The attack happened at the First Baptist Church in Sutherland Springs, population 400.
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The suspected gunman was found dead in his vehicle some miles away.
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Governor Greg Abbott said it was the worst mass shooting in the history of Texas.
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A candlelit vigil was held for the victims.
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The shooting comes just a month after a gunman in Las Vegas opened fire on an outdoor music festival in the deadliest mass shooting in recent US history.
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