It's a fat guy having a heart attack, right after he was mugged; he couldn't get his gun out in time, because his fat sausage fingers were too big. But, he is still holding onto his double bacon cheese burger with deep fried chocolate chip cookies and fried egg, on Texas toast with 5 kinds of cheese; yellow American, white American, Jack Pepper, Cheese whiz and mac'n'cheese (which is also deep fried).
And, he is wearing a shirt that is all greased and slathered in food sauces, but, you can still make out the following; "I will keep my guns, bible and money - but you can keep the Change."