Death Record HAMILTON COUNTY OFFICE Cincinnafi. Ohio Cm NM Reponed By: 3a. gem 1cnny Jones C515: Type: Amopsy Case Agency. CPD. Comm] Business Section Case Reported: 12/16/2016 Time chonsd: :34 pm Jon Cule Jennifer c. Sclian, MD, Name ofDeceased: Ruben Mnkes Bin}. Date: Addivss Sires/min: s93 Walnul sum 01013 City/Sims: Cincinnati, Ohio Zip Code; 45202 Marilal Siams: Single Sex: Male Race: Black Found dead in; --, Cincinnali. Ohiu 45202 hunted al: --, Cincinnati. Ohio 45202 Time' Date: 12/150015 by: 7 Next ofkin rimmed by: Cincinnati Police Departinan Dina: 12/15/2015 Pronounced dead by: Dr Jennifer c. Daie: 12/16/2016 1:34 pm examination by: Jennifer C. Scholl. M.D, Body viewed by: Date: 12/17/2015 ofbody: Crema|ion Daemon: Spring Grave Clcmalury, Cincinnati, Ohio Date; 02/13/2017 Funeral Directm: Gwen Mooney Funeral Home - 43 89 Spring Grove Avenue, Cincinnaii, Ohio 45233 CAUSE OF DEATH Approximmc Interval Beiween Onscl and Deaih Due 10 (A) sum/ion uf'undetarmined etiology WEEKS (D) Pail II Other significam conditions contributing lo death but noi related to |he terminal discuss cundiliun given in Fun (A) pomibl: hypothermia Manner nf Death: Death Canificaw Disiribuiion- Accidanlai Funeral Home 994.2 Date: 03/20/2017 E9111 .0 Acting Coroner aanmiiton Coun Hamilton County Coroner The Frank P. Cieveland, MD. Institute of Forensic Medicine, Toxicology and Criminaiistics 3159 Eden Avenue. Cincinnati, Ohio 45219-2299 Office: 513?946-8700 Fax: 513-946-8?27 ROBERT MUKES OPINION Diagnoses: I. II. Starvation of undetermined etiology: A. Multiple alcohol bottles and no food or running water noted in apartment wawow Cachexia (body mass index 15.7 kilograms per meter squared) Abundant loose skin noted on torso and extremities No vitreous humor available for electrolyte analysis due to putrefaction No history or gross evidence of signi?cant natural disease No evidence of injury or intoxication See records from the Cincinnati Fire Department and the Cincinnati Police Department for additional details. Possible hypothermia: A. B. C. I). History of recently moving back into his own apartment, which appeared to be without electricity at time of scene investigation History of last having been seen alive 1 week prior to being found dead History of having been found dead, supine, mostly on top of bed, clad in boxer shorts only, with feet on ?oor Recorded environmental temperatures for the previous week were as low as 14 degrees Faln'enheit. No records of this decedent found after inquiries via OARRS, Epichercy or at the Veterans Affairs Medical Center. Brief, old record found from University Hospital with no description of natural disease and no weight or height recorded in notes. Opinion (continued) Page 2 of 2 Robert Mukes Cause of Death: Starvation of undetermined etiology. Contributing Cause of Death: Possible hypothermia. Manner of Death: Accident (exposed to cold temperatures inside apartment without electricity). 3/22/2017 Jennifer C. Schott, MD. Date Deputy Coroner, Forensic Pathologist Hamilton County, Ohio HAMILTON COUNTY CRIME LABORATORY The Frank P. Cleveland, MD. Institute of Forensic Medicine, Toxicology and Criminaiistics 31 59 Eden Avenue, Cincinnati, Ohio 45219?2299 Crime Labo ratory 513 346-8750 Fax 513?946?8772 - - FORENSIC LABORATORY TOXICOLOGY REPORT SUBJECT Mukes, Robert FILE CC16-O4238 SUBMITTING AGENCY: CPD, Central Business Section DATE REPORTED: 01/09/2017 RESULTS: Headspace Gas Chromatography: Item Specimen Results Concentration 1?1 Peripheral blood - A Ethyi Alcohol Negative Immunoassay Screen (ELISA) ?Presumptive?: ELISA Screen: Am hetamine, Cannabinoids, Carisoprodol, Cocaine/Metabolites, Fentanyl, Met adone, Methamphetamme, Oplates, Oxycodone, Tramadoi, Trieyclic Antidepressants, Zoipidem. Item Specimen Results Concentration 1?2 Peripheral blood - Negative ?4 7? Rachel M. Hamilton Forensic Scientist Page i of i