Injury Line: 7-11 Store 23233
| Inspection Nr | 125770719 |
| Investigation Nr | 201170107 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Puncture |
| Part of Body | Head |
| Source of Injury | Firearm |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Distracting Actions By Others |
| Occupation | Food counter, fountain and related occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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