upper airway is not obstructed. The tracheal mucosa is smooth and pink. The pleural surfaces are smooth and glistening. The major bronchi are unremarkable. Each lung is composed of dark red-blue, moderately congested that is free of mass, consolidation, and No thromboemboli obstruct the pulmonary arteries. HEPATOBILIARY SYSTEM: The liver is covered by a smooth, glistening capsule. The is dark red-brown and moderately congested. The gallbladder contains dark green bile, with no calculi. SYSTEM: See Evidence of Injury. The esophageal mucosa is gray and smooth. The stomach is empty. There are no tablets or capsules. The gastric mucosa has normal rugal folds, and is free of mass and ulcer. No mass is palpable within either the small or large intestine. The appendix is present. The pancreas is composed of lobular tan tissue free of cyst, mass, and scar. GENITOURINARY SYSTEM: See Evidence of Injury. The capsules of both kidneys strip to reveal smooth surfaces. The cortices are of normal thickness, with well-demarcated cortico-medullary junctions. The kidneys are free of cyst, mass, hemorrhage, abscess, and stone. The ureters follow their usual course to the bladder and are free of dilatation. The urinary bladder contains 10 mL of urine. The mucosa is gray and smooth. The prostate gland is composed of tan tissue that is free of nodules. ENDOCRINE SYSTEM: The thyroid is composed of follicular maroon tissue free of cyst, mass, or scar. The adrenals, which are free of nodules, are composed of yellow cortices surrounding brown medullae. SYSTEM: The spleen is covered by a smooth, blue-gray, intact capsule. The is dark red. The cervical, hilar, and peritoneal nodes are not enlarged. MUSCULOSKELETAL SYSTEM: See Evidence of Injury. The clavicles, sternum, pelvis, and vertebral column have no fractures. AF15-0256 Name: GARRETT MCKINNEY TOXICOLOGY: Blood from the femoral vessels, urine and vitreous fluid were collected at the time of autopsy. Specimens were submitted for toxicological analysis. The following tables summarize the results. Laboratory Specimen No: 40523054 Date Collected: 09/22/2015 - Container(s): Tesus): 70510 Comprehensive Drug Panel Analyte Name Result Concentration Units Therapeutic Range Loc AMPHETAMINES Negative BARBITURATES Negative BENZODIAZEPINES Negative CANNABINOIDS Negative Negative FENTANYL Negative Negative OPIATES Negative Negative Negative Negative ALCOHOL Negative Methanol Negative Ethanol Negative Acetone Negative isopropanol Negative ANALGESICS Negative ANESTHETICS Negative ANTIBIOTICS Negative ANTICONVULSANTS Negative ANTIDEPRESSANTS Negative Negative Negative Mine Name Result Concentration Uniww CARDIOVASCULAR AGENTS Negative ENDOCRINE AGENTS Negative GASTROENTEROLOGY AGENTS Negative NARCOTICS Negative NEUROLOGY AGENTS Negative Negative STIMULANTS POSITIVE Caffeine POSITIVE Analyte is qualitatively POSITIVE, but has not been confirmed by In alternate analytical method. UROLOGY AGENTS Negative 8 AF15-0256 Name: GARRETT MCKINNEY Laboratory Specimen No: 40523056 Date Collected: 09/22/2015 Container(s): 011YTB Urine, Random Test(s): 70080 Drugs of Abuse Panel Analyte Name RM Concentration Unlt_? Therageutic Range ALCOHOL Negative AMPHETAMINES Negative BARBITURATES Negative BENZODIAZEPINES Negative Negative CANNABINOIDS Negative Negative Negative FENTANYL Negative Negative OPIATES Negative Negative Negative Negative Negative CONCLUSION: Based upon the autopsy findings and the history available to me, it is my opinion that Garrett McKinney, a 21-year-old white male, died as the result of multiple gunshot wounds. The manner of death is homicide. Signature: Amy C. Gruszecki, MSFS, DO Forensic Pathologist Date: 11-23-2015 9 WARNING The penalty for knowingly making a false statement in this form can be 2-10 years in fine up to $10,000. (Health and Safety Code. Sec. 195, 1989) prison and a VS-174 REV 1/2006 STATE OF TEXAS MEDICAL ABSTRACT OF DEATH CERTIFICATE STATE FILE NUMBER ENTER NAME OF DECEASED AND PLACE OF DEATH EXACTLY AS SHOWN ON THE ORIGINAL DEATH CERTIFICATE 1. LEGAL NAME OF DECEASED (Include AKA's, if any) (First, Middle, Last) GARRETT STEVEN MCKINNEY DATE OF DEATH SEPTEMBER 21,2015 PLACE OF OR TOWN AND COUNTY) PARIS, LAMAR IS THE DATE OF DEATH BEING Yes No 26. CERTIFIER (Check only one) Certifying physician-To the best of my knowledge, death occurred due to the cause(s) and manner stated. Medical Examiner/Justice otthe Peace - On the basis of examination, and/or investigation, in my opinion, death occured at the time,date and place, and due to the cause(s) and manner stated. 27.8ignature of cenifier. GENE C. HOBBS JR 28. DATE CERTIFIED 29. LICENSE NUMBER 30. TIME OF or presumed) 07:35 PM SEPTEMBER 25, 2015 31. PRINTED NAME, ADDRESS OF CERTIFIER (Street and Number, City,state,2ip Code) GENE C. HOBBS JR 119 NORTH MAIN B30, PARIS, TX, 75460 32. TITLE OF CERTIFIER JP IMMEDIATE CAUSE (Final disease or condition resulting in death) CAUSE OF DEATH Sequentially list conditions, if b. any. leading to the cause listed on line a. Enter the UNDERLYING CAUSE (disease or injury that initiated. the events resulting in death) LAST C. d. 33. PART 1. ENTER THE CHAIN QF - DISEASES, INJURIES, OR COMPLICATIONS - THAT DIRECTLY CAUSED THE DEATH. ENTER TERMINAL EVENTS SUCH AS CARDIAC ARREST, RESPIRATORY ARREST. OR VENTRICULAR FIBRILLATION WITHOUT SHOWING THE ETIOLOGY. DO NOT ABBREVIATE. ENTER ONLY ONE CAUSE ON A LINE. PENDING AUTOPSY Due to (or as a consequence of): Approximate interval Onset to death ONSET TO DEATH Due to (or as a consequence of): Due to (or as a consequence of): PART 2. Enter other significant conditions contributing to death but not resulting in the underlying cause given in PART I. 34. WAS AN AUTOPSY 8 Yes No 35. WERE AUTOPSY FINDINGS AVAILABLE TO COMPLETE THE CAUSE OF Yes ENC 36. MANNER OF DEATH 37. DID TOBACCO USE 38. IF FEMALE: 39. IF TRANSPORTATION INJURY, SPECIFY: CI Natural CONTRIBUTE To Not pregnant within past year [1 Drive?opemmr Awdem El Pregnant at time of death Passenger Sum? No Not pregnant, but pregnant within 42 days of death Pedestrian HomiCide Pmbab')? Not pregnant. but pregnant 43 days to one year before death Other (Specify) Pending UNKnown CI Unknown ifpregnant within the past year Could not be determined 40a. DATE OF INJURY SEPTEMBER 21,2015 40b. TIME OF INJURY 40?. INJURY AT 19:30 PM Yes 8 No 40d. PLACE OF INJURY Decedent's home, construction site. restaurant, wooded area) HOSPITAL GROUNDS 40a. LOCATION (Street and Number, City,State,Zip Code) 40f. COUNTY OF INJURY 600 BLK DESHONG DR, PARIS, TX, 75460 LAMAR 41. DESCRIBE HOW INJURY OCCURRED MULTIPLE GUNSHOT WOUNDS 42a. REGISTRAR FILE NO. 42b. DATE RECIEVED BY LOCAL REGISTRAR 42c. REGISTRAR DATE 000001774776 QL11 REV. 11/04 Death Certi?cation Page 1 of 1 Death Certi?cation From: Sent: Thu, Sep 24, 2015 at 11:02 am To: Cc: This is an automatically generated E-mail. Please do not 'Respond' to this E-mail as a response by E-mail will not be processed.? This message is regarding the death record added to your queue. The information of the death record is as follows. Funeral Home SCOGGINS FUNERAL HOME Phone Number (903) 482?5225 Certifier Office: LAMAR COUNTY JP PCT 5 PL 2 Certifier Name GENE C. HOBBS JR Date of Death 09/21/2015 Date of Birth 12/09/1993 Place of Death Decedent's First Name GARRETT Decedent's Middle Name STEVEN Decedent's Last Name MCKINNEY Decedent's EDR 000001774776 Action DEATH RECORD DESIGNATED If you received this email in error, please contact the identified funeral home directly. Click the following link to access the Texas Electronic Registrar (TER) system: ://webmai1.co . lamar.tx.us/versions/webmail/ 1 1 .5 .6-FINAL/popup .php?wsid=e9dd9 1 cc. .. 9/24/201 5 52/5 L7 Investigator's Inquest chort Case No; Investigator /77 1m 5mm (mm nm Age :22 Addrus 5'i7t/ any,>> 4: 0 0011- DUI- Munncr nr sum 25' 734} 41th ,Sycu. Saw") Naturzl Place ofDum JPY 1 1 Accidcnl Place at [nquul A 43/1 42' 1% 9 K. Suiddc Cans: Hoxniddc Dale and 111m: onnquar 29 Aria/{L Pending Cauld not Brien-nine dery prnperl'y {in Jiw") 11 5% 1/1' <.3225: - 2. 7 Americarb\ Forensics PO. Box 550846 - Dallas 0 Texas 0 75355 (214) 221-2700 0 FAX (972) 692-6676 0 usaforensics.com Case number: AF 15-0256 Decedent: Garrett McKinney Age: 21 Gender: Male Race: White Authorization: Judge Gene Hobbs, Justice of the Peace, Lamar County, TX Date and Time of Examination: September 22, 2015 at 9:30 am. Forensic Pathologist: Amy C. Gruszecki, MSFS, DO Preliminary Autopsy Findings l. Gunshot wound to the center chest A. Entrance: A 1/2 inch round wound B. Path: through skin and muscle. No further tract. C. Range: grey discoloration around wound - soot vs. Contusion. ll. Gunshot wound to right chest A. Entrance: A inch oval wound on right chest B. Path: subcutaneously through chest; did not enter chest cavity. C. Exit: A 1 inch oval wound on right side of chest. D. Range: no soot, stippling or gunpowder particles. E. Course: left to right. Gunshot wound to left chest A. Entrance: A 1 inch oval wound on left chest. B. Path: contusion of left lung, though apex of heart (right ventricle); diaphragm, intestines, pancreas, Gleason?s capsule of right kidney; approx. 1 liter blood in Left chest cavity C. Projectile: a large caliber copper jacketed projectile D. Course: left to right, downward and backward. Preliminary report 15-0256 McKinney Page 2. Accredited by the National Association of Medical Examiners .52 ?2 7 E. Range: no soot, stippling or gunpowder particles on skin. IV. Gunshot wound to right hand A. Entrance: A 1/2 inch oval wound on right palm. B. Path: through hand upward toward wrist. C. Exit: A inch laceration on lateral wrist. D. Range: no soot, stippling or gunpowder particles. V. Gunshot wound to left upper arm. A. Entrance: A inch round wound on left upper arm laterally B. Path: through upper arm; 3-1/4 inches. C. Exit: a inch oval wound on upper left arm medially. D. Range: stippling surrounding entrance wound. E. Does not easily line up with chest gunshot wounds. Vl. Three identifiable puncture sites consistent with Taser barbs on chest. A. One taser barb recovered. Vll. Back and posterior neck dissection no injuries noted. Final report pending toxicology Preliminary Cause of Death: Multiple gunshot wounds Manner of Death: Homicide Accredited by the National Association of Medical Examiners