William S. Perry

CUSTODIAL DEATH REPORT Agency Information CDR Number: 17-415-MJ Version Type: AMENDED 8/21/2017 10:26 Report Date: Status: Submitted AM Agency/Facility Information Houston Police 1200 Travis, 16th Agency Name: Agency Address: Dept. Floor Agency City: Houston Agency State: TX Agency Zip: 77002 Director Information Director Salutation: Chief Director First Name: Art Director Middle Name: Director Last Name: Acevedo Reporter Name: Kimberly Fowler Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: William Middle Name: S. Last Name: Perry Suffix: Mr. Date of Birth: 11/13/1963 Sex: Male Black or African Race: American Age At Time Of Death: 53 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 8/1/2017 4:45 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 8/2/2017 11:43 AM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner Yes, results are Evaluation?: available What was the manner of death? (select only one) Manner of Death: Natural Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Upper gastrointestinal hemorrhage due to ruptured esophageal varices due to chronic ethanolism with hepatic cirrhosis Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: Unknown If death was an accident, homicide or suicide, who caused the death? Who caused the death?: Not applicable If a weapon caused the death, what type of weapon caused the death? (Hold CTRL to select all that apply) Type of weapon that caused Not Applicable death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Pre existing medical Pre-existing medical condition?: condition If death was an accident, homicide or suicide, what was the means of death? Not applicable, cause of death was Means of Death: illness/natural cause Location / Custody Information Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Where did the event causing the death occur? Street Address: 8300 Mykawa City: Houston County: Harris Zip: 77346 What location category best describes where the event causing the death occurred? Law Enforcement Location Category: Facility What type of custody/facility was the Decedent in at the time of death: Type of Custody: Municipal Jail Specific type of custody/facility: Specific Type of Custody/Facility: Jail - holding cell What was the time and date of the deceased's entry into the law enforcement facility where the death occurred (mm/dd/yyyy hh:mm AM/PM): Entry Date Time: 8/1/2017 5:25 PM Where did the death occur? Law enforcement Death Location: facility/booking center General Information Did any other law enforcement agencies respond to calls for service related to this incident? Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- Other Agencies Respond?: No What were the most serious offense(s) with which the deceased was (or would have been) charged with at the time of death? Offense 1: Possession of a Controlled Substance Offense 2: Offense 3: Not filed at time of Were the Charges:: death What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Type of Offense: Other, specify Type of Offense, Other: Possession of a Control Substance At any time during the incident and/or entry into the law enforcement facility, did the decedent display or use a weapon? Decedent display/use of No weapons: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Attempt to Injure Others?: No At any time during the incident and/or entry into the law enforcement facility, did the decedent: Appear intoxicated (alcohol or Unknown Make suicidal statements?: Unknown drugs): Exhibit any mental health Unknown Exhibit any medical problems?: Unknown problems?: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- At any time during the incident and/or entry into the law enforcement facility, did the decedent: Barricade self or initiate Resist being handcuffed or No No standoff?: arrested?: Physically attempt/assault Gain possession of officer's No No officer(s): weapon: Verbally threaten other(s) Escape or attempt to No N/A including law: escape/flee custody: Attempt gain possession No officer's weapon: Was the deceased under restraint in the time leading up to the death or the events causing the death? Yes, mark which Under Restraint: restraint devices were used Type of restraint Type of Restraint: Handcuffs Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: On August 1, 2017 at approximately 1645 hours, the deceased was placed into police custody for the offense of " Possession of a controlled substance". The deceased was transported to the Southeast Jail for processing and placed in a holding cell. At approximately 2:33 am , the deceased was found to be coughing up blood. The Houston Fire Department (HFD), Emergency Services were contacted. HFD performed Cardio Pulmonary Resuscitation (CPR) for approximately an hour, at which point they determined he should be taken via ambulance to Southeast Memorial Hospital for treatment. William S. Perry died at Southeast Memorial Hospital at approximately 11:43 am hours. The cause of death appears to be due to a pre-existing medical condition, pending autopsy reports. Custodial Death Report :: Page 6 of 6