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“Te Commonvea [Department of Publi Safety “crime Laboratory Request for Examination 110 Common of Physial Evidence Boston, MA 02215, th of Massachusetts tab number Date Submitted AL 7/ westh Avenue, Ae ttachid a ee el wypeotcase Linattenclect Death — Address 288 Puurchas Location 3 = ase or ncident Num Date of ace ees courtOrder tached (Yes CNS” Evidence Examined by Another Agency? case Previously Submited Cves no Dyes CoA yes Laboratory No iso by whom? = Vitis) Name Suspect) Name Dow_| face Sex Reporte Chenin Feld p Levy fon Genego ht, oct ive lb im berks TFro, Summary of Case or ident Eyes TEN KLUMAHOAL Record of evden ie Submited Description and Origin of tems “yichinn ze Person & Agency Received From Labbe Continuation of Record of Evidence Submitted Person & Agency Description and Origin of tems Received From Time | bate | _Recd by Saas ong Ra a eeL2(V57) — Whiaab YelowDeliewr ak aldice

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