Greetings from Des Moines

 is a shard in.

Location
This shard is found next to the computer in V's apartment.

Transcript
Jump in the urinal and stand on your head. I'm the one that's alive. You're all dead.

Trivia
This shard is a direct reference to the song JUMP ON THE URINAL AND STAND ON YOUR HEAD by Stabscotch, an experimental rock group from Pennsylvania.