NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES GAAuTAN) ase VAL ees Sele 12019 — 02305 REPORT OF INVESTIGATION BY MEDICAL EXAMINER Terry Samuel _ Silvers ‘OME USE ONLY, ,] PECEDENT: = ie at a /4- 0BZBE6) resivence,2200 Bugscutle Spur Hiawassee, GA Towns eae Taira Bat Troe ‘ay FEB 27 2019 | ace:52 SEX: Male oFemale Unknown Date Received | RACE: Asian Black Native American White Other Res ONR | HISPANIC ORIGIN; aYes @No Unknown INFORMATION ABOUT OCCURRENCE pate | TIME ‘ADDRESS OR FACILITY COUNTY [ONSET OF INJURY 5 Sianiess 2309 | 1865 | 808 NC Highway 68, Hayesville, NC Clay DEATH 2rar01e | 1901 |808 NC Highway 69, Hayesville, NC |Ciay |viEwoF BODY 2122018 | 1840 | scene of Death aHospital © a Funeral Home loMorgue__!We Funeral Home Not Viewed IME NOTIFIED 2312018 | 1930 eae LAWENFORGENENT AGENGY:, 8 Coty SHaMING Hay Pa! TASTRNOWNTOBE | oo 019 | ae00 [ALIVE oericen: Trooper Chis Scher re, epHONe: AUTOPSY: None 9M.E. Authorized Non-M.E/Private-Facilty Name: BLOOD SAMPLE : Mailed by: mM anor External oPathologist after Autopsy Reason not obtained: IF CLINICAL ALCOHOL PERFORMED, RESULT: ‘Where: PROBABLE CAUSE OF DEATH: Pending 1, Muttiple Blunt Force Injuries This Section “OGME REVIEW ONLY” 2 Era 3 4 ONTRETING COTTON MANNER OF DEATH: Homicide Suicide, ined Information{oy this block supersedes that containét in space at left cOnTRauTNG coNoTIONS MANNER OF DEATH ‘DNaturel Accident GHomicide aSulclée Pending nar certy arcing nce tine dh eed tek hare lite es and made ee eperarg a cae ch ezron wn Ae 1 rap 2A thet Gon! Ssos ena cea conanedtw ‘oper w oe te ar earls iad ett aera Wiliam Rife Ody ernie meres are a uae TEE “A ee William Kyle Cody, PA-C Print Name of Medical Examiner mi 114 aes 209)Terry Samuel Silvers MEDICAL HISTORY wAcohoism BGancer Depression” Diabetes __aNypertension ‘oiscnemic Heart Disease Seizure Disorder Smoking Substance Abuse Bother Physician, iy ‘MEANS OF DEATH [GVERICLE: Type of etic assodiated with tis decedent ATV” BBicjtle OFamEqupment Moped m'Motorcycle Passenger Car ‘aPickup Truck 0 Truck-more than Zante 1a SUV. Other, Position; mOrver_ O Passenger DPedestian, .. Unknown, Dovices: Seal Restraints Ar Bag QHelmet Ghd Restiint None Unknown ‘Number of Units involved 2. GUN: —_BRie-Calber____a Handgun-Calber___B'Shotgun- Gage BUrknown INSTRUMENT: GAsphyvial Goon Sharp —Deseiption 1B TOXIC AGENT(S) SUSPECTED: pAlcoho! nOthers "Noted in Summary on Page TIDROWNING: -GBathiub a Lake GOcean BPond a Poo) River wy Other, Life Preserer, Yes DNo GUskrown Able toswim, Yes No G Unknown, Ashi em Tet nS FIRE: Suspected Cause ‘Smoke Delecior a Yes aNooUnknown FALL; From: O.Siting OStanding Other ‘Approximate Distance__(Feet) ‘ACTIVITY OF DECEDENT AND PREMISES Work Related: Fatal nur or less Occured on Job": 01 Yes No BUnknoun Yes, was employment; Primary Job Secondary Volunteer Work 8 Unknown, ‘Name ofthis employing frm or agency. ‘Type of business or Industry. Decedent's oonypaion oynetinnene rae sane en ang FATALINJURY OR ILLNESS: Actvty Driving ‘BUnknown “Type of place away “Specie locaton 288846 800 NC Highway 69 Noth, Hayeslo DEATH: Type of place, tiahway ‘Spec ocaton 28 NE Hany 69, Hayenvite, No Death occured while in custody; Yes Now Unknown, ines, wasin: © County Jal 0 Slate Prison © Federal Prison a Police Presence Death occured in State Operated Faciity, Yes No DESCRIPTION OF BODY —- CONDON: a intact ' Decomposed 1m Frogmenied ‘a Skeictonzed ‘BEmbalmed Charred 0 Prolonged immersion RIGOR: None t+ 02-03 LIVOR: None Anterior B Poster Later! Color: LENGTH: 8 estimate WeIGeT, 189 Estimate BODY TEMPERATURE: mWarm @.Cool Cold HAIR: Color brown OFacal EYES: color 220 Abnormalities. TEETH LOWER wNalural Dentures 0 None UPPEK: m Natural @ Dentures @ None PHOTOGRAPHS: mYes No RADIOGRAPHS: a Yes mNo (CLOTHING: bWe eons, ue shit, black Marley Davidson jackeVooat ree VALUABLES: = ro venTerry Samuel Silvers Legend BODY DIAGRAMS cee oa 4) ong lines shown [Makiple blant Hforce traumatic injuries to face, |chest, abdomen land pelvis with lhumerous. fractures and jorush injuries noted. neta neue. locaton end assures wound nd oteresione Acar, ators medial terapy ot )onthaseopams Fi ate See)