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BOARD OF MEDICOLEGAL INVESTIGATIONS

OFFICE USE ONLY

OFFICE OF THE CHIEF MEDICAL EXAMINER

Re

Eastern Division
1115 West 17th
Tulsa, Oklahoma 74107
(918) 295-3400 Fax (918) 585-1549

Central Office
901 N. Stonewall
Oklahoma City, Oklahoma 73117
(405) 239-7141 Fax (405) 239-2430

Co

I hereby certify that this is a true


and correct copy of the original
document. Valid only when copy
bears imprint of the office seal.
By
Date

REPORT OF INVESTIGATION BY MEDICAL EXAMINER


DECEDENT First-Middle-Last Names (Please avoid use of initials)

Age

MICHAEL DALE VANCE, JR.

38

Birth Date
05/14/1978

Race

Sex

WHITE

HOME ADDRESS - No. - Street, City, State


2104 JUNE LANE, DEL CITY, OK
DATE

EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS)

LT JONES - OHP TROOP Z


INJURED OR BECAME ILL AT (ADDRESS)

CITY

CR 2130 AND CR 870


LOCATION OF DEATH

OKLAHOMA CITY

901 NORTH STONEWALL

IF MOTOR VEHICLE ACCIDENT:

DRIVER

AUTOMOBILE

DESCRIPTION OF BODY

PASSENGER
LIGHT TRUCK

RIGOR

22:18
TIME

10/30/2016

TYPE OF PREMISES

OKLAHOMA

TIME

DATE

ROADWAY

COUNTY

06:00

10/30/2016

TYPE OF PREMISES

CUSTER

CITY

DATE

ROADWAY

COUNTY

BUTLER

BODY VIEWED BY MEDICAL EXAMINER

TYPE OF PREMISES

CUSTER

CITY

CR 2130 AND CR 870

EXTERNAL
PHYSICAL
EXAMINATION

COUNTY

BUTLER

TYPE OF VEHICLE:

TIME

10/31/2016

DATE

AUTOPSY LAB

22:18
TIME

10/31/2016

13:00

PEDESTRIAN
HEAVY TRUCK

BICYCLE

MOTORCYCLE

OTHER:

NOSE

EXTERNAL OBSERVATION

LIVOR

Jaw

Complete

Neck
Arms

Absent

Color
Lateral

Beard

Hair

BLOOD

Eyes: Color

Mustache

Passing

Posterior

OTHER

Legs

Passed

Anterior

Pupils:

Decomposed

Regional

Body Length

MOUTH

EARS

Opacities
R

L
Body Weight

Significant observations and injury documentations - (Please use space below)


SEE AUTOPSY REPORT

Probable Cause of Death:

Manner of Death:

PERFORATING GUNSHOT WOUND OF NECK

Natural

Accident

Suicide

Homicide

Unknown

Pending

Case disposition:
Autopsy

YES

Authorized by

ERIC DUVAL D.O.

Pathologist

ERIC DUVAL D.O.

Not a medical examiner case

Other significant conditions contributing to death (but not resulting in the underlying cause given)

MEDICAL EXAMINER:
Name, Address and Telephone No.

ERIC DUVAL D.O.

I hereby state that, after receiving notice of the death described herein, I
conducted an investigation as to the cause and manner of death, as required by
law, and that the facts contained herein regarding such death are true and correct
to the best of my knowledge.

901 N. STONEWALL
Date Signed

OKLAHOMA CITY, OK 73117


Signature of Medical Examiner
Computer generated report
CME-1 (REV 7-98)

ERIC DUVAL D.O.

1605509

11/02/2016
Date Generated

CERTIFICATION
I hereby certify that this document is a
true and correct copy of the original
document. Valid only when copy
bears imprint of the office seal.

Board of Medicolegal Investigations

Office of the Chief Medical Examiner


901 N. Stonewall
Oklahoma City, Oklahoma 73117
(405) 239-7141 Voice
(405) 239-2430 Fax

By____________________________
Date__________________________

REPORT OF AUTOPSY
Decedent

Age

Birth Date

MICHAEL DALE VANCE, JR.

38

5/14/1978 WH

Race

Sex

Case No

1605509

Present at Autopsy

Authority for Autopsy

PAT MARCOTTE, JASON SNIDER, SCOTT MORRISON, TAI CHRISTIAN

ERIC DUVAL, D.O.

AUTOPSY FINDINGS
I. Perforating gunshot wound of neck
A. Distant range entrance wound, right facial cheek
B. Gunshot wound of exit, left posterior neck
C. General trajectory right to left, backward, downward
D. Injuries right mandibular and hyoid fractures, right carotid artery transection, perforated cervical spine with
transected spinal cord and related marked soft tissue hemorrhage, subarachnoid and intraventricular
hemorrhage
E. No projectile recovered at autopsy
II. Multiple gunshot wounds of right upper extremity, lower extremities, pelvis, and buttocks with minimally
hemorrhagic fractures, soft tissue and intra-abdominal injuries
A. General upward trajectories
B. Multiple projectiles and fragments recovered at autopsy
III. Partly healed perforating gunshot wounds of left shoulder and left foot
IV. Focal abrasions

CAUSE OF DEATH:

PERFORATING GUNSHOT WOUND OF NECK

MANNER OF DEATH:

HOMICIDE

OCME Central Division


ERIC DUVAL, D.O.
CME-2

Page 1

Forensic Pathologist

Location of Autopsy

10/31/2016 1:00 PM
Date and Time of Autopsy

CASE NO. 1605509

PAGE (2)

CLOTHING AND PERSONAL EFFECTS


The body is clad in a tee shirt, long shorts with a belt, underwear, and right sock. Shoes accompany the
body. The clothing and right shoe show multiple perforations and are variably blood stained. The left foot is
dressed with a blood stained length of pink fabric.
The following items are recovered from the shorts pockets: key, two cigarette lighters, folding knife, one
penny, and a wallet containing multiple cards, photo identification, and the following paper monies, four (4)
twenty dollar bills, two (2) ten dollar bills, five (5) five dollar bills, and fourteen (14) one dollar bills. The
wallet and paper money are perforated with related blood staining.
EVIDENCE OF RECENT MEDICAL INTERVENTION
None.
EXTERNAL EXAMINATION
Length: 70 inches
Body weight: 201 pounds
Hair: black scalp hair; unshaven facial hair
Eyes: brown irides; 5 mm round pupils; clear pale conjunctivae without petechiae; white sclerae
Teeth: natural dentition, good repair
Algor: cool
Rigor: complete, rigid
Livor: purple, posterior, blanching
The body is received in a secured body bag, (seal #5209442), and is that of a well-developed, well-nourished
male appearing consistent with the reported age of 38 years. The skin is variably blood stained and
decorated with multiple tattoos. There is minimal blood in the external nares and mouth. Multiple firearm
injuries will be described below, see Evidence of Injury. The head, torso, and extremities are otherwise
normal. The external genitalia are those of an uncircumcised adult male. Paper bags enclose the hands.
Metal projectile fragments are noted in the body bag and on the body and clothing surfaces, some of which
are collected and submitted as evidence.
EVIDENCE OF INJURY
FIREARM INJURY
Perforating gunshot wound of neck
Entrance 0.6 cm, right facial cheek lateral to mouth, anterior eccentric marginal abrasion with
posterior laceration
Exit 0.6 cm, left posterior neck
General trajectory right to left, backward, downward
Injuries right buccal laceration, right mandibular and hyoid fractures, transected right carotid artery,
upper cervical spine perforation with spinal cord transection
Related marked wound tract hemorrhage, subarachnoid hemorrhage of spinal cord and cerebellum,
and intraventricular hemorrhage
No projectile recovered at autopsy

CASE NO. 1605509

PAGE (3)

Gunshot wounds of right upper extremity


Deep graze-type wound of superior right shoulder, undetermined directionality, with several
pseudostippling-type injuries medial to graze wound with back to front trajectory and multiple
subcutaneous projectile fragments
A 0.6 cm entrance wound of posteromedial right upper arm and 0.4 cm entrance type wound of lower
posterior right upper arm
o Gaping exit wound of lateral right shoulder
o Injuries minimally hemorrhagic comminuted fracture of right humerus
Projectile fragments recovered from fracture fragments and pseudostippling injuries
Entrance gunshot wound of right hand at lateral 2nd metacarpophalangeal joint with aligning grazetype wounds of dorsal right thumb and 4th finger
Possible atypical entrance wound versus abraded laceration of dorsal right wrist
Metallic fragment pseudostippling dorsal right forearm
Perforating gunshot wound of left upper extremity
A 2 x 2 cm entrance wound, posterolateral left upper arm
o A 2.5 cm exit wound, anterolateral left upper arm
o Injuries subcutaneous soft tissue wound tract with minimal hemorrhage and evidence of
healing; the left shoulder and upper arm exhibits generalized yellow ecchymosis
o General trajectory back to front
o No projectiles recovered at autopsy
Multiple gunshot wounds of lower extremities and pelvis
Four entrance wounds of plantar right foot, 0.3-0.5 cm, at heel, midfoot (x2) and 1st
metatarsophalangeal joint with minimally hemorrhagic comminuted fractures
o Four gaping exit wounds of dorsal right foot and heel
o General upward trajectories with medial, lateral and backward deviations
o Aligning atypical entry-type wounds of medial right lower leg, right shin, and lateral right
lower leg (graze-type) with minimally hemorrhagic subcutaneous soft tissue injury; multiple
projectile fragments recovered
A 0.6 cm entrance wound, anterior right knee, with minimally hemorrhagic comminuted patellar
fracture, gaping exit/laceration of upper right anterior knee and minimally hemorrhagic subcutaneous
soft tissue injury of medial right thigh; projectile fragments recovered. General trajectory, upward,
medial, backward.
Atypical 8 x 3.5 cm entrance wound of lateral right thigh with adjacent laceration/exit and minimally
hemorrhagic subcutaneous soft tissue injury; projectile fragment recovered.
Atypical 5 x 3.5 cm entrance wound of posterolateral right hip with metal fragment pseudostippling,
minimally hemorrhagic subcutaneous soft tissue injury; projectile fragments recovered.
Complex atypical entrance wound complex of right groin involving right hemiscrotum and opposing
medial thigh, entering the peritoneal cavity above the pubis symphysis.
THIGH AND BUTTOCK WOUNDS
o 0.7 cm entrance wound, medial left popliteal fossa with metal fragment pseudostippling of
medial left calf
o Two 0.6 cm entrance wounds of medial proximal and distal left thigh with large intervening
gaping exit/laceration
o A 5 cm atypical entrance wound posteromedial proximal left thigh
o A 2 cm entrance wound of low medial left buttock with sacral fracture
o A 1.5 x 1 cm entrance wound of medial left buttock

CASE NO. 1605509

PAGE (4)

o Atypical 3 x 3 cm entrance wound of lateral left buttock


o General upward trajectories with forward and left and right deviations
o Injuries include pubic ramus and sacral perforation/fractures, transected left external iliac
artery and vein, and multiple small bowel loop perforations. Subcutaneous soft tissue wound
tracts show minimal or no hemorrhage. There is moderate hemorrhage of the posterior
perirectal space associated with the sacral fracture. There is no significant peritoneal
hemorrhage. Multiple projectiles and projectile fragments are recovered from the small bowel
mesentery, left psoas, perirectal soft tissue, and soft tissues about the hips and pelvis.
Perforating gunshot wound of left foot
o Suspected entry wound between left 4th and 5th toes with 1.5 cm exit of plantar left foot with
evidence of partial healing
o Soft tissue wound tract through plantar left foot
o General trajectory backward, downward, left to right
o No projectiles recovered at autopsy

OTHER TRAUMA
Focal facial abrasions
Road-rash type abrasion, right upper arm
Abrasion, dorsal left elbow
Linear abrasions, left subcostal
INTERNAL EXAMINATION (Exclusive of previously described trauma)
The body is opened through the customary Y shaped thoracoabdominal incision and the sternum is
removed in the usual fashion. The organs of the chest, abdomen, and pelvis are in their normal anatomic
positions. The diaphragm is normally formed and intact. The pericardial, pleural, and peritoneal cavities are
free of abnormal effusions or adhesions.
NECK
Except as noted, the subcutaneous soft tissues, cervical vertebrae, hyoid bone, laryngotracheal cartilages, and
paratracheal soft tissues are normal.
CARDIOVASCULAR SYSTEM
Heart weight: 380 grams
The epicardium is smooth, glistening, and intact. The coronary ostia are normally located. The coronary
arteries distribute normally and show no significant atherosclerosis. The atrial and ventricular chambers are
normally configured. The valves are normally formed and intact. The uniformly brown myocardium is free
of recent or remote infarction. The endocardium is smooth and transparent. The aorta and vena cava are
intact and widely patent.
RESPIRATORY SYSTEM
Right lung weight: 510 grams
Left lung weight: 480 grams
The upper and lower airways are widely patent and lined by a smooth, glistening mucosa. The pulmonary
arterial tree is free of emboli or thrombi. Pleural surfaces are smooth, glistening and intact. The tan to redpurple parenchyma is spongy and crepitant, with no consolidation or focal lesions.

CASE NO. 1605509

PAGE (5)

CENTRAL NERVOUS SYSTEM


Brain weight: 1670 grams
The scalp is opened through the customary intermastoid incision and shows no trauma. The calvaria is
removed through the use of an oscillating saw, is intact and without evidence of osseous disease. The
leptomeninges are thin and transparent. Dural sinuses are patent. The cerebral vessels at the base of the
brain distribute normally and show no significant pathology. Externally the brain is normally configured and
symmetric. Multiple sections of cerebrum, brainstem, and cerebellum show no gross pathologic change.
The ventricular system is symmetric. The base of the skull is intact.
GASTROINTESTINAL SYSTEM
The tongue is intact, normally papillated, and without evidence of tumor or hemorrhage. The esophagus is
patent and shows no gross pathology. The stomach is lined by an intact mucosa and contains approximately
40 ml of finely masticated pasty tan food material. There is no evidence of pill residue. Except as noted, the
small and large intestines are grossly normal. The appendix is present.
HEPATOBILIARY AND PANCREAS
Liver weight: 1370 grams
The capsule is smooth and intact. The parenchyma is brown and free of focal lesions or fibrosis. The
gallbladder contains liquid bile and no calculi. The extrahepatic biliary tree is patent with no evidence of
neoplasm or calculi. The pancreas is normally configured, tan, and characteristically lobulated.
URINARY SYSTEM
Right kidney weight: 150 grams
Left kidney weight: 170 grams
The capsules strip with ease and the subcapsular surfaces are smooth. The renal architecture is normally
configured. The ureters and blood vessels are intact and patent. The urinary bladder contains approximately
60 ml of clear yellow urine. The urothelial surface is free of focal lesions.
REPRODUCTIVE SYSTEM
The prostate is grossly normal. The testes are bilaterally present in the scrotum and show no evidence of
tumor or inflammation.
ENDOCRINE SYSTEM
The thyroid gland is of normal size, shape and consistency. The adrenal glands are grossly normal. The
pituitary gland is normally positioned within the sella turcica and shows no evidence of tumor or
hemorrhage.
IMMUNOLOGIC SYSTEM
Spleen weight: 280 grams
The capsule is smooth and intact. The splenic parenchyma is soft and maroon-purple. There is no gross
lymphadenopathy. No significant thymic tissue is identified.

CASE NO. 1605509

PAGE (6)

INTEGUMENT
Except as noted, the skin shows no significant gross pathology. The subcutaneous fat is normally distributed,
moist and bright yellow.
MUSCULOSKELETAL SYSTEM
The musculature throughout the chest and abdomen is rubbery and maroon. Except as noted, the skull, axial,
and appendicular skeleton appear intact and unremarkable by palpation and by visual examination where
possible. The bone marrow is moist and dark red.

Toxicology: Postmortem specimens are submitted for toxicologic analysis.


Histology: Microscopic examination is deemed unnecessary. Representative tissue sections are
stored in formalin.
Photography: Standard digital photographs.
Serology: Dried blood spot card.
Fingerprints: Right and left five finger cards.
Radiology: Anterior-posterior and lateral radiographs.
Ancillary Studies: None.

OFFICE USE ONLY

BOARD OF MEDICOLEGAL INVESTIGATIONS


Re. _____ Co. _____

OFFICE OF THE CHIEF MEDICAL EXAMINER


I hereby certify that this is a true
and correct copy of the original
document. Valid only when copy
bear im-print by the office seal.

901 N.Stonewall
Oklahoma City, Oklahoma 73117

REPORT OF LABORATORY ANALYSIS

By ______________________
Date ____________________

ME CASE NUMBER: 1605509

LABORATORY NUMBER: 164656

DECEDENT'S NAME:

DATE RECEIVED:

MICHAEL DALE VANCE, JR.

11/02/2016

MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE, LIVER, BRAIN,


GASTRIC

HOLD STATUS: 5 YEARS

SUBMITTED BY:

MEDICAL EXAMINER:

JASON SNIDER

ERIC DUVAL D.O.

NOTES:
ETHYL ALCOHOL:
Blood:

NEGATIVE (Femoral)

Vitreous:
Other:
CARBON MONOXIDE
Blood:
TESTS PERFORMED:
NO OTHER TESTS PERFORMED

RESULTS:

11/15/2016
DATE

BYRON CURTIS, PH.D., F-ABFT, Chief Forensic Toxicologist

OFFICE USE ONLY

BOARD OF MEDICOLEGAL INVESTIGATIONS


Re. _____ Co. _____

OFFICE OF THE CHIEF MEDICAL EXAMINER


I hereby certify that this is a true
and correct copy of the original
document. Valid only when copy
bear im-print by the office seal.

901 N.Stonewall
Oklahoma City, Oklahoma 73117

REPORT OF LABORATORY ANALYSIS

By ______________________
Date ____________________

ME CASE NUMBER: 1605509

LABORATORY NUMBER: 164656

DECEDENT'S NAME:

DATE RECEIVED:

MICHAEL DALE VANCE, JR.

11/02/2016

MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE, LIVER, BRAIN,


GASTRIC

HOLD STATUS: 5 YEARS

SUBMITTED BY:

MEDICAL EXAMINER:

NOTES:

JASON SNIDER

ERIC DUVAL D.O.

Addendum to the report dated 11/15/2016

ETHYL ALCOHOL:
Blood:
Vitreous:
Other:
CARBON MONOXIDE
Blood:
TESTS PERFORMED:
EIA - (Heart Blood) - Amphetamine, Methamphetamine, Fentanyl, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines
(The EIA panel does not detect Oxycodone, Methadone, Lorazepam or Clonazepam)

RESULTS:
NONE DETECTED

12/13/2016
DATE

BYRON CURTIS, PH.D., F-ABFT, Chief Forensic Toxicologist