On November 30, 2022 a
Party Statement
was filed
involving a dispute between
Becerra-Montes, Antony,
and
Chavez, Angel,
Chavez, Jose M.,
for MOTOR VEHICLE ACCIDENT
in the District Court of Dallas County.
Preview
FILED
3/22/2023 10:59 AM
FELICIA PITRE
DISTRICT CLERK
DALLAS CO., TEXAS
Dorothy Strogen DEPUTY
CAUSE N O. DC-22—l6409
ANTONY BECERRA—MONTES,
Plaintiff IN THE DISTRICT COURT
VS.
DALLAS COUNTY, TEXAS
ANGEL CHAVEZ AND JOSE M. 192”” JUDICIAL DISTRICT
CHAVEZ,
Defendant
PLAINTIFF ANTONY BECERRA-MONTES’S NOTICE OF FILING AFFIDAVITS
TO: Defendants, Angel Chavez and Jose M. Chavez, by and trough his attorney of record, W.
Todd Parker and John Roddy Pace, The Parker Firm, P.C., 6115 New Copeland Rd._, Suite
320, Tyler, Texas 75703.
You are hereby notified that Plaintiff, Antony Becerra-Montes, has filed in the above
entitled and numbered cause, the following records, pursuant to Chapter 18 of the Texas Civil
Practice & Remedies Code and Rule 902 of the Texas Rules of Evidence:
1. ASP Cares Pharmacy (Billing)
These records (or portions thereof) will be offered as evidence at the trial on the merits of this
case.
Plaintiff’s Notice of Filing Affidavits Page 1
DATE: March 22 . 20 23
'
Respectful} s
By:
Davnd S. Kohm
State Bar No. 11658563
DAVID S. KOHM & ASSOCIATES
1414 W. Randol Mill Road, Suite 118
Arlington, Texas 76012
Tel: (817) 226-8100 Fax: (817) 200-0111
Email: lit-efile@attorneyk0hm.com
ATTORNEYS FOR PLAINTIFF S
CERTIFICATE OF SERVICE
I hereby certify that on this 22nd day of March , 20 23 a true and correct
copy of the above and foregoing document was served via (as indicated below):
Via E-Filer Service
W. Todd Parker
John Roddy Pace
6115 New Cope-land Rd., Suite 320
Tyler, Texas 75703
Tel: 903-595-4541
Fax: 903-595-2864
markerfiDgarkerfirmpg.00111
'i maccfiflna Ifke rfirmpc. com
ATTORNEY FOR DEFENDANT
ATTORNEY FOR PLAINTIFFS
7'4e?
VI Kohm
STATE OF TEXAS §
§
COUNTY 012.... “it; §
I BE Vl’f FA PCARE C
(Antony Becarra~Montea)
BEFORE ME, the undersigned authofity, personaliy appeared Q)“ flag Q)‘ }g[ ,,h_....=,_,
who, lasing by duly sworn, depased as faliows:
My Name
affidavit.
£3
W x 3 am sf sumac! mind and capable cf making this
I am the person in charge of racerds of AS? CARES PKARMACY. Attached to this afi’idsvit am
words that provide an itamimd statement of the service and the charge for the service that A8?
CARES PHARMMEY pwided to Anteny Bacam~Monteg on
Jug] ZZ. :2.3- 3; 3,: . The What! recards are a pm ofthis affidavit,
file attached recordsare: kept by ASP (32112.53 PHARMACY1:: 31¢ regular course of business The
mformafinn untrained1n the wcurds was transmitted to me in the regular course at" businesfl by AS?
CARES i’HARMACY m- an employee er ropmsantafive of ASP CARES I’HARMACY wha had
personal knewiedge of 3h: information The mrds were made at or near the tima or reasonably
sum after aha timz flu: the service was provided. The morés are the origénal or an axact duplicate
efthc original}.
The services pmvided were necessary and the amount charged for the services mu reasonable
at the time first! pines that the services were previdad,
The totai amount paid for the services was ..................................... 3% 5*
m
The total «unwinding balance fer the services new due‘
all credits, payments, mite-offs and/‘01 adjustment 3‘;
)3 2 L1§135
713mb?
swopm AND $UBSCRIBED T0 before me on this [1 day of I , 2033
Imgag
[5mm
r 91‘ :‘ 1m,
7:7.
FT:
v
in; «1
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(Star? Pubiie,
vim-gamma am mama“; _
i
' @333 37,5.“ mam $§i§1332€5§é94 :
(aw: 3A. My (ammz‘ssfiw
Emma‘s
@‘g; jg; may 20, 2925
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Automated Certificate of eService
This automated certificate of service was created by the efiling system.
The filer served this document via email generated by the efiling system
on the date and to the persons listed below. The rules governing
certificates of service have not changed. Filers must still provide a
certificate of service that complies with all applicable rules.
Taylor Brown on behalf of David Kohm
Bar No. 11658563
taylorb@attorneykohm.com
Envelope ID: 73895936
Filing Code Description: Affidavit
Filing Description: - MOMENTUM SPINE & JOINT (BILLING)
Status as of 3/22/2023 11:56 AM CST
Associated Case Party: ANGEL CHAVEZ
Name BarNumber Email TimestampSubmitted Status
W. Todd Parker tparker@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT
John RoddyPace Jrpace@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT
Krystal Cleveland kcleveland@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT
Document Filed Date
March 22, 2023
Case Filing Date
November 30, 2022
Category
MOTOR VEHICLE ACCIDENT
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FILED 3/22/2023 10:59 AM FELICIA PITRE DISTRICT CLERK DALLAS CO., TEXAS Dorothy Strogen DEPUTY CAUSE N O. DC-22—l6409 ANTONY BECERRA—MONTES, Plaintiff IN THE DISTRICT COURT VS. DALLAS COUNTY, TEXAS ANGEL CHAVEZ AND JOSE M. 192”” JUDICIAL DISTRICT CHAVEZ, Defendant PLAINTIFF ANTONY BECERRA-MONTES’S NOTICE OF FILING AFFIDAVITS TO: Defendants, Angel Chavez and Jose M. Chavez, by and trough his attorney of record, W. Todd Parker and John Roddy Pace, The Parker Firm, P.C., 6115 New Copeland Rd._, Suite 320, Tyler, Texas 75703. You are hereby notified that Plaintiff, Antony Becerra-Montes, has filed in the above entitled and numbered cause, the following records, pursuant to Chapter 18 of the Texas Civil Practice & Remedies Code and Rule 902 of the Texas Rules of Evidence: 1. ASP Cares Pharmacy (Billing) These records (or portions thereof) will be offered as evidence at the trial on the merits of this case. Plaintiff’s Notice of Filing Affidavits Page 1 DATE: March 22 . 20 23 ' Respectful} s By: Davnd S. Kohm State Bar No. 11658563 DAVID S. KOHM & ASSOCIATES 1414 W. Randol Mill Road, Suite 118 Arlington, Texas 76012 Tel: (817) 226-8100 Fax: (817) 200-0111 Email: lit-efile@attorneyk0hm.com ATTORNEYS FOR PLAINTIFF S CERTIFICATE OF SERVICE I hereby certify that on this 22nd day of March , 20 23 a true and correct copy of the above and foregoing document was served via (as indicated below): Via E-Filer Service W. Todd Parker John Roddy Pace 6115 New Cope-land Rd., Suite 320 Tyler, Texas 75703 Tel: 903-595-4541 Fax: 903-595-2864 markerfiDgarkerfirmpg.00111 'i maccfiflna Ifke rfirmpc. com ATTORNEY FOR DEFENDANT ATTORNEY FOR PLAINTIFFS 7'4e? VI Kohm STATE OF TEXAS § § COUNTY 012.... “it; § I BE Vl’f FA PCARE C (Antony Becarra~Montea) BEFORE ME, the undersigned authofity, personaliy appeared Q)“ flag Q)‘ }g[ ,,h_....=,_, who, lasing by duly sworn, depased as faliows: My Name affidavit. £3 W x 3 am sf sumac! mind and capable cf making this I am the person in charge of racerds of AS? CARES PKARMACY. Attached to this afi’idsvit am words that provide an itamimd statement of the service and the charge for the service that A8? CARES PHARMMEY pwided to Anteny Bacam~Monteg on Jug] ZZ. :2.3- 3; 3,: . The What! recards are a pm ofthis affidavit, file attached recordsare: kept by ASP (32112.53 PHARMACY1:: 31¢ regular course of business The mformafinn untrained1n the wcurds was transmitted to me in the regular course at" businesfl by AS? CARES i’HARMACY m- an employee er ropmsantafive of ASP CARES I’HARMACY wha had personal knewiedge of 3h: information The mrds were made at or near the tima or reasonably sum after aha timz flu: the service was provided. The morés are the origénal or an axact duplicate efthc original}. The services pmvided were necessary and the amount charged for the services mu reasonable at the time first! pines that the services were previdad, The totai amount paid for the services was ..................................... 3% 5* m The total «unwinding balance fer the services new due‘ all credits, payments, mite-offs and/‘01 adjustment 3‘; )3 2 L1§135 713mb? swopm AND $UBSCRIBED T0 before me on this [1 day of I , 2033 Imgag [5mm r 91‘ :‘ 1m, 7:7. FT: v in; «1 ,1, a 51, (Star? Pubiie, vim-gamma am mama“; _ i ' @333 37,5.“ mam $§i§1332€5§é94 : (aw: 3A. My (ammz‘ssfiw Emma‘s @‘g; jg; may 20, 2925 a : Qflfi/ Automated Certificate of eService This automated certificate of service was created by the efiling system. The filer served this document via email generated by the efiling system on the date and to the persons listed below. The rules governing certificates of service have not changed. Filers must still provide a certificate of service that complies with all applicable rules. Taylor Brown on behalf of David Kohm Bar No. 11658563 taylorb@attorneykohm.com Envelope ID: 73895936 Filing Code Description: Affidavit Filing Description: - MOMENTUM SPINE & JOINT (BILLING) Status as of 3/22/2023 11:56 AM CST Associated Case Party: ANGEL CHAVEZ Name BarNumber Email TimestampSubmitted Status W. Todd Parker tparker@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT John RoddyPace Jrpace@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT Krystal Cleveland kcleveland@parkerfirmpc.com 3/22/2023 10:59:28 AM SENT