Pre-billed Appellant pending payment of:

On December 29, 2020 an appeal (county court) case was filed by Functional Evaluation Testing Of Florida, Inc., represented by Barr, Chad, against Progressive Select Insurance Company, represented by Cuervo, Ritamaria Gonzalez, in the jurisdiction of Broward County. Judge Judge AP, Appeals presiding.

                        
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##** FILED: BROWARD COUNTY, FL Brenda D. Forman, CLERK 1/4/2021 11:14:48 AM.**#* Brenda D. Forman — CLERK CIRCUIT COURT COUNTY COURT 17™ Judicial Cucust In and for Broward County Fort Lauderdale, FL 33301 201 Southeast 6" Street Broward County Courthouse Fort Lauderdale, Flonda 33301 APPEALS DIVISION INVOICE ESTIMATE ROOM 4140 Date: January 4, 2021 To: Chad A. Barr, Esquire Style of Case: Functional Evaluation Testing of FL, Inc. vs. Progressive Select Insurance Company Circuit Court Number: COWE 20-18504 Appeal Case Number: CACE 20-21926 The filing fee is included if it has not been paid. The amount is payable to Brenda D. Forman, Clerk of Courts at the above address prior to the beginning of the record preparation. THE APPEAL INDEX WILL NOT BE PREPARED UNTIL THE ESTIMATED FEE IS PAID 1. _19 INSTRUMENTS (3.50 PER INSTRUMENT) 80% OF ESTIMATED PLEADINGS: __15 $52.50 2. ____PAGES COPIED (INDEX & PROGRESS REPORT) MULTIPLIED BY # OF ATTORNEYS: $ 3. CERTIFICATE OF …

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