Autopsy Report No.

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Autopsy Authorized/ Signature of Deiner Signature of Autopsy Performer

Name: Weight: Cause of Death:

Age: Eyes/Hair:
Sex: Blood Type:
Height: Time of death: Manner of Death:
Method of identification: Mechanism of Death:

Pre-mortem physcal state:

Clothing:

Posessions:

External Examination/Wounds: Toxins found in body:

Foreign objects found in body:

DATE:__________ Federal Document