DOJ-OGR-00025393.pdf

Page 1188 28. Attachments: 1. Medical Record _______ 3. Death Certificate _______ 2. Narrative Summary _______ 4. Autopsy Report _______ 5. Other Documents as appropriate (list) _______ ALL INFORMATION CONTAINED IN THIS REPORT IS EXEMPT AND TO BE CONSIDERED FOR REVIEW/VIEWING ON A NEED TO KNOW BASIS ONLY. REVIEW COMMITTEE: b(6); b(7)(C) A-W, (M) , HSA D of N b(6); b(7)(C) CD) QAC PA PDF Prescribed by P6013 7 DOJ-OGR-00025393