Alameda County Sheriff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 2901 Peralta Oaks Ct, Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) Coroner Investigator's Report 0 LL ..J ..J NAME OF DECEASED {�AST, FIRST MIDDLE) TENTATIVE ID REPORTED BY REPORTED BY PHONE NO. REPORTING AGENCY INVESTIGATOR CALL DATE AND TIME DATE AND TIME OF DEATH DATE OF BIRTH Lt. SCHELLENBER HGT 1- z w C w 0 w C 12/10/2014 5:34 75 I I WGT 187 EYE COLOR Brown 2014-03519 REFERENCE NUMBER 14-021532 CASE TYPE 12/10/2014 6:29 Removal Case 3/6/1986 28 Years Male Brown Student HAIR COLOR □ Alameda County Sheriffs Office-EIS (510) 667-3646 Charles Frazier CASE NUMBER UNIDENTIFIED □ MONROE, Lawrence James AGE GENDER OCCUPATION I I RACE Black I EMPLOYER MARITAL STATUS Never Married Preliminary Summary_ LOCATION O_F DEATH LOD TYPE Santa Rita Jail H/U 22 Other· ADDRESS {STREET, CITY, STATE, ZIP) 5325 Broder Boulevard Dublin CA 94568 , Manner Cause A c ,i Cause B W� Natural COUNTY Alameda I Death Certificate Signed By: Interval Years Interval CHRONIC ALCOHOLISM : CauseC Interval · Cause D Interval Other Significant Conditions z LEGAL NEXT OF KIN RELATIONSHIP TELEPHONE NO. NOTIFIED BY METHOD DATE AND TIME 0 U:: j:: 0 z IDENTIFICATION METHOD DATE AND TIME Finger Prints 12/10/201 5:34 LOCATION OF INCIDENT AT WORK 1- z w C 0 � ADDRESS {STREET, CITY, STATE, ZIP) COUNTY INVESTIGATING AGENCY Alameda County Sheriffs Office-EIS o.. C Partial Autopsy □ Inspection Detective Jason HAWKS □ 12/15/2014 Record Review □ OFFICER BODY RELEASED TO FUNERAL HOME ON Morgan Jones Funeral Home Full Autopsy DATE AND TIME OF INCIDENT INV AGENCY PHONE NUMBER FUNERAL HOME Inspection w/Specimen □ Date Printed □ 14:30 EXAM BY Judy Melinek Sunday, June 28, 2015 Alameda County Sheriffs Of?ce Gregory J. Ahern, Sheriff Coroner Coroner's Bureau, 480 4th Street, Oakland, CA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) Investigator Narrative Decadent: MONROE, Lawrence James Case Number: 2014-03519 Investigator: Charles Frazier Fii st Call Information: On Wednesday, December 10, 2014, about 0621 hours Lieutenant T. SCHELLENBERG, Watch Commander of the Santa Rita Jail (SRJ), called and reported the undetermined manner of death of a 28? year-old male inmate, Lawrence James MONROE. Lieutenant SCHELLENBERG reported the following: on Wednesday, December 10, 2014, aboUt 0459 hours, MONROE was found unresponsive in his SRJ cell in housing unit 22. MONROE was assigned to. A-Pod, cell #39. He was lying on the top bunk where he was found unresponsive. Paramedics from the Alameda County Fire Department responded and attempted life-saving measures, but were unsuccessful. They pronounced his death at 0534 hours. On Tuesday, December 9, 2014, MONROE was transported to Santa Rita Jail (SRJ)'where he was booked after being arrested by Alameda County Sheriff? 3 Of?ce (ACSO) Deputies at Highland Hospital, located at 1411 East 31St Street in Oakland. MONROE was arrested for by Deputy SOBRERO who was assigned to the Hospital. MONROE was also found to be heavily intoxicated at the time of his arrest. He was medically cleared for incarceration before being transported and booked at SRJ. At the time of his arrest, MONROE had a visibly bruised ?black? and complained of having a sore hand, which indicated he ma have been involved in a ?ght prior to police contact. Person File Number (PFN) ii (CEF1691) Medical Summary: He was medically attended to at Highland Hospital in Oakland and his medical records were requested and received. A copy of the records were placed in the case ?le. (CEF 1691) Description of the Death/ Injury Scene: On Wednesday, December 10, 2014, about 0715 hours, Deputy S. BEEZLEY and I (FRAZIER) went to Santa Rita Jail (SRJ) to do a scene investigation and complete the body removal. We met with the Jail Watch Commander, Lieutenant T. SCHELLENBERG, to get more details about the death. Lieutenant SCHELLENBERG gave me a printout of jail movement history and provided me with clothing and property. Deputy BEEZLEY and I then went to housing unit #22 and met with Sergeant J. HAIGHT, Sergeant K. MONAGHAN and Deputy D. COVINGTON. While at housing unit #22, Deputy COVINGTON gave me a digital disk containing photographs of the death scene. I went into A-pod, cell 39, where I saw MONROE laying in a supine position on the ?oor. His yellow jail inmate clothing had been cutaway from his upper body and were lying underneath him. I conducted a limited external examination and I gij? Alameda County Sheriffs Of?ce Gregory J. Allern, Sheriff Coroner Coroner's Bureau, 480 4th Street, Oakland, CA ll.? af?ieif'i?h? 13?. 94607?3829 (510) 268-7300 (510) 268?7333 (fax) saw medical therapy in place that consisted of a tracheal tube, an intraosseous IV line in his right shin, and electrocardiogram (EKG) pads. I saw a black and purple bruise around right and his face appeared to be swollen. I saw a drop of blood on his arm which may have resulted from the introducing of IV lines by the paramedics who rendered life saving measures. Livor mortis was present and Rigor mortis was minimal. MONROE was cold to the touch and I did not see any additional visible trauma. Deputy BEEZLEY took several digital images of the death scene and of MONROE. We completed the removal and I Issued Coroner?s receipt #3 5417 for the body and property. (CEF1691) Body Identi?cation: On Wednesday, December 10, 2014, I (FRAZIER) identi?ed MONROE from his CRIMS booking information, his inmate identi?cation arm band, and I scanned his ?ngerprints with the blucheck mobile ?ngerprint device and it hit to the name of Lawrence MONROE with a DOB: 03/06/1986. (CEF1691) On Tuesday, December 15, 2014, about 1333 hours, CIB faxed a ?ngerprint comparison letter to the Coroner?s Bureau indicating the submitted ?ngerprints for MONROE, Lawrence James to the ?ngerprints associated with PEN-rere positively identi?ed to be made by the same subject. Next of Kin Investigation: next of kin are his father who lives in- and his mother On Wednesday, December 10 2014 about 1130 hours De S. BEEZLEY and I (FRAZIER) went to an address located a to locate ossible next of kin. We ?rst met with the Prope to us 3 knew but apartment She said that stayed with his father from time rented to to time. said she last saw about two a a o. knocked on the residence front door bu no one answered. I left my business card requestinghto call the Coroner?s Bureau when he returned. (CEF 1691) On Wednesday, December 10, 2014, about 1230 hours called the Coroner?s Bureau and I (Frazier) noti?ed him of his son?s death and explained the Coroner?s involvement. told me his son had never been married, but he did have a minor child. He said the child was a dau hter named who lives in the rea with her mother did not have their contact information so he asked that I contact mothe who lives in the? On Wednesday, December 10, 2014, about 1300 hours, I (FRAZIER) called mother- and she rovided me with the name and telephone number fo the guardian ofthe minor child. has also noti?ed of death. (CEF1691) Other Agency Reports: Alameda County Sheriff?s Of?ce, Santa Rita Jail, Lieutenant T. SCIEELLENBERG, Sergeant J. HAIGHT, Sergeant K. MONAGHAN, Deputy D. and ETS Detective J. HAWKS, report #14-021532 Alameda County Sheriff?s Of?ce (if AW Gregory'J. Ahern, Sheriff Coroner Coroner's Bureau, 480 4th Street, Oakland, CA AWA 94607-3829 (510) 268-7300 (510) 268-7333 (fax) Alameda County Sheriff? Of?ce, Highland Hospital Deputy S. SOBRERO, report #14-021444. (CEF1691) Property and Evidence: Lieutenant SCHELLENBERG gave me all of inmate property that was received at the time of incarceration. I documented the items on Coroner?s receipt 35417. (CEF1691) At the Coroner?s Bureau, I (FRAZIER) placed the inmate property, which consisted of a in locker #023 in the bulk property temporary storage room. (CEF 1691 Coroners Fees: The Coroner?s fees are $321.00 for the body removal and the body preparation. (CEF1691) On December 15, 2014, all Coroners? fees related to this case were paid in full. Other Investigative Details/ Supplemental Information: On Wednesday, December 10, 2014, about 0458 hours, Deputy Ramsey JACKSON found MONROE unresponsive in his jail cell. Prior to being found unresponsive, MONROE was last seen alive, about 0345 hours, during early morning pill call. One hour later, MONROE was being called upon on his cell speaker and told to get ready for his court appearance. When MONROE did not respond, Deputy JACKSON went to his cell to see whyhe was not answering. When Deputy JACKSON looked in the cell, he found MONROE unresponsive on the top bunk, lying on his side facing the wall. Emergency personnel were called to the cell and responded within minutes, along with jail medical staff. Cardio Pulmonary Resuscitation (CPR) was rendered manually and the LUCAS device was applied but both were ultimately unsuccessful. Alameda County Fire Paramedics pronounced death at 0534 hours. On Wednesday, December 10, 2014, about 0945 hours, I went to Highland Hospital to ascertain the events leading up to Monroe?s arrest. Per Deputy S. SOBRERO #1832, he ?rst came into contact with Monroe, on December 9, 2014, at 1555 hours, while he was being treated in Exam Room About 2310 hours, Deputy SOBRERO returned to Exam Room #3 due to Monroe?s pending discharge from the hospital. At that time, Deputy SOBRERO ran a warrant check on MONROE and found he had an Deputy SOBRERO arrested MONROE on the outstanding warrant. Deputy SOBRERO had MONROE medically cleared for incarceration and transported him to SRJ for booking. According to Deputy SOBRERO, no force was used on MONROE during his arrest. (Refer to ACSO report 14-021444 for speci?c details on this event.) Per ACSO policy, after in-custody death, Lieutenant SCHELLENBERG noti?ed Detective Jason HAWKS at the ETS substation and advised him of the inmate death. Due to the circumstances when the death was ?rst reported, Detective HAWKS did not respond to the scene because it appeared MONROE had died from natural causes and there was nothing suspicious about the death. Later, Detective HAWKS calledthe Coroner?s Bureau and indicated that because inmate MONROE appeared to have been in a ?ght prior to his incarceration they would like to be present for his autopsy. Alameda County Sheriff?s Of?ce my Gregory J. Ahern, Sheriff Coroner 73?5"? ?7 Coroner's Bureau, 480 4th Street, Oakland, CA . 94607-3829 (510) 268-7300 /(510) 268-7333 (fax) Accordin to father, his son was last known to be with a roommate named- (CEF 169 1) Findings: On Sunday, June 28, 2015, about 0748 hours, I (FRAZIER) reviewed this case for the purpose of establishing a manner of death. A full autopsy, with toxicology, was performed by Coroner?s Pathologist Dr. J. NEELINEK who gave the cause of death as ?chronic alcoholism?. After reviewing the cause of death, I ?nd this death to be natural. My finding is based on the given cause of death, my death scene investigation, my review of the auto 3 rotocol the toxicology report, and known medical history which indicated (CEF1691) Supervisor Review: On Friday, July 02, 2015, I (Sgt. BARON) reviewed this case and found it to be complete. I concur with the findings and approve this case for closure. A1 am ed a County Sh eri Hus Of?ce Coroner's Bureau 2901 Peralta Oaks Court, Floor, Oakland, CA 94605-5319 Gregory]. Ahem, Sheriff Director of Emergency Services Coroner - Marshal A DATE: December 12, 2014 FROM: Judy Melinek, M.D. TO: Case File 2014?03519 SUBJECT: AUTOPSY PROTOCOL Autopsy performed upon the body of Lawrence James Monroe at the Coroner's Bureau, 480 4th Street, Oakland, California, on December 12, 2014, at 9:15 a.m. AUTOPSY FINDINGS I. CHRONIC ALCOHOLISM: A. SEE TOXICOLOGY REPORT: 1. NO ETHYL ALCOHOL DETECTED 2. HISTORY OF ALCOHOL WITHDRAWAL (CLINICAL). B. VISCERAL CONGESTION C. HEPATIC STEATOSIS, MILD HEPATITIS WITH SPIDERY FIBROSIS D. ACUTE GASTRIC HEMORRHAGE WITH 100 ML OF BLOODY FLUID IN GASTRIC CONTENTS. II. LEFT VENTRICULAR HYPERTROPHY (1.5 CM). BLUNT TRAUMA OF HEAD AND NECK WITH CONTUSIONS: A. FOCAL SOFT TISSUE HEMORRHAGE, RIGHT SUBMANDIBULAR AREA B. RIGHT LATERAL SCALP CONTUSION C. NO APPARENT VITAL INJURY. CAUSE OF DEATH: CHRONIC ALCOHOLISM. cc: EMS District Attorney Investigations Bureau Page 2 Sheriff?Coroner Alameda County Body of LAWRENCE JAMES MONROE PRELIMINARY EXAMINATION: The body is identified by a Coroner?s label affixed in) the left great toe. When first viewed, the decedent is clad in yellow jail?issue pants, and two gray socks. Brown paper bags are over the hands and are secured with zipties at the wrists. Accompanying the body is a brown T?shirt and a yellow jail?issued shirt (both cut).' The clothing is submitted as evidence. EXTERNAL The body ii; of a well developed, well nourished, fit and muscular adult black man whose appearance is consistent with the reported age of 28 years. The body is cold- (refrigerated). .Rigor mortis is marked and symmetric. Unfixed purple livor mortis extends over the posterior surfaces of the body, except in areas exposed to pressure. The fac?e- is remarkable for evidence of superficial injury as mentioned below. The head is otherwise atraumatic, symmetric, and normocephalic. The scalp ix; intact and atraumatic. The scalp hair is brown, curly and styled in dreadlocks which measure approximately 9-13 inches in length over the crown. The. eyelids are atraumatic,? intact, and unremarkable, except as mentioned under Evidence of Injury. The irides are brown. The 23 24 25 26 27 '28Page 3 Sheriff?Coroner Alameda County Body of LAWRENCE JAMES MONROE pupils are obscured by corneal clouding. The sclerae and up Iconjunctivae are unremarkable except for red tache noir at the _left and congestion (n1 the right. There is slight bilateral exophthalmos. bk) petechial hemorrhages are identified (Hi the palpebral conjunctivae, bulbar conjunctivae, facial skin or oral mucOsa. The nose and ears are not unusual except for one pierce_ mark in the' left earlobe. The decedent wears a~ 1/2 inch mustache and 1 inch brown goatee beard. The_teeth are natural 'and in good condition. The neck is unremarkable. The trachea is palpable and midline. The thorax is well developed and symmetrical. The abdomen is flat. The anus and' back are unremarkable. The penis is uncircumcised. The testes are bilaterally descended. in the scrotum. The upper and lower extremities are well developed and symmetrical, without absence of digits. There is no clubbing or edema. EVIDENCE OF MEDICAL THERAPY: Evidence of acute medical therapy includes a ?curved plastic airway in the oral cavity; four -electrocardiogram patches on the chest and thighs; needle puncture Inarks at the right forearnx and.}3ilateral antecubital Page 4 Sheriff?Coroner Alameda County Body of LAWRENCE JAMES MONROE fossae; and right tibial interosseous catheter connected_to a full bag of saline. IDENTIFYING MARKS AND SCARS: A monochromatic professional tattoo depicting a heart and a crown and inscribed ?Forgiver? is on the left abdomen. A l_inch diagonal well healed scar is on the outer lower left neck. A 1?1/2 inch irregular well healed scar is on the upper left chest, below the clavicle. . A .monochromatic professional tattoo ?depicting 51 tree? is (M1 the volar lower left arm. A l/2_inch oval well healed scar is at the Jupper outer right ?knee. A. 1/2? inch ihorizontal,. linear, hyperpigmented, well healed scar is at. the outer front left thigh. .A possible 4 inch vertical linear well healed scar is faintly discernible over the left knee. Additional identifying marks and scars are not readily identified. EVIDENCE OF INJURY: The right upper eyelid is swollen as is the right forehead and face. There is a 1? 1/4 inch by 1 inch right _upper eyelid periorbital Small punctate red acneiform lesions are on both cheeks and are partially abraded. A 1 inch purple contusion is at the back-left shoulder. Faint ziptie indentations are at the back right, wrist but have no Page 5 . Sheriff?Coroner . Alameda County . -Body of LAWRENCE JAMES MONROE associated hemorrhage and correspond to the zipties on the postmortem_paper bags. On. internal. examination there ,is kar3 centimeter? area. of? soft tissue hemorrhage surrounding the right submandibular gland. On reflection of the scalp, there is a right lateral fronral/temporal subgaleal contusion :measuring 2.5 centimeters by centimeter, with no subjacent skull fracture, epidural, subdural, or subarachnoid hemorrhage. There are no acute fatal traumatic injuries. There is no additional evidence of injury. INTERNAL EXAMINATION: The body is opened in the usual manner with a Y?shaped incision. No adhesions or abnormal collections of fluid are in any of the body cavities.- All body organs are in normal and anatomic position. The serous surfaces are smooth and glistening.i The subcutaneous fat measures approximately 3/4 inch in maximum thickness at the level of the umbilicus. There is diffuse visceral congestion. HEAD AND-CENTRAL NERVOUS SYSTEM: Reflection of the scalp shows the usual scattered reflection petechiae. The calvarium is intact. The brain weighs 1230 grams. The dura mater and falx Page 6 Sheriff?Coroner . Alameda County Body of LAWRENCE JAMES MONROE 89 cerebri are unremarkable and the leptomeninges are thin and 90 delicate. rThe cerebral .hemispheres are symmetrical. The 91 structures ad: the base (Hf the brain, including cranial nerves 92 I and blood vessels, are free of abnormality. 93 94 Sections through the cerebral hemispheres reveal no lesions 95 within the cortex, subcortical white matter or deep 96 of either 'hemisphere. The cerebral ?ventricles are c?f normal 97 caliber. Sections through the 'brain. stem gnui cerebellunl are 98 unremarkable. The first portion. of the spinal cord, .viewed 99 through the foramen magnum, is unremarkable. 100 101 NECK: The :neck is dissected after ?the thoracoabdominal and 102 cranial contents are removed. Examination of the soft tissues 103 of the neck, including large vessels and.strap muscles, reveals 104 no abnormalities. The superficial and deep muscles of the neck 105 are firm, red?brown, intact, and unremarkable without hemorrhage 106 Or laceration. The hyoid bone and larynx are intact. The tongue 107 is normal. There are no intramuscular hemorrhages. 108 109 CARDIOVASCULAE SYSTEM: The heart weighs 470 grams. The 110 epicardial surfaces are smooth, glistening, and ?unremarkable. Page 7 Sheriff?Coroner . ?Alameda County - Body of LAWRENCE JAMES MONROE 111 The coronary arteries arise normally and follow the distribution .1 112 of a right dominant pattern with no atherosclerosis. The 113 chambers are remarkable for left ventricular hypertrophy., The 114 'valves? bear the usual size/poSition' relationship, are 115 Inorphologically normal and are unremarkable. .The valves lare 116 free.of vegetations. The myocardiwm is dark red-brown, firm,. 117 and unremarkable. The atrial and ventricular septa are intact _118 and the septum and free walls are free of :muscular bulges. 119 There is no focal or regional fibrosis, erythema, pallor or 120 softening. The left ventricle Jneasures 71.5 cm emui the right 121 ventricle measures 0.3 cm jJ1 thickness as Hwasured 1 cm below 122 the respective atrioventricular valve annulus. The 123 interventriCular septum measures 1.1 cm in thickness. The aorta 124 and its major branches ariSe normally and follow 'the 'usual 125 course with no signifiCant atherosclerosis. ?The orifices of the 126 major aortic vaSCular branches are patent. The vena cava and 127 its_ major tributaries return to the heart in the usual 128 . distribution and are unremarkable. 129 130 RESPIRATORY SYSTEM: The right and left lungs weigh 870 and 770 131 grams, respectively. The upper and lower airways are patent and 132 the Inucosal surfaces are smooth, yellow?tan, and. contain ?thin Page 8_ Sheriff-Coroner Alameda County Body of LAWRENCE JAMES MONROE 133 white foam. The pleural surfaces are smooth, glistening, and 134 unremarkable. The pulmonary is congested. The cut 135 surfaces exude marked amounts of_blood-and frothy fluid. There 136 are no masses, hemorrhages, consolidations, obstructions for 137 destructive The pulmonary arteries ?are normally 138 developed'and patent. There is in) saddle embolus on situ 139 examination of the pulmonary trunk. 140 141 HEPATOBILIARY SYSTEM: The liver weighs 2330 grams. The hepatic- 142- capsule is intact, .smooth_ and glistening, covering a greasy 143 'bright yellow The gallbladder contains 144 approximately ll)n?i of green viscid bile without stones. The 145 extrahepatic biliary tree appears to be patent. 146 147 HEMATOTOIETIC SYSTEM: The spleen weighs 210 grams and has a 148 smooth intact capsule covering red?purple, moderately firm 149 The splenic 'white pulp is grossly yunremarkable. 150 The regional nodes appear normal. The bone marrow (rib) 151 is red-purple. 152 A 153 .ENDOCRINE SYSTEM: pituitary gland is intact, normally? 1541 developed, and is inmemarkable without laceration, hemorrhage, Page 9 Sheriff?Coroner - Alameda County A Body of LAWRENCE JAMES MONROE 155 or mass lesion. The thyroid gland is symmetric and unremarkable 156 with a firm, red?brown, granular_ and no .cyst, 157 hemorrhage, fibrosis, or mass lesion. The adrenal glands_are 158 -normally situated and have soft, yellow cortices and soft, gray? 159 brown medullae. The pancreas has a soft, tan with-a 160 normal lobular architecture and In: saponification, pseudocyst, 161 neoplasm, fibrosis, hemorrhage, or mineralization. 162 163 GASTROINTESTINAL SYSTEM: The esophagus is lined by gray-white, 164 smooth mucosa, without_obvious yarices. The gastric mucosa is 165 markedly erythematous, arranged jJ1 the usual rugal folds, and i 166 the lumen contains approximately 100 mL of black?red fluid 167 consistent with partially digested blood withOut clots. There 168 are no ulcerations noted. There are no pill fragments or 169 foreign bodies identified. - The small' and large. bowels are 170 unremarkable. The appendix is unremarkable.? The colon contains 171 soft brown and liquid stool. 172 173- GENITOURINARY SYSTEM: The right and left kidneys weigh 170 and 174 200 grams, respectively. The renal capsules are smooth, thin, 175 semitransparent, and strip with ease from Ithe underlying, 176 smooth, red?brown, firm, cortical surfaces. The cortices are of Page 10 Sheriff?Coroner . - . Alameda County Body of LAWRENCE JAMES MONROE 177 normal thickness and welledelineated from. the medullary 178 pyramids. The calyces, pelves, and ureters are unremarkable. 179 'The urinary bladder contains scant urine. The mucosa is gray? 180 tan- and smooth. The bilaterally descended teStes are. 181 unremarkable. The prostate is unremarkable. 182 183 SYSTEM: The skeleton .is' well developed and 184 without deformity' or osteoporosis. Ii?ma vertebrae, clavicles, 185 sternum, ribs, and pelvis are without fracture. The supporting 186 musculature and soft tissues are not unusual. The firm, red? 187 brown muscles are well hydrated and free offOcal lesions. The 188 cervical spinal column is'stable on internal palpation. 189 190 Spec. to Pathology: Portions of all major organs are fixed in 191 . - formalin and retained. 192 I 193 Spec. to Histology: Pancreas, stomach, liver, lung, muscle 194 I surrounding submandibular gland, and 195 I brain. 196 197 198 199 200 201 .202 203 204 I205 206 207 208 209 210 211 212 213 214 215 Sheriff?Coroner Alameda County Spec. to Toxicology: Physician(s) Present: Forensic Techs: Evidence: JM/jkm Page 11 Body of LAWRENCE JAMES MONROE Peripheral blood, heart blood, bile, brain, gastric contents, liver, vitreous humor. Dr. Judy Melinek. Victoria Gebelein, Kristena Realph, and Herminia Gutierrez. Blood spot on filter paper for DNA, scalp hair, fingernail clippings, gunshot residue testing on the hands, and the clothing. ?ea/(A QJL. VJudyiBe1inek, M.D. Alam oda (Lormt?y Sh cri ill-s Oil 103 Coroner's Bureau 2901 Peralta Oaks Court, Floor, Oakland, CA 946056319 (.1 rego I?y Abe m, Sh en fl Director of Emergency Services Coroner - Marshal CASE NUMBER: CASE 2014-03 519 Lawrence James Monroe PATHOLOGIST: Judy Melinek, M.D. HISTOLOGICAL EXAMINATION Tissue or Organ of fragments and/Or levels (slide ID) BRAIN 4 (1, 3, 4): Sections of cerebellum and hippocampus are unremarkable Without speci?c pathologic changes. Fragments of cortex are unremarkable. LUNG 1 (1): No speci?c pathologic changes. PANCREAS 1 (2): Normal architecture and autolyzed cytology with no speci?c pathologic changes. GASTROINTESTINAL TRACT 1 (2): Gastric mucosa with autolysis and focal hemorrhage. SOFT TISSUE NEAR SUBMANDIBULAR GLAND 1 (3): Fat and muscle with acute hemorrhage. LIVER 1 (4): Hepatic with marked microvesicular and macrovesicular steatosis and spidery ?brosis. There is a mixed portal in?ammatory in?ltrate with spillage past the limiting plate and focal, rare hepatocyte necrosis, consistent with a mild hepatitis. (?flawlm? MD. Date \Signature CENTRAL VALLEY TOXICOLOGY, INC. Case Name: - - TOXICOLOGY NUMBER: 1 Monroe, Lawrence J. 35 ml peripheral blood 3.5 ml Vitreous humor each labeled "Monroe, Lawrence; Specimen-Description: Delivered by rTricor Date 15?Dec?14 Received by 13111 Posey - Request: Complete Drug _'Screen I: Agency Case 2014-03519 Requesting Agency, Report To Alameda Co. Coroner's Office- Alameda C0. Coroner's Of?ce 1 Attn: Acct's Payable 7 Attn: Dr. Melinek 480 4th Street . .7 480 4th Street Oakland CA 794607 Oakland CA 94607 Specimen: PeripheralBlood Sample I 7 RESULTS 7 complete Drug Sereen: No common acidic, neutral or basic drugs detected. No Ethyl Alcohol detected. B.L. POSEV KIMBLE 11% 1580 Tollhouse Road Clovis. California 93611 Phone (559) 323-9940 Fax (559) 323?7502 B. L. Posey December 29, 2014 CENTRAL VALLEY TOXICOLOGY, INC. Case Name: Monroe, Delivered by Alameda C0. Specimen Description: Lawrence 35 m1 peripheral blood 3.5 2014?03519; 12/12/2014" Date Tricor 15?Dec-14 Request: Vitreous Electrolytes, VUN Creatinine Requesting Agency Coroner's Of?ce Attn: Acct's Payable 480 4th Street Oakland CA 94607 TOXICOLOGY NUMBER: 1 vitreous humor each labeled "Monroe, Lawrence; Received by Date Bill Posey Agency Case 2014?03519 Report To Alameda Co. Coroner's Of?ce Attn: Dr. Melinek 480 4th Street Oakland CA 94607 15?Dec-14 Specimen: Peripheral Blood Sample RESULTS Complete Drug Screen: No common acidic, neutral or basic drugs detected. No Ethyl Alcohol detected. 18 May, 2015, Additional testing: Second Report Specimen: Vitreous Humor Sample Vitreous Panel: Vitreous Urea Nitrogen Vitreous Creatinine Glucose 36 mg/dL Sodium 130 mmol/L Potassium 14.9 mmol/L Chloride 119 mmol/L 9 mg/dL 082 mg/dL 11% B. L. Posey (as May 29, 2015 B.L. POSEV 3-H. KIMBLE Directors 1580 Tollhouse Road Clovis. California 93611 Phone (559) 323-9940 Fax (559) 323-7502