The city Department of the Medical Examiner this morning identifies and the cause of death for the four people killed during a Saturday shooting rampage that grew out of a neighbor-on-neighbor dispute in Waianae.

Hiram James Silva Sr., 59, died of a “gunshot wound of the torso.”

Silva, a Waianae businessman whose work was at odds with county ordinances, pushed cars into his neighbor’s home with a front loader then opened fire, killing three women, before a 42-year-old resident of the home shot and killed him. Residents of the area and members of the Keamo family, whom Silva targeted, had previously identified Silva as the killer.

The Medical Examiner’s office also released the identities of Silva’s three victims. Cherell Keamo, 36, died from a “gunshot wound of the head;” Courtney Raymond-Arakaki, 34, died of “multiple gunshot wounds;” and Jessyca Amasiu, 29, died of “multiple gunshot wounds,” according to the medical examiner.

The manner of death for all four was homicide.

Two other people, a 52-year-old woman and a 31-year-old man, were critically wounded in the rampage. A Keamo family representative said Monday that the two successfully underwent surgery but remained hospitalized.