Michigan Department of State Police: Original Incident

ORIGINAL DATE INCIDENT NO.
Michigan Department of State Police Fri, Jun 29, 2012 062-0003021-12 (10)
ORIGINAL INCIDENT TIME RECEIVED FILE CLASS
REPORT 0820 98009
WORK UNIT COUNTY
MSP HART Oceana
COMPLAINANT TELEPHONE NO.
PATROL
ADDRESS: STREET AND NO. CITY STATE ZIP CODE
3793 W POLK ROAD HART MI 49420-
INCIDENT STATUS
Open
DOA
SUMMARY:
was discovered deceased this morning in the driver seat of his rental car.
INFORMATION:
I was in Baldwin on patrol. I was contacted by Sgt. David Johnston of the Hart Post to respond to the MSP
Command Center located on Cleveland Road at the Electric Forest Festival in Rothbury. I was advised a
subject had been found deceased in a vehicle and I was being requested to conduct Evidence Technician work
at the scene. Upon my arrival, I was advised I would be the primary investigator assigned to the complaint.
TIME/DATE/VENUE:
FRI, JUN 29, 2012 AT 0820

OCEANA COUNTY, GRANT TWP, ROTHBURY, AT OR NEAR: ELECTRIC FOREST FESTIVAL
GROUNDS, JJ RANCH PROPERTY WEST PARKING/CAMPING LOT AREA
OTHER PERSONS/DECEASED:
NAM: RAC:
NBR: DIR: SEX: OPS
STR: DOB: SSN
SFX: HGT: SID:
CTY: ST: WGT FBI:
TXH: ZIP HAI: MNU:
TXW: EYE: PRN:
CT
CT:
was identified from his Connecticut Driver's License located in his wallet.
The wallet was located in right rear cargo shorts pocket.
INVESTIGATED BY REPORTED BY REVIEWED BY

PAGE TPR. DOUG TANNER #469
1 of 8
REPORT 0820 98009
VEHICLE INVOLVED:
2012 Toyota Yaris, Black in color, bearing Connecticut license plate 877 ZAD.
VIN JTDBT4K38CL017369 leased by National.
DIGITAL PHOTOGRAPHS:
Made of scene.
EXAMINATION OF BODY:
body was seated in the driver seat, in approximately a 45 degree reclined position.
arms were both in a bent position, and his head was tilted slightly back and to the right.
A brown sleeping back was positioned behind head/neck area.
There were no outward signs of trauma noted upon initial examination.
Livor mortis and rigor mortis were present at time of initial examination.
was barefoot. sandals and shoes were present on the driver side floorboard under the
brake/gas pedals.
was wearing a t-shirt, green cargo pants with side pockets, and boxer shorts.
EVIDENCE SEIZED:
An empty plastic baggie was observed next to right cargo pocket on the driver seat surface.
I seized this plastic baggie as evidence at 1018 Hours.
Three (3) cell phones were also present in the passenger compartment of the vehicle at the time of
examination.
1) Samsung AT&T phone, silver in color, was on the top surface of the front passenger seat.
2 of 8
REPORT 0820 98009
2) HTC brand phone, on the top surface of the front passenger seat next to the Samsung phone.
3) LG brand phone, located in a pocket on the passenger side of the front center console
CHECK CARGO SHORTS POCKETS OF
I checked the cargo shorts pockets of I removed the following items from pockets:
Right front pocket: multicolored cigarette lighter. Lighter was left with vehicle.
Right front cargo pocket: Zig Zag brand rolling papers and a knotted plastic baggie containing green plant
material consistent in appearance with marijuana. Seized at 1015 Hours.
Left front pocket: open box of "Maverick" brand cigarettes in box. Seized at 1020 Hours.
Sealed plastic baggie containing multiple unknown types/quantities of pills/suspected narcotics. Seized at
1024 Hours.
Left side cargo pocket: Two plastic pill capsules containing unknown white crystal powder substance.
Seized at 1023 Hours. Pill capsules are contained inside a small plastic resealable bag container. Stainless
steel scissors and a Lil' Wayne CD case were removed from this pocket. The scissors and CD case were
examined, and left inside vehicle.
Right rear pocket: Wallet containing CT Driver's License, assorted credit cards, assorted papers, and $665
cash. Seized at 1030 Hours. Counted/verified with Detective Rios. DD-020 completed.
Left rear pocket: multicolored lighter contained in left rear pocket. Lighter was examined and left with
vehicle.
ADDITIONAL OBSERVATION:
I noted in the center console of the vehicle a digital scale containing an unknown brownish residue on its
surface. This item was not seized and was returned to the center console.
UD-14B/TOWING COMPANY:
Eagle Towing
89 Pine St.
Shelby MI 49455
TX: 231-894-5424
Eagle Towing took possession of rental car at 1014 Hours on 6-29-12.

UD-14B was signed by Eagle Towing employee
I was advised the vehicle was to be stored in the Eagle Towing Shelby garage location.
3 of 8
REPORT 0820 98009
WITNESSES:
A witness at scene was contacted by D/Sgt. Scott Rios. This interview will be added in a supplemental
report.
RENTAL AGENCY:
National Car Rental - New Haven

290 State St
New Haven CT 06510-3
TX: 203-776-0690
TX: 800-468-3334
"Barb" customer service
RA#920935861
INV#10009789478
At 1345 Hours on 6-29-12, I notified "Barb" of National Car Rental Customer Service of the location of their
rental vehicle at Eagle Towing. The vehicle was confirmed to have been rented by
CONTACT FORENSIC PATHOLOGY SPECTRUM HEALTH BLODGETT CAMPUS:
I attempted to telephone the Forensic Pathology laboratory on the afternoon of 6-29-12, and received an
answering machine. I left a voicemail message.
I later attempted contact again via the hospital switchboard and spoke with "ELIZABETH" at the Forensic
Pathology laboratory at 1420 Hours on 6-29-12. I was advised that an autopsy was already underway and
that a complete toxicology report was in process at this time. The estimated wait time on toxicology results is
estimated to be 4-6 weeks.
PATHOLOGIST CONTACT:
Physician contact is:

Dr. Stephen Cohle M.D.
Spectrum Health - Blodgett Campus
Forensic Pathology Lab
1840 Wealthy St SE
Grand Rapids MI 49506
TX: 616-774-7499
4 of 8
REPORT 0820 98009
PROPERTY SEIZED LIST:
SEIZED BY: TROOPER TANNER

Prop 0001 - Qty: 4.000 UOM: Gram Type: Marijuana
Obtained From: Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
RIGHT FRONT CARGO PANTS POCKET OF DECEASED
Prop 0002 - Desc: PLASTIC BAGGIE CONTAINING UNKNOWN SUSPECTED NARCOTIC RESIDUE
FOUND NEXT TO DECEASED ON TOP SURFACE OF DRIVER'S SEAT INSIDE VEHICLE Type:
Drug/Narcotic Paraphernalia
Descrp: PLASTIC BAGGIE CONTAINING UNKNOWN SUSPECTED NARCOTIC RESIDUE FOUND
NEXT TO DECEASED ON TOP SURFACE OF DRIVER'S SEAT INSIDE VEHICLE
ON DRIVER SEAT TOP SURFACE NEXT TO OUTSIDE OF RIGHT FRONT CARGO PANTS POCKET
OF DECEASED
Prop 0003 - Desc: OPEN BOX OF MAVERICK BRAND CIGARETTES Type: Cigarette
Descrp: OPEN BOX OF MAVERICK BRAND CIGARETTES
Obtained From:Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INSIDE LEFT FRONT SHORTS POCKET OF DECEASED
Prop 0004 - Qty: 1.000 UOM: Gram Type: Unknown

Descrp: PLASTIC SEAL BAGGIE CONTAINING TWO PLASTIC CAPSULES WHICH CONTAIN AN
UNKNOWN OFF-WHITE SUBSTANCE SUSPECTED AS NARCOTICS
Obtained From:Oceana County At or Near: ELECTRIC FOREST FESTIVAL GROUNDS
INSIDE LEFT FRONT CARGO SHORTS POCKET OF DECEASED
Prop 0005 - Qty: 93.000 UOM: Dosage Units/Items Type: Other Narcotics
Descrp: KNOTTED PLASTIC BAG CONT: 2-M AMPHET SALTS 30MG, 2-AMPHETAMINE
DEXTROAMPHETAMINE 30MG, 23-OXYCODONE/HYDROCLORIDE 15MG, 2 UNK BROKEN TABS,
4-OXYCODONE/HYDROCHLORIDE 30MG, 39-ACETAMINOPHEN AND OXYCODONE
HYDROCHLORIDE 325MG/10MG, 5-ALPRAZOLAM 1MG ("605"), 9-ALPRAZOLAM "MYLAN A1", 2
BAGS UNK BROWN POWDER
INSIDE LEFT FRONT CARGO SHORTS POCKET OF DECEASED
Prop 0006 - Qty: 1 Type: Federal Reserve Note (money) Issue Date: 0000 Maturation Date: 0000
Value: $665.00 Recovered Value: $665.00 (SEE DD-020)
Descrp: $665.00 CASH, 1-$100 BILL, 24-$20 BILLS, 4-$10 BILLS, 6-$5 BILLS, 1-$2 BILL, 13-$1 BILLS
5 of 8
REPORT 0820 98009
TXH ZIP: HAI: MNU:
CONTACT NEXT OF KIN:
I contacted MSP East Lansing Operations Desk via LEIN and forwarded a message regarding
passing. I provided Post 62 contact information, as well as Harris' Funeral Home contact information. The
message was forwarded to East Haven, CT Police Department to make a death notification to family.
I received a telephone call at Post 62 from advised she was the mother of
asked if was "all right." I asked if the officer there had explained anything, and
advised "no." I explained to that had passed away this morning in Rothbury. A subject
identifying himself as uncle then took the phone call, and advised that was hysterical and
unable to continue the call. I explained again about passing. The uncle advised I would receive
a call back when things calmed down.
At 1655 Hours, I received a call back from who advised he was stepfather. I explained
the facts of passing as I knew at this point, and provided Harris Funeral Home contact
information. I was advised that did not know to use any narcotics or have any medical
issues. was last seen by "a couple of weeks ago."
CONTACT HARRIS FUNERAL HOME:
I contacted , and provided him contact information for the family.

advised he would call and make arrangements with the family.
Harris Funeral Home - , Director

267 N Michigan Ave
Shelby MI 49455
TX: 231-861-2360
TX: 888-216-9744
www.harrisfhome.com
EXTERNAL DOCUMENTS:
DD-020 Seized Cash form

UD-14B Receipt for vehicle to Eagle Towing
Photocopies of wallet contents (papers, receipts credit cards, etc.)
Scene sketch
Copy of LEIN message to ELOP.

7 of 8
REPORT 0820 98009
STATUS:
Open. Pends autopsy reports, disposition of property.

8 of 8
SUPPLEMENTAL INCIDENT SUPPLEMENTARY DATE FILE CLASS
REPORT 0001 Fri, Jun 29, 2012 98009
INCIDENT STATUS
Open
DOA
JOURNAL:
None.
ARRIVAL ON SCENE:
At 0756 we were dispatched to a possible deceased person in a car. Trooper Groya and I arrived on scene,
medical was already there. A white male subject was seated in the driver's seat of a rental car, medical staff
had pronounced him dead.
SCENE SECURITY:
I began taking photographs of the scene while Sgt. Schmitz and Trooper Groya put out crime scene tape.
PHOTOGRAPHS OF SCENE:
Utilizing my department issued digital camera I took photographs of the scene, the body and anything relevant
to the scene. The photographs were turned over to Trooper Tanner from the Hart Post.
ROTHBURY STAFF ON SCENE:

Over night EMS manager:
Day time EMS manager: Jonathan Keogh
Mounted patrol supervisor: Jim Weisbeck
Security: Richard Loger
INVESTIGATION:
Sgt. Schmitz contacted the command staff who sent D/Sgt. Rios to complete the investigation. Once all
photographs and personal on scene were identified Trooper Groya and I cleared the scene.
STATUS:
Open

PAGE TPR. S ZIESMAN #1835
1 of 1
REPORT 0002 Fri, Jun 29, 2012 98009
INCIDENT STATUS
Open
DOA
JOURNAL:
None.
ARRIVAL ON SCENE:
At 0756 we were dispatched to a possible deceased person in a car. Trooper Nobliski responded to the scene
and arrived after medical. Medical staff had already declared him dead on arrival prior to us arriving.
EMS / MEDICAL FIRST ON SCENE:
National Event Services EMS:
Jason John Scholten

Kristin Marie Scholten
Jason and Kristin are EMS for Montcalm County EMS and are currently working for National Event Services
for the Electric Forest Festival. The arrived on scene and observed the deceased in the driver's seat of a black
rental car. They checked his pulse on his left wrist and neck with no response. Rigor had set in and he was
ashen in color. They declared him dead on arrival and did not continue with medical.
OTHER PERSONS:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB: SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
CT:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
CT:

PAGE TPR. THOMAS FICK
1 of 2
REPORT 0002 Fri, Jun 29, 2012 98009
INTERVIEW /
and were sharing a tent located behind (east) of the deceased's vehicle. They advised that
they had not had contact with the individuals but had seen them around 2:00pm 6/29/12 setting up camp. They
did not see them the rest of the day or night because and were not at their camp. The next
time they saw the deceased law enforcement was already on scene.
FURTHER INVESTIGATION:
Sgt. Schmitz contacted the command staff who sent D/Sgt. Rios to complete the investigation.
STATUS:
Open

PAGE TPR. THOMAS FICK
2 of 2
REPORT 0003 Fri, Jun 29, 2012 98009
UNKNOWN:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
MB:
NAM:
RAC: ETH:
NBR DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY ST WGT: FBI:
TXH ZI HAI: MNU:
TXW: EYE: PRN:
MB:
NAM:
RAC ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP HAI: MNU:
TXW: EYE: PRN:
MB
NAM:
RAC ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
MB:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB: SSN:
SFX: HGT: SID:
CTY: ST WGT: FBI:
TXH: ZI HAI: MNU:
TXW: EYE: PRN:
MB:
PAGE TPR. MATTHEW NOBLISKI
3 of 4
REPORT 0003 Fri, Jun 29, 2012 98009
STATUS:
Open.

PAGE TPR. MATTHEW NOBLISKI
4 of 4
REPORT 0004 Mon, Jul 02, 2012 98009
INCIDENT STATUS
Open
DOA
JOURNAL:
None.
INFORMATION:
I was contacted by LT. HENKE, who requested I respond to the Electric Forest Festival grounds for a DOA.
I was further advised by the MSP Hart Post that TPR. TANNER was responding as the Evidence Tech to the
scene. Upon arrival at the Electric Forest Festival's grounds, I was escorted to the scene by SGT. DAVE
JOHNSON.
OBSERVATIONS AT SCENE:
Upon arriving on the scene, I observed evidence tape around the victim's vehicle. SGT. CARL SCHMITZ
was present, as well as TPR. DOUG TANNER.
SGT. SCHMITZ advised me the adjoining campers had already been contacted and interviewed by the
troopers, as well as nothing had been touched from the driver's side of the victims vehicle. There was also an
individual pointed out to me by SGT. SCHMITZ, later identified as who was with the
victim.
I observed an individual, later identified as who was seated in the driver's seat of the
vehicle with his head in the back position. I was further advised that the medical examiner was not
responding to the scene. At that time I interviewed
The body of was removed from the vehicle by TPR. TANNER, assisted by EMS,
where he was placed into a body bag at the scene. Trooper Tanner advised me there did not appear to be any
indication of foul play. was subsequently transported to the medical tent, where he was
transferred to and , from Harris Funeral Home, to be transported to Spectrum for
an autopsy. I advised TPR. TANNER he would be handling the original complaint and I would be assisting
him on this complaint.
WITNESS:
NAM:
RAC: ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX: HGT: SID:
PAGE D/SGT SCOTT RIOS #213 SR/dq
1 of 2
REPORT 0004 Mon, Jul 02, 2012 98009
CTY: ST: WGT: FBI:
TXH: ZIP: HAI: MNU:
TXW: EYE: PRN:
MB:
INTERVIEW
was interviewed at the scene in my vehicle. He had no identification with him. He

indicated his clothes were in another vehicle, a girl by the name of unknown last name.
He stated he had met the person he knew as he didn't know his last name, at a previous concert. He
stated he goes to several concerts during the year and he hooks up with at these concerts. He stated he
and rode to the concert together this year from Connecticut. They met in Connecticut and then went to
house, where he picked up some clothes and they left to come to Michigan. stated they left
about 6:30 on Wednesday and drove 15 hours straight through to Michigan. drove the entire time.
They arrived at the concert/ festival around noon on June 28, 2012.
During the time was with stated he observed s snorting pills.

believes the pills had were blue and had them in a bag. recalls
seeing about 10 pills in the bag. I asked if he had anything else. indicated he didn't know if he
had anything else; this was the only thing he saw him snorting.
stated Thursday evening, the 28th, was saying his stomach didn't feel good, as well as he had
a headache. indicated he was going to sit outside and sleep in the chair and say hi to people as they
walked by the car. They did not have a tent as they were just staying in a car. subsequently fell
asleep outside in the chair. When woke up, he tried to wake and he found deceased
in the vehicle.
I asked if there was anything else going on, to which he indicated there wasn't and no altercations,
just that he wasn't feeling well and went to sleep.
I asked if he had also been snorting the same drugs, to which he indicated he had not, as he doesn't
do drugs. He stated he stopped drinking as he's an alcoholic. He has a previous DUI and a reckless driving.
I asked if ate anything, to which he didn't believe he ate anything. He believes he may have had some
food from the gas station; however, didn't believe he ate anything.
STATUS:
Open, pending autopsy results.

PAGE D/SGT SCOTT RIOS #213 SR/dq
2 of 2
REPORT 0005 Mon, Sep 17, 2012 98009
INCIDENT STATUS
Open
DOA
JOURNAL:
06/30/12 Tanner Receipt F11D826 completed. Original submitted, pends supps, autopsy results,
Toxicology results, approximate 2 month wait.
06/30/12 Nelson Original report, supp 1,2,and 3 reviewed
07/02/12 Rios Reviewed
08/04/12 Nelson Supp #4 added. Pends autopsy
09/17/12 Tanner Autopsy results received.
AUTOPSY RESULTS:
Received autopsy received 09/17/12. Cause of death: Myocarditis with secondary findings of oxycodone and
amphetamine toxicity. Manner of death is natural.
MEDICAL EXAMINER CONTACT:

Dr. Paul Wagner,
Hart Family Medical Group
6611 E. Main Street
Hart, MI 49420
T- 231-873-5675, F-231-873-1825
EXTERNAL DOCUMENT:
10 page autopsy report
CONTACT OCEANA COUNTY PROSECUTOR:

I contacted Joe Bizon of the Oceana County Prosecutors Office on 09/17/12. He advised property can be
released to next of kin.
CONTACT NEXT OF KIN:

I contacted on 09/17/2012. She advised to her knowledge, was not
doing drugs when he left Connecticut. Arrangements were made to send property receipts to
to sign and return to Post 62.
STATUS:
Open, pends property

PAGE TPR TANNER #469
1 of 1
REPORT 0006 Wed, Oct 03, 2012 98009
INCIDENT STATUS
Open
DOA
JOURNAL:
09/18/12 Nelson Report supped to date. Pends property
10/02/12 Leavitt called this date wondering if property had been sent out yet.
NEXT OF KIN/MOTHER:
NAM: RAC ETH:
NBR: DIR: SEX: OPS:
STR: DOB SSN:
SFX HGT: SID:
CTY: ST: WGT: FBI:
TXH: ZIP HAI: MNU:
RECONTACT NEXT OF KIN/MOTHER:

Signed Property Receipts were received from on 09/29/2012. Property was sent US Mail on
10/09/2012
PROPERTY:
Property items # 06, 07, 08, 09 sent out US Mail 10/09/2012. Property Released in AICS this date.
EXTERNAL DOCUMENTS:
Signed Property Receipts for Items # 07, 08, 09
Handwritten letter from requesting Death Certificate and test results
Copy of MSP response letter with FOIA request information
Copy of Money Order receipt for property item # 006
STATUS:
Open

PAGE TPR TANNER #469
1 of 1
REPORT 0007 Fri, Jan 18, 2013 98009
INCIDENT STATUS
Closed
DOA
JOURNAL:
10/09/12 SGT. NELSON Supp. #6 added. Pends property.
11/04/12 SGT. NELSON Monthly review.
12/15/12 SGT. NELSON Monthly review. Pends property.
01/14/13 SGT. AMBROSE Property destroyed this date by LT. MATT KANITZ and SGT.
ANDREW AMBROSE.
STATUS:
Closed
1/18/13
dmq

PAGE SGT AMBROSE
1 of 1 TPR TANNER

Michigan Department of State Police: Original Incident

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Michigan Department of State Police: Original Incident

Uploaded by

Copyright:

Available Formats

ORIGINAL DATE INCIDENT NO.

FRI, JUN 29, 2012 AT 0820

INVESTIGATED BY REPORTED BY REVIEWED BY

A brown sleeping back was positioned behind head/neck area.

There were no outward signs of trauma noted upon initial examination.

CHECK CARGO SHORTS POCKETS OF

Eagle Towing took possession of rental car at 1014 Hours on 6-29-12.

National Car Rental - New Haven

CONTACT FORENSIC PATHOLOGY SPECTRUM HEALTH BLODGETT CAMPUS:

Physician contact is:

PROPERTY SEIZED LIST:

SEIZED BY: TROOPER TANNER

Prop 0004 - Qty: 1.000 UOM: Gram Type: Unknown

CONTACT NEXT OF KIN:

CONTACT HARRIS FUNERAL HOME:

I contacted , and provided him contact information for the family.

Harris Funeral Home - , Director

DD-020 Seized Cash form

INVESTIGATED BY REPORTED BY REVIEWED BY

Open. Pends autopsy reports, disposition of property.

INVESTIGATED BY REPORTED BY REVIEWED BY

ROTHBURY STAFF ON SCENE:

INVESTIGATED BY REPORTED BY REVIEWED BY

EMS / MEDICAL FIRST ON SCENE:

National Event Services EMS:

Jason John Scholten

INVESTIGATED BY REPORTED BY REVIEWED BY

INVESTIGATED BY REPORTED BY REVIEWED BY

INVESTIGATED BY REPORTED BY REVIEWED BY

was interviewed at the scene in my vehicle. He had no identification with him. He

During the time was with stated he observed s snorting pills.

Open, pending autopsy results.

INVESTIGATED BY REPORTED BY REVIEWED BY

MEDICAL EXAMINER CONTACT:

CONTACT OCEANA COUNTY PROSECUTOR:

CONTACT NEXT OF KIN:

INVESTIGATED BY REPORTED BY REVIEWED BY

RECONTACT NEXT OF KIN/MOTHER:

INVESTIGATED BY REPORTED BY REVIEWED BY

10/09/12 SGT. NELSON Supp. #6 added. Pends property.

11/04/12 SGT. NELSON Monthly review.

12/15/12 SGT. NELSON Monthly review. Pends property.

INVESTIGATED BY REPORTED BY REVIEWED BY

You might also like