Madam XCEMETERY SEARCH NAMES AND NOTES REQUEST
DECEASED NAME: MADAM X
BLOCK: A LOT: 1 SPACE: 1
BORN: 01 / 01 / 1901 DIED: 03 / 16 / 1961 INTERRED: 03 / 16 / 1961
INTERMENT NOTES:
COUNTY SPACE 4-4
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FAX TRANSMITTAL FORM
PINELLAS COUNTY SHERIFF'S OFFICE
HOMICIDE UNIT
TELEPHONE (727) 582-6307, FAX (727) 588-4861
This fax sent by: SGT M MADDEN
Date: 122403 Time: 1030
PLEASE DELIVER TO: SUSAN STEVENSON
ORGANIZATION: CLEARWATER PARKS
MESSAGE: COPY OF COURT ORDER SIGNED BY JUDGE PETERS
This fax transmittal form is Page 1 of 3 Pages. Thank You.
j'd 198-17 - BBS - LZL. apiotwow eap:TT Cn .67 oan
COUNTY COURT OR CIRCUIT COURT CRIMINAL DIVISION
PINELLAS COUNTY, FLORIDA
AFFIDAVIT
Your Affiant, Michael K. Madden, Sergeant for the
Florida who is currently
Sheriff's Office, located at 10750 U
assigned to the Homicide Unit.
Your Affiant has had the occasion to conduct a follow up investigation to
approximate age of 35 to 40, who
the death investigation of one Jane Doe, W/Fust, west of the Davis Causeway, Safety
was found in the waters of Tampa Bay j
Harbor, Florida, on March 4, 1961. The body of Jane Doe was found with a rope J.O wrapped around her right foot and t sted rope
he Cause of Death as dbowning. rAs of
Norton performed the autopsy and l
this date, the body of Jane Doe has not been identified.
The body of Jane Doe is now interred in the Clearwater Municipal
Cemetery, 1300 S. Myrtle Avenue, Clearwater, Florida, Block A, Lot 1, Space 1.
In order to further this investigation, your Affiant wishes to exhume the body of
Jane Doe in order to have Mitochondrial DNA analysis performed on the bone
material. Your Affiant is aware that Mitochondrial DNA analysis can be used to
determine the identity of unknown subjects and this analysis is needed in order to
help identify Jane Doe.
Michael K. Madden, Sergeant
Pinellas County Sheriffs Office
Largo, Florida
This foregoing instrument was acknowledged before me
This 3 day of e t 0- , 2003 who
Has produced D as
Identification and who did/did not take an oath.
Notary Public
Sandra Dome
MY COMMI5510N N DD213732 WIRES
May 19, 2007
BONDED THRU TROY FAIN INSURANCE INC
2 'd i98?-Bf3S-I.?/. aoioiwow eaa: T T C`n i.7 nary
IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT
OF THE STATE OF FLORIDA IN AND FOR PINELLAS COUNTY
IN RE: EXHUMATION OF JANE DOE
STATE OF FLORIDA INVESTIGATION
ORDER
The foregoing cause coming on to be heard upon the State's request for
permission to exhume the body of Jane Doe, W/F, approximate age of 35 to 40,
after duly considering and reviewing the affidavit of Sergeant Michael K. Madden,
Pinellas County Sheriffs Office, it is hereby
ORDERED and ADJUDGED and DECREED
That the body of Jane Doe shall be exhumed from Clearwater Municipal
Cemetery, 1300 S. Myrtle Avenue, Clearwater, Florida, Block A, Lot 1, Space 1.
After completing the collection of bone material for the purpose of
Mitochondrial DNA, the body will be returned to the cemetery as soon as
possible.
O AND ORDERED in Pinellas County, Florida, this 23 day of
r, 003.
(ORDER/9420)
E'd 198-17-LZL aptotwoH e6c:ll 60 *12 oaa
0 City of Clearwater, Florida
Clearwater City Clerk Department
Phone (727) 562-4090
U
Fax (727) 562-4086
FAX MESSAGE
TO:
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DATE: ?j /c? 7/
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