Coroner's Act In the matter of Coroner's Findings and Recommendations into the death of Kunmanara Forbes pursuant to section 46B dated 2 December 2009
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also received in evidence a statement with a number of annexures from Detective Senior Sergeant Lauren Hill, a lengthy report with a number of annexures from Ms Jenny Scott, Executive Director of NT FACS, and a statement from Assistant Commissioner McAdie. The inquest was assisted by having access to files provided to my counsel assisting by NPY Womens Council (although those files were not tendered in evidence). At the inquest I heard oral evidence from the following witnesses: Detective Sergeant Carmen Butcher, Dr Rob Roseby, Kenny Presley, Nicole Sutterby, Detective Sergeant Lauren Hill, Senior Constable Michael Deutrom, Susan Carlyle, Lance Carmichael, Jenny Scott, Craig Wotherspoon and Assistant Commissioner Mark McAdie. 7. Pursuant to section 34 of the Coroners Act, I am required to make the following findings: 8. (1) A coroner investigating (a) a death shall, if possible, find (i) the identity of the deceased person; (ii) the time and place of death; (iii) the cause of death; (iv) the particulars needed to register the death under the Births, Deaths and Marriages Registration Act; Section 34(2) of the Act operates to extend my function as follows:9. A Coroner may comment on a matter, including public health or safety or the administration of justice, connected with the death or disaster being investigated. 10. Additionally, I may make recommendations pursuant to section 35(1), (2) & (3): 3
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