GES OFFICE OF THE DISTRICT MEDICAL EXAMINER DISTRICT 15 - STATE OF FLORIDA 7 PALM BEACH COUNTY a 3126 GUN CLUB ROAD . * WEST PALM BEACH, FLORIDA 33406-3005 Zon) DY (561) 688-4575, am (661) 688-4592 FAX NAME: DEMARCO, MICHAEL CASE NUMBER: 17-1690 DATE OF DEATH: October 12, 2017/ 08:08 AGE: 55 SEX: M RACE: W DATE OF AUTOPSY: October 13, 2017 / 09:30 AUTOPSY FINDINGS: Perforating gunshot wound of head Perforating gunshot wound of chest Cardiomegaly with left ventricular hypertrophy Mild coronary atherosclerosis eye CAUSE OF DEATH: Gunshot wounds of head and chest MANNER OF DEATH: Associate/Mediéal Examiner Date Signed _/ge- FO — perp GMI: df.NAME: DEMARCO, MICHAEL (CASE NUMBER: 17-1690 PRESENT AT AUTOPSY: Crime scene investigator Stulham, Boynton Beach Police Department, CLOTHING: The body is clad in black boots, black shoes, tan pants, blue and white boxer shorts and a black shirt. The clothing has numerous stains of blood. A small, irregular defect is on the anterior and upper central part of the chest. There is no jewelry. 001 to touch and is well preserved. is posterior and slightly blanching. The scalp hair is brown, ‘There is no facial hair. There is injury to the eyes as described below. The nares are patent, The natural teeth are in fair repair. The frenulum is intact. The oral mucosa and the tongue have no injuries, The external ears have no injuries. ‘The neck is symmetric, The trachea is at the midline. The shoulders are free of injuries or scars and are symmetric. The chest and abdomen have no injuries or sears. The external genitalia are those of a normally developed adult man. There are no injuries. The anus is unremarkable. The penis is circumcised. The testes are in the scrotum. The back is symmetric and free of scars. The upper and lower extremities are symmetric and unremarkable. INJURIES: There is a perforating gunshot wound of the head and a perforating gunshot wound of the chest, I, GUNSHOT WOUND OF THE HEAD Entrance: the entrance wound is an 8 millimeter in diameter defect with a 9 x 6 centimeter stippling pattem. There are numerous outliers inthe stippling pattern. No soot is present. The ‘wound is situated 3 inches left of the anterior midline, 3 inches below the top of the head. ‘Track: The bullet went through the right side of the frontal bone, through the inferior surfaces of both frontal lobes, exiting the left side of the head. Exit Wound: The exit wound is a2 centimeter x 1.7 centimeter irregular, stellate defect situated 3 inches left of the anterior midline and 2.5 inches below the top of the head. Trajectory: The trajectory is right to left slightly down and straight across. Associated Injuries: The frontal bone is shattered with collapse of the orbital roofs and hemorthage in the bilateral, collapsed and torn eyes. ‘There are fractures of the nasal bones and the calvarium. There is blood aspiration into the trachea and the bilateral lungs,NAME: DEMARCO, MICHAEL ‘CASE NUMBER: 17-1690 Il. PERFORATING GUNSHOT WOUND OF CHEST Entrance: The entrance wound is 8 millimeters in diameter and is situated 1-1/4 inches left of the anterior midline, 17-1/2 inches below the top of the head. No soot, stippling or muzzle imprint, Track: The bullet went through the skin and musculature of the left side of the chest, through. the third intercostal space, the superficial surface of the heart, the superior and inferior lobes of the left lung and the eighth left intercostal space, exiting the back. Exit Wound: The exit wound is a 1.3 x 0.8 centimeter irregular defect situated 5-1/2 inches left of the posterior midline, 16-1/2 inches below the top of the head. Trajectory: ‘The trajectory is front to back, right to left and down. Associated Findings: The left chest has 900 milliliters of liquid blood. ‘The left anterior descending coronary artery has a transection. IDENTIFYING FEATURES: A tattoo is on the lateral aspect of the right and left legs, INTERNAL EXAMINATION: The following excludes the previously described injuries. BODY CAVITIES: The muscles of the chest and abdominal wall are normal in color and consistency. The pleural cavities have smooth endothelial linings. ‘The lungs are within their normal anatomic positions. The mediastinum is in the midline. The pericardial sac has a smooth lining. The diaphragm has no abnormalities. The subcutaneous abdominal fat is 3 centimeters in thickness at the umbilicus, ‘The abdominal cavity has glistening serosa and has no collections of free fluid. The organs are normally situated, The mesentery and omentum are unremarkable, NECK: The sof tissues and strap muscles of the neck have no hemorrhage. The hyoid bone and the cartilages of the larynx and thyroid are intact and show no evidence of injury. The larynx and trachea hhave smooth, pink-tan mucosa, are patent and contain no foreign matter, The epiglottis and vocal cords are unremarkable. The cervical vertebral column is intact. ‘The carotid arteries and jugular veins are unremarkable. CARDIOVASCULAR SYSTEM: The heart weighs 415 grams, The epicardial surface has a normal amount of glistening, yellow, adipose tissue. The heart is of the usual configuration. ‘The circumferences of the valves are within normal range. The endocardium is tan. The valvular tissues are thin and pliable, ‘The mural and valvular endocardia have no vegetations or thrombi. The papillary ‘muscles and projecting myocardial muscle bundles are of normal prominence. The chordae tendineae have no abnormalities. The coronary ostia are in their usual location and give tise to normally distributed arteries. The coronary circulation is right dominant with the posterior descending arising 3the lugs show lung parenchyma with the usual consistency. There is no neoplasm, consolidation, fibrosis or calcification, HEPATOBILIARY SYSTEM: The liver weighs 2014 grams. The liver edgeis sharp. The capsule is intact. The cut surfaces are red-brown and of normal consistency. There are no foral lesions. The gallbladder has green bile. There are no stones, The mucosa is unremarkable. The large bile ducts are patent and non-dilated. HEMOLYMPHATIC SYSTEM: The spleen weighs 88 grams. The splenic parenchyma is pale and firm. ‘The capsule is smooth, shiny and intact. The cut surfaces are dark red, firm and congested. The lymphoid tissue in the spleen is within anormal range. ‘The lymph nodes of the ‘body are unremarkable. GASTROINTESTINAL SYSTEM: The esophagus is empty and the mucosa is unremarkable, The stomach contains less than 5 milliliters of brown, mucoid fluid. The gastric mucosa has no inflammation UROGENITAL SYSTEM: The kidneys weigh 165 grams and 154 grams right and left, respectively. ‘The capsules stip with ease. The cortical surfaces are smooth and diffusely pale. ‘The cut surfaces reveal well-defined corticomedullary junctions. ‘There are no structural abnormalities of the medullae, salyees or pelves. The ureters are slender and patent. The urinary bladder contains clear, yellow urine, ‘The mucosa is unremarkable. ‘The prostate gland is unremarkable. The testes have no masses or hemorthages, ENDOCRINE SYSTEM: The adrenal glands have a normal configuration with the golden yellow cortices well demarcated from the underlying medullae. The maroon, gelatinous thyroid gland has no gross alterations. ‘The pituitary gland is unremarkable.NAME: DEMARCO, MICHAEL ‘CASE NUMBER: 17-1650 MUSCULOSKELETAL SYSTEM: The ribs, sternum, clavicles, pelvis and vertebral column have no recent fractures, The muscles are normally formed. CENTRAL NERVOUS SYSTEM: The brain is of a normal convolutional pattern and weighs 1351 grams. The meninges are clear. The cortical surfaces of the brain have normal gyration. The cerebral arteries are free of atherosclerosis and patent. The cut surfaces of the brain have normal relations of gray and white matter. There are no evidence of neoplasm. There are no fractures of the base of the skull. ‘The dura mater is free of stains and discolorations.eo Ao Ato ght cash boyd | HEART. 41s Aber tuNGs RTL > 3&6 See we ES bp? ven OHH extnwee KIDNEY RT ~ wu /isSw srucen ad sreic_15S tan S- ee ey es | Soc sraw__| 3 5/ unae_&S - THYMUS, RT. CHEST ee CO ‘ABD. FLUID. rp: _3-O em PERICARDIUM FLUID Micros: Yes(/ eo * Oe ect in peritervium. NOTES: Sie “og ev gd vee Lt. a ob oe ® Veoh? ee ee. cost & AV.S(AXIS FORENSIC TOXICOLOGY Web: www.axisfortox.com Phone: (317) 759-4TOX Laboratory Case Number: 3133267 ‘Subject’s Name: DEMARCO, MICHAEL A Client Account: 12460 / PBMEO4 Physician: Report To: Distict 15 FL Medical Examine ATTN: Gertrude Juste, MO 171690 tort2017 Other NOT INDICATED 3128 Gun Club Re. Date Received: 10/17/2017 West Palm Beach, FL 33408 Date Reported: 10/25/2017 FX: 561-688-4502 Laboratory Specimen No: 40682072 Date Collected: 10/12/2017 -{entainera): OFRTB Blood AUTOPSY Test(s}: 70530 Drugs of Abuse Panel, Blood Analyte Name. Result Concentration __Units Therapeutic Range Loc ‘AMPHETAMINES Negative BARBITURATES Negative BENZODIAZEPINES POSITIVE Alprazolam POSITIVE Alprazolam, Quant 169 ngimi 10-40 ‘CANNABINOIDS. Nogative (COCAINEMETABOLITES Negative FENTANYL Negative METHADONE/METABOLITE Negative OPIATES Negative ‘OXYCODONE/METABOLITE, Negative PHENCYCLIDINE Negative PROPOXYPHENE/METABOLITE Negative ‘ALCOHOL, Negative Methanol Negative Ethanol Negative Acetone Negative 'sopropanol Negative ANALGESICS Negative BUPRENORPHINE Negative STIMULANTS Negative TRAMADOLIMETABOLITE Negative DEMARCO, MICHAEL A Laboratory Case #: 3133247 Printed Date/Time: 10/25/2017, Page: 4 of 6(| AXIS “prone TnTOX FORENSIC TOXICOLOGY Laboratory Specimen No: 40682072 Continued... Analyte Name Result Concentration __Units Therapeutic Range Loc Specimens will be kept for at 1 fet one year from the date of initial report. DEMARCO, MICHAEL A Laboratory Case #: 3133247 Page: 2 of 6(AXIS a FORENSIC TOXICOLOGY Laboratory Specimen No: 40682075 Date Collected: 10/12/2017 Containers}: O1:UR Urine, Random Tost(s): 80080 Urine Analysis (R) on nt AMPHETAMINES Negative Amphetamine Negative ‘Methamphetamine Negative MDMA Negative BENZODIAZEPINES POSITIVE ‘Temazepam Negative Lorazepam PosiTive ‘Alprazolam POSITIVE a-OH-Alprazolam POSITIVE Nordiazepam Negative ‘Oxazepam Negative 7-Aminoclonazepam Negative BUPRENORPHINE/METABOLITE Negative Buprenorphine Negative \Norbuprenorphine Negatve CARISOPRODOLIMETABOLITE Negative Moprobamate Negative COCAINE/METABOLITES Negative Benzoylecgonine Negative FENTANYL Negative Fentanyl Negative Norfentanyl Negative ‘METHADONE/METABOLITE Negative ‘Methadone Negative EDDP Negative OPIATES Negative ‘Morphine Negative 6-Monoacetyimorphine Negative Codeine Negative Hydrocodone Negative Hydromorphone Negative Oxycodone Negative ‘Oxymorphone Negative DEMARCO, MICHAEL A Laboratory Case #: 3133247 Printed Date/Time: 10/25/2017, of Page: 3 of 6(AXIS FORENSIC TOXICOLOGY Laboratory Specimen No: 40682075 PHENCYCLIDINE Phenoyclidine (POP) TRAMADOLMETABOLITE Tramadol ‘©-Desmethytramado DEMARCO, MICHAEL A Laboratory Case #: 3133247 Printed Date/Time: 10/25/2017, 09:02 Negative Negative Negative Negative Negative Continued... Concentrat Web: www.axisfortox.com Phone: (317) 759-4TOX Page: 4 of 6SN AXIS ti woo Phono: (317) 759-4TOX FORENSIC TOXICOLOGY Laboratory Specimen No: 40682076. Date Collected: 10/12/2017 Container(s}: O1:;GRT Blood AUTOPSY Testis): 49900 Not Tested Analyte Name Result _ Concentration __Units Therapeutic Range Loc _ < No Testing Performed > DEMARCO, MICHAEL A Laboratory Case #: 3133247 Printed Date/Time: 10/25/2017, 09:02 Page: § of 6Phone: (317) 759-4TOX FORENSIC TOXICOLOGY Laboratory Specimen No: 40682077 Date Collected: 10/12/2017 Contalner(s): 01:GRT Blood AUTOPSY Testis): 49900 Not Tested. Ai <__No Testing Performed ‘The Specimen identified by the Laboratory Specimen Number has been handled and anal Laboratory Director DEMARCO, MICHAEL A Laboratory Case #:3133247 Print DaterTime:t0r25/2017, 0:02 A voy A bibaich Tis indvisual may not have pertormed any ofthe analytical work lyzed in accordance with all applicable requirements, Case Reviewer George S. Behonick, Ph.D., F-ABFTCOM A tH Dn District 15 ¢ Palm Beach County L Medical Examiners Office wor “4 7690 3126 Gun Club Road # West Palm Beach, FL 33 White Malo 88 TEL: (561) 688-4575 * www.pbcgov.com/medicalexaminer Dr. RM CINATURAL CO ACCIDENT CISUICIDE CO HOMICIDE (1 PENDING name:_Dernarco M™)\ anac) A. AGE:_ 55. ro Fst 7a Swine BLACK OTHER WJcLOTHED —CLNAKED —_CMOSPITAL SPECIMEN 8 2 beck boo — | wibite| bie boners, somox.necnr,_5 2 beet Soue> | Baek sriie arrmoxwecin_| 5 — Gone Atay ong hate Dorp One renperare Oye Bee om woot Diet gpd Bite he wor Geet Mera Sa EP vue Megs than Stee Oem Glens Gace Smo ees Deen te Bow cram Beem NI we ten tk me Boar one Bien Sea Sone Stes Ble pe Gtowr tet > Noss PROBABLE CAUSE OF DEATH: PATHOLOGIST: POC VEO FORTE bat onthe aptPALM BEACH COUNTY MEDICAL EXAMINER DISTRICT 15 - STATE OF FLORIDA 3126 GUN CLUB ROAD WEST PALM BEACH, FLORIDA 33406-3005, (661) 688-4575 (661) 688-4588 FAX Decedent: Michael Anthony Demarco Date of Birth: April 01, 1962 Date of Death: October 12, 2017 Incident Location: 2424 N, Federal Highway, Boynton Beach, Fl, 33435 Notified by: Detective Peter Zampini Agency & Case #: Boynton Beach Police Department/17-12011 PBMEO Investigator: Heron Ruiz for Kaylin Nelson ME Case #: 17-1690 Investigator Heron Ruiz with the Palm Beach County Medical Examiner’s Office completed this report based on information provided by Investigator Kaylin Nelson. Narrative: On October 12, 2017 at about 0847 hours, Detective Peter Zampini, from the Boynton Beach Police Department, called the Palm Beach County Medical Examiner’s Office to report that he was at the scene of a suspected suicide due to gunshot wound in the parking lot at 2424 N. Federal Highway in Boynton Beach, Florida, 33435. Investigator Nelson responded to the scene where she met with Detective Zampini and other law enforcement personnel. Detective Zampini reported that the decedent is a 55 year old white male named Michael Anthony Demarco (DOB: 04-01-1962). ‘The decedent is a detective with the Palm Beach County Sheriff's Office. The decedent’s last name is written on his shirt, ‘The Boynton Beach Police ‘Department officers positively identified the decedent via a DAVID photograph. ‘The initial investigation revealed that the decedent was sitting in the parking lot in his unmarked police vehicle, apparently waiting for his ex-girlfriend who lives in the apartment complex. The decedent talked to the community maintenance man (Robert Rozzero) for a short while prior to the incident. Mr. Rozzero reported that the woman came out to walk her dog. ‘The decedent saw her and he sped up his car to reach her in the parking lot. The decedent got out of his car and the two engaged in a verbal discussion, which ultimately turned into a physical confrontation in which the couple appeared to be wresting. The decedent, dressed in his work clothes and carrying a gun, pulled his gun and shot his ex- girlfriend two times, once in the shoulder and once in the chest. The decedent then tumed the gun on himself, shooting himself in the head. ‘Mr. Rozzero witnessed the incident and called 911 at sometime around 0800 hours. Medics from the Boynton Beach Fire Rescue responded to the scene where they transported the ex-girlfriend to a local hospital for treatment and pronounced the decedent's death at 0808 hours. Page 1 of2Scene and Body “The scene was located in the parking lot of a residential apartment community. The police cordoned off the area with yellow tape and covered the body with a portable canopy cover and a sheet. Three numbered, yellow evidence markers were in the parking lot within 20 feet of the body. All three markers were used to mark the location of a single spent casing (3 casings). A field dressing kit was also in the parking lot, presumably left by the responding rescue personnel. ‘The bloody sheet was removed from over the body. The decedent was found face up on the pavement wearing a black polo style shirt, embroidered on the front with the name DS M. DeMARCO on the right chest and a Palm Beach County Sheriff's Office emblem on the left. A pair of glasses was resting on the chest between the embroidered inscriptions. The decedent had tan BDU cargo style pants, a black leather belt with a Palm Beach County Sheriff's Office Detective’s Badge affixed to the right side, an empty gun holster on his right hip and black boots. The decedent was laid flat out on his back with his arms down along his side, A black semi-automatic style Glock handgun, with the initials “PBSO and a Star” on the barrel, was on the ground next to the decedent’s left side with the barrel facing down and away from the body. ‘The decedent’s head was resting in pooling blood. A cursory examination of the body revealed what appeared to be a circular defect surrounded by possible stippling to the right side of the head and face and another, irregularly shaped defect to the left side of the head. Both eyes were blown out. Blood spatter was on the right hand. Elite Body Removal personnel removed the body from the scene. The police contacted and notified the decedent’s son, QM and his daughter, Jp WEEN sdout the death. ‘Nothing Further Page 2 of 2