I-09C °Chi,

I-09C °Chi, U.S. Department of Justice Federal Bureau of Prisons MCC New York 150 Park Row NY, NY 10007 August 12, 2019 MEMORANDUM FOR FROM: MCC New York SUBJECT: 24-hour death report MEDICAL DIRECTOR Inmate Name (LN, FN) Epstein, Jeffery Edward Register Number 76318-054 DOD DOB 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MH Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death (Q) Institution (0) Other: (I) Community Hospital TYPE OF DEATH: n n Natural Homicide n Suicide r-1 Accidental Legal Execution n Unknown DNR ordered (Q) YES (Q✓) NO Autopsy ordered (✓Q) YES (C]) NO If no, reason RIS addressed (0) YES ([]) NO (GD) N/A Anticipated death (0) YES (0) NO Please attach PP37 with this notification and submit to the SOP-HSD/Quality [email protected] mailbox within 24 hours of inmate death or next business day if weekends/holiday EFTA00094117 rag