STATE OF GEORGIA
GEORGIA BUREAU OF INVESTIGATION
DIVISION OF FORENSIC SCIENCES
RECORD OF MEDICAL EXAMINER

CASE NO.: B91-2127


CITY: Eatonton
(Mize went here after leaving the family to secure the house).

COUNTY: Putnam

NAME OF DECEASED: Pattie Fugate

RESIDENCE OF DECEASED: 119 Blue Branch Dr. – Eatonton, GA

AGE/D.O.B.: 5-12-51

SEX: Female

RACE: White

HEIGHT: 65”

WEIGHT: 100 lbs.

MANNER OF DEATH: Homicide

CAUSE OF DEATH: Gunshot Wound, Head

INJURY DATE: 5-4-91 HOUR: 1715 (1755) PLACE: Residence

DEATH DATE: 5-4-91 HOUR: 1830 PLACE: Scene

NOTIFIED BY: Gary McElhaney DATE: 5-4-91 HOUR: 2043

BODY IDENTIFIED BY: Son

PHOTOGRAPHS BY: Dr. Hanzlick AUTOPSY AUTHORIZED BY: Coroner

CORONOR NOTIFIED: Yes

PRESENT AT AUTOPSY:

INVESTIGATING OFFICERS: S/A Marc Mansfield
(Wrong - Mize was the only one here at this time, Mansfield did not go until 5/7/91).

EMPLOYED BY: GBI Milledgeville

SUSPECT:

NAME OF MORGUE:

DATE RECEIVED: 5-4-91

HOUR: 2220

BODY REMOVED FROM: Scene

REMOVED BY: EMS

AUTOPSIED: X DATE: 5-5-91 TIME: 0940 BY: Randy Hanlick, M.D.

EVIDENCE SUBMITTED TO LAB AND REMARKS:

DATE: 5/28/1991

APPROVED: (Unreadable)

DATE: May 17 (5/24), 1991

SIGNED: Unreadable Hazlick MEDICAL EXAMINER

DATE OF SEAL: Received June 04, 1991

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REASON FOR PERFORMING AN EXAMINATION:
This 39 year old white female was reportedly shot by another person. Additional details are contained in the investigative reports filed in the office of the Putnam County Sheriff’s Department and the local GBI office.

DATE AND TIME OF EXAMINATION:
Under the provisions of the Georgia Death Investigation Act, an autopsy is performed in the Atlanta division of Forensic Sciences Morgue on Sunday, May 5, 1991, commencing at 9:40 AM.

X-RAY EXAMINATION:
X-rays of the head demonstrate apparent large caliber missile fragments in the central head region with other fragments in the forehead region and smaller fragments dispersed through the midcranial region.

PRESENTATION, CLOTHING, AND PERSONAL EFFECTS:
The decedent is brought to the morgue in a red disaster bag. The body is clad in a pair of high-top, lace-up Jordache white shoes, a pair of white socks, a pair of blue jean shorts, a blue and white pullover shirt, a white halter-type bra, and a pair of black underwear.

The pants are buttoned and zipped. The shirt is in its normal position. There is a diffuse bloodstaining of the clothing, particularly prominent on

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the upper portion of the shirt and on the left sock region. There are blood spots on the tops of both shoes. All of the clothing is wet.

No jewelry is present on the body.
(What happened to Pattie's ring shown in Exhibit photos but not listed here... the very same ring she told the judge Wallace had thrown in the lake)?

Further examination of the pants shows soiling with dirt and mud on the posterior portion. There are numerous pieces of organic debris adherent to the clothing.
All of the above mentioned items are forwarded to the criminalistics section of the laboratory.

POSTMORTEM CHANGES:
Rigor mortis is generalized and well developed. Lividity is dorsal, the usual color, and blanches with firm pressure. The eyes show no clouding. Other decompositional changes are absent.

FEATURES OF IDENTIFICATION:
This is the unembalmed body of a white female which weighs approximately 100 lbs. and measures 65 inches in height. The physique is mesomorphic.

The head hair is brown, wavy, and long, measuring approximately 18 inches in greatest length. The irides are greenish-gray. The teeth are natural. Three fingernails on the left hand are false and painted with an opalescent lavender polish and a fourth similar fingernail is on the right little finger. A small transverse pale linear scar is present in the right lower

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quadrant of the abdomen. Other distinctive markings are absent on external examination.

DIAGNOSTIC AND THERAPEUTIC INTERVENTION:
The only indication of diagnostic and therapeutic artifact is electrocardiograph conductors over the chest and abdomen.
(No bruises on chest and abdomen area).

EXTERNAL EXAMINATION OF THE BODY:
There is dried blood over the face which has EMANATED FROM THE NASAL CAVITY. (Blood was from where Mark sit Pattie up and moved her). A gunshot wound is present on the central portion of the forehead just to the right of the midline which will be described in further detail below. On the right side of the forehead, above the eyebrow, there is a contusion measuring approximately 2 inches in length. In the upper portion of this contusion there is a circular SUPERFICIAL LACERATION MEASURING APPROXIMATELY 1/4 INCH IN DIAMETER. (A blow from the butt of a gun would NOT make this type of wound). The left eye is artificial and consists of an eyecap. The underlying globe in the left orbit is present but severely contracted. (surgically removed, Pattie had a glass eye from an accident when she was a very young girl) The right eye contains a soft contact lens. No petechiae are present. The nasal bones and facial bones are intact anteriorly. There is no indication of intraoral injury. A SMALL CONTUSION is present underneath the medial canthus of the right eye.

The neck shows a SMALL SUPERFICIAL rectangular abrasion just underneath the chin measuring approximately 1/4 INCH IN GREATEST DIMENSION. Otherwise, the NECK IS FREE OF ACUTE INJURY OR OTHER ABNORMALITY.
(Mark and Mize both made statements they saw bruises on Pattie's neck, which was supposedly caused by Wallace holding her down by stepping on her throat.)

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The torso shows the presence of an INDISTINCT, greenish-colored ecchymosis over the anterior aspect of the right shoulder. Near the medial margin of this there is a SMALL SUPERFICIAL ABRASION and in the supeaclavicular fossa there is also a linear petechial-type abraded contusion measuring approximately 1 x 2 inches. A THIRD SMALL LINEAR PETECHIAL CONTUSION is present near the base of the right sternocleidomastoid muscle paralleling its long dimension. Otherwise, the torso is free of acute injury or other abnormality both anteriorly and posteriorly except for INDISTINCT PETECHIAL CONTUSION on the posterior aspect of the right shoulder and a perimortem linear abrasion in the right lumbar region measuring approximately 1/4 x 1 inch.

Further examination of the back of the scalp shows a pinkish-colored artificial fingernail adherent to the posterior scalp hair. Over the occipital protrubenance there is a 1 INCH, ZIGZAG-SHAPED LACERATION which is full thickness and surrounded by a slight marginal abrasion which is more prominent on the superior and left lateral margin of the wound. This appears to be a blunt force injury rather than a bullet exit wound. The hair is contained in a long ponytail held in place with a fabric circular band.
(A zigzag type of wound could not have been caused by the butt of a gun... a bruise on one side and cut on the other). (Pattie's hair was also pulled back in a ponytail as Wallace stated).

The left upper extremity shows fracture of the artificial fingernail on the little finger. There are SEVERAL SMALL CIRCULAR TO OVOID SUPERFICIAL CONTUSIONS over the dorsal aspect of the left forearm.
(Finger marks made while Buck was trying to hold Pattie back).

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The right upper extremity shows several small circular contusions over the dorsum of the hand and forearm. There is also INDISTINCT petechial contusion on the lateral aspect of the proximal arm distributed over a distance of approximately 4 inches maximum.
(Also finger marks).

The external genitalia are those of a normal adult female. There are no foreign objects in the vagina. The anorectal and pudendal areas are unremarkable.

The lower extremities show AGONAL TYP ABRASION on the anterior aspect of each knee and on the lateral aspect of the left knee. There is also SUPERFICIAL ABRADED CONTUSION over the anterior portion of the left mid shin.
(Two rug burns caused by Wallace and Pattie falling on the carpet. By no means enough rug burns for him to have dragged her out of the house).

Other significant findings on external examination include the presence of cutus anserine and water wrinkling of the skin of the hands and feed. There is an area of pallor about the breasts in a bikini-style distribution.
(Paleness from where Pattie had on a bikini while sunbathing).

In summary, this is the well developed body of a white female consistent with the stated age. There is evidence of blunt force injury to the forehead, back of the head, and the upper extremities with abrasion and contusion in the shoulder region and an apparent gunshot wound to the forehead.
(Not any marks made by the butt of a gun).

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Further examination of the face after washing shows petechial-type contusion over the skin just lateral to the canthus of the left eye covering a distance of approximately 1 inch.

INTERNAL EXAMINATION OF THE BODY:
Head:
The skin of the scalp is reflected in the usual manner. A 3 inch circular area of full thickness scalp hemorrhage is present around a gunshot entry wound in the forehead region. In addition, there is an individual 3 inch circular full thickness scalp hematoma over the vertex and also a full thickness hemorrhage around the laceration over the external occipital protruberance. The calvarium is intact and upon its removal there is diffuse subarachnoid hemorrhage. The brain weighs 1250 grams. There is a perforating track through the brain which will be described below. Otherwise, the brain shows no underlying abnormalities.

Summary of Gunshot Wound:
On the right upper forehead, 1/2 inch to the right of the anterior midline, there is a gunshot entry wound. This wound consists of a 5/16 inch circular hole with circumferential abrasion and slight marginal radial laceration. THERE IS NO GUNSHOT RESIDUE ON THE FOREHEAD, THERE IS NO CHARRING OF THE WOUND, THERE IS NO GUNSHOT RESIDUE I THE DEPTHS OF THE WOUND TRACK.
(Means Pattie was definitely not shot at point-blank range as Mark testified).
The missile has proceeded through the soft tissues of the scalp to cause a 3/8 inch circular entry hole in the frontal bone which expands inwardly in a

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conical fashion. Several pieces of small curvilinear lead fragments are retrieved from this area. The missile has proceeded through the right frontal pole of brain in a downward and rearward direction to perforate through the cerebral peduncles and pontine area. The missile then impacts with the occipital bone just posterior to the foremen magnum. In this area, a large area, a large caliber, mushroom-shaped, nonjacketed missile is retrieved and forwarded to the ballistics section.

Examination of the basilar skull shows extensive basilar skull fracture involving both supraorbital plates, the ethmoid region, the sphenoid region, and the occipital bone posterior to the foramen magnum.

THIS IS A DISTANT GUNSHOT WOUND. The overall direction of this wound is front to back and downward with a slight right to left deviation.
(Distant gunshot wound, not point-blank as Mark testified). [Exhibit #1]

Chest and Abdomen:
The skin of the chest and abdomen is opened with the usual Y-shaped incision. There is NO EVIDENCE OF SOFT TISSUE TRAUMA TO THE CHEST OR ABDOMEN. The bony thorax is intact and upon its removal there are no abnormal fluid collections in the chest or abdomen. No peculiar odors or color changes are identified. The uterus is surgically absent but the fallopian tubes and ovaries remain. The urinary bladder contains amber-colored urine.
(See Mark's statements and testimony and Mize's statements).

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The thoracic and abdominal organs are examined in situ, then removed by the Virchow technique for serial examination. Significant findings on internal examination include the following:

The heart weighs 260 grams and is morphologically normal.

The spleen weighs 110 grams and shows a slightly wrinkled capsule. The capsule is of normal thickness and the red pulp and white pulp appear grossly normal.

The lungs have a combined weight of 650 grams. There is bloody mucus in the airways. No pulmonary thromboemboli are identified. No foreign bodies are present in the airways. The lungs show bilateral mild aspiration of blood and no focal underlying lesions.

The pancreas shows the usual lobular architecture and is free of gross acute or chronic change.

The lower gastrointestinal tract is grossly normal to inspection and palpation.

The kidneys are of normal size and essentially symmetrical. The capsule strips easily from the cortical surfaces. The cortex is slightly pale compared to the medulla. The collecting system appears grossly normal. No focal renal lesions are identified.

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The stomach contains approximately 1 cup of partially digested food which consists of vegetable material including apparent corn.
The liver weighs 1220 grams. There is no gross evidence of fatty change or cirrhosis. No hepatic injuries are identified. The gallbladder contains a small amount of yellowish bile and no stones.

The axial skeleton is intact.

Neck:
The skin of the neck is dissected up to the angle of the jaw. THERE IS NO EVIDENCE OF SOFT TISSUE TRAMA TO THE MAJOR AIRWAYS OR VITAL SURROUNDING STRUCTURES OF THE LATERAL NECK COMPARTMENTS. The hyoid bone and thyroid cartilages are intact. The carotid vessels are pliable and widely patent. The anterior cervical spine is intact. The thyroid gland is symmetrical and normal. The lympoid follicles at the base of the tongue appear normal. The lymphoid follicles in the periepiglottic folds are also prominent. A 1 cm. Circular hemorrhagic area is present on the right posterior aspect of the tongue laterally. The trachea contains bloody mucus. The thoracoabdominal aorta is normal. The cervical and mediastinal nodes appear grossly normal. There are no petechial hemorrhages in the airway mucosa.

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SUMMARY OF FINDINGS:
1. Distant-type gunshot wound to forehead with perforating brain injury and recovery of missile.
2. Blunt force injuries to forehead and occipital region.
(Not consistant with the butt of a gun as it is round and not oblong).
3. Bruises to upper extremities.
4. Surgically absent uterus.

OTHER PROCEDURES:
1. Tissue is retained for histology.
2. Documentary photographs are taken.
3. Blood and urine are submitted for toxicology.
4. Blood is submitted for typing.
5. Clothing is submitted to the criminalistic section.
6. Missile is submitted to the ballistics section.
7. Clothing is submitted the criminalistics section after drying.

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CAUSE OF DEATH:
Gunshot wound to the head.


OTHER SIGNIFICANT CONDITIONS:
1. Blunt force injury to head.
(No evidence of a gun butt causing this wound. Wallace states it happened when Pattie fell back on top of all the 'stuff' in the entrance room, leading out the front door).

MANNER:

Homicide.


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