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Pablo Serrano-Vitorino was found alone in his cell at 2:02 a.m. He was pronounced dead at a hospital about an hour later, said Koran Addo, spokesman for St. Louis Mayor Lyda Krewson. No further details were released.

Serrano-Vitorino, 43, who was in the U.S. illegally, was accused of fatally shooting four men at a home in Kansas City, Kansas, on the night of March 7, 2016. He was arrested a day later and 170 miles away in Montgomery County, Missouri, where he was accused of killing Randy Nordman of New Florence. He was charged with first-degree murder in all five deaths.

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Authorities say the shooting spree began when Serrano-Vitorino gunned down his Kansas City, Kansas, neighbor, 41-year-old Michael Capps, and three other men at Capps’ home — brothers Austin Harter, 29, and Clint Harter, 27, and 36-year-old Jeremy Waters. Before dying, one of the victims managed to call police.

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Serrano-Vitorino then allegedly fled in his pickup truck into Missouri. Authorities say he killed Nordman, 49, at Nordman’s rural home near Interstate 70 about 70 miles (113 kilometers) east of St. Louis. He was captured hiding face-down in a ditch a few miles from Nordman’s home, and had a rifle with him, the Missouri State Highway patrol said at the time.

A lawsuit filed in Kansas City, Kansas, by the father of one of the victims accused U.S. immigration officials of missing two chances to detain and deport Serrano-Vitorino.

Serrano-Vitorino was deported to Mexico after he was convicted of a felony in 2003 but illegally re-entered the U.S. He was arrested in 2014 and 2015.

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