Preview
Filing # 166500198 E-Filed 02/09/2023 03:09:33 PM
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
TOTAL PAGES: 4
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIJA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
DEFENDANT(S) NOTICE OF PRODUCTION OF DOCUMENTS
FROM NON-PARTY
YOU ARE HEREBY NOTIFIED that after ten (10) days from the date of service of this
Notice, service is by email, and if no objection is received from any party, the undersigned will
issue or apply to the Clerk of this court for the issuance of the attached Subpoena(s) directed to
the following:
Ambulance (EMS) Records Custodian for
CITY OF JACKSONVILLE FIRE AND RESCUE DEPARTMENT
515 NORTH JULIA STREET
JACKSONVILLE, FL 32202
Radiology & Billing Records Custodian for
UF HEALTH JACKSONVILLE
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
Medical Records Custodian for
SCANSTAT TECHNOLOGIES
PO BOX 2480
ROSWELL, GA 30077
Page 1 of 4
ACCEPTED: DUVAL COUNTY, JODY PHILLIPS, CLERK, 02/09/2023 06:38:35 PM
CLAIM NO.: 0651798240
ORDER #: FL0180652-001
TOTAL PAGES: 4
Medical Records Custodian for
COASTAL SPINE AND PAIN CENTER
1564 KINGSLEY AVENUE, SUITE 300
ORANGE PARK, FL 32073
Prescription & Pharmacy Records Custodian for
CVS PHARMACY, INC. C/O CT CORPORATION
1200 SOUTH PINE ISLAND ROAD, SUITE 250
PLANTATION, FL 33324
Prescription & Pharmacy Records Custodian for
WALGREENS CORPORATION
1901 EAST VOORHEES STREET, MAIL STOP 735
DANVILLE, IL 61834
Prescription & Pharmacy Records Custodian for
WAL-MART INC. C/O CT CORPORATION
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Prescription & Pharmacy Records Custodian for
SAM'S EAST, INC. C/O C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Prescription & Pharmacy Records Custodian for
COSTCO WHOLESALE CORPORATION C/O C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Prescription & Pharmacy Records Custodian for
PUBLIX PHARMACY, PRIVACY OFFICER
3300 PUBLIX CORPORATE PARKWAY
LAKELAND, FL 33811
Insurance Records Custodian for
SECURITY NATIONAL INSURANCE COMPANY C/O CHIEF FINANCIAL OFFICER
200 EAST GAINES STREET
TALLAHASSEE, FL 32399
Insurance Records Custodian for
PROGRESSIVE SELECT INSURANCE COMPANY C/O CHIEF FINANCIAL
OFFICER
200 EAST GAINES STREET
TALLAHASSEE, FL 32399
Page 2 of 4
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
‘TOTAL PAGES: 4
Insurance Records Custodian for
GEICO GENERAL INSURANCE COMPANY C/O CFO
200 EAST GAINES STREET
TALLAHASSEE, FL 32399
Workers' Compensation Records Custodian for
DIVISION OF WORKERS COMPENSATION, FLORIDA DEPARTMENT OF
FINANCIAL SERVICES
200 EAST GAINES STREET
TALLAHASSEE, FL 32399
Records Custodian for
WALT’S TOWING COMPANY
509 ELLIS ROAD NORTH
JACKSONVILLE, FL 32254
Attorney Legal Records Custodian for
INTEGRITY LAW, P.A.
1934 RETAW STREET
JACKSONVILLE, FL 32210
The above listed are not a party to this lawsuit and are requested to produce the items listed at
the time and place specified in the attached Subpoena(s).
If you wish to receive copies of these documents, please advise the undersigned, in writing,
and same will be provided, at a cost for photocopies, upon receipt.
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES
INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES.
PLEASE BE GOVERNED ACCORDINGLY.
I HEREBY CERTIFY that on the g day of Fe 0 > 20 14a true and correct copy
of the foregoing Defendant(s) Notice of Production of Documents from Non Party has been
furnished by email to:
AUSTIN T. BROWN, ESQ.
FARAH & FARAH, P.A.
10 WEST ADAMS STREET, 3RD FLOOR, SUITE 300
JACKSONVILLE, FL 32202
ABROWN@FARAHANDFARAH.COM
Page 3 of 4
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
TOTAL PAGES: 4
CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT
120 SOUTH PALMETTO AVE
DAYTONA BEACH, FL 32114
Telephone: 386-257-1755
Fax: 386-252-5601
wee AMBERB. DAVIDS, ESQ
ele
FL BAR NO. 116150
PRINCIPAL EMAIL FOR SERVICE OF PLEADINGS:
SERVICEJP@CAMERONHODGES2.COM
Attorney for Defendant(s)
SAYED KNAKIA WALKER AND KUALA MONICA
HOOPER-WALKER
Page 4 of 4
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
CITY OF JACKSONVILLE FIRE AND RESCUE DEPARTMENT
515 NORTH JULIA STREET
JACKSONVILLE, FL 32202
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
ALL PARAMEDIC AND/OR AMBULANCE RECORDS, STORED IN ANY FORMAT OR
METHOD, INCLUDING ANY AND ALL JOURNAL NOTES, TREATMENT RECORDS
AND NOTES, FINAL REPORTS, TRANSPORT RECORDS AND REPORTS, ITEMIZED
STATEMENTS OF CHARGES, INCLUDING PAYMENT HISTORY, AND ALL OTHER
MEDICAL RECORDS OR TREATMENT RECORDS MAINTAINED. JIMMIE LEE
WITCHARD ; DOB: EE SSN:
Page 1 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
TOTAL PAGES: 3
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES, INC.. the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete."' Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-001
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
1 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT
120 SOUTH
DAYTONA
PALMETTO AVE
BEACH, FL 32114
By No
For the Court,
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-002
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
UF HEALTH JACKSONVILLE
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
ALL ITEMIZED STATEMENTS OF THE BILLING CHARGES AND/OR
CONSOLIDATED STATEMENT OF BENEFITS, WITH DIAGNOSTIC AND
PROCEDURE CODES INCLUDING ALL CPT AND ICD-9/ICD-10 CODING AND ALL
HCFA , UB04 AND UB92 BILLS, TO INCLUDE THE TOTAL CHARGES PRIVATE OR
GOVERNMENTAL; ANY AMOUNTS WRITTEN OFF BY THE PROVIDER, AND ANY
AMOUNTS THAT ARE THE PATIENT'S RESPONSIBILITY AND EXPLANATION OF
BENEFITS, PAYMENT HISTORY, RECORDS OF ANY LIENS, ANY INSURANCE
BILLING OR PAYMENTS INFORMATION, EMERGENCY ROOM PHYSICIANS BILLS
AND RADIOLOGY BILLING FROM ALL SOURCES, TO INCLUDE ANY COMPUTER
Page 1 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-002
TOTAL PAGES: 3
GENERATED BILLING OR BILLING STORED IN ANY FORMAT AND PAYMENT
SOFTWARE THAT CONTAINS SAID INFORMATION; AND
COPIES OF ALL FILMS, CT SCANS, MRIS AND ALL OTHER SCANS AND/OR
IMAGES STORED, INCLUDING COMPREHENSIVE LIST OF ALL DATES AND BODY
PARTS.
ALL RADIOLOGICAL REPORTS AND RECORDS, INCLUDING A COMPREHENSIVE
LIST OF ALL DATES AND BODY PARTS OF ALL FILMS, CT SCANS, MRIS AND ALL
OTHER IMAGES OR SCANS TAKEN AND/OR MAINTAINED. JIMMIE LEE
WITCHARD ; DOB: SE SSN:
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES, INC., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production, ''The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete."' Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-002
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
1 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT
120 SOUTH PALMETTO AVE By: Z aS Pi os
DAYTONA BEACH, FL 32114 For the Court —s~
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-003
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
SCANSTAT TECHNOLOGIES
PO BOX 2480
ROSWELL, GA 30077
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 4870 Sadler Road, Suite 300, Glen Allen, Virginia, 23060,
Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have
with you at that time and place the following:
ALL DOCUMENTS AND RECORDS STORED IN ANY FORMAT OR METHOD
INCLUDING, BUT NOT LIMITED TO, ALL MEDICAL RECORDS, INTAKE FORMS,
PATIENT COMPLETED FORMS AND/OR DOCUMENTS, CORRESPONDENCE, ALL
OFFICE RECORDS, EMERGENCY ROOM RECORDS OR REPORTS, INPATIENT AND
OUTPATIENT CHARTS AND RECORDS, LIEN FILES, SOAP NOTES, PATHOLOGY
RECORDS AND REPORTS, LAB REPORTS, PHARMACY AND PRESCRIPTION
RECORDS, PHYSICAL THERAPY RECORDS, SIGN-IN SHEETS, ALL DESCRIPTIONS
OF EXERCISES PRESCRIBED, DOCUMENTATION WHICH INDICATE DATE AND
TIME OF PATIENT'S APPOINTMENTS, INSURANCE DOCUMENTS, ALL
Page 1 of 3
CLAIM NO:; 0651798240
ORDER #: FLO180652-003
‘TOTAL PAGES: 3
RADIOLOGY REPORTS AND READINGS, AND ANY OTHER DOCUMENTS
MAINTAINED PERTAINING TO THE CARE, TREATMENT AND EXAMINATION OF
THE PATIENT. JIMMIE LEE WITCHARD ; DOB: SEE SSN:
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
opies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
4870 SADLER ROAD, SUITE 300, GLEN ALLEN, VIRGINIA, 23060
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN,
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO: 0651798240
ORDER #: FLO180652-003
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
1 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
/
WRIGHT
120 SOUTH PALMETTO AVE By: a
ff X<
DAYTONA BEACH, FL 32114 For the Cour <<
—=>
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.; 0651798240
ORDER #: FLO180652-004
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintifi(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
COASTAL SPINE AND PAIN CENTER
1564 KINGSLEY AVENUE, SUITE 300
ORANGE PARK, FL 32073
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
ALL DOCUMENTS AND RECORDS STORED IN ANY FORMAT OR METHOD
INCLUDING, BUT NOT LIMITED TO, ALL MEDICAL RECORDS, INTAKE FORMS,
PATIENT COMPLETED FORMS AND/OR DOCUMENTS, CORRESPONDENCE, ALL
OFFICE RECORDS, EMERGENCY ROOM RECORDS OR REPORTS, INPATIENT AND
OUTPATIENT CHARTS AND RECORDS, LIEN FILES, SOAP NOTES, PATHOLOGY
RECORDS AND REPORTS, LAB REPORTS, PHARMACY AND PRESCRIPTION
RECORDS, PHYSICAL THERAPY RECORDS, SIGN-IN SHEETS, ALL DESCRIPTIONS
OF EXERCISES PRESCRIBED, DOCUMENTATION WHICH INDICATE DATE AND
TIME OF PATIENT'S APPOINTMENTS, INSURANCE DOCUMENTS, ALL
Page 1 of 3
CLAIM NO.: 0651798240
ORDER#: FLO!80652-004
TOTAL PAGES: 3
RADIOLOGY REPORTS AND READINGS, AND ANY OTHER DOCUMENTS
MAINTAINED PERTAINING TO THE CARE, TREATMENT AND EXAMINATION OF
THE PATIENT; AND
ALL ITEMIZED STATEMENTS OF THE BILLING CHARGES AND/OR
CONSOLIDATED STATEMENT OF BENEFITS, WITH DIAGNOSTIC AND
PROCEDURE CODES INCLUDING ALL CPT AND ICD-9/ICD-10 CODING AND ALL
HCFA, UB04 AND UB92 BILLS, TO INCLUDE THE TOTAL CHARGES PRIVATE OR
GOVERNMENTAL; ANY AMOUNTS WRITTEN OFF BY THE PROVIDER, AND ANY
AMOUNTS THAT ARE THE PATIENT'S RESPONSIBILITY AND EXPLANATION OF
BENEFITS, PAYMENT HISTORY, RECORDS OF ANY LIENS, ANY INSURANCE
BILLING OR PAYMENTS INFORMATION, EMERGENCY ROOM PHYSICIANS BILLS
AND RADIOLOGY BILLING FROM ALL SOURCES, TO INCLUDE ANY COMPUTER
GENERATED BILLING OR BILLING STORED IN ANY FORMAT AND PAYMENT
SOFTWARE THAT CONTAINS SAID INFORMATION. JIMMIE LEE WITCHARD ;
DOB: SE SSN:
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES. INC.., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 20f3
CLAIM NO.: 0651798240
ORDER #: FLO180652-004
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
4 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT A4
120 SOUTH PALMETTO AVE by a
DAYTONA BEACH, FL 32114 For the Cu
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.: 0651798240
ORDER#: FLO180652-005
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
CVS PHARMACY, INC. C/O CT CORPORATION
1200 SOUTH PINE ISLAND ROAD, SUITE 250
PLANTATION, FL 33324
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
INCLUDING, BUT NOT LIMITED TO ANY AND ALL PRESCRIPTION RECORD
STORED AT: CVS PHARMACY INCORPORATION, ONE CVS DRIVE WOONSOCKET,
RHODE ISLAND, 02895
ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA
PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE
PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING
ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND
ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS
Page
1 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-005
TOTAL PAGES: 3
OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB:
SSN:
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-005
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
tequirements to obtain patient health information and that the representations below are true
and correct:
1 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
= No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT
120 SOUTH PALMETTO AVE By: in AY
DAYTONA BEACH, FL 32114 For the Court a >
Telephone: 386-257-1755 SS)
Page 3 of 3
CLAIM NO.: 0651798240
ORDER #: FLO!80652-006
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs,
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
WALGREENS CORPORATION
1901 EAST VOORHEES STREET, MAIL STOP 735
DANVILLE, IL 61834
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 15 Spinning Wheel Road, Suite 400. Hinsdale, Illinois, 60521,
Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have
with you at that time and place the following:
ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA
PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE
PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING
ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND
ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS
OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB:
SE ss:
Page 1 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-006
TOTAL PAGES: 3
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
opies of the items to be produced to COMPEX LEGAL SERVICES, INC., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
15 SPINNING WHEEL ROAD, SUITE 400, HINSDALE, ILLINOIS, 60521
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-006
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
1
| have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
i
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT Z
120 SOUTH PALMETTO AVE By’
=
DAYTONA BEACH, FL 32114 For the Court
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-007
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
WAL-MART INC. C/O CT CORPORATION
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
INCLUDING, BUT NOT LIMITED TO ANY AND ALL PRESCRIPTION RECORD
STORED AT: WALMART STORES, INCORPORATION, 702 SOUTHWEST 8TH
STREET BENTONVILLE ARKANSAS, 72716
ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA
PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE
PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING
ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND
ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS
Page 1 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-007
TOTAL PAGES: 3
OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB:
SSN:
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES,
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
returned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER#: FLO180652-007
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
tequirements to obtain patient health information and that the representations below are true
and correct:
| have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBERB. DAVIDS, ESQ Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN,
WRIGHT
120 SOUTH PALMETTO AVE
LAPOINTE &
By:
l— Ie
DAYTONA BEACH, FL 32114 For the Court
Telephone: 386-257-1755
Page 3 of 3
CLAIM NO.; 0651798240
ORDER #: FLO180652-008
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO, 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
SAM'S EAST, INC. C/O C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex
Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax:
888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with
you at that time and place the following:
ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA
PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE
PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING
ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND
ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS
OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB:
SE sss:
Page 1of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-008
TOTAL PAGES: 3
IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT
COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE
CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING
COPIES.
These items will be inspected and may be copied at that time. You will not be required to
surrender the original items. You may comply with this subpoena by providing legible
copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of
the attorney whose name appears on this subpoena, on or before the scheduled date of
production. "The records requested will be used for this litigation only and will be
‘eturned or destroyed after litigation is complete." Please contact Compex Legal Services,
Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for
compliance to:
COMPEX LEGAL SERVICES, INC.
5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634
Tel: 888-531-2919, Fax: 888-531-2922
You may condition the preparation of the copies upon the payment in advance of the reasonable
cost of preparation. You have the right to object to the production pursuant to this subpoena at
any time before production by giving written notice to the attorney whose name appears on this
subpoena.
THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN.
If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided
above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by
the attorney whose name appears on this subpoena and unless excused from this subpoena by the
attorney or the Court, you shall respond to this subpoena as directed.
Page 2 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-008
TOTAL PAGES: 3
CERTIFICATE OF NOTICE
Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45
CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and
requirements to obtain patient health information and that the representations below are true
and correct:
4 | have made a good faith attempt to provide written notice to the above-named patient,
through counsel, of intent to obtain the patient's health information pursuant to this
subpoena;
The written notice provided sufficient information about this litigation or proceeding in which
the protected health information is requested to permit the patient to raise an objection to
the court or administrative tribunal; and
The time of the patient to raise objections to the court or administrative tribunal has elapsed
and (check one)
No objections were filed; or
All objections filed by the patient were resolved by the court or administrative
tribunal and the disclosures being sought are consistent with such resolutions.
AMBER B. DAVIDS, ESQ. Dated:
Attorney for Defendant(s)
FL Bar No. 116150
CAMERON, HODGES, COLEMAN, LAPOINTE &
WRIGHT _
120 SOUTH PALMETTO AVE By: oe a
a
DAYTONA BEACH, FL 32114 For the Court".
Telephone: 386-257-1755
Page
3 of 3
CLAIM NO.: 0651798240
ORDER #: FLO180652-009
TOTAL PAGES: 3
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT
IN AND FOR DUVAL COUNTY,
FLORIDA
JIMMIE LEE WITCHARD; KIMBERLY
HARVEY-BROWN, AS PARENT AND
NATURAL GUARDIAN OF C.B., A MINOR,
AND AS PARENT AND NATURAL
GUARDIAN OF K.B., A MINOR,
CASE NO. 2022-CA-6378
Plaintiff(s),
vs.
SAYED KNAKIA WALKER AND KUALA
MONICA HOOPER-WALKER,
Defendant(s),
|
SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS
THE STATE OF FLORIDA:
TO: RECORDS CUSTODIAN FOR
COSTCO WHOLESALE CORPORATION C/O C T CORPORATION SYSTEM
Preview
Filing # 166500198 E-Filed 02/09/2023 03:09:33 PM CLAIM NO.: 0651798240 ORDER #: FLO180652-001 TOTAL PAGES: 4 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIJA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), DEFENDANT(S) NOTICE OF PRODUCTION OF DOCUMENTS FROM NON-PARTY YOU ARE HEREBY NOTIFIED that after ten (10) days from the date of service of this Notice, service is by email, and if no objection is received from any party, the undersigned will issue or apply to the Clerk of this court for the issuance of the attached Subpoena(s) directed to the following: Ambulance (EMS) Records Custodian for CITY OF JACKSONVILLE FIRE AND RESCUE DEPARTMENT 515 NORTH JULIA STREET JACKSONVILLE, FL 32202 Radiology & Billing Records Custodian for UF HEALTH JACKSONVILLE 655 WEST 8TH STREET JACKSONVILLE, FL 32209 Medical Records Custodian for SCANSTAT TECHNOLOGIES PO BOX 2480 ROSWELL, GA 30077 Page 1 of 4 ACCEPTED: DUVAL COUNTY, JODY PHILLIPS, CLERK, 02/09/2023 06:38:35 PM CLAIM NO.: 0651798240 ORDER #: FL0180652-001 TOTAL PAGES: 4 Medical Records Custodian for COASTAL SPINE AND PAIN CENTER 1564 KINGSLEY AVENUE, SUITE 300 ORANGE PARK, FL 32073 Prescription & Pharmacy Records Custodian for CVS PHARMACY, INC. C/O CT CORPORATION 1200 SOUTH PINE ISLAND ROAD, SUITE 250 PLANTATION, FL 33324 Prescription & Pharmacy Records Custodian for WALGREENS CORPORATION 1901 EAST VOORHEES STREET, MAIL STOP 735 DANVILLE, IL 61834 Prescription & Pharmacy Records Custodian for WAL-MART INC. C/O CT CORPORATION 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Prescription & Pharmacy Records Custodian for SAM'S EAST, INC. C/O C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Prescription & Pharmacy Records Custodian for COSTCO WHOLESALE CORPORATION C/O C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Prescription & Pharmacy Records Custodian for PUBLIX PHARMACY, PRIVACY OFFICER 3300 PUBLIX CORPORATE PARKWAY LAKELAND, FL 33811 Insurance Records Custodian for SECURITY NATIONAL INSURANCE COMPANY C/O CHIEF FINANCIAL OFFICER 200 EAST GAINES STREET TALLAHASSEE, FL 32399 Insurance Records Custodian for PROGRESSIVE SELECT INSURANCE COMPANY C/O CHIEF FINANCIAL OFFICER 200 EAST GAINES STREET TALLAHASSEE, FL 32399 Page 2 of 4 CLAIM NO.: 0651798240 ORDER #: FLO180652-001 ‘TOTAL PAGES: 4 Insurance Records Custodian for GEICO GENERAL INSURANCE COMPANY C/O CFO 200 EAST GAINES STREET TALLAHASSEE, FL 32399 Workers' Compensation Records Custodian for DIVISION OF WORKERS COMPENSATION, FLORIDA DEPARTMENT OF FINANCIAL SERVICES 200 EAST GAINES STREET TALLAHASSEE, FL 32399 Records Custodian for WALT’S TOWING COMPANY 509 ELLIS ROAD NORTH JACKSONVILLE, FL 32254 Attorney Legal Records Custodian for INTEGRITY LAW, P.A. 1934 RETAW STREET JACKSONVILLE, FL 32210 The above listed are not a party to this lawsuit and are requested to produce the items listed at the time and place specified in the attached Subpoena(s). If you wish to receive copies of these documents, please advise the undersigned, in writing, and same will be provided, at a cost for photocopies, upon receipt. IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. PLEASE BE GOVERNED ACCORDINGLY. I HEREBY CERTIFY that on the g day of Fe 0 > 20 14a true and correct copy of the foregoing Defendant(s) Notice of Production of Documents from Non Party has been furnished by email to: AUSTIN T. BROWN, ESQ. FARAH & FARAH, P.A. 10 WEST ADAMS STREET, 3RD FLOOR, SUITE 300 JACKSONVILLE, FL 32202 ABROWN@FARAHANDFARAH.COM Page 3 of 4 CLAIM NO.: 0651798240 ORDER #: FLO180652-001 TOTAL PAGES: 4 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT 120 SOUTH PALMETTO AVE DAYTONA BEACH, FL 32114 Telephone: 386-257-1755 Fax: 386-252-5601 wee AMBERB. DAVIDS, ESQ ele FL BAR NO. 116150 PRINCIPAL EMAIL FOR SERVICE OF PLEADINGS: SERVICEJP@CAMERONHODGES2.COM Attorney for Defendant(s) SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER Page 4 of 4 CLAIM NO.: 0651798240 ORDER #: FLO180652-001 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR CITY OF JACKSONVILLE FIRE AND RESCUE DEPARTMENT 515 NORTH JULIA STREET JACKSONVILLE, FL 32202 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL PARAMEDIC AND/OR AMBULANCE RECORDS, STORED IN ANY FORMAT OR METHOD, INCLUDING ANY AND ALL JOURNAL NOTES, TREATMENT RECORDS AND NOTES, FINAL REPORTS, TRANSPORT RECORDS AND REPORTS, ITEMIZED STATEMENTS OF CHARGES, INCLUDING PAYMENT HISTORY, AND ALL OTHER MEDICAL RECORDS OR TREATMENT RECORDS MAINTAINED. JIMMIE LEE WITCHARD ; DOB: EE SSN: Page 1 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-001 TOTAL PAGES: 3 IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES, INC.. the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete."' Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-001 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 1 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT 120 SOUTH DAYTONA PALMETTO AVE BEACH, FL 32114 By No For the Court, Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-002 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR UF HEALTH JACKSONVILLE 655 WEST 8TH STREET JACKSONVILLE, FL 32209 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL ITEMIZED STATEMENTS OF THE BILLING CHARGES AND/OR CONSOLIDATED STATEMENT OF BENEFITS, WITH DIAGNOSTIC AND PROCEDURE CODES INCLUDING ALL CPT AND ICD-9/ICD-10 CODING AND ALL HCFA , UB04 AND UB92 BILLS, TO INCLUDE THE TOTAL CHARGES PRIVATE OR GOVERNMENTAL; ANY AMOUNTS WRITTEN OFF BY THE PROVIDER, AND ANY AMOUNTS THAT ARE THE PATIENT'S RESPONSIBILITY AND EXPLANATION OF BENEFITS, PAYMENT HISTORY, RECORDS OF ANY LIENS, ANY INSURANCE BILLING OR PAYMENTS INFORMATION, EMERGENCY ROOM PHYSICIANS BILLS AND RADIOLOGY BILLING FROM ALL SOURCES, TO INCLUDE ANY COMPUTER Page 1 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-002 TOTAL PAGES: 3 GENERATED BILLING OR BILLING STORED IN ANY FORMAT AND PAYMENT SOFTWARE THAT CONTAINS SAID INFORMATION; AND COPIES OF ALL FILMS, CT SCANS, MRIS AND ALL OTHER SCANS AND/OR IMAGES STORED, INCLUDING COMPREHENSIVE LIST OF ALL DATES AND BODY PARTS. ALL RADIOLOGICAL REPORTS AND RECORDS, INCLUDING A COMPREHENSIVE LIST OF ALL DATES AND BODY PARTS OF ALL FILMS, CT SCANS, MRIS AND ALL OTHER IMAGES OR SCANS TAKEN AND/OR MAINTAINED. JIMMIE LEE WITCHARD ; DOB: SE SSN: IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES, INC., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production, ''The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete."' Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-002 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 1 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT 120 SOUTH PALMETTO AVE By: Z aS Pi os DAYTONA BEACH, FL 32114 For the Court —s~ Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-003 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR SCANSTAT TECHNOLOGIES PO BOX 2480 ROSWELL, GA 30077 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 4870 Sadler Road, Suite 300, Glen Allen, Virginia, 23060, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL DOCUMENTS AND RECORDS STORED IN ANY FORMAT OR METHOD INCLUDING, BUT NOT LIMITED TO, ALL MEDICAL RECORDS, INTAKE FORMS, PATIENT COMPLETED FORMS AND/OR DOCUMENTS, CORRESPONDENCE, ALL OFFICE RECORDS, EMERGENCY ROOM RECORDS OR REPORTS, INPATIENT AND OUTPATIENT CHARTS AND RECORDS, LIEN FILES, SOAP NOTES, PATHOLOGY RECORDS AND REPORTS, LAB REPORTS, PHARMACY AND PRESCRIPTION RECORDS, PHYSICAL THERAPY RECORDS, SIGN-IN SHEETS, ALL DESCRIPTIONS OF EXERCISES PRESCRIBED, DOCUMENTATION WHICH INDICATE DATE AND TIME OF PATIENT'S APPOINTMENTS, INSURANCE DOCUMENTS, ALL Page 1 of 3 CLAIM NO:; 0651798240 ORDER #: FLO180652-003 ‘TOTAL PAGES: 3 RADIOLOGY REPORTS AND READINGS, AND ANY OTHER DOCUMENTS MAINTAINED PERTAINING TO THE CARE, TREATMENT AND EXAMINATION OF THE PATIENT. JIMMIE LEE WITCHARD ; DOB: SEE SSN: IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible opies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 4870 SADLER ROAD, SUITE 300, GLEN ALLEN, VIRGINIA, 23060 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN, If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO: 0651798240 ORDER #: FLO180652-003 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 1 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & / WRIGHT 120 SOUTH PALMETTO AVE By: a ff X< DAYTONA BEACH, FL 32114 For the Cour << —=> Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.; 0651798240 ORDER #: FLO180652-004 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintifi(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR COASTAL SPINE AND PAIN CENTER 1564 KINGSLEY AVENUE, SUITE 300 ORANGE PARK, FL 32073 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL DOCUMENTS AND RECORDS STORED IN ANY FORMAT OR METHOD INCLUDING, BUT NOT LIMITED TO, ALL MEDICAL RECORDS, INTAKE FORMS, PATIENT COMPLETED FORMS AND/OR DOCUMENTS, CORRESPONDENCE, ALL OFFICE RECORDS, EMERGENCY ROOM RECORDS OR REPORTS, INPATIENT AND OUTPATIENT CHARTS AND RECORDS, LIEN FILES, SOAP NOTES, PATHOLOGY RECORDS AND REPORTS, LAB REPORTS, PHARMACY AND PRESCRIPTION RECORDS, PHYSICAL THERAPY RECORDS, SIGN-IN SHEETS, ALL DESCRIPTIONS OF EXERCISES PRESCRIBED, DOCUMENTATION WHICH INDICATE DATE AND TIME OF PATIENT'S APPOINTMENTS, INSURANCE DOCUMENTS, ALL Page 1 of 3 CLAIM NO.: 0651798240 ORDER#: FLO!80652-004 TOTAL PAGES: 3 RADIOLOGY REPORTS AND READINGS, AND ANY OTHER DOCUMENTS MAINTAINED PERTAINING TO THE CARE, TREATMENT AND EXAMINATION OF THE PATIENT; AND ALL ITEMIZED STATEMENTS OF THE BILLING CHARGES AND/OR CONSOLIDATED STATEMENT OF BENEFITS, WITH DIAGNOSTIC AND PROCEDURE CODES INCLUDING ALL CPT AND ICD-9/ICD-10 CODING AND ALL HCFA, UB04 AND UB92 BILLS, TO INCLUDE THE TOTAL CHARGES PRIVATE OR GOVERNMENTAL; ANY AMOUNTS WRITTEN OFF BY THE PROVIDER, AND ANY AMOUNTS THAT ARE THE PATIENT'S RESPONSIBILITY AND EXPLANATION OF BENEFITS, PAYMENT HISTORY, RECORDS OF ANY LIENS, ANY INSURANCE BILLING OR PAYMENTS INFORMATION, EMERGENCY ROOM PHYSICIANS BILLS AND RADIOLOGY BILLING FROM ALL SOURCES, TO INCLUDE ANY COMPUTER GENERATED BILLING OR BILLING STORED IN ANY FORMAT AND PAYMENT SOFTWARE THAT CONTAINS SAID INFORMATION. JIMMIE LEE WITCHARD ; DOB: SE SSN: IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES. INC.., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 20f3 CLAIM NO.: 0651798240 ORDER #: FLO180652-004 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 4 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT A4 120 SOUTH PALMETTO AVE by a DAYTONA BEACH, FL 32114 For the Cu Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.: 0651798240 ORDER#: FLO180652-005 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR CVS PHARMACY, INC. C/O CT CORPORATION 1200 SOUTH PINE ISLAND ROAD, SUITE 250 PLANTATION, FL 33324 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: INCLUDING, BUT NOT LIMITED TO ANY AND ALL PRESCRIPTION RECORD STORED AT: CVS PHARMACY INCORPORATION, ONE CVS DRIVE WOONSOCKET, RHODE ISLAND, 02895 ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS Page 1 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-005 TOTAL PAGES: 3 OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB: SSN: IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-005 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and tequirements to obtain patient health information and that the representations below are true and correct: 1 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) = No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT 120 SOUTH PALMETTO AVE By: in AY DAYTONA BEACH, FL 32114 For the Court a > Telephone: 386-257-1755 SS) Page 3 of 3 CLAIM NO.: 0651798240 ORDER #: FLO!80652-006 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs, SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR WALGREENS CORPORATION 1901 EAST VOORHEES STREET, MAIL STOP 735 DANVILLE, IL 61834 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 15 Spinning Wheel Road, Suite 400. Hinsdale, Illinois, 60521, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB: SE ss: Page 1 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-006 TOTAL PAGES: 3 IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible opies of the items to be produced to COMPEX LEGAL SERVICES, INC., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 15 SPINNING WHEEL ROAD, SUITE 400, HINSDALE, ILLINOIS, 60521 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-006 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 1 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 i CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT Z 120 SOUTH PALMETTO AVE By’ = DAYTONA BEACH, FL 32114 For the Court Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-007 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR WAL-MART INC. C/O CT CORPORATION 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: INCLUDING, BUT NOT LIMITED TO ANY AND ALL PRESCRIPTION RECORD STORED AT: WALMART STORES, INCORPORATION, 702 SOUTHWEST 8TH STREET BENTONVILLE ARKANSAS, 72716 ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS Page 1 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-007 TOTAL PAGES: 3 OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB: SSN: IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES, These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be returned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER#: FLO180652-007 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and tequirements to obtain patient health information and that the representations below are true and correct: | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBERB. DAVIDS, ESQ Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, WRIGHT 120 SOUTH PALMETTO AVE LAPOINTE & By: l— Ie DAYTONA BEACH, FL 32114 For the Court Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.; 0651798240 ORDER #: FLO180652-008 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO, 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR SAM'S EAST, INC. C/O C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 YOU ARE COMMANDED to produce without deposition and deliver by mail or fax c/o Compex Legal Services, Inc. located at, 5481 W. Waters Ave. Suite 108, Tampa, Florida, 33634, Fax: 888-531-2922, after ten (10) days from the date of service of this subpoena, and to have with you at that time and place the following: ALL DOCUMENTS, RECORDS, PRESCRIPTIONS, AND OTHER MEMORANDA PERTAINING TO THE ISSUANCE AND SALE OF PRESCRIPTION DRUGS TO THE PATIENT, INCLUDING BUT NOT LIMITED TO PAYMENT HISTORY, INCLUDING ALL ORIGINAL DOCTORS PRESCRIPTION FORMS, ELECTRONIC RECORDS, AND ANY OTHER PHARMACY RECORDS PERTAINING TO THE PATIENT REGARDLESS OF TREATMENT OR PRESCRIPTION DATE. JIMMIE LEE WITCHARD ; DOB: SE sss: Page 1of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-008 TOTAL PAGES: 3 IF COPY CHARGES EXCEED $500.00 FOR THIS PATIENT, PLEASE CONTACT COMPEX LEGAL SERVICES, INC. AT 888-531-2919 WITH A LIST OF THE CHARGES INVOLVED IN OBTAINING THESE RECORDS BEFORE CREATING COPIES. These items will be inspected and may be copied at that time. You will not be required to surrender the original items. You may comply with this subpoena by providing legible copies of the items to be produced to COMPEX LEGAL SERVICES, INC.., the agent of the attorney whose name appears on this subpoena, on or before the scheduled date of production. "The records requested will be used for this litigation only and will be ‘eturned or destroyed after litigation is complete." Please contact Compex Legal Services, Inc. directly and send all Medical Records, Bills, Films, and all other items necessary for compliance to: COMPEX LEGAL SERVICES, INC. 5481 W. WATERS AVE. SUITE 108, TAMPA, FLORIDA, 33634 Tel: 888-531-2919, Fax: 888-531-2922 You may condition the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You have the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose name appears on this subpoena. THIS WILL NOT BE A DEPOSITION, NO TESTIMONY WILL BE TAKEN. If you fail to: (1) appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by the attorney or the Court, you shall respond to this subpoena as directed. Page 2 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-008 TOTAL PAGES: 3 CERTIFICATE OF NOTICE Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, | hereby certify that | have complied with the regulations and requirements to obtain patient health information and that the representations below are true and correct: 4 | have made a good faith attempt to provide written notice to the above-named patient, through counsel, of intent to obtain the patient's health information pursuant to this subpoena; The written notice provided sufficient information about this litigation or proceeding in which the protected health information is requested to permit the patient to raise an objection to the court or administrative tribunal; and The time of the patient to raise objections to the court or administrative tribunal has elapsed and (check one) No objections were filed; or All objections filed by the patient were resolved by the court or administrative tribunal and the disclosures being sought are consistent with such resolutions. AMBER B. DAVIDS, ESQ. Dated: Attorney for Defendant(s) FL Bar No. 116150 CAMERON, HODGES, COLEMAN, LAPOINTE & WRIGHT _ 120 SOUTH PALMETTO AVE By: oe a a DAYTONA BEACH, FL 32114 For the Court". Telephone: 386-257-1755 Page 3 of 3 CLAIM NO.: 0651798240 ORDER #: FLO180652-009 TOTAL PAGES: 3 IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR DUVAL COUNTY, FLORIDA JIMMIE LEE WITCHARD; KIMBERLY HARVEY-BROWN, AS PARENT AND NATURAL GUARDIAN OF C.B., A MINOR, AND AS PARENT AND NATURAL GUARDIAN OF K.B., A MINOR, CASE NO. 2022-CA-6378 Plaintiff(s), vs. SAYED KNAKIA WALKER AND KUALA MONICA HOOPER-WALKER, Defendant(s), | SUBPOENA DUCES TECUM FOR PRODUCTION OF DOCUMENTS THE STATE OF FLORIDA: TO: RECORDS CUSTODIAN FOR COSTCO WHOLESALE CORPORATION C/O C T CORPORATION SYSTEM