| Name and surname of deceased: | Constance Fury |
| Date and time of death: | August 7, 2001 [approx. 8:00 p.m.] |
| Sex: | Female |
| Age: | 30 years |
| Rank or Profession: | unemployed |
| Where born: | New York |
| Residence: | Wilkinson Public Assistance Project, Apt. #16 |
| Certified cause of death: | opiate poisoning |
| Name of physician (if any): | none |
| Name, description, and residence of informant: | Bryan Fury [son, age 13, resided w/mother] |
| When registered: | August 15, 2001 |
| Religious denomination: | Protestant |
| Remarks: | Fatal dosage most likely self-injected. |