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St. I~u?,:3ra apUNTY, FiARIDA
a~ ~ P°~rRqs T! DMSION
C~qqT COURT rR,o~?
IN RB: ffigTATS OF ^ ~ ~
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~ ~?i.ssKr n~vi s Ft~. Numb~r ' ;
Di~ision ~
Deoe~ed
~ ~ PETiTION FOR ADMINL4TRATION ~ - a' Y ; ~ ~ ~
(Fbrida Resident Without WiU - Sin~le Petitionerj
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peu~o~~ Oahelia Davis ~
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l. Petitaoner haa an inter~t in the abov~e eatate ~ 83~rvivinQ spouse -
~~~.s ~ helia _Davis, 2810 Booker Street, Ft. Pierce,
Florida 33450 ~
and the name and addreas of petitioner's attorney are set forth at the end of t6is petition. -
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2. Deced~t, ~$RT DAVIS . ~
~b~ W~ 2810 Booker Street, Ft. Pierce, FL 33450 ~
and, if known, whose age was 68 and whaee aocial security numbet is 2 61-10-59 45
died oA November 6 ~ lg 82 Ft. Pierce, Florida ~
and at the time of death deoedent was domiciled in T~ e County, Florida.
3. So fu as ia known, the names of the beneficiaries of this eatate and of the deoedent's
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I aurviving ~ouse, if any, their addreseea and reLtionship to decedent, and the ages oi any wbo are _
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~ minots, ue: ~ - -
~ NAMS ADDItBS3 RELATION3HI? AGS
(Bicth Date It Miaor)
~ OPHELIA DAVIS 2810 Booker Street Wife Over 18
Ft. Pierce, FL 33450
II~~, JFAN GAI~Y 4707 Saz~ Diego Ave. D~ughter O~rer 18 ~
Ft. Pie~+oe, FL 33450 _
Ai~i C~OC~1 621 W. Bues~a Vista Datx~ter Oc~er 18
Barsbow, C~1 92311 .
SI~GIA I~'ILrY 6486D 19th Stre~et De~u~ghter Over 18 . -
Taoana, Was~h. 98466 . . -
JE1dNIFER~D. BENTON 6486D 19th Street Daughter Over 18 ~
Tacoma, Wash. 98466 ~ -
GREGORY DAVIS 3502 Avenue R Son Over 18
Ft. Pierce, FL_33450
RODNEY DAVIS 2810 Booker Street Son 17 years
Ft. Pierce, FL 33450 .
PENELOPE DAVIS 281Q Booker Street Daughter 16 years
Ft. Pierce, FL 33450
4. Venue oi this prooeedina is in this county becau~e decedent was domi.ciled
in this county. _
~ B~K ~6 Pl.6f ~
~una No. t-SAI= -
(F'ortner ' ' ~
e `I'be FlacWa Bar 1l82 .