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IN THB CII~CUIT tAUItT FOIt
: ~I FEB I~ ~ I I i~ S T. LUC I$ t~OUNTY, FLORIDA
~ PBOBATS DIVI3ION
IN- RE: ffiTATE OF R~
T F;,e Numb~ ~r c~°
LOUIS~ JACRSON
• Dj~jpo PROBATS
Deceasad
PETiTION F08 ADMIIVISTRATION
. (Fbrida Rssident Without Will - Sin~le P~itioner) .
p~}~o~~ CLIFFORD H. BARNES, ~as Administator & Guardian Ad~ item
1. Petitioner has an interest in the abotree~ate as Administator and Guardian
Ad Litem for the estate and for Lucille Williams
PetitiOD~'s natne and addt'8es ate CL.TFFORD H_ B1~RNES,~ 200 S. Indian Riv _r Dri v:
Suite 202. Riverhouse Professional Buildinq. Fort Pierce. Florida 33450
and the name and addr~as of petition~'s sttorney are set forth at t6e end of t,his petition.
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~ 2. Decedent, LOUISE .JACRSON ~
" whose last known addre8s was 2~01 Walker Drive, Fort Pierce, FL 33450 '
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and, it known, whoee age waa and whose social security n~unber is
died on December 30 ~ 19 80 at Fort Pierce, Florida ~
and at the time of death decedent was domiciled 'w ~t - T•»~~ P County, Fbrida.
3. 3o fu as is known, the names of the beneficiuies of thia estate and of the deoedent's
surviving spouse, if any, their addresses and relationship to deoedent, and the agea of any who ars
minors, ue: _
NAMB ADDIiFSS RBLATIONSHIP AGB
(BLRh Date Ii 111nor)
~ LUCILLE WILLIAMS 2701 Walker Drive _ Daughter unknown
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- 4. Venue of this prooeeding is in this county because decedent resided , and
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~ prop~~y is locat~d ~n St. Lucie County -
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~ (IR
~Form No. t-8 Olg ~
~.22; ~~424 9i3
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