On August 17, 2017 a
Party Statement
was filed
involving a dispute between
Downie-Fraser, Nicole E.,
and
Sainz, Valeria,
for MOTOR VEHICLE ACCIDENT
in the District Court of Dallas County.
Preview
FILED
DALLAS COUNT
9/27/2017 12:34 PM
FELICIA PITRE
DISTRICT CLER
CAUSE NO. DC-1 7-1 0220
NICOLE E. DOWNlE-FRASER, IN THE DISTRICT COURT
Plaintiff,
v. 95th JUDICIAL DISTRICT
VALERIA SAINZ,
Defendant. DALLAS COUNTY, TEXAS
COST 0F SERVICES AFFIDAVIT 0F DFW PRESCRIPTIONS
TO THE HONORABLE JUDGE OF SAID COURT:
Plaintiff Nicole Eugene Downie-Fraser files the attached Cost of Services Affidavit
of DFW Prescriptions in accordance with section 18.001, et seq. of the Texas Civil
Practices & Remedies Code.
Respectfully submitted,
/s/ Cameron Dean
Cameron Dean
State Bar No. 2408291 0
Ben Abbott & Associates, PLLC
1934 Pendleton Drive
Garland, TX 75041
(972) 263-5555
(81 7) 263-5555
(972) 682-7586 Facsimile
eService@benabbott.com
ATTORNEYS FOR PLAINTIFF
CERTIFICATE 0F SERVICE
This is to certify that a true and correct copy of the foregoing document was served
on all counsel of record and/or pro se parties in accordance with Rules 21 and 21a of
the Texas Rules of Civil Procedure on this fl day of September, 20H.
/s/ Cameron Dean
Cameron Dean
COST OF SERVICES AFFIDAVIT OF DFW PRESCRIPTIONS Page 4
STATE OF TEXAS
COUNTY onClfi'QQ—‘T
who. being by
"My namei
AFFIDAVIT 0F COST OF SERVICES BY CUSTODIAN OF
me
affidavit, 41nd personally
Iam
duly
a custodian
that provide. an itcmizcd
swum deposed
acquainted with
of’ records of
smamem
PrescripLions provided to Nicole Eugene Downje-Fmser
attached records are a part oi" this affidavit.
DFW PRESCRTPTTONS
§
g
Before me, the undersigned authority, personally appearcd
Hflr‘ «1130 V‘
DFW
.15 follows.
[I15 facts hcrcin stated.
m
Tarn 0f sound mind and capable 0f making
Prescriptions. Attach ed t0 this affidavit arc rccords
of [he service and th: charge fur tlmt service that
on
DFW
.
th1s
The
[Son
The attached records :u'e kept by DFW
Prescfiptions in the regular course 0f business, and
it was the regular course of business ofDFW
Prescriptions for an employee 0r representative of
DFW Prescriptions, With knowledge of the service provided. to make the record nr [o transmit
information m
be included in the record. The records were made in [he regular course of business
at or near the time 0r rsasonably soon after the time the service was provided. The records arc the
original or a duplicate of the original.
The services provided wcrc necessary and the amount charged for the scwiccs was
reasonable at the lime and place. [hat the services Were provided.
unpgd
T116 total
hich
amount paid for the services
DEN Prescriptions has a right E0
was S
any adjustments 0r credits
Q and the amount currcndy
is.
/\p?ficrbe/
S é: g E S IZ)
g-Wg Simatmé of Affiant
Ms W
S‘WORN T ED bcfom L/
fiday
‘ 0f 33:3
,i-
_
I 5|
COST 0F SERVICE AFFIDAVIT (2536 16}
MM:
DFW PRESCRIPTIONS
1%
SMITH
CATHERENE JAMCE 2
iD # 10451025
My Nomnf
Lo’er T 2020
Document Filed Date
September 27, 2017
Case Filing Date
August 17, 2017
Category
MOTOR VEHICLE ACCIDENT
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