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MIR.15OTHER DOCUMENT FORMDate and time raisedtt- 3 Qi NumberD 5 3 <4 -an .stigtiu-AQ ioCdLi^guc^-ude source and any document number if relevant

Seite 2 - S metres

PlanCo ronersNnmoPlanCoroners NameRef.Mo.Ref.Mo.Ref.No.Ref.No.1C201A. J.Mur ray24C341 A.M.Dodd2 C2Q2 L. Hinton?5C342J .Grant3 C293R.J.Thompson26C3&apo

Seite 3 - 3dm » 8 5

PlanCoronersNamePlanCoronersNameR e f.No. Ref. No.Ref.No.Ref.No.1 C201A.J.Murray24 C341 A.M.Dodd2 C292L. Hinton25C342 J.Gran t3C293R.J .Thompson26C343

Seite 4 - MC Rules 1981, r.70

‘ -sCJ. Act 1967 s.9 MC Act 1980, s.102, MC Rules 1981, r.70I identify the exhibit described overleaf as that referred to in the statement made and

Seite 5 - (amended 9 .8 1 )

W A &> ' ' ^ -(S.O. G 22) (amended 9 .8 1 )FOR COURT USE ONLYRegina - v -..............

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