On December 23, 2020 a
Pre-billed Appellant pending payment of:
was filed
involving a dispute between
Live Young Pllc,
and
Progressive American Insurance Company,
for Appeal (County Court)
in the District Court of Broward County.
Preview
Brenda D. Forman - CLERK
CIRCUIT COURT COUNTY COURT
17™ Judicial Circuit
In and for Broward County
Fort Lauderdale, FL 33301
201 Southeast 6° Street
Broward County Courthouse
Fort Lauderdale, Florida 33301
APPEALS DIVISION INVOICE ESTIMATE ROOM 4140
Date: December 29, 2020
To: Chad Barr, Esq.
Style of Case: LIVE YOUNG PLLC. dib/a LIVE YOUNG CHIROPRACTIC
PROGRESSIVE AMERICAN INSURANCE COMPANY
Circuit Court Number: COWE20-18589(80)
Appeal Case Number: CACE20-21705(AP)
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. 13. INSTRUMENTS (3.50 PER INSTRUMENT)
80% OF ESTIMATED PLEADINGS: 10_ $35.00
2. 6. PAGES COPIED (INDEX & PROGRESS REPORT)
MULTIPLIED BY # OF ATTORNEYS: 2_ Emailed
3. CERTIFICATE OF THE CLERK FEE $7.00
4. TOTAL COST OF RECORD PREPARATION (# 1 THRU 4) $42.00
5. FILING FEE: (IF NOT PREVIOUSLY PAID): $281.00
6. ESTIMATED TOTAL AMOUNT DUE $323.00
Any overpayment will be refunded. No personal checks, please. Our payment types inchide cash. cashier's
check, money order or attomney’s firm check made payable to Clerk of the Court, If you have any questions regarding
this invoice, please contact the appeal division at 954-831-5699.
Deputy Clerk: CELESTE THOMAS, EXT. 5699
Preview
Brenda D. Forman - CLERK CIRCUIT COURT COUNTY COURT 17™ Judicial Circuit In and for Broward County Fort Lauderdale, FL 33301 201 Southeast 6° Street Broward County Courthouse Fort Lauderdale, Florida 33301 APPEALS DIVISION INVOICE ESTIMATE ROOM 4140 Date: December 29, 2020 To: Chad Barr, Esq. Style of Case: LIVE YOUNG PLLC. dib/a LIVE YOUNG CHIROPRACTIC PROGRESSIVE AMERICAN INSURANCE COMPANY Circuit Court Number: COWE20-18589(80) Appeal Case Number: CACE20-21705(AP) 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. 13. INSTRUMENTS (3.50 PER INSTRUMENT) 80% OF ESTIMATED PLEADINGS: 10_ $35.00 2. 6. PAGES COPIED (INDEX & PROGRESS REPORT) MULTIPLIED BY # OF ATTORNEYS: 2_ Emailed 3. CERTIFICATE OF THE CLERK FEE $7.00 4. TOTAL COST OF RECORD PREPARATION (# 1 THRU 4) $42.00 5. FILING FEE: (IF NOT PREVIOUSLY PAID): $281.00 6. ESTIMATED TOTAL AMOUNT DUE $323.00 Any overpayment will be refunded. No personal checks, please. Our payment types inchide cash. cashier's check, money order or attomney’s firm check made payable to Clerk of the Court, If you have any questions regarding this invoice, please contact the appeal division at 954-831-5699. Deputy Clerk: CELESTE THOMAS, EXT. 5699