Injury Line: Young'S #39
| Inspection Nr | 120480801 |
| Investigation Nr | 801035 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Firearm |
| Event Type | Other |
| Environmental Factor | Flying Object Action |
| Human Factor | Other |
| Occupation | Cashiers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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