lstiff
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What was the perp carrying that could cause puncture wounds?
I don't think LE would say puncture wounds if it the wounds were stabs from a knife. I think it was a weapon that leaves a hole rather than as slash.
Hammer?
Either end of a hammer Poor Missy
ETA: I read Teresa Sievers Autopsy Report (her COD was 17 hammer bludgeons) some details you never forget.