BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE USE ONLY

OFFICE OF THE CHIEF MEDICAL EXAMINER Re Co

I hereby certify that this is a true

Central Office Eastern Division
and correct copy of the original
921 N.E. 23rd St 1627 Southwest Blvd. document. Valid only when copy
Oklahoma City, OK 73105 Tulsa, Oklahoma 74107 bears imprint of the office seal.
(405) 239-7141 Phone - (405) 239-2430 Fax (918) 295-3400 Phone - (918) 585-1549 Fax
By

REPORT OF INVESTIGATION BY MEDICAL EXAMINER Date

DECEDENT First-Middle-Last Names (Please avoid use of initials) Age Birth Date Race Sex
VERONICA CLAIRE BUTLER 27 2/28/1997 WHITE F

HOME ADDRESS - No. - Street, City, State

1109 SOUTH JEFFERSON STREET, HUGOTON, KS

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

OKLAHOMA STATE BUREAU OF INVESTIGATION, AGENT JOSH DEAN 4/10/2024 21:48

INJURED OR BECAME ILL AT (ADDRESS) CITY COUNTY TYPE OF PREMISES DATE TIME
UNKNOWN UNKNOWN UNKNOWN UNKNOWN Unknown Unknown
LOCATION OF DEATH CITY COUNTY TYPE OF PREMISES DATE TIME
36.740016, -102.003840 TEXHOMA TEXAS FIELD 4/14/2024 13:57
FOUND FOUND

BODY VIEWED BY MEDICAL EXAMINER CITY COUNTY TYPE OF PREMISES DATE TIME
921 NORTHEAST 23RD STREET OKLAHOMA CITY OKLAHOMA AUTOPSY SUITE 4/16/2024 8:30

TRANSPORTATION INJURY DRIVER PASSENGER PEDESTRIAN

TYPE OF VEHICLE: AUTOMOBILE LIGHT TRUCK HEAVY TRUCK BICYCLE MOTORCYCLE OTHER:

DESCRIPTION OF BODY RIGOR LIVOR EXTERNAL OBSERVATION NOSE MOUTH EARS

Jaw Complete Color GREEN Beard Hair RED BLOOD

EXTERNAL
PHYSICAL Neck Absent Lateral Eyes: Color UNKNOWN Mustache OTHER
EXAMINATION Arms Passing Posterior
Opacities
DIRT
Legs Passed Anterior Pupils: R L
Decomposed Regional Body Length 65 " Body Weight 253 LBS.

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

SEE AUTOPSY REPORT

Probable Cause of Death: Manner of Death: Case disposition:

MULTIPLE SHARP FORCE TRAUMA Natural Accident Autopsy YES

Suicide Homicide Authorized by CELIA COBB M.D.

Pathologist CELIA COBB M.D.

Unknown Pending
Not Assigned Not a medical examiner case
Other significant conditions contributing to death (but not resulting in the underlying cause given)

I hereby state that, after receiving notice of the death described herein, I
MEDICAL EXAMINER:
Name, and Address:
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
CELIA COBB M.D. to the best of my knowledge.

921 NE 23rd St. 4/14/2024

Oklahoma City, OK 73105 Date Case Initiated

Signature of Medical Examiner CELIA COBB M.D.

10/28/2024
Computer generated report
Date Case Finalize
CME-1 (REV 7-19)

Case Number: 2402311 Page 1 of 1

 Board of Medicolegal Investigations CERTIFICATION
I hereby certify that this document is a
Office of the Chief Medical Examiner true and correct copy of the original
921 N.E. 23rd St document. Valid only when copy
bears imprint of the office seal.
Oklahoma City, OK 73105
By____________________________
(405) 239-7141 Phone
(405) 239-2430 Fax Date__________________________

REPORT OF AUTOPSY
Decedent Age Birth Date Race Sex Case No
VERONICA CLAIRE BUTLER 27 2/28/1997 WH F 2402311
Means ID By Authority for Autopsy
ASSAULT WITH KNIFE CIRCUMSTANTIAL & OSBI FINGERPRINTS CELIA COBB, M.D.

FINDINGS
I. Multiple sharp force trauma with a total of (30) sharp force injuries as follows:
A. Sharp force injuries to the head and neck:
i. (4) incised wounds (including 1 deep) to the top and back of the head with full thickness scalp defects
ii. (1) deep incised wound to the lower central forehead with underlying frontal skull fracture
iii. (1) superficial incised wound to the right lateral cheek with defect to the skin
iv. (1) stab wound to the left posterolateral upper neck with defects to the left internal jugular vein, and
left pharyngeal, oral floor, and upper neck muscles with copious associated hemorrhage including intra-
esophageal and intra-gastric hemorrhage
v. (1) deep incised wound to the left lateral upper neck with defects to left neck muscles and thyroid
vi. (2) stab wounds to the lower right anterolateral and lateral neck with defects to the right lower neck
muscles; right internal & external jugular veins; right aspect of C5 vertebra and spinal nerve; C5-C6 spinal
cord and intervertebral disc; C6 vertebral body; and upper esophagus; with copious associated hemorrhage
including intra-esophageal and intra-gastric hemorrhage
B. Sharp force injuries to the torso:
i. (2) tangential stab wounds and (2) incised wounds to the supraclavicular region of the right superior
torso with defects to the subcutaneous adipose tissue
ii. (2) tangential stab wounds to top of the right shoulder with defects to the subcutaneous adipose tissue
iii. (1) stab wound to the right upper back with defects to the deep subcutaneous adipose tissue
C. Sharp force injuries to the extremities:
i. (6) defensive-type incisional wounds to the right 2nd-5th fingers with defects to the underlying muscles
and soft tissues with partial disarticulation of the right middle proximal interphalangeal joint
ii. (1) superficial, defensive-type incised wound to the left proximal forearm skin
iii. (1) defensive-type incised wound to the left wrist with defects to the underlying muscle and soft tissues
iv. (1) defensive-type incised wound to the left palm with defects to the underlying muscles and soft tissues
v. (2) defensive-type incised wounds to the tips of the left 3rd and 5th fingers with defects to the underlying
muscles, soft tissues, and bone
vi. (1) stab wound to the to the left anterior thigh with defects to the subcutaneous adipose tissue
vii. (1) superficial incised wound to the left medial thigh skin
Continued on next page

CAUSE OF DEATH: MULTIPLE SHARP FORCE TRAUMA

MANNER OF DEATH: HOMICIDE

The facts stated herein are true and correct to the best of my knowledge and belief.

OCME Central Division 4/16/2024 8:30 AM

CELIA COBB, M.D. Pathologist Location of Autopsy Date and Time of Autopsy
CME-2 Page 1
 CASE NO. 2402311

FINDINGS (Cont.’d)
II. Single blunt force injury to the top of the back of the head:
A. Single full thickness scalp laceration with surrounding hemorrhage and no underlying skull fracture
III. Possible stun gun marks to the posterior lower neck/upper back
IV. Early to moderate putrefactive decomposition changes
V. Obesity

CASE SUMMARY AND OPINION

In my opinion, based on the circumstances surrounding death and the findings at autopsy, Veronica Butler
died as a result of multiple sharp force trauma consisting of nine (9) stab wounds and twenty-one (21) incised
wounds (30 total sharp force injuries). Ten (10) of the incised wounds were consistent with Ms. Butler
having attempted to defend herself, including her having grabbed the knife blade with her right hand,
resulting in her fingers being sliced multiple times. She additionally sustained a blunt force laceration to the
back of the head. Although possible stun gun marks were observed at the junction of her lower neck with her
upper back, the decomposed state of her body limited definitive gross and microscopic confirmation.

After having been fatally attacked, Veronica Butler was then deliberately concealed inside a sealed freezer
along with the body of Jilian Kelley (OCME case 2402312). The freezer was then buried ~ 4 ½ to ~8 feet
below ground and covered with a large concrete slab. Underneath the freezer were additionally buried
clothing, a stun gun, a role of tape, and a knife, all of which were collected on scene as evidence by the
Oklahoma State Bureau of Investigation (OSBI).

Given the extent of Ms. Butler’s injuries, including defects to both of her internal jugular veins with resultant
exsanguination, it is my opinion that her death was very quick and likely occurred before she was placed
inside the freezer and buried. This opinion is additionally supported by the fact that her body appeared to
have remained exactly how it was placed inside the freezer.

The manner of death is homicide.

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 CASE NO. 2402311

MEDICOLEGAL INVESTIGATION

Circumstances of Death: According to investigator and forensic anthropology reports, the decedent,
Veronica Butler, was a 27-year-old female who had been reported missing along with Jilian Kelley since
March 30th, 2024. Both women were found on April 14th, 2024, within a large, sealed freezer (54” long x
27” wide x 35” high) buried ~ 4 ½ to ~8 feet below ground in an area of recently disturbed soil consistent
with a pit and associated ramp located in a rural pasture in Texas County, Oklahoma. The freezer was tilted
backward somewhat on its posterior inferior edge and kept sealed with yellow ratchet straps. No longer
adherent grey tape was additionally noted near the freezer door handle. A large slab of heavy concrete (92” x
60” x 8”) was lying on top of the anterior aspect of the freezer, laying at an angle and partially supported by
the ground. Underneath the freezer were found clothing and other evidentiary items, including a stun gun, a
roll of tape, and a sheathed knife (all collected by OSBI). The freezer was briefly opened on scene to
confirm the presence of two decedents (OCME 2402311 and 2402312) and packaged with proper chain of
custody evidence for transport to the Oklahoma City Office of the Chief Medical Examiner on 4/15/2024.

Identification: Fingerprints, skin gloves, and blood samples on filter paper are recorded and retained. The
body is identified through OSBI fingerprint analysis and visual tattoo photographic comparison by Dr. Celia
Cobb.

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 CASE NO. 2402311

POSTMORTEM EXAMINATION

Circumstances of Examination: The postmortem examination of Veronica Butler is performed by Dr. Celia
Cobb at the Office of the Chief Medical Examiner, Central Division, Oklahoma City, Oklahoma, on 4/15-
4/17/2024 with the autopsy exam itself commencing at 0830 hours on 4/16/2024. Assisting in the
examination are OCME medicolegal investigators, Jodi Dillon and Ashley Welch, as well as autopsy
technician Jason Parks.

Clothing and Personal Effects: The body is received inside a sealed freezer, transported inside a sealed
covered trailer belonging to the Guymon Fire Department (sealed by orange tag numbers 3443171 on the
back door of the trailer and 3443172 on the side door of the trailer). Upon opening of the trailer, the freezer is
noted to be wrapped in a clean red tarp and secured within the trailer by new yellow ratchet straps and
lumber. The outer straps and red tarp are removed to reveal the freezer wrapped up for transportation by an
inner clean blue tarp secured by two additional new yellow ratchet straps and duct tape (dated 4/14/24 and
initialed by forensic anthropologist Sara Getz). Two OCME toe tags labeled with case numbers 2402311 and
2402312 along with an undisturbed OCME orange bag seal numbered 343984 are present on the ratchet strap
hooks. After transportation from the trailer into the OCME autopsy lab, the tarp, straps, and duct tape are
removed to reveal a partially dented, partially dirt covered, older model white freezer (54” long x 27” wide x
35” high), secured with a new yellow ratchet strap (placed for transportation). Four well worn, dirt covered,
partially adherent strips of apparent old grey duct tape are present on the front aspect of the lid where the
freezer door seal is partially detached. Patches and streaks of dried red-brown fluid are noted on the front
and back of the freezer. Upon opening of the freezer lid, the decedent, Veronica Butler, is noted to be lying
face down with her hips flexed forward at an ~ 90-degree angle with her knees bent forward, and her feet and
crossed ankles tucked just underneath her buttocks. Her feet are partially clad in black ankle socks that are
pulled off both of her heels. Her right arm is wrapped around the top of her head while her left arm is
tucked underneath her torso. She is noted to be wearing soiled blue jean denim shorts and a soiled, blood-
stained blue-grey T shirt with multiple defects that is partially pulled up to just underneath her armpits,
exposing her torso. A partially soiled, stiff, straw-colored, lasso-style rope is loosely wrapped around her
waist.

Upon removal of the decedent from the freezer, the body of another female decedent, that of Jilian Kelley, is
observed to be lying on her side on the bottom of the freezer (see related OCME case 2402312 for details).
Both bodies are noted to be in early to moderate stages of putrefactive decomposition. The interior walls and
floors of the freezer are noted to be partially covered in copious dirt and hay admixed with blood and
decomposition fluid. A pair of soiled shoes is additionally present on the freezer floor along with a soiled
apple watch and two soiled gloves (one leather, one cloth). These separate items at the bottom of the freezer
are not removed from the freezer and are submitted along with the freezer to the OSBI.

After removal of the decedent from the freezer, she is further noted to be clad in soiled pink underwear with
a soiled pad and a soiled black sports bra (pulled up with her T shirt, exposing her chest). A black vape pen
and tube of Blistex lip balm are found in the left front pocket of her blue jean shorts which are additionally
noted to be unbuttoned and unzipped. Additional personal effects present on her body include a black elastic
hair band on her right wrist, an iridescent nose ring within the right nostril, iridescent barbell nipple rings
within the bilateral nipples, a patterned yellow metal ring on the right ring finger, a black metal ring with
multiple clear colored gemstones on the left ring finger, two clear colored gemstone earrings within the left
ear, and a broken, tan-colored partial watch strap loosely present on the right flank of the body.

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 CASE NO. 2402311

Collections: Blood samples on filter paper; clothing; personal effects; rope; scalp and pubic hair samples;
oral, vaginal, and rectal swabs; and skin gloves of the bilateral hands are collected and introduced as
evidence. The skin gloves are analyzed by the OSBI and are returned prior to release of the body. The freezer
containing a pair of shoes, apple watch, and two gloves inside are submitted separately to the OSBI as soon
as the bodies are removed from the freezer.

EXTERNAL EXAMINATION
(Exclusive of External Injuries)
Length: 65 inches
Body weight: 253 pounds
Body mass index (BMI): 42.1 kg/m²

Note: See the evidence of injury section below for a description of the external injuries.

The nude body is that of a well-developed, obese female appearing consistent with the reported age of 27
years. The body is refrigerated and in early to moderate stages of putrefactive decomposition, characterized
by extensive skin slipping, hair sluffing, bloating, red-brown to green-black skin discoloration, diffuse
subcutaneous crepitations, partial liquefaction of subcutaneous adipose tissue, and a foul odor. Copious dirt
and hay admixed with decomposition fluid covers the majority of the exposed bodily surfaces including the
long red scalp hair which is largely detached in one matted clump. Blood is additionally admixed with the
dirt and debris that covers the head, neck, and upper torso. No maggot or other insect activity is present.
Rigor mortis is passed while livor mortis is anterior and fixed.

The intact eyes have indeterminately colored irides and pupil size given the state of decomposition. No
definitive conjunctival or facial petechiae are observed. Dirt admixed with decomposition fluid is present
within the external nares, mouth, and ear canals. Within the mouth, there is natural dentition in good
condition. The lips and frenula are intact. The torso and extremities are all normally formed and symmetric.
The pelvis and anogenital region are intact. The external genitalia are those of an adult female. The
epidermal layer of skin on the bilateral hands and feet are nearly completely degloved along with most of the
fingernails.

Tattoos present on the body include a stegosaurus dinosaur on the right anterior wrist, unknown
lettering/symbols on the medial right wrist, a horned bull head on the right upper arm, a cluster of flowers
including a sunflower on the right posterior shoulder, an elephant on the left anterior wrist, an abstract design
on the left anterior forearm, and a mountain range on the right lateral ankle. No conspicuous scars are
identified.

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 CASE NO. 2402311

EVIDENCE OF INJURY

The body bears a total of 1 blunt force injury to the crown of the head and 30 sharp force injuries,
including 9 stab wounds to the bilateral neck (3), right torso (3), right shoulder (2), and left thigh (1); 3 deep
incised wounds to the head (2) and neck (1); 5 incised wounds to the head (3) and right superior torso (2);
6 defensive-type incised wounds to the right fingers; 4 defensive-type incised wounds to the left wrist (1),
left hand (1), and left fingers (2); 2 superficial incised wounds to the right cheek (1) and left thigh (1); and 1
superficial, defensive-type incised wound to the left forearm.

Note: The injuries are assigned numbers in the order they are examined and are not meant to indicate the
sequence of injury. The sharp force wounds are classified a stab wound if they are deeper than they are long
on the skin surface and an incised wound if they are longer on the skin surface than they are deep. The term
“angles” is used to describe the ends of the sharp force wounds on the skin surface and the term “margins” is
used to describe the edges of the sharp force wounds on the skin surface. Skin decomposition changes limit
some interpretation of the sharp force injury angle and margin classifications (blunt vs. sharp angle, smooth
vs. serrated margins, respectively). If not specifically provided, the angles and margins are otherwise
indeterminant. All wound track directions provided are based on the body being referenced to the standard
anatomical position, that is, the body standing upright and facing forward, with the arms hanging down on
either side and the palms facing forward.

SINGLE BLUNT FORCE INJURY TO HEAD (wound #1):

A single chevron-shaped laceration, (labeled “#1” in exam photos), is located on the top posterior aspect
of the head (crown of head), approximately 0.5 cm to the right of the posterior midline. The laceration
measures 2.0 x 1.2 cm and is notable for focal tissue bridging and irregular margins. It penetrates through
the full thickness of the scalp and periosteal connective tissue (~1 cm deep); however, the directly
underlying cranial skull is intact and absent of defects within this region. The reflected scalp shows
copious intra-scalpular hemorrhage surrounding the laceration which merges with the intra-scalpular
hemorrhage associated with sharp force incisions #2, #3, and #5. The course of the wound appears to be
back to front.

MULTIPLE SHARP FORCE INJURIES:

SHARP FORCE INJURIES TO THE HEAD AND NECK:
Incised wound to the top of the head (wound #2):
A single, vertically oriented incision, (labeled “#2” in exam photos), is located on the top head (vertex of
the head) on the superior midline. The incised wound is 1 cm long and has smooth margins with
apparent sharp angles. It probes to a depth of ~0.5 cm, penetrating nearly the entire scalp, save for the
deepest aponeurotic layer. No underlying skull or periosteal defects are noted. The surrounding scalp,
both external and reflected, shows copious surrounding hemorrhage that merges with the intra-scalpular
hemorrhage associated with wounds #1, #3, and #5. The course of the wound is slightly back to front and
downward.

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 CASE NO. 2402311

Incised wound to the left top of the head (wound #3):

A single, tangentially oriented incision, (labeled “#3” in exam photos), is located on the top left side of
the head, 6.5 cm to the left of the superior midline and 7 cm directly above the top of the left ear. The
incised wound is 2.5 cm long and is favored to have smooth margins. It probes to a depth 0.8 cm,
penetrating the full thickness of the scalp, but not the periosteum or underlying skull. The surrounding
scalp, both external and reflected, shows copious surrounding hemorrhage that merges with the intra-
scalpular hemorrhage associated with wounds #1, #2, and #5. The course of the wound is somewhat left
to right and downward.
Incised wound to the left lateral head (wound #4):
A single, vertically oriented incision, (labeled “#4” in exam photos), is located on the left lateral head,
1.5 cm superior and 1.0 cm posterior to the top of the left ear. The incised wound is 1.5 cm long and has
smooth margins with at least one sharp angle (superior angle). It probes to a depth of ~1 cm, penetrating
the full thickness of the scalp, the periosteum, and the outer table of the lateral left parietal skull. No
surrounding hemorrhage is associated with the wound. The course of the wound is left to right.
Deep incised wound to the lower central forehead (wound #5):
A single, tangentially oriented, deep incision, (labeled “#5” in exam photos), is located on the central
lower forehead, with its inferior aspect at the level of the eyebrows on the anterior midline and its more
superior aspect ~1 cm to the left of the anterior midline. The incised wound measures 2.8 cm in length
and has apparent smooth margins. It probes to a depth of 1.8 cm, penetrating the full thickness of the
frontal scalp, periosteum, and underlying outer table of the frontal skull into the left frontal sinus and a
portion of the inner cortical table. The innermost aspect of the frontal skull and underlying dura mater are
intact. No hemorrhage is observed within the left frontal sinus and additionally appears largely absent
within the remaining cranial sinuses on CT imaging review. The surrounding scalp, both external and
reflected, shows copious surrounding hemorrhage that merges with the intra-scalpular hemorrhage
associated with wounds #1, #2, and #3. The course of the wound is somewhat front to back, somewhat
right to left, and slightly downward.
Deep incised wound to the right posterolateral head (wound #6):
A single, large, chevron-shaped, deep incision, (labeled “#6” in exam photos), is located on the right
posterolateral head, 2 cm posterior to the top of the left ear. The chevron points in the anterosuperior
direction with its more anterior margin measuring 3 cm in length and its posterior margin measuring 4 cm
in length. The two angles are separated at the base of the chevron by ~ 3 cm. The margins are smooth
and the angles appear sharp. The wound probes to an approximate deep of 3 cm, through the full
thickness of the scalp into the subcutaneous adipose tissue of the right posterolateral upper neck.
Minimal hemorrhage is present. The course of the wound is somewhat front to back, downward, and
very slightly right to left.
Superficial incised wound to the right lateral cheek (wound #7):
A single, vertically oriented, superficial incision, (labeled “#7” in exam photos), is located on the right
lateral cheek, ~1 cm anterior to the right lower earlobe. The incised wound measures 1.3 cm in length,
has smooth margins, and at least one sharp angle (more superior angle). It probes to a depth of ~0.1 cm
through the full thickness of the dermis, but not into the subcutaneous adipose tissue. No hemorrhage is
associated with the wound.

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 CASE NO. 2402311

Stab wound to the left posterolateral upper neck (wound #8):

A single, vertically oriented, slightly gaping, large stab wound, (labeled “#8” in exam photos), is on the
left posterolateral upper neck, with the superior angle of the wound located 1 cm posterior to the left
earlobe. The stab wound measures 4 cm in length, has smooth margins, a sharp angle on its superior
aspect, and a blunt angle on its inferior aspect. It probes to a depth of ~10 cm through the left upper
lateral neck muscles, superior internal jugular vein and possible branches, left pharyngeal muscles, left
oral floor muscles, and associated soft tissues including unspecified smaller nerve branches within this
region. Copious hemorrhage is associated with the wound including hemorrhage throughout the injured
muscles and soft tissues, as well as within the oropharynx, esophagus, stomach, and proximal duodenum
(~50 mL total within the viscera lumens in combination with hemorrhage from wound #10). No
definitive hemoaspiration is appreciated, but interpretation is limited by decomposition changes. The
following structures are intact and uninjured from this stab wound: left carotid artery and its major
branches, larynx, trachea, tongue, mandible, hyoid bone, and cervical spine. The course of the wound is
left to right and very slightly back to front.
Deep incised wound to the left lateral upper neck (wound #9):
A somewhat complex, horizontally oriented, slightly gaping, large, deep incised wound, (labeled “#9” in
exam photos), is on the left lateral upper neck, centered 5 cm directly below the left earlobe. The wound
measures 4 cm in length, has predominantly smooth margins, but is somewhat complex given apparent
twisting and thrusting in of the knife at least twice. The more anterior angle is sharp, while the more
posterior angle appears blunt. The wound probes to a depth of ~2.5 cm and ~3.0 cm, respectively, as
there are two apparent wound tracks adjacent to one another through the same tissues; that is, the lateral
and anterolateral left upper neck muscles and soft tissues, unspecified smaller nerve branches, and left
thyroid lobe (all with surrounding hemorrhage). The major neck vessels, larynx, trachea, hyoid bone,
mandible, esophagus, and cervical spine all appear intact within this region. The course of the two
adjacent wound tracks are both left to right, slightly back to front, and slightly downward.
Stab wound to right lower anterolateral neck (wound #10):
A single, horizontal to slightly tangentially oriented, gaping, large stab wound, (labeled “#10” in exam
photos), is on the right lower anterolateral neck, with its more posterior angle located 9.5 cm directly
below the right earlobe. The wound measures 4.5 cm in length, has smooth margins, a sharp angle on its
posterior aspect, and an apparent blunt angle on its more anterior aspect. It probes to a depth of ~6-7 cm,
through the right lower anterolateral and lateral neck muscles and soft tissues including unspecified nerve
branches and the right cervical paraspinal muscles; right aspect of the 5th cervical vertebra transverse
process and interarticular part; right 5th cervical spinal nerve; 5th-6th intervertebral disc and spinal cord;
6th cervical vertebral body; and posterior wall of the upper esophagus. Hemorrhage is present along the
wound track as well as within the esophagus, stomach, and proximal duodenum (~50 mL total within the
viscera lumens in combination with hemorrhage from wound #8). It additionally tracks along the
cervical spinal canal and fascial planes of the lower neck and mediastinal soft tissues. Liquefaction of the
central nervous system due to decomposition prevents further assessment of the spinal cord injury
(whether a small defect versus complete transection cannot be determined). The left carotid artery and its
branches, larynx, trachea, hyoid bone, and right thyroid lobe are all intact within this region. The course
of the wound appears to be right to left, slightly downward, and very slightly front to back.

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 CASE NO. 2402311

Stab wound to the right lower lateral neck (wound #11):

A single, tangentially oriented, gaping, large stab wound, (labeled “#11” in exam photos), is on the right
lower lateral neck, just above the junction with the torso. The anteromedial angle of the wound is located
10 cm directly below the right earlobe. The wound measures 6 cm in length, has smooth margins, a
sharp angle on its posterolateral aspect, and an apparent blunt angle on its more anteromedial aspect. It
probes to a depth of ~10 cm, through the proximal right external jugular vein; right lower anterolateral
neck muscles, soft tissues, and unspecified nerve branches; proximal right internal jugular vein near its
junction with the right subclavian vein; and right apical parietal pleura. There is copious associated
hemorrhage along the wound pathway as well as tracking along the right apical parietal pleura and fascial
planes of the right neck, right clavicular region, and mediastinal soft tissues. The right carotid artery,
larynx, trachea, right lung, vertebrae, and mediastinal soft tissues are all intact within this region. The
course of the wound is right to left and downward.

SHARP FORCE INJURIES TO THE TORSO:

Tangential stab wound to the right superior torso (wound #12):
A single, tangentially oriented, tangentially penetrating, slightly gaping, small stab wound, (labeled
“#12” in exam photos), is on the superior aspect of the right torso (supraclavicular region),
approximately halfway between the base of the right lateral neck and top of the right shoulder. The
wound measures 1 cm in length and has smooth margins. Both angles are favored to be sharp. It probes
tangentially and superficially to a depth of ~ 1 cm, through the skin into the superficial subcutaneous
adipose tissue only, in a slightly left to right, very slightly back to front, and slightly downward
trajectory. Minimal hemorrhage is associated with the wound.
Incised wound to the anteromedial right superior torso (wound #13):
A single, tangentially oriented, small, incised wound, (labeled “#13” in exam photos), is on the
anteromedial aspect of the right supraclavicular region of the superior right torso, near the junction with
the anterolateral right neck, ~ 3 cm lateral to and 1.5 cm anterior to wound #11. The wound measures 1
cm in length and has smooth margins. Its angles are indeterminant. It probes to a depth of ~0.6 cm,
through the skin into the subcutaneous adipose tissue in a slightly back to front, very slightly right to left,
and downward trajectory. Minimal hemorrhage is associated with the wound.
Tangential stab wound to the anterior mid right superior torso (wound #14):
A single, tangentially oriented, tangentially penetrating, gaping stab wound, (labeled “#14” in exam
photos), is on the anterior aspect of the right mid supraclavicular region of the superior right torso,
approximately 4 cm anterior to wound #12, and 1 cm lateral to wound #13. The wound measures 4 cm in
length, has smooth margins, a sharp angle on its more posteromedial aspect, and a blunt angle on its more
anterolateral aspect. It probes tangentially and superficially to a depth of ~ 4.5 cm, through the skin and
into the superficial subcutaneous adipose tissue only, in a front to back, slightly left to right, and very
slightly downward (shallow) trajectory. Minimal hemorrhage is associated with the wound.
Incised wound to the anterolateral right superior torso (wound #15):
A single, tangentially oriented, tangentially penetrating, slightly gaping, small, incised wound, (labeled
“#15” in exam photos), is on the anterolateral aspect of the right supraclavicular region of the superior
right torso, ~ 2.5 cm lateral to wound #14. The wound measures 1 cm in length, has smooth margins, a
sharp angle on its more posteromedial aspect, and a blunt angle on its more anterolateral aspect. It probes
tangentially and superficially to a depth of ~0.6 cm, through the skin and into the superficially
subcutaneous adipose tissue only, in a right to left, slightly back to front, and very slightly downward
trajectory. No obvious hemorrhage is associated with the wound.

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 CASE NO. 2402311

Tangential stab wound to the medial aspect of the superior right shoulder (wound #16):
A single, predominantly vertically oriented, large, gaping, tangentially penetrating stab wound, (labeled
“#16” in exam photos), is on the anteromedial aspect of the top right shoulder, ~ 4 cm lateral to wound
#15. The wound measures 7 cm in length, has smooth to focally irregular margins, a sharp angle on its
posterior aspect, and a blunt angle on its anterior aspect. It probes tangentially and superficially to a
depth of ~7 cm, through the skin and into the superficial subcutaneous adipose tissue only, in a
predominantly right to left and very slightly downward trajectory. Minimal hemorrhage is associated
with the wound.
Tangential stab wound to the superior right shoulder (wound #17):
A single, predominantly vertically to slightly tangentially oriented, large, slightly gaping, tangentially
penetrating stab wound, (labeled “#17” in exam photos) is on the central superior aspect of the top right
shoulder, ranging from 0.5 – 1.5 cm lateral to wound #16. The wound measures 4 cm in length, has
smooth margins, an apparent sharp angle on its posteromedial aspect, and blunt angle on its more
anterolateral aspect. It probes tangentially and superficially to a depth of ~ 7 cm, through the skin and
into the superficial subcutaneous adipose tissue only, in a predominantly right to left and a very slightly
back to front and downward trajectory. Minimal hemorrhage is associated with the wound.
Stab wound to the right upper back (wound #30):
A single, horizontally oriented, gaping, stab wound, (labeled “#30” in exam photos), is on the right upper
back overlying the right scapula (shoulder blade), located 8 cm below the top of the right shoulder and 15
cm to the right of the posterior midline. The wound measures 3.5 cm in length, has smooth margins, a
sharp angle on its medial aspect and a blunt angle on its lateral aspect. It probes somewhat tangentially
to a depth of ~5 cm, through the skin and into the deep subcutaneous adipose tissue in a slightly back to
front and predominantly downward direction. The underlying right back muscles and scapula are intact
and uninjured. Minimal hemorrhage is associated with the wound.

SHARP FORCE INJURIES TO THE EXTREMITIES:

6 defensive-type incised wounds to the right 2nd -5th fingers (wounds #18-23):
There are 6 defensive type, horizontally oriented, incisional wounds to the palmer aspect of the right
index through pinky fingers, with 4 of them, (labeled “#18-21” in exam photos), near the proximal
metacarpophalangeal joints of each digit, and an additional 2 of them, (labeled “#22-23” in exam
photos), overlying the middle finger proximal interphalangeal joint and pinky finger distal
interphalangeal joint, respectively. The injuries are consistent with the decedent having grabbed the knife
twice, with wounds #18-21 likely caused by a single contiguous knife slice, and wounds #22-23 being
caused by a second knife slice. All 6 wounds have apparent smooth margins with sharp angles,
surrounding soft tissue hemorrhage, and associated defects to the underlying muscles and soft tissues
with wound #22 on the right middle finger also having a partial dislocation of the proximal
interphalangeal joint with exposed bone. The measurements for each wound are as follows:
Wound #18: Located on the proximal right index finger, 1.4 cm long x 0.5 cm deep
Wound #19: Located on the proximal right middle finger, 1.4 cm long x 0.4 cm deep
Wound #20: Located on the proximal right ring finger, 1.4 cm long x 0.4 cm deep
Wound #21: Located on the proximal right pinky finger, 1.2 cm long x 0.3 cm deep
Wound #22: Located on right index finger overlying the proximal interphalangeal joint, 1.8 cm long x
1.0 cm deep
Wound #23: Located on the right pinky finger overlying the distal interphalangeal joint, 0.8 cm long x
0.2 cm deep

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 CASE NO. 2402311

Superficial, defensive-type, incised wound to the left proximal forearm (wound #24):
A single, superficial, tangentially oriented, slightly gaping, defensive-type incised wound, (labeled “#24”
in exam photos), is on the dorsolateral left proximal forearm, approximately 3 cm inferolateral to the left
elbow. The wound measures 3 cm in length, has smooth margins, and apparent sharp angles. It probes to a
depth of ~ 0.3 cm, through the skin and into the subcutaneous adipose tissue. The underlying muscles are
intact. Minimal hemorrhage is associated with the wound.
Defensive-type incised wound to the left anterior wrist (wound #25):
A single, horizontal, gaping, defensive-type incised wound, (labeled “#25” in exam photos), is on the
anterior left wrist, 4 cm proximal to the base of the left hand. The wound measures 5 cm in length, has
smooth margins and apparent sharp angles. It probes to a depth of 1 cm, through the skin, soft tissue, and
into the underlying muscle. Minimal hemorrhage is associated with the wound.
Defensive-type incised wound to the left palm (wound #26):
A single, horizontally oriented, defensive-type incised wound, (labeled “#26” in exam photos), is on the
left palm, 2 cm proximal to the base of the left middle (3rd) finger. The wound measures 1.5 cm in length
and has apparent smooth to slightly irregular margins and sharp angles. It probes to a depth of 0.8 cm,
through the skin, soft tissue, and into the underlying muscle. Minimal hemorrhage is associated with the
wound.
Two defensive-type incised wounds to the left 3rd and 5th fingertips (wounds #27 & 28):
Two, irregular, somewhat gaping, defensive-type incised wounds, (labeled “#27” and “#28” in exam
photos), are on the tips of the left 3rd (middle) and left 5th (pinky) fingers, respectively. The left 3rd
fingertip wound is on the palmer (finger pad) aspect, measures 1.3 cm long, and has smooth to slightly
irregular margins. The left 5th fingertip wound is on the dorsal (nail bed) aspect, measures 1.0 cm long and
has indeterminant margins and angles (interpretation limited by mummification decomposition changes).
Both wounds probe to a depth of ~ 0.6 cm, through the skin, soft tissue, muscle, and into the bone. The 5th
fingertip wound additionally has defects to the corresponding nail and nailbed. Minimal hemorrhage is
associated with both wounds.
Stab wound to the left anterior thigh (wound #29):
A single, predominantly horizontally oriented stab wound (labeled “#29” in exam photos), is on the left
anteromedial lower thigh, 5 cm above and 5 cm medial to the anterior midline of the left knee. The wound
measures 1.5 cm long, has smooth to slightly irregular margins, and at least one sharp angle. It probes to a
depth of ~ 1.5 cm, through the skin and into the subcutaneous adipose tissue. No hemorrhage is associated
with the wound.
Superficial incised wound to the left medial thigh:
A single, superficial, vertically oriented incised wound/cut (not labeled/numbered in exam photos), is on
the left medial lower thigh, just superior to the left knee on the medial midline of the left thigh. The wound
measures ~ 6 cm in length, has smooth to slightly irregular margins, and sharp angles. It shallowly
penetrates into the superficial dermis only (~0.1 cm deep). No hemorrhage is associated with the wound.

ADDITIONAL FINDINGS:
There is a cluster of three circular dark red-brown marks (each 0.2 cm in diameter) located on the central
upper back at the junction with the neck (each located ~1.5 to 2 cm from the other). That said, there are
similar discolored markings associated with decomposition changes located all over the body; however, the
markings are irregular and do not form discretely patterned circles as they do in this location. See the
microscopic review section for additional details.

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 CASE NO. 2402311

INTERNAL EXAMINATION
(Exclusive of Internal Injuries)

Note: Unless specifically mentioned, the following internal exam is exclusive of the aforementioned internal
injuries. Please see the evidence of injury section above for a description of the internal injuries.

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 relatively normal
anatomic positions. Manifestations of internal decomposition are present and are characterized by organ and
soft tissue discoloration, softening, autolysis, gaseous distention, and partial liquefaction; discoloration of
mucosal surfaces; yellow oily decomposition fluid accumulation within the bodily cavities; and a foul odor.
The diaphragm is normally formed and intact.

NECK
All neck structures are normally formed and present. No gross natural disease processes are observed. See
the evidence of injury section above for a description of the numerous neck injuries. Of note, the larynx,
trachea, and hyoid bone are all intact and uninjured.

CARDIOVASCULAR SYSTEM
Heart weight: 156 grams
The pericardium is smooth 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 softened, discolored myocardium appears absent of gross lesions and fibrosis. The
left ventricle, interventricular septum, and right ventricle measure 1.1 cm, 1.1 cm, and 0.2 cm in thickness,
respectively. The valves are normally formed and absent of vegetations or calcifications. The endocardium
is smooth and transparent. The aorta and vena cava are intact and widely patent.

RESPIRATORY SYSTEM
Right lung weight: 153 grams
Left lung weight: 143 grams
The bilateral lungs are intact and normally configured. The upper and lower airways are intact, widely
patent, and lined by a black discolored mucosal surface. Likewise, the lung parenchyma itself is partially
discolored black, particularly the right lung. No obvious hemoaspiration (inhalation of blood) is observed.
There is no evidence of consolidation, granulomatous, or neoplastic disease. The pulmonary arterial tree is
free of emboli or thrombi.

CENTRAL NERVOUS SYSTEM

Brain weight: 898 grams
The inner aspect of the cranial and basal skull is intact and free of injury or gross natural disease. Likewise,
the dura mater surrounding the brain is intact and without evidence of epidural or subdural hemorrhage
present. The brain and spinal cord however are completely liquified and discolored grey-brown, severely
limiting gross interpretation. No apparent intracranial hemorrhage is observed. See the evidence of injury
section above for a description of the scalp, exterior skull, and cervical spinal cord injuries detected.

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 CASE NO. 2402311

GASTROINTESTINAL SYSTEM
The tongue is intact, normally papillated, and absent of injury or natural disease. The esophagus and
stomach are both normally formed and absent of gross natural disease. Their lumens along with the proximal
duodenum are filled with ~50 ml of hemorrhage. See the evidence of injury section above for a description
of the esophageal injuries. The stomach and intestines are grossly normal and intact. The appendix is
surgically absent. Minor fibrous adhesions are present surrounding the former appendix site.

HEPATOBILIARY AND PANCREAS

Liver weight: 1019 grams
The liver capsule is intact. The liver parenchyma is notably soft and discolored black from decomposition.
No fibrosis, neoplasia or granulomatous disease is identified. The gallbladder contains liquid bile and no
calculi. Its mucosal lining is involved by a white-yellow reticular meshwork. The extrahepatic biliary tree is
patent with no evidence of neoplasm or calculi. The pancreas is normally configured and characteristically
lobulated.

URINARY SYSTEM
Right kidney weight: 95 grams
Left kidney weight: 90 grams
The kidney capsules strip with ease and the subcapsular surfaces are smooth and free of injury. The renal
architecture is normally configured. The ureters and blood vessels are intact and patent. The urinary bladder
is empty of urine. The urothelial surface is free of focal lesions.

REPRODUCTIVE SYSTEM
The mucosal surfaces of the vagina and cervix free of injury or disease. The endocervical canal is within
normal limits. The uterus is of normal size and symmetry. No leiomyomata are present. The endometrial
cavity contains no foreign material or visible products of conception. The bilateral fallopian tubes and
ovaries are unremarkable.

ENDOCRINE SYSTEM
The thyroid gland is of normal size, shape, and consistency. The adrenal glands are grossly free of injury
and disease.

IMMUNOLOGIC AND HEMATOPOEITIC SYSTEMS

Spleen weight: 86 grams
The splenic capsule is smooth and intact; its parenchyma is soft and discolored black. There is no gross
lymphadenopathy. No significant thymic tissue is identified. The portions of exposed bone marrow show no
visible lesions.

MUSCULOSKELETAL SYSTEM
The skeleton is notable for two congenital abnormalities: lumbarization of the first segment of the sacrum,
and a nonfused manubrium. No other developmental abnormalities or gross natural disease processes
involving the muscles and skeleton are identified.

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 CASE NO. 2402311

ANCILLARY STUDIES

Toxicology: Postmortem specimens are submitted to toxicology for storage. No toxicological analysis
ordered.

Histology: Representative tissue sections are stored in formalin as well as submitted for microscopic
examination. See the microscopic examination below.

Photography: Digital photographs of the examination are retained.

Radiology: Full body x-ray and computed tomography scans are performed and analyzed. 3D skeletal
models are rendered with CT software and reviewed along with multiplanar analysis.

Other studies: None.

MICROSCOPIC EXAMINATION (H&E)

CASSETTE KEY
1. -2. Skin from upper back with three red circular marks:

The submitted skin sections reveal dermal and subcutaneous adipose tissue with advanced autolysis changes,
severely limiting microscopic interpretation. Bacterial overgrowth is present. No definitive thermal artifact
changes are seen.

October 28, 2024

CC/kg CELIA COBB, M.D.

14
 OFFICE USE ONLY
BOARD OF MEDICOLEGAL INVESTIGATIONS
Re. _____ Co. _____
OFFICE OF THE CHIEF MEDICAL EXAMINER
I hereby certify that this is a true
921 N.E. 23rd St and correct copy of the original
Oklahoma City, OK 73105 document. Valid only when copy
bear im-print by the office seal.

REPORT OF LABORATORY ANALYSIS By ______________________

Date ____________________

ME CASE NUMBER: 2402311 LABORATORY NUMBER: 241810

DECEDENT'S NAME: VERONICA CLAIRE BUTLER DATE RECEIVED: 4/18/2024

MATERIAL SUBMITTED: LIVER, BRAIN, GASTRIC HOLD STATUS: 5 YEARS

SUBMITTED BY: JASON ROBERT PARKS MEDICAL EXAMINER: CELIA COBB M.D.

NOTES: NO TOXICOLOGICAL ANALYSIS REQUESTED

ETHYL ALCOHOL:
Blood:

Vitreous:

Other:

CARBON MONOXIDE
Blood:

TESTS PERFORMED:

RESULTS:

04/18/2024
DATE ANGELICA HARPER, PhD., Forensic Toxicologist