. HARRIS COUNTY . INSTITUTE OF FORENSIC SCIENCES wise- Sanchez. MD. Exmm rum 6 ELLEHIE SERVILE INTELRITY .- Elm-ll- REPQRT Case No. MLI 9-0330 January 30, 2019 ON BODY OF Dennis Wayne Tuttle CAUSE OF DEATH: Multiple gunshot wounds MANNER OF DEATH: Homicide DATE OF DEATH: January 28. 2019 Dahlia Marianne E. Beynon, MD. Forensic Pathology Fellow Reviewed by: 03/! 3/11 Deputy Chief Medi Examiner Reviewed by: CM 3 101 Mary L. Anzalone. M.D. Assistant Medical Examiner 1561 Old Spanish Trail Houston. Texas 77054 {832} 927-5000 I (832) 927-2889 gov Dennis Wayne Tuttle 9?03 30 POSTMORTEM EXAMINATION ON THE BODY OF Dennis Wayne Tuttle HISTORY: The decedent. a 59-year?old white male, sustained multiple gunshot wounds during the serving of a narcotic search warrant at his residence. and was declared deceased at the scene at 5:15 pm. on January 28. 2019. Positive identi?cation was con?rmed by ?ngerprint comparison. See companion case Mug-0331. AUTOPSY: The autopsy is performed at the Harris County Institute of Forensic Sciences by Forensic Pathology Fellow, Marianne E. Beynon, M.D.. under the supervision of Deputy Chief Medical Examiner Dwayne A. Wolf, M.D.. pursuant to Article 49.25. Texas Code of Criminal Procedure, beginning at 2:00 pm. on January 29. 2019, and continuing through January 30. 20i9. The autopsy was attended by Houston Police Department Homicide Division Special Investigations Unit Detective R. LuJan. EXTERNAL APPEARANCE: CLOTHING: When first viewed, the decedent is clad in a black sweatshirt, a gray long- sleeved shirt, gray sweatpants. white brief?style undenrvear, soiled white socks. and a black and blue left knee brace. The sweatshirt, long?sleeved shirt. and pants are bloodstained. An off-white elastic bandage is wrapped around the right wrist and hand. fastened by a white metal safety pin at the anterolateral right wrist. The clothing has defects corresponding to the gunshot wounds; see EVIDENCE OF INJURY. The hands are bagged. A black watch encircles the left wrist. A white metal ring is on the left third ?nger. Fragments of white metal necklace accompany the decedent. Harris County morgue identi?cation bands encircle the right wrist and left ankle. A Harris County morgue tracking device encircles the right ankle. The body is that of a normally deveIOped, thin, white male who weighs 1 12 pounds, is 67 inches in length (body mass index i7.5 kilograms per square meter). and appears compatible with the reported age of 59 years. The body is cold, subsequent to refrigeration. Rigor mortis is fully developed and symmetrical. Fixed. patchy. pink? purple lividity is on the right abdomen and anterior thighs. Partially fixed. purple lividity is on the posterior surfaces of the body except in areas exposed to pressure. The skin of the lower abdomen is discolored green. MEB Dennis Wayne Tuttle 9?0330 -3- The scalp hair is graying blonde. frontally receding. and measures up to 5 inches in length. Facial hair consists of a graying brown mustache and stubble on the chin. The irides are blue. The corneas are clear. The sclerae are white. The conjunctiyae are without petechlal hemorrhage. The external auditory canals and external nares are free of foreign material and abnormal secretions. The nasal septum is palpably intact. The teeth are natural and in poor condition. with many absent mandibular and maxillary teeth. The neck ls symmetrical. The chest is symmetrical. The abdomen is scaphoid. The back is symmetrical. The external genitalia are those of a normal adult male. The upper and lower extremities are well developed and symmetrical. Multiple, scattered 1/4 to 3/8 inch rednpurple senile are on the posterior right forearm and dorsal right hand. MARKS AND SCARS: Multiple, US to 2-1/2 inch non?speci?c scars are on the posterior left forearm and dorsal left hand. Multiple. 1/8 to 1 I4 inch non?specific scars are on the posterior right arm. Multiple. 1/4 to i inch non?specific scars are on the posterior right forearm and dorsal right hand. A 3I4 inch vertical. linear scar is on the anterior right leg. EVIDENCE OF MEDICAL INTERVENTION: None. EVIDENCE OF INJURY: GUNSHOT WOUNQE A. GUNSHOT WOUND OF THE HEAD AND NECK: ENTRANCE: On the right posterior neck, located 7?1/4 inches below the top of the head. 2?3/4 inches to the right of the posterior midline. as measured circumferentially. and [4 inches inferior and 1-1/4 inches posterior to the right external auditory meatus. is an entrance gunshot wound consisting of a 1/4 inch circular defect surrounded byaconcentric, circumferential. 1/8 inch wide. pink marginal abrasion. No soot. stippling or unburned gunpowder particles are on the skin surrounding the wound. MEB 3 ha Dennis Wayne Tuttle ML1 9-03 30 PATH AND ASSOCIATED INJURIES: The bullet perforates the skin and subcutaneous soft tissues of the right posterior neck. the right posterior neck musculature. the right lateral portion of the ?fth cervical vertebra. the mandible. the oral cavity, the right common carotid artery, the right internal jugular vein. the right anterior neck musculature, and the subcutaneous soft tissue and skin of the left chin and right anterior neck at the jawline. The wound track is hemorrhagic and disrupted. The mandible has multiple fractures. The cervical spinal cord has no gross hemorrhage or contusions. Subarachnoid hemorrhage is at the base of the brain. The right upper lip has a 1 [4 inch laceration. The left upper lip has a 1/8 inch laceration. Multiple 1/16 to 1/8 inch abrasions are on the upper lip. The lower lip is contused, with multiple abrasions and lacerations. The teeth are fragmented. The tongue is lacerated and has hemorrhage in the musculature. The hyoid bone and left superior horn of the thyroid cartilage are fractured. EXIT: The wound track is associated with two separate exit wounds: one on the left chin and one on the right anterior neck at the jawline. On the left chin, located 7 inches below the top of the head, 3/4 inch to the left of the anterior midline, and 1 [2 inch inferior and 1 inch medial to the left oral commissure, is an exit gunshot wound consisting of a i by 3/4 inch stellate defect with circumferential. less than i [16 inch wide. red marginal abrasion. On the right anterior neck at the jawline, located [4 inches below the top of the head. 2-1/4 inches to the right of the anterior midline, and 2 inches inferior and 1 inch lateral to the right oral commissure. is an exit gunshot wound consisting of a 1-1/2 by 1/4 inch irregular, curved defect with torn edges and an eccentric, up to 1/16 Inch, red? purple marginal abrasion at the 12?6 o'clock positions. Multiple. 1'18 to 1 {4 inch linear and curvilinear bullet fragment exit defects with pink?purple. abraded edges are on the skin surrounding the wound. The exit wound defects are surrounded by purple RECOVERY: Multiple yellow metal bullet jacket fragments and grey metal bullet core fragments are recovered from the wound track in the head and neck. Multiple portions of black fabric are recovered from the wound track. CLOTHING: No clothing defects are associated with this gunshot wound. Dennis Wayne Tuttle 9-0330 -5- DIRECTION: The bullet passes from back to front and right to left. with no signi?cant vertical deviation. B. GUNSHOT WOUND OF THE LEFT SHOULDER: ENTRANCE: On the left anterior shoulder. located 1 1 inches below the top of the head. 4 inches to the left of the anterior midline, and 6?1/4 inches superior and 5/8 Inch lateral to the left nipple, is an entrance gunshot wound consisting of a 5/8 by 1/2 inch ovoid defect surrounded by an irregular. eccentric. circumferential, pink-red marginal abrasion. which measures up to 1/4 inch at the 12 and 6 o'clock positions. The marginal abrasion is focally dry and dark purple at the 6 o'clock position. A 1?1/2 by 1/2 inch pink?red abrasion is on the skin adjacent to the 9 to 12 o'clock wound margins. No soot. stippling or unburned gunpowder particles are on the skin surrounding the wound. PATH AND ASSOCIATED INJURIES: The bullet perforates the skin and subcutaneous soft tissue of the left upper chest, the left pectoralls major, the left clavicle. the left trapezius muscle. and the subcutaneous soft tissue and skin of the left upper back. The wound track is hemorrhagic and disrupted. The left subclavlan artery has multiple minute intimal lacerations. EXIT: 0n the left upper back, located 8-1/2 Inches below the top of the head. 1?3/4 inches to the left of the posterior midllne, and in line with the left shoulder. is an exit gunshot wound consisting of a 1/4 inch circular defect surrounded by an eccentric. circumferential. pink-red marginal abrasion. which measures up to 1/4 inch at the 10 o?clock position. Multiple. up to 5/16 Inch radial tears extend from the 3 to 6 o'clock wound margins. A 1?1/2 by 1/8 inch curvilinear. pink-red abrasion is on the skin of the neck superior to the exit wound defect, with vague striated patterning. RECOVERY: Two minute grey metal bullet core fragments are recovered from the wound track in the left shoulder. CLOTHING: The left anterior panel of the sweatshirt and long-sleeved shirt have defects corresponding to the entrance wound. Yellow gunpowder particles are on the fabric of ?Ila-ulna Dennis Wayne Tuttle -5- the sweatshirt around the defect. No clothing defects are associated with the exit wound. DIRECTION: The bullet passes from front to back. left to right, and upward. CONSULTATION: The left clavicle is retained for anthropology examination: see attached ANTHROPOLOGY REPORT for details. C. GUNSHOT WOUND OF THE CHEST: This gunshot wound may represent a re? entrance wound of a fragmented bullet associated with one of the gunshot wounds of the upper extremities (Gunshot wound of the left forearm Gunshot wound of the left hand or Gunshot wound of the right wrist H1). or it may represent a separate. individual atypical gunshot wound due to the bullet striking an intermediary target then fragmenting prior to entering the body. ENTRANCE: Two bullet fragment entrance wound defects are on the medial chest, with surrounding ragged abrasions. The larger entrance wound. located l4 inches below the top of the head, i inch to the right of the anterior and 3-1/2 inches medial and 2-1/4 inches superior to the right nipple, consists of a by 3/4 inch ovoid defect surrounded by an eccentric. circumferential, red?purple marginal abrasion. which measures up to {4 Inch at the 8 to 9 o'clock positions. A 2 by 1-3/4 inch torn, irregular. red abrasion extends from the 3 to 6 o'clock wound margins. and has multiple areas of grey-black staining. The smaller entrance woundI located 13-1/4 inches below the top of the head, 1 inch to the right of the anterior midline. and 3-1/2 inches medial and 3 inches superior to the right nipple, consists of a 1/4 inch circular defect surrounded by an eccentric, circumferential. pink-red marginal abrasion. which measures up to 3/8 inch at the 6 o?clock position. The marginal abrasions of these wounds are contiguous. The skin surrounding both entrance wound defects has multiple, US to [2 inch linear and circular. red. dry abrasions. The entrance wounds are surrounded by a 5 by 4?1/2 inch ill-defined, green No soot. or unburned gunpowder particles are on the skin surrounding the wounds. MES .0 In. La Dennis Wayne Tuttle PATH AND ASSOCIATED INJURIES: The bullet fragments perforate the skin and subcutaneous soft tissue of the medial chest. and the right pectoralis major and minor, and penetrate the medial right clavicle. The wound track ls hemorrhagic and disrupted. Right anterior ribs 2-3 are fractured. EXIT: None. RECOVERY: A deformed portion of grey metal bullet core ls recovered from the medial right clavicle. Multiple small grey metal bullet core fragments are recovered from the wound track in the medial chest. CLOTHING: The medial anterior panel of the sweatshirt and long?sleeved shirt have multiple ragged defects corresponding to this cluster of fragment entrance wounds. Yellow gunpowder particles are on the fabric of the sweatshirt around the defect. DIRECTION: The bullet fragments pass from left to right. upward. and front to back. D. GUNSHOT WOUNDS OF THE LEFT BUTTOCK: ENTRANCE: Two gunshot entrance wounds are on the left buttock. The upper entrance wound. located 35?1/4 inches below the top of the head and Z-i [4 inches to the left of the posterior midline. consists of a 3/ 16 inch circular defect surrounded by a concentric. circumferential. i/8 inch, brown marginal abrasion. The wound defect is surrounded by a 1 inch area of green skin discoloration. No soot. stippling or unburned gunpowder particles are on the skin surrounding the wound. The lower entrance wound. located 36-1/4 inches below the tap of the head and 2?1/4 inches to the left of the posterior midline. consists of a 3/4 by SH 6 inch ovoid defect surrounded by a concentric, circumferential. 1/8 inch wide, brown marginal abrasion. Multiple, up to 1/8 inch microtears extend from the wound margin. The wound defect is surrounded by a 1 inch area of green skin discoloration. No soot. stippling or unburned gunpowder particles are on the skin surrounding the wound. PATH AND ASSOCIATED INJURIES: The two gunshot wounds have overlapping wound paths which cannot be definitively attributed to either entrance wound. The bullets MEB lulu: Dennis Wayne Tuttle MLI 9?0330 -3- perforate the skin, subcutaneous soft tissue, and musculature of the left buttock. the left pelvis. the right internal lliac artery, and the right iliac wing and sacroiliacjoint. One bullet continues into the peritoneal cavity. where it penetrates the cecum and surrounding mesocolon. The other bullet penetrates the musculature of the right back, inferior and posterior to the right twelfth rib. The wound tracks are hemorrhagic and disrupted. Blood and stool coat the serosal surfaces of the peritoneal cavity. and blood is pooled in the pelvic cavity. EXIT: None. RECOVERY: Two bullets are recovered associated with the wound tracks. One deformed. yellow metal jacketed. grey metal bullet, and multiple grey metal bullet core fragments are recovered from the cecum. One deformed. yellow metal Jacketed, grey metal bullet, and a yellow metal jacket fragment are recovered from the right back musculature, inferior and posterior to the right twelfth rib. The right back recovery site is subjacent to a 1-1/2 inch area of subcutaneous hemorrhage. CLOTHING: The left posterior panel of the sweatpants and underwear have defects corresponding to the entrance wounds. Yellow gunpowder particles are on the fabric of the sweatpants around the defects. DIRECTION: Both bullets pass from back to frontI upward. and left to right. E. GUNSHOT WOUND OF THE POSTERIOR LEI-T THIGH: ENTRANCE: On the posterior left thigh. located 38-] [2 inches below the top of the head and l-l [4 inches medial to the posterior midline of the left thigh, is an entrance gunshot wound consisting of a 1/8 inch circular defect surrounded by a concentric, circumferential. i [16 inch, brown marginal abrasion. The wound defect is surrounded by a 1?1/4 inch area of green skin discoloration. No soot. stippling or unburned gunpowder particles are on the skin surrounding the wound. PATH AND ASSOCIATED The bullet perforates the skin and subcutaneous soft tissue of the posterior left thigh. the musculature of the posterior left thigh and left buttock, and the left pelvis, and enters the peritoneal cavity where it perforates the mesentery and comes to rest in the right peritoneal cavity. The wound track is we la Ian La Dennis Wayne Tuttle 9-0330 -9- hemorrhagic and disrupted. Blood and stool coat the serosal surfaces of the peritoneal cavity, and blood ls pooled in the pelvic cavity. EXIT: None. RECOVERY: A deformed, yellow metal jacketed. grey metal bullet is recovered from the right peritoneal cavity. CLOTHING: The left posterior panel of the sweatpants has a defect corresponding to the entrance wound. Yellow gunpowder particles are on the fabric of the sweatpants around the defect. DIRECTION: The bullet passes from back to front, sharply upward, and left to right. F. GUNSHOT WOUND OF THE LEFT FOREARM: ENTRANCE: 0n the posterior left forearm. located 26-3/8 inches below the top of the head. 17?3/8 inches below the top of the shoulder. and [8 inch medial to the posterior midline of the left forearm, is an entrance gunshot wound consisting ofa 1/8 by 3!]6 inch ovoid defect surrounded by a concentric. circumferential. {16 inch wide, pink-red marginal abrasion. No soot. or unburned gunpowder particles are on the skin surrounding the wound. PATH AND ASSOCIATED INJURIES: The bullet perforates the skin and subcutaneous soft tissue of the posterior left forearm. the extensor and ?exor muscles of the left forearm. the left radius and ulna, and the subcutaneous soft tissue and skin of the anterior left forearm. The wound track ls hemorrhagic and disrupted. Two vertical areas of skin splitting are on the skin between the entrance and exit wound defects: a 4 by 2 inch elliptical defect on the lateral left forearminch elliptical defect on the medial left forearm. EXIT: On the anterior left forearm, located 23?1/2 inches below the top of the head, 14-1/2 inches below the top of the shoulder, and l-3/4 inches lateral to the anterior midline of the arm. is an exit gunshot wound consisting of a 3?1 [4 by 2 inch gaping, stellate defect. Dennis Wayne Tuttle 9?0330 -10- RECOVERY: Two grey metal bullet core fragments are recovered from the wound track in the left forearm. CLOTHING: The left arm of the sweatshirt and long-sleeved shirt have defects corresponding to the entrance and exit wounds. No residues are identified on the material surrounding the defects. DIRECTION: The bullet passes from back to front, upward. and right to left. G. GUNSHOT WOUND OF THE LEFT HAND: WOUND: On the medial left hand, located 32 inches below the top of the head. 23 inches below the top of the shoulder. and at the medial midline of the left hand. is a tangential gunshot wound consisting of a 2?1/2 by 2 inch irregular. stellate defect with undulating. scalloped wound margins. No definitive marginal abrasion is identi?ed. A I inch laceration is on the lateral palmar left hand adjacent to the wound defect. The wound is surrounded by a 2 by 2 Inch green No stippling or unburned gunpowder particles are on the skin surrounding the wound. PATH AND ASSOCIATED INJURIES: The bullet perforates the skin and subcutaneous soft tissue of the medial left hand. the left third through fifth metacarpals, and the left ulnar artery. The wound track is hemorrhagic and disrupted. RECOVERY: No bullet fragments are recovered. CLOTHING: No clothing defects are associated with the wound. DIRECTION: Due to the fragmented, irregular nature of this wound and lack of orienting features. the direction of the bullet cannot be determined. CONSULTATION: The left third through fifth metacarpals are retained for anthropology examination; see attached ANTHROPOLOGY REPORT for details. MEG ah- Ln Dennis Wayne Tuttle -1 1.. H. GUNSHOT WOUND OF THE RIGHT WRIST: Two atypical gunshot wounds are on the right lateral wrist. which cannot be classified as entrance or exit wounds on the basis of wound characteristics alone. It is determined that the anterolateral right wrist wound is the entrance wound because a portion of the safety pin which fastened the bandage around the right wrist and hand, located adjacent to the anterolateral wrist wound, was recovered from within the wound track. This suggests that the bullet struck the safety pin prior to entering the body, and carried a portion of the safety pin into the wound track. ENTRANCE: 0n the anterolateral right wrist. located 31?1/2 inches below the top of the head, 22-1/2 inches below the top of the shoulder, and 5/8 inch lateral to the anterior midline of the right wrist. is an atypical gunshot wound consisting of a 1-3/4 by 1/4 inch curvilinear defect with multiple, up to 1/8 inch tears. A focal ill-defined, up to 1/16 Inch. red marginal abrasion is at the 3 to 4 o'clock positions. Two, 1/4 to 3/8 inch vertical lacerations are on the skin lateral to the wound. PATH AND ASSOCIATED INJURIES: The bullet perforates the skin and subcutaneous soft tissue of the lateral right wrist, the distal right radius. three right carpal bones (scaphoid, lunate. and triquetral), and the right radial artery. EXIT: On the posterolateral right wrist, located 31-1/4 inches below the top of the head, 22-1 /4 inches below the top of the shoulder. and 3/8 Inch lateral to the posterior midline of the right wrist, is a gunshot wound consisting of a 2-1/4 by 1-1/2 inch gaping, Irregular, stellate defect with torn edges. Multiple, 1/4 Inch to 1?3 /4 by 1 inch red abrasions are on the skin lateral to the wound. No marginal abrasion is identified. The wound is surrounded by purple No soot, stippling or unburned gunpowder particles are on the skin surrounding the wounds. RECOVERY: Multiple yellow metal jacket fragments and grey metal bullet core fragments are recovered from the wound track in the right wrist. A sharp straight metal foreign object, consistent with a portion of the safety pin that fastened the elastic bandage, is also recovered from the wound track. HEB a ltd-t lad Dennis Wayne Tuttle -12- CLOTHING: The elastic bandage and the right arm of the sweatshirt have defects corresponding to the wounds. The safety pin that fastened the elastic bandage is broken. No residues are identi?ed on the material surrounding the defects. DIRECTION: The bullet passes from front to back. upward. and right to left. CONSULTATION: The distal right radius and three right carpal bones (scaphold. lunate. and triquetral) are retained for anthropology examination; see attached ANTHROPOLOGY REPORT for details. I. GRAZE WOUNDS OF THE RIGHT FOREARM: On the posterior right forearm. located .14 inches below the top of the head. 14?] 14 inches below the top of the shoulder. and [8 Inches medial to the posterior midline of the right forearm. is a gunshot graze wound consisting of two adjacent 1/2 by I 14 inch and 2?3/4 by 1/2 inch oblong. purple-red abrasions. No soot, or unburned gunpowder particles are on the skin surrounding the wounds. CLOTHING: The right arm of the sweatshirt and long?sleeved shirt have defects corresponding to the graze wounds. as follows: three. circular to ovoid defects forming a line that extends parallel to the sleeve of the sweatshirt. and two. circular to oblong defects forming a line that extends parallel to the sleeve of the long?sleeved shirt. No residues are Identified on the material surrounding the defects. J. ADDITIONAL FIREARM FINDING: A 1/2 Inch area of sparse. punctate. grey~black residue is on the lateral proximal interphalangeal joint of the left second (index) finger. This may represent soot deposition; however. it is not clearly associated with any Specific gunshot wound described above. BLUNT F0 IN URIES: BLUNT FORCE INJURIES OF THE HEAD AND NECK: Two. 1/8 inch linear, red abrasions are on the left preauricular skin and left ear tragus. Two. 1/8 inch red. abraded lacerations are on the left earlobe. put-B In Dennis Wayne Tuttle 9?0330 -13- A 3/4 inch purple contusion with horizontal linear patterning is on the right lateral neck. Two. 3/4 by 1/4 inch and 1 by 1/2 inch purple-red contusions with horizontal linear patterning are on the left lateral neck. A 1/2 by 1/2 Inch ovoid, red contusion is at the junction of the right neck and right upper chest. A 1-3/4 inch dry, tam?brown, abraded laceration. which is interrupted at the posterior aspect. is at the junction of the left neck and left shoulder. BLUNT FORCE INJURY OF THE TORSO: A 3/4 inch dry, orange abrasion is on the left upper quadrant of the abdomen. BLUNT FORCE INJURIES OF THE EXTREMITIB: A 1/16 inch curvilinear, contused laceration is on the right hypothenar eminence. A series of purple contusions with abrasions are distributed along the palmar aspect of the right fifth (small) ?nger over a 2 by 1/2 inch area. A Mi inch faint. purple contusion is on the lateral right thumb. A 1/4 inch ovoid, red abrasion is on the posterior left arm. A 3/4 inch brown. scabbed, interrupted abrasion is on the proximal anterior right thigh. Multiple. 1/8 inch ovoid, blue?purple contusions are on the distal anterior right thigh. Two punctate. scabbed, red abrasions are on the anterior right leg. The injuries abo we, having been described once, not be repeated INTERNAL EXAMINATION: BODY See EVIDENCE OF INJURY. No adhesions are in any of the body cavities. Within the peritoneal cavity is bloody dark brown stool. which contains numerous scattered minute, white spheres (consistent with pill material from the gastrointestinal tract; see below). The pleural and pericardial spaces have no ?uid collections. All internal organs are in their normal anatomic positions. The serous surfaces. where intact, are smooth and glistening. The body cavities demonstrate mild early putrefactive changes including dusky discoloration of the small and large intestines and liver. HEAD: See EVIDENCE OF INJURY. The subscalp tissues are without hemorrhage. The calvaria has a 2 centimeter well healed. circular bone flap, with two white metal surgical screws, consistent with remote cranlotomy procedure. The dura mater and falx cerebri ldEB 9 In Dennis Wayne Tuttle 9?03 30 -14- are intact. There is no epidural or subdural hemorrhage. The brain weighs 1170 grams and has a normal shape. The leptomeninges are thin and translucent. The cerebral hemispheres are symmetrical. The cranial nerves and blood vessels at the base of the brain are intact. The cerebral cortical ribbon is well demarcated from the white matter. The deep nuclei and ventricles. cerebellum. brainstem, and proximal cervical spinal cord have the standard con?guration. NECK: See EVIDENCE OF INJURY. The cricoid cartilage is intact. The laryngeal mucosa is tan and glistening. The atlanto-occipital articulation is stable. CARDIOVASCULAR SYSTEM: The heart weighs 250 grams and has a smooth. glistening epicardial surface with a small amount of epicardlal fat. The coronary artery system has patent ostia and a right dominant distribution. Yellow, eccentric atherosclerotic plaques produce stenoses of up to 20 percent of the left anterior descending and right coronary arteries. The left circum?ex coronary artery has no signi?cant atherosclerosis. The myocardium is red?brown. without pallor, softening, or fibrosis. The atrial and ventricular septa are intact. The chambers of the heart are not dilated. The wall thickness of the left ventricle ls 1.0 centimeter. the right ventricle 0.3 centimeter, and the interventricular septum 1.0 centimeter. The endocardial surfaces are smooth and without hemorrhage. The four cardiac valves are thin. freely mobile, and measure as follows: tricu5pid valve 12 centimeters, pulmonlc valve 7.5 centimeters. mitral valve 10.5 centimeters, and aortic valve 8 centimeters. The aorta and its major branches arise normally and follow their usual distribution. with moderate calcific atherosclerosis. The venae cavae and their major tributaries return to the heart in their usual distribution and are free of thrombi. RESPIRATORY SYSTEM: The 510 gram right lung and 470 gram left lung have normal lobation. The pleural surfaces are smooth and glistening. with marked anthracotic pigment deposition. The has patchy geographic hemorrhage, consistent with hemoaspiration. without masses or consolidation. The lungs have severe changes. with bullae at the periphery of the upper lobes. The bronchi are unremarkable. The pulmonary arterial vasculature is without thromboemboli or signi?cant atherosclerosis. HEPATOBILIARY SYSTEM: The 950 gram liver has a smooth. glistening. Intact capsule covering dark red-brown, softened with no focal lesions and no visible or HEB anzh? Dennis Wayne Tuttle mug?0330 -15.. palpable ?brosis. The gallbladder contains 35 milliliters of green?brown, mucoid bile without stones. The mucosa is velvety and unremarkable. The extrahepatic biliary tree is patent. without evidence of calculi. ALIMENTARY SYSTEM: The esophagus is lined by gravahite. smooth mucosa. The gastric mucosa exhibits ?attened rugai folds and the lumen contains 40 milliliters of thin brown liquid with no alcoholic aromatic odor or intact pills. The small intestine. colon, and appendix have no non?traumatic abnormalities. The pancreas has a pink-tan lobulated appearance and the ducts are clear. The gastrointestinal tract, from the esophagus to the sigmoid colon. contains numerous minute. white spheres, and three white. round pills are recovered from the small and large intestine. GENITOURINARY SYSTEM: See EVIDENCE OF INJURY. The right and left kidneys weigh 90 and 70 grams, respectively. The renal capsules are smooth. thin, and semi? transparent. The underlying cortical surfaces are coarsely granular and pale tan to pink. The lower pole of the left kidney has a 3 centimeter simple cortical cyst. The cortices are sharply delineated from the medullary pyramids, which are pink-red and unremarkable. The calyces, pelves, and ureters are unremarkable. The urinary bladder contains no urine. The testes. prostate gland, and seminal vesicles have no nontraumatic abnormalities. REFICULOENDOTHELIAL SYSTEM: The 70 gram spleen has a smooth. intact capsule covering dark red?purple, moderately ?rm The white pulp is unremarkable. The regional nodes are not enlarged. ENDOCRINE SYSTEM: The thyroid gland has a normal shape and size with uniform red? brown, rubbery The parathyroid glands are inconspicuous. The adrenal cortices are golden?yellow and uniformly thin, while the medullae are thin and gray. The pituitary gland is unremarkable. MUSCULOSKELETAL SYSTEM: See EVIDENCE OF INJURY. The sternum is without fracture or developmental anomaly. The musculature is normally distributed. The diaphragm is intact. HEB 2 Dennis Wayne Tuttle MLI 9?03 30 -15- RADIOGRAPHS: Anteroposterior and lateral view show numerous projectiles and projectile fragments in the head. neck, chest. abdomen. pelvis. and bilateral upper extremities. TOXICOLOGY: Blood. vitreous fluid. bile. stomach contents. liver. brain. stool. and pills from the gastrointestinal tract are submitted. EVIDENCE: Clothing. gunshot residue stubs. fingernails scrapings and clippings kit. DNA bloodstain card. fabric and bullet fragments recovered from the head and neck. bullet fragments recovered from the chest. bullet fragments recovered from the left shoulder, bullet recovered from the cecum. bullet recovered from the right peritoneum. bullet recovered from the right back. bullet fragments recovered from the left arm. and bullet fragments recovered from the right wrist are submitted. CONSULTATION: The left clavicle. left third through fifth metacarpals. distal right radius. and three right carpal bones (scaphoid. lunate. triquetral) are retained for anthropology examination; see attached ANTHROPOLOGY REPORT for details. HISTOLOGY: The following sections are submitted: Cassette A Heart; Cassette 8 Lungs; Cassette Liver and kidney; Cassette - Brain; Cassette - Cervical spinal cord PATHOLOGICAL FINDINGS l. Multiple gunshot wounds A. Gunshot wound of the head and neck: 1. Entrance: Right posterior neck. with no soot or stippling 2. Path and associated injuries: a. Perforates right posterior neck musculature. right lateral fifth cervical vertebra. mandible. oral cavity. right common carotid artery. right internal jugular vein. right anterior neck musculature. and left chin and right anterior neck at the jawline b. Mandibular fractures; subarachnoid hemorrhage around the base of the brain; lip contusions. abrasions. and lacerations; teeth fragmentation; tongue laceration; hvoid bone and thyroid cartilage fractures 3. Exit: Left chin; right anterior neck at the jawline M53 '3 Ila. Dennis Wayne Tuttle -17- 4. Recovery: Yellow metal jacket fragments, grey metal bullet core fragments, and black fabric fragments from head and neck 5. Clothing: No defects 6. Direction: Back to front and right to left B. Gunshot wound of the left shoulder: l. 2. Entrance: Left anterior shoulder, with no soot or stippling Path and associated injuries: a. Perforates left pectoralis major, left clavicle, left trapezius, and left upper back b. Left clavicle fractures; left subclavlan artery lacerations . Exit: Left upper back a. Abrasion, with patterning consistent with necklace 4. Recovery: Grey metal bullet core fragments from left shoulder 6. . Clothing: Defects corresponding to entrance wound, with gunpowder particles on fabric Direction: Front to back, left to right, and upward C. Gunshot wound of the chest: 1. 2. Entrance: Medial chest. with no soot or Path and associated injuries: a. Perforates right pectoralis major and minor, and penetrates left clavicle b. Right ribs 2?3 fractures Exit: None Recovery: Grey metal bullet core fragments from medial right clavicle and medial chest . Clothing: Defects correSponding to entrance wounds, with gunpowder particles on fabric Direction: Left to right, upward, and front to back a. Left clavicle defect with beveling consistent with direction: see ANTHROPOLOGY REPORT for details D. Gunshot wounds of the left buttock: l. 2. Entrance: Two (2) gunshot wounds, left buttock, with no soot or stippling Path and associated injuries: a. Perforate left buttock musculature, left pelvis, right internal iliac artery, right iliac wing and sacroiliac joint, and peritoneal cavity, and penetrate cecum and surrounding mesocolon, and right lower back musculature M33 3112M Dennis Wayne Tuttle -13.. 6. b. Pelvic fractures: hemoperitoneum: bowel perforation with stool in peritoneal cavity Exit: None . Recovery: 3.. Deformed, yellow metal jacketed, grey metal bullet, and grey metal bullet core fragments from cecurn b. Deformed, yellow metal jacketed, grey metal bullet, and yellow metal jacket fragment from right lower back musculature . Clothing: Defects corresponding to entrance wounds, with gunpowder particles on fabric Direction: Back to front, upward, and left to right E. Gunshot wound of the posterior left thigh: l. 2. 6. Entrance: Posterior left thigh, with no soot or stippling Path and associated injuries: a. Perforates posterior left thigh musculature, left buttock, left pelvis, mesentery, and penetrates right peritoneal cavity b. Hemoperitoneum; bowel perforation stool in peritoneal cavity Exit: None Recovery: Deformed, yellow metal jacketed, grey metal bullet from right peritoneal cavity . Clothing: Defect corresponding to entrance wound, with gunpowder particles on fabric Direction: Back to front, sharply upward, and left to right F. Gunshot wound of the left forearm: l. 2. Entrance: Posterior left forearm, with no soot or stippling Path and associated injuries: a. Perforates extensor and flexor muscles of left forearm, and left radius and ulna b. Left radius and ulna fractures; skin Splitting Exit: Anterior left forearm . Recovery: Grey metal bullet core fragments from left forearm . Clothing: Defect corresponding to entrance and exit wounds. with no residues Direction: Back to front, upward, and right to left W58 slum Dennis Wayne Tuttle G. Gunshot wound of the left hand: I. l. 2. Tangential wound of medial left hand Path and associated injuries: at. Perforates medlal left hand. left third through ?fth metacarpals. and left ulnar artery Recovery: None 4. Clothing: No defects . Direction: indeterminate a. Retained bones inconclusive for directionality: see ANTHROPOLOGY REPORT for details . Gunshot wound of the right wrist: l. 2. Entrance: Anterolateral right wrist, with no soot or Path and associated injuries: a. Perforates lateral right wrist, distal right radius. three right carpal bones (scaphoid, lunate, and triquetral). and right radial artery . Exit: Posterolateral right wrist . Recovery: a. Yellow metal jacket fragments and grey metal bullet core fragments from right wrist b. Safety pin fragment from the wound track Clothing: Defects corresponding to wounds. with no residues Direction: Front to back. upward. and right to left a. Retained bones inconclusive for directionality: see ANTHROPOLOGY REPORT for additional details Graze wounds of the right forearm 1. Clothing: Defects corresponding to wounds, with no residues J. Additional firearm ?nding 1. Punctate soot deposits, left second (index) ?nger ll. Minor blunt force injuries Abrasions and lacerations of the left preauricular skin and left ear Contusions and abraded lacerations of the neck. with patterning consistent with necklace Abrasion of left upper quadrant of abdomen A. C. . Contusions. abrasions, and laceration of extremities HEB Dennis Wayne Tuttle ML19-0330 -20- Ill. Additional pathological ?ndings A. Hypertensive and atherosclerotlc cardiovascular disease I. Mild coronary artery atherosclerosis 2. Moderate aortic atherosclerosis 3. Nephroarterio- and arteriolosclerosis B. Severe pulmonary anthracosis and with focal polarizable foreign material C. Remote, well?healed right frontal craniotomy HEB 2mm Dennis Wayne Tuttle MLI 9~0330 -21.. HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES 1861 OLD SPANISH TRAIL HOUSTON. TEXAS 77054 Marianne E. Beynon. M.D. mug-0330 Forensic Pathology Fellow MICROSCOEIC EXAMINATION H&E-stained slides are reviewed. HEART Mild myocyte hypertrophy; focal increased interstitial and perivascular ?brosis LUNG Airspace enlargement with alveolar septal destruction; patchy Interstitial fibrosis; mucous cell hyperplasia with bronchial expansion by mucous and sloughed epithelial cells; moderate peribronchial and subpleural anthracotic pigment deposition; intra- alveolar pigment?laden macrophages; intra?alveolar hemorrhage; focal polarizable foreign material LIVER - Vascular congestion KIDNEY - Scattered sclerotic glomeruli with moderate arterio? and arteriolosclerosis BRAIN - Arteriolosclerosis CERVICAL SPINAL CORD - No significant pathologic change; no subarachnoid or hemorrhage 3L oahzh?? Marianne E. Beynon. M.D. Forensic Pathology Fellow Harris County Institute of Forensic Sciences Case Number: 0 33 Page Decedent's Name: Deum 5 we Length: Weight 1 [l Examiner: Em WOLF Date: 112.0: ha Time 1:00 PM 30? 531st. . an. onoosmmep - smn'rs 17: W5 pleD YL MND swam: m. 5. m:r 96am 5 murm- 5D ILL-.0 Socks IBLACK BLUE. KNEE ERGGLEC purl? UV pump 9le :1 d- @?laofL'_ .. (t 34.319513?; .. RED sauna-6cm? meg, VONSPG-C Peon. awn-T I pat-(j, may '1 NISSHG BLONDG BALOIN gilt-awe. snows: MUSMHQ- ?ll-v15 BUL- o-Q CHIN BLUE Gel)? ??Section: Pathology Title: Aulopsv Diagram - Adult Male. Front} Back Ram: . by: DA Wn? Form No.: PAT.001 Remdate: i'u'leu? Harris County Institute of Forensic Sciences Case Number. ~1qu #0330 Page 2. of Decedent?s Name: IS. ??311- LE Length' (07 Weight 1- Examincr: 6-H won-I: Date: 2:00 PW- Bl I T034 14 L. am MID toW? so? 5?3" uT s/sx'rz" mm I, PINK-4 ?Pm-$9 "Furnw Wary)" E33 SLIM ENT: \H?tveg?f. 112M anmlo [me' lgm?bumo ?fu?P Han 8-?7?0?3 am? [an #311? UP 11:; mm Zak-5:00 can QGD mun Mn uf '1?0 5?3" [.100 mumM V315 m? Iron. 0? Skid Mutual-Jo ?l"ws" cam lu. DEF ecu?. Fhs?ectlon: Pathology Foxm Title: Autopsy Diagram Adult Male. Front! Back Rev; gamma by: on Wolf Form No; M1001 Rev. date: 11/5/13 ESE: exIT B?lszH Ply? L, Pom?: shall-OCR. i/V?h? aux, ml Mu Cf" gin." margin; 6) .5 .4, :oo ?9'1 Skin all pun-ban .- A. TO 2.1.1 333'ch V8 wwuns? r. Golgifou ?6.st Du Z?lq :3va Bow nae-nu on 165W ?91 90311-110 aF LEG: "a "Cunt. Vat." 3mm? mm ?79" ease?: Dbcowr. Harris County Institute of Forensic Sciences Case Number: -- Decedent?s Name. DENNIS Examiner: ml wo LF Dare: Page339:; as: the. 2?.qu 21 ?0339 Juan. \Yq POST. I 116:9?? ?at. I ?5 {canna? [63:0 EX rr .1 1/1? TO man-FM?, t2. 1 TDH y: ??94 I MED Loam-:11- name Ii. 9 5 .mm mm ?uaH11~t Cf-YIu-u M1 806233 II a 'f sun! 5m WVM- Section: Pathology Form Tulle: Autopsy Diagram Head. A 8: Ialetal Rem: Authorized by: DA Wolf Form No; Ramos Rwdale: 11/5/13 1 ILD NFL-D Rev form Tine . Autopsy Diagram - Left arm, all wows Form No Rev date 1135/13 PAT 009 S_ecllon? Palholo 1W5 11>? an 1'9 1' 1M 9.051;? only 'fgr 79." ?hu' mm; Author red by DA Wolf 7r} 32. Th? ?tly?g 1'3 fun?:- m3" 5w:- ner- . 73: panama. S??w . Asr?d' Examiner Case Number L. - 033 BWNOMI wmf' {6.5.26 ey?? 2,37; Th ?4 SH 13h" LAT- mm 31;? 51214.. 0H: 3mm; A511 Decedent's Name- Date I Demms ?113.6. Page of 5 Harris County Institute of Forensic Sciences Harris County Institute of Forensic Sciences u?dL CM. Numbcr 330 Decedent?s Name Wle ?True -L L?xaminur WOLF Du?: Ilia/1? Pulgl.? 3,5,0? SF Cll?d Gav 3 3' .1 Authorized by: DA Wolf ISlam-rm Pathologv Fotm No PAT DOS ?jam ?mle Autopsy Diagram - Riahl am. all mews Rev dale I Rev HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES 1861 Old Spanish Trail Houston, TX 77054-200I Phone: 832-927-5005 FAX: 832-927-2876 TOXICOLOGY REPORT March 01, 2019 LABORATORY NUMBER: SERVICE REQUEST: 00m Deceased: DENNIS WAYNE TUTTLE Submitted By: Marianne Beynon. MD. Forensic Pathology Fellow Harris County Institute of Forensic Sciences l86l Old Spanish Trail Houston. TX 77054 Submission Date: January 30, 2019 RESULTS: 001 - Blood (femoral) Analyte Result Analytical Method Analyst Delta-?J-tetrahydrocannabinol Present GCIMSEMS J. Sailors Norcarboxytetrahydrocannabinol Present .l . Sailors I001 - Blood tremorat? Analyte Result Analytical Method Analyst Acetone None Detected HeadSpace ID A. DeWalt Ethanol None Detected I-Ieadspace GCIFID A. DeWalt isopropanol None Detected Headspace GCIFID A. DcWait Methanol None Detected Headspace A. DeWalt [002 - Blood (heartll Analyte Result Analytical Method Analyst Amphetamine MDA None Detected Immunoassay - ELISA F. Chavez BenzodiaZepines None Detected Immunoassay - ELISA F. Chavez Carisoprodol None Detected Immunoassay - ELISA F. Chavez Fentanyl None Detected Immunoassay - ELISA F. Chavez Methadone None Detected immunoassay - ELISA F. Chavez Opiates None Detected Immunoassay - ELISA F. Chavez Oxyeodone None Detected Immunoassay - ELISA F. Chavez None Detected immunoassay - ELISA F. Chavez Benzoylecgonine None Detected Immunoassay - ELISA F. Chavez Methamphetamine MDMA None Detected Immunoassay - ELISA F. Chavez Only those items listed in the results section were tested. Medical Examiner's Initials and Date MEB 3h All testing is accredited by the Texas Forensic Science Commission and by the laboratory?s 17025 and American Board of Forensic Toxicology accreditation issued by the ANSI National Accreditation Board. QMM Refer to certi?cate and scope of accreditation T-0076. We welcome your feedback at 'ifs.ltarri coun tx lov-?Pa es.?CrimeLahorato Serviceas Page 1 of 2 VOIIEZOW LABORATORY NUMBER: ML19-0330 DATE: March 1. 2019 SERVICE REQUEST: 0001 Evidence Qispositign: All items will be retained by the laboratory for at least one year following the issuance of an original Toxicology Report. INSTITUTE OF FORENSIC SCIENCES MAR ll 1 2019 RECEWED KG, RECORDS cusrooIAN I- Linda Alvarado. BS. D-ABFT-FT Jeanna Mapeli, M.S.. Case Reviewer Expert Reviewer Toxicologist ll Specialist Toxicologist I March 01,20?) Marclt?l.20l9 Medical Examiner's initials and Date MES ai?til?i All testing is accredited by the Texas Forensic Science Commission and by the laboratory?s 17025 and American Board of Forensic Toxicology accreditation issued by the ANSI National Accreditation Board. 9mm Refer to certi?cate and scope of accreditation We welcome your feedback at Int .llarrisco nt ov."Pa es-CrimeLaborato Scrviceas Page 2 on llC'lFSTaItMl HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES 186l OLD SPANISH TRAIL HOUSTON. TEXAS 77054 Julie M. Fleischman, Forensic Anthropologist REPORT OF ANTHROPOLOGY CONSULTATION CASE NUMBER: MUS-0330 NAME: DENNIS WAYNE TUTTLE PATHOLOGIST: Marianne E. Beynon. Dwayne A. Wolf. MD, ANALYSIS COMPLETED: February 18. 2019 On January 30. 2019. Dr. Beynon, Forensic Pathology Fellow. under the supervision of Dr. Wolf, Deputy Chief Medical Examiner, requested a ballistic trauma analysis of the left clavicle, left hand, and right wrist from 9?0330. a 59 year?old male. Specifically, Dr. Beynon requested the assessment of wound path directionality. The left clavicle. left metacarpals 3?5 the distal portion of the right radius. and three right carpals (scaphoid, lunate, and trlquetral) were removed post~autopsy and transferred to the Forensic Anthropology Laboratory for chemical processing. The specimens were reconstructed using cyanoacrylate adhesive. examined grossly. and photographed. The specimens will be archived in the Forensic AnthrOpology Evidence Storage Room. Lndieqs The left clavicle has a comminuted ballistic defect approximately at the midshaft. A void is present on the inferior surface with numerous fractures radiating from the void in a starburst pattern. The infero-Iateral margin of the bone surrounding the void is externally beveled while the infero?medial margin is internally beveled. There is minimal plastic deformation. although one non-displaced fragment on the inferior surface adjacent to the void is deformed infero-laterally. The bones of the left palm, speci?cally are highly comminuted. The third metacarpal has a complete fracture inferior to the head. The fourth and fifth metacarpals are highly comminuted. Only the proximal end of MCS is present. The reconstruction of MC4-5 could not be completed clue to large areas of missing bone and/or the small size of the recovered bone fragments. This inspection is accredited under the forensic unit?s (50. ?020 accreditation issued by ANSI-A50 National Accreditation Board Refer to certi?cate and scope of accreditation AI- l979. Dennis Wayne Tuttle Report of Anthropology Consultation 9-0330 -2- The distal end of the right radius is highly comminuted. The reconstruction could not be completed due to large areas of missing bone and/or the small size of the recovered bone fragments. The right scaphoid, lunate. and triquetral have comminuted and radiating fractures with small regions of missing bone. The fracture margins on all of the retained specimens are sharp and show no gross evidence of healing. Interpretation The bevellng on the margins of the left clavicle defect and the deformed fragment are consistent with a projectile passing through the bone from anterior to posterior along the inferior margin of the clavicle. When the clavicle is oriented in anatomical position. the location of the void suggests a tangential inferior to superior) wound path through the bone. The high levels of comminution. the large regions of missing bone, and the lack of characteristic ballistic defects on the left metacarpals. the right radius. and the right carpals preclude interpretation regarding the mechanism of injury and/or projectile directionality. The sharp fracture margins with no evidence of an osseous healing response indicates that these injuries occurred at or around the time of death. Summam The left clavicle of 9-0330 has one ballistic injury that occurred at or around the time of death. The external bevellng on the infero?lateral margin of the void. and the internal beveling on the lnfero?medlal margin of the void. as well as the plastic deformation are consistent with a projectile traveling from anterior to posterior. possibly tangentially through the inferior aspect of the left clavicle. The high level of comminution and bone on the left metacarpals. the right radius, and the right carpals preclude an interpretation of injury mechanism or directionality. 03/04/15! ulie M. Fleischman, Forensic Anthropologist This inspection is accredited under the forensic unit?s (50, 15C ?020 accreditation issued by National Accreditation Board Refer to certi?cate and scope of accreditation AI- I979. Harris County Institute of Forensic Sciences Section: Anthropology Authorized by: Director of Forensic Anthropology Form Titie: FAD Cover Sheet Form No.: ANTF-EIE item: 4 Rev. date: 11/16/2017 CASE NUMBER: MLM - 055 Fonensw again non moor case can ER SHEET AUTOPSY DATE: [/34 [q Walt Btu! Wm ANTHROPOLOGIST: FEW I REPORT: No Trauma 0 Sharp 0 Blunt A GSW Unk Pediatric Skeletal Examination (PSE) Pathological condition Biological profile (Identification) Radiographic comparison (Identification) Human/nonhuman and/or medicoiegal signi?cance Radiographic Trauma Survey REQUEST: Other: SPECIFIC QUESTIONS TO AD HESS 0R ISSUES TO CONSIDER. 5m #ugzmg ie?v q-wmmd. pm diamond? ?7'Dr' clavicle, Wriljki" Loris-i- VIM A Fresh Charred CONDITION OF - Decomposed Skeletonized REMAINS: Notes: During autopsy ,iiI Post-autopsy In situ exam El Evidence RECEIVED: [3 Other. Specimen(s): ?mil?! 3" 3 did]! ii! Eirr Date Received: t/30/l?l Ei Formalinilotii :1 Manual Chemical (Rf i Notes: Photographs (gross) El Radiographs(skeletai) L3 Photographs (microscope) Radiographswentai) Benchnotes(Pgs FORDISC {Pgs [3 Scene notes (Pgs CI CDC (Pgs Other (Pgs Notes: Anthrolabidry specimens) .3 Anthrolabtwetspecimens) ARCHIVE: Return to morgue Other: lofi Harris County Institute of Forensic Sciences Section: Anthropology Authorized by: Director of Forensic Anthropology Form Title: Notes - Blank Form No.: ANTF-B Rev.: 1 Rev. Date: 03/20/2015 lM ?um?rmd?cd w/ overhanging, Mao-im?w Vick; Left clavicle superior view Left clavicle inferior view ix w/slar ?n Him rhinitis? 5' Case Number - [1&3?0 Analyst mm 3. ori Date [4 Harris County Institute of Forensic Sciences Section: Anthropology Authorized by: Director of Forensic Anthropology Form Title: Upper Extremity - Arm and Forearm Form No.: ANTD-29 Rev; 4 Rev. Date: 6128/2017 Formalin Lot: Equipment used: Rammafd tot-HA ogwmoratajo W1 - RIGHT ANTERIOR LEFT 15n- POSTERIOR RIGHT omwm? outlaw i?tuPrb?l'm .fx w] 5W9 mar 30.115 lofi .. Case Number Mbl?? 03530 Date ?ll/l3! la Harris County Institute of Forensic Sciences Section: Anthropology Authorized by: Director of Forensic Anthropology Form Title: Upper Extremity - Right Hand Form No.: ANTD-SZ Rev; 2 Rev. Date: 6/19/2017 PALMAR at: so] JIM.) mujill 111an Equipment used: Recm?m?f'?d with cywaurgwe rulj mum! ?g'ho'tal I tritumd DORSAL No pal-taming +0 ?'u?rum Case Number Mug 2339 Andrew iofi Date glam Harris County Institute of Forensic Sciences Section: Anthropology Authorized by: Director of Forensic Anthropology Form Title: Upper Extremity - Left Hand Form No.: ANTED-30 Rev.: 2 Rev. Date: 6(19/2017 Equipment used: ?umucfut wf-?t 05 ant} rvi'tlimll Hb9'5 DO RSAL PALMAR Communal-I'M Frwluda M?rprdihm Case Number Mug - 0232 Analyst . Date ?t slurp Margin; inf 5?