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Hassan Ammar, Associated Press
Supporters and opponents of Egypt's Islamist President Mohammed Morsi clash in Cairo, Egypt, Friday, July 5, 2013. Tens of thousands of Islamists streamed across a Nile River bridge toward Cairo’s Tahrir Square on Friday, threatening a showdown moments after the top leader of the Muslim Brotherhood defiantly spoke before a cheering crowd of supporters, vowing to reinstate ousted President Mohammed Morsi and end military rule.

CAIRO — Medical officials say at least 12 people have been killed in clashes between supporters and opponents of the ousted president in the Mediterranean coastal city of Alexandria, bringing nationwide toll to 30.

Emergency services official Amr Salama says the 12 died when hundreds of Islamists descended on a rally by opponents of ousted President Mohammed Morsi in the city, opening fire with guns.

He says clashes erupted, and police joined on the side of the Morsi opponents.

Salama says he saw one man die when he went to the roof of a building, raised an Egyptian flag and shouted insults against Morsi. Morsi backers went to the roof and stabbed him and threw him off the building.

The state news agency MENA also confirmed 12 dead in the city.