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Documentary Evidence
O'Keefe Death Certificate (Amended)
O'Keefe's death certificate lists blunt head impact injuries and hypothermia as the cause and an undetermined manner of death. An amended version was introduced in Trial 2.
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The 'could not be determined' manner of death — rather than homicide — was a central point of contention, with the defense arguing the Commonwealth's own medical examiner refused to certify the death as a homicide consistent with the vehicle-strike theory.
The official death certificate for John O'Keefe signed by Dr. Irini Scordi-Bello, stating the cause of death as blunt impact injuries of the head and hypothermia, with manner of death listed as could not be determined. An amended version was introduced in the second trial.