This is the husband who allegedly burst into a busy pediatric clinic in California and shot dead his estranged wife , before killing himself , in a murder-suicide sparked by a bitter custody dispute . Neng Moua , 43 , stormed a medical office near Mariposa and S Street in Downtown Fresno on Tuesday morning and starting arguing with a 33-year-old female employee , Fresno police said . Armed with a 'large shotgun ' , he then apparently shot the woman - believed to be his estranged spouse with whom he had five children - several times , causing other terrified workers to flee . SWAT officers surrounded the building and ordered people to evacuate to a nearby church . A short search of the building led police to the body of the woman , a receptionist at Sang Pediatrics . Scroll down for video . 'Murder-suicide ' : Neng Moua ( pictured in a previous mug shot ) , 43 , allegedly burst into a busy pediatric clinic and shot dead his estranged wife , before killing himself , in a murder-suicide sparked by a custody dispute . Crime scene : Moua , 43 , stormed into the door of a medical office ( pictured ) near Mariposa and S Street in Downtown Fresno on Tuesday morning and starting arguing with a 33-year-old female employee , police said . The victim - who had another two children from a previous relationship - was pronounced dead at the scene . Officers also discovered Moua had killed himself , leaving the couple 's five children orphans . On Tuesday afternoon , Fresno Police Lt Joe Gomez confirmed the shooting and said no other injuries had been reported . Police are not searching for other suspects in relation to the incident . According to a witness , Moua was armed with a large shotgun when he entered the building just before 11am Pacific Time and opened fire after having a verbal dispute with his wife . Officers arriving on the scene heard one gunshot , followed by more shots as they began to enter the premises to conduct a sweep and an evacuation , Fresno Police Deputy Chief Pat Farmer said . There were eight staffers and eight patients at the office at the time of the shooting . Some of them hid in bathrooms , while others were seen climbing out of first-floor windows , ABC reported . Frantic messages : A woman who works at the office texted her husband , David , telling him she had witnessed the gunman shoot his wife in the chest . Bloody morning : Officers arriving on the scene heard one gunshot , followed by more shots as they began to enter the premises to conduct a sweep . Police broke at least one window to help workers trapped inside the office escape , Gomez said , adding about half the building had been searched as of about 12.30pm local time . It has since emerged that the couple at the center of the deadly incident had been locked in a custody battle over their five children . The feuding husband and wife had a pending court date in May , and the victim 's co-workers believed it may have prompted the shooting Tuesday , Deputy Farmer told reporters this afternoon . Moua had a criminal history , which included an arrest on a domestic violence charge 11 years ago . SWAT officers surrounded the building near Mariposa and S Street in downtown Fresno and ordered people to evacuate . Nearby St John 's Cathedral had to be evacuated during what police initially described as a hostage situation . Images on local ABC30-TV showed a large police presence at the downtown office building and the station reported that witnesses heard several gunshots there . The news channel tweeted text messages sent by an office worker to her husband saying she had witnessed the gunman shoot his wife in the chest at close range . According to ABC30 , a cathedral down the street 'from a hostage situation ' was being evacuated , and a helicopter flying overhead was making announcements asking anyone who had seen a man wearing a white overcoat to call 911 .
Neng Moua stormed medical office in Fresno , California , Tuesday morning . He then 'started arguing with his estranged wife , 33 , who worked at clinic ' Seconds later , he apparently shot her dead , before turning gun on himself . Witness texted her husband saying the gunman shot his wife in the chest . Estranged couple , who had five children together , had a court date in May . SWAT officers surrounded clinic and ordered evacuation of nearby church . 43-year-old Moua was arrested on domestic violence charges 11 years ago .