On January 18, 2023 a
Party Statement
was filed
involving a dispute between
Flores, Johanna,
and
Brown, Tracy Starr,
Sisk, Richard Wayne,
for MOTOR VEHICLE ACCIDENT
in the District Court of Dallas County.
Preview
FILED ;
5/1/202311z38 AM f
FELICIA PITRE i
DISTRICT CLERK 3
DALLAS CO., TEXAS
Terri Kilgore DEPUTY 3
CAUSE NO. DC-23-00692
J OHANNA FLORES,
Plaintiff IN THE DISTRICT COURT
VS.
DALLAS COUNTY, TEXAS
TRACY STARR BROWN AND 14m JUDICIAL DISTRICT
RICHARD WAYNE SISK,
Defendants
PLAINTIFF JOHANNA FLORES’S NOTICE OF FILING AFFIDAVITS
TO: Defendants, Tracy Starr Brown and Richard Wayne Sisk, by and through attorney of record,
Caitlin M. Hodge, The Law Office ofChrysti Bryant, 8360 LBJ Freeway, Suite 410, Dallas,
Texas 75243
You are hereby notified that Plaintiff, Johanna Flores, 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. Cole Wellness Center (Medical)
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: May1 , 2023
Respectful! ubmitted,
J”!
'
By: -.
-.
David S. Kohm
State Bar No. 1 1658563
DAVID S. KOHM & ASSOCIATES
1414 W. Randal Mill Road, Suite 118
Arlington, Texas 76012
Tel: (817) 226-8100 Fax: (817) 200-01 11
Email: lit»efile@attorneykohm.00m !
ATTORNEYS FOR PLAINTIFF S
CERTIFICATE OF SERVICE '
I hereby certify that on this lst day of May , 20 23 a true and
correct copy of the above and foregoing document was served via (as indicated below):
Via E—Filer Servigg
Caitlin M. Hodge
The Law Office of Chrysti Bryant
8360 LBJ Freeway, Suite 410
Dallas, Texas 75243
Tel: 972~892—4550
Fax: 214-575—5575
MallasEserviceg’rDkenm encogi
ATTORNEY FOR DEFENDANT
ATTORNEY FOR PLAINTIFFS
77;
'i' S. Kohm
STATE 01111311113
«krona:
COUNrY OF 2W1 111,3
AFFIDAVIT OF MEDICAL RECORDS FROM COLE WELLNESS CENTER
(Johanna Flores)
BEFORE ME, the undersigned authority personally appeared. figECColW191?!
11 51
who, being by duly sworn, deposed. as :t‘oliows:
My Name is H E {£1611 £1171 1’1’11’ “1M V1 am of sound mind and capable of making this
affidavit and personally acquainted with the facts herein stated:
I amine custodialoftheretordsofCOLEWELLNrSSCPNrl—IR Afiééfiédheféfihte
:72_ pages of records from COLE WELLNESS CENTER. These said “1 pages of records
are kept by COLE WELLNESS CENTER in the regular course of business, and it was in the
regular course of business of COLE WELLNESS CENTER for an employee or representative of
COLE WELLNESS CENTER, with knowledge of the act, event, condition, opinion, or
diagnosis, recorded to make the record or to transmit information thereof to be included in such
record; and the record was made at or near the time or reasonably soon thereafter. The records
attached hereto are the original or exact duplicates of the original.
OMoQE/Lz»;
AFFIANT 1173”“
SWORN AND SUBSCRIBED 'IO bef’oie me on this 111d” of 9‘93
.... ..
1mmewrg. 3.... .11.-....:'..‘ a:
.
//W ?(WOM‘
Notary Paging/Siam of Texas
%
.
CASSANDRA 111mm
W01
$11M“
agitators: Public State ofTexas;
inY...
I
.7‘V%,
Comm expires 02032025
613’s”
Notary ID 1329093730
”0,31%“ I’MI 1
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: 75172769
Filing Code Description: Affidavit
Filing Description: ACCIDENT & INJURY CHIROPRACTIC (BILLING)
Status as of 5/1/2023 3:35 PM CST
Associated Case Party: TRACYSTARRBROWN
Name BarNumber Email TimestampSubmitted Status
Caitlin MHodge chodge2@kemper.com 5/1/2023 11:38:42 AM SENT
Cyndie Bunker cyndie.bunker@kemper.com 5/1/2023 11:38:42 AM SENT
Associated Case Party: RICHARDWAYNESISK
Name BarNumber Email TimestampSubmitted Status
Caitlin MHodge chodge2@kemper.com 5/1/2023 11:38:42 AM SENT
Cyndie Bunker cyndie.bunker@kemper.com 5/1/2023 11:38:42 AM SENT
Document Filed Date
May 01, 2023
Case Filing Date
January 18, 2023
Category
MOTOR VEHICLE ACCIDENT
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED ; 5/1/202311z38 AM f FELICIA PITRE i DISTRICT CLERK 3 DALLAS CO., TEXAS Terri Kilgore DEPUTY 3 CAUSE NO. DC-23-00692 J OHANNA FLORES, Plaintiff IN THE DISTRICT COURT VS. DALLAS COUNTY, TEXAS TRACY STARR BROWN AND 14m JUDICIAL DISTRICT RICHARD WAYNE SISK, Defendants PLAINTIFF JOHANNA FLORES’S NOTICE OF FILING AFFIDAVITS TO: Defendants, Tracy Starr Brown and Richard Wayne Sisk, by and through attorney of record, Caitlin M. Hodge, The Law Office ofChrysti Bryant, 8360 LBJ Freeway, Suite 410, Dallas, Texas 75243 You are hereby notified that Plaintiff, Johanna Flores, 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. Cole Wellness Center (Medical) 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: May1 , 2023 Respectful! ubmitted, J”! ' By: -. -. David S. Kohm State Bar No. 1 1658563 DAVID S. KOHM & ASSOCIATES 1414 W. Randal Mill Road, Suite 118 Arlington, Texas 76012 Tel: (817) 226-8100 Fax: (817) 200-01 11 Email: lit»efile@attorneykohm.00m ! ATTORNEYS FOR PLAINTIFF S CERTIFICATE OF SERVICE ' I hereby certify that on this lst day of May , 20 23 a true and correct copy of the above and foregoing document was served via (as indicated below): Via E—Filer Servigg Caitlin M. Hodge The Law Office of Chrysti Bryant 8360 LBJ Freeway, Suite 410 Dallas, Texas 75243 Tel: 972~892—4550 Fax: 214-575—5575 MallasEserviceg’rDkenm encogi ATTORNEY FOR DEFENDANT ATTORNEY FOR PLAINTIFFS 77; 'i' S. Kohm STATE 01111311113 «krona: COUNrY OF 2W1 111,3 AFFIDAVIT OF MEDICAL RECORDS FROM COLE WELLNESS CENTER (Johanna Flores) BEFORE ME, the undersigned authority personally appeared. figECColW191?! 11 51 who, being by duly sworn, deposed. as :t‘oliows: My Name is H E {£1611 £1171 1’1’11’ “1M V1 am of sound mind and capable of making this affidavit and personally acquainted with the facts herein stated: I amine custodialoftheretordsofCOLEWELLNrSSCPNrl—IR Afiééfiédheféfihte :72_ pages of records from COLE WELLNESS CENTER. These said “1 pages of records are kept by COLE WELLNESS CENTER in the regular course of business, and it was in the regular course of business of COLE WELLNESS CENTER for an employee or representative of COLE WELLNESS CENTER, with knowledge of the act, event, condition, opinion, or diagnosis, recorded to make the record or to transmit information thereof to be included in such record; and the record was made at or near the time or reasonably soon thereafter. The records attached hereto are the original or exact duplicates of the original. OMoQE/Lz»; AFFIANT 1173”“ SWORN AND SUBSCRIBED 'IO bef’oie me on this 111d” of 9‘93 .... .. 1mmewrg. 3.... .11.-....:'..‘ a: . //W ?(WOM‘ Notary Paging/Siam of Texas % . CASSANDRA 111mm W01 $11M“ agitators: Public State ofTexas; inY... I .7‘V%, Comm expires 02032025 613’s” Notary ID 1329093730 ”0,31%“ I’MI 1 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: 75172769 Filing Code Description: Affidavit Filing Description: ACCIDENT & INJURY CHIROPRACTIC (BILLING) Status as of 5/1/2023 3:35 PM CST Associated Case Party: TRACYSTARRBROWN Name BarNumber Email TimestampSubmitted Status Caitlin MHodge chodge2@kemper.com 5/1/2023 11:38:42 AM SENT Cyndie Bunker cyndie.bunker@kemper.com 5/1/2023 11:38:42 AM SENT Associated Case Party: RICHARDWAYNESISK Name BarNumber Email TimestampSubmitted Status Caitlin MHodge chodge2@kemper.com 5/1/2023 11:38:42 AM SENT Cyndie Bunker cyndie.bunker@kemper.com 5/1/2023 11:38:42 AM SENT