Coroner Jury Verdict Form
Coroner Jury
Verdict Form
We the undersigned jurors, in the
matter of the death of Billy R. Blue find the following:
1. Billy
R. Blue died by
felony, or accident, or by his own hand?
________________________________________________________________________________________
2. If by felony who were the
principals and who were participants?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
3. If by accident, was it by the
act of man?
________________________________________________________________________________________
4. If by accident, who were the
principals involved?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
5. If by his own hand, the means
there of
________________________________________________________________________________________
6. Was the taking of this
life justified under the law.
________________________________________________________________________________________
Attested to this ______day
of__________
Jurors:
1.________________________________________
2.________________________________________
3.________________________________________
4.________________________________________
5.________________________________________
6.________________________________________
Signature of the County
Coroner and Date
Signature of Coroner ____________________________________
Date____________________________________