Preview
FILED
7/20/2020 10:47 AM
FELICIA PITRE
DISTRICT CLERK
DALLAS CO., TEXAS
Miranda Lynch DEPUTY
CAUSE NO. DC-1 9-1 0926
VASHONE RHODES; § IN THE DISTRICT COURT OF
Plaintiff, g
VS. g DALLAS COUNTY, TEXAS
JAMES GOMEZ; g
Defendant. g 160th JUDICIAL DISTRICT
PLAINTIFF'S NOTICE OF SERVICE AND FILING RECORD AFFIDAVITS
AND CERTIFIED COPIES
Plaintiff Vashone Rhodes files with the Court the attached record affidavits
and certified copies:
STATE RECORDS:
Defendant’s Certified Driving Record
MEDICAL RECORDS AFFIDAVITS:
MDN, PA dated 08/26/2019
MRI Centers of Texas dated 08/05/201 9
Orthopaedic & Spine Specialists of Texas, LLC dated 08/22/2019
Premier Injury Clinics of DFW dated 09/09/2019
Prime Diagnostic Imaging dated 08/05/2019
BILLING RECORDS AFFIDAVITS:
Dallas Radiology, P.A. dated 08/12/2019
MDN, PA dated 08/26/2019
MRI Centers of Texas dated 08/05/201 9
Orthopaedic & Spine Specialists of Texas, LLC dated 08/22/2019
Premier Injury Clinics of DFW dated 09/09/2019
Prime Diagnostic Imaging dated 08/05/2019
Uptown Radiology Associates dated 08/12/2019
RADIOLOGY IMAGING AFFIDAVITS:
MRI Centers of Texas dated 08/05/201 9
Prime Diagnostic Imaging dated 08/05/2019
PLAINTIFF’S NOTICE OF SERVICE OF FILING RECORD AFFIDAVITS AND CERTIFIED COPIES
— Page 1
By copy of this notice, opposing counsel are notified that these affidavits and
certified copies are being filed with the Court pursuant to TRE 902. The certified
copies, records and radiology corresponding to the enclosed affidavits will be kept
in Plaintiff's counsel’s office for use at trial. Opposing counsel have been
previously provided with a copy of the certified copies, affidavits and corresponding
records/radiology listed above.
Respectfully submitted,
EBERSTEIN & WITHERITE, LLP
By: /s/ V. Paige Eldridge
V. PAIGE ELDRIDGE
State Bar No. 24096747
paiqe.eldridqe@ewlawvers.com
AMY K. WITHERITE
State Bar No. 00788698
amv.witherite@ewlawvers.com
10440 N. Central Expressway, Suite 400
Dallas, TX 75231-2228
214/378-6665
214/378-6670 (fax)
ATTORNEYS FOR PLAINTIFF
CERTIFICATE OF SERVICE
hereby certify that a true and correct copy of the foregoing has been
|
forwarded to all counsel of record on this 20th day of July pursuant to Rule 21a of
the Texas Rules of Civil Procedure.
/s/ V. Paige Eldridge
V. Paige Eldridge
Adam B. LeCrone
The LeCrone Law Firm, P.C.
Wall Street Plaza
123 N. Crockett Street, Suite 200
Sherman, TX 75090
PLAINTIFF’S NOTICE OF SERVICE 0F FILING RECORD AFFIDAVITS AND CERTIFIED COPIES
— Page 2
TEXAS DEPARTMENT OF PUBLIC SAFETY
5805 N LAMAR BLVD BOX 4087° AUSTIN, TEXAS 78773—0001
www.dps.texas.gov
DRIVER LICENSE DIVISION
5 12-424-2600
STEVEN c, McCRAw .
EN ESPANOL 512‘424'7181 COMMISSION
DIRECTOR t
STEVEN P. MACH, CHAIRMAN
SKYLOR HEARN V MANNY FLORES
FREEMAN F, MARTIN A. CYNTHIA LEON
RANDALL B. PRINCE JASON K. PULLIAM
DEPUTY DIRECTORS RANDY WATSON
CERTIFIED ABSTRACT RECORD: 08/06/2019
~ THIS TYPE OF RECORD
WILL REFLECT COMPLETION OF A DRIVING SAFETY COURSE.
~ THIS RECORD REFLECTS ENFORCEMENTACTIONS, CONVICTIONS, AND CRASH INVOLVEMENTS THATARE ALLOWED
TO BE DlSF’LA YED BYLAW.
REQUESTED BY:
GOMEZ, JAMES PAUL
Date of Birth;
Sex: MALE
No REPORT 0F APPROVED DRIVER EDUCATION COURSE. Eye Color; BROWN
DRIVER LICENSE AND COMMERCIAL LEARNERS PERMIT INFORMATION
Driver License Number: 9088 License Type: DL License Class: CM
Date Originally Issued: 08/12/1991 Date Last issued: 06/20/2019 Date of Expiration: 10/06/2021
Restrictions: With Corrective Lenses; Licensed MC Operator 21 Or Over In Sight
Endorsements: NONE
STATUS [N FORMATION Driver eligibility reflects a person’s eligibility to drive at the time this document was requested.
Administrative Status details additional notes related to the person's record that do not affect driving eligibility.
Driver Eligibility: ELIGIBLE
Administrative Status: NONE
ENFORCEMENT ACT|0N H|STORY This section displays enforcement actions that may affect a person ’s eligibility
to drive. Additional information pertaining to any event related to the enforcement
action can be found In the Event Section of this record.
THE RECORD CONTAINS NO HISTORY OF ENFORCEMENT ACTIONS
DRIVER RESPONS|B|L|TY PROGRAM (DRP) This section displays information relating the Driver Responsibility
Program A_ny suspension action resulting from a notice will be
referenced'm the Enforcement Action History Section
THE RECORD CONTAINS NO HISTORY OF DRP CASES
EVENT HISTORY This section displays information relating to convictions, crash involvement, safety courses completed,
out—ofistate surrendered license history and education program cerflflcaz‘es.
EVENTA1 COURSE DRIVING SAFETY COURSE
Page 1
IGOMEZ, JAMES PAUL - CERTIFIED ABSTRACT RECORD - 08/06/2019
Offense Date: 11/07/2017 Completion Date: 02/21/2018
County: MONTGOMERY Court Name: Justice of the
Peace Court
(offense =
Texas
Court)
Case/Cause/Docket #2 001 0029911
EVENT 2 COURSE DRIVING SAFETY COURSE I
Offense Date: 08/04/201 5 Completion Date: 11/28/201 5
City: GRAND PRAIRIE Court Name: Municipal Court
(offense = Texas
Court)
Case/Cause/Dooket #: N00821 5201
EVENT 3 COURSE DRIVING SAFETY COURSE
Offense Date: 01/01/2014 Completion Date: 05/29/2014
City: WILMER Court Name: Municipal Court
(offense = Texas
Court)
Case/Cause/Docket #2 0031 394901
EVENT 4 COURSE DRIVING SAFETY COURSE
Offense Date: 08/20/2009 Completion Date: 12/14/2009
City: GRAND PRAIRIE Court Name: Municipal Court
(offense = Texas
Court)
Case/Cause/Docket #: K031912201
EVENT 5 COURSE DRIVING SAFETY COURSE
Offense Date: 09/12/2007 Completion Date: 11/30/2007
City: HURST Court Name: Municipal Court
(offense = Texas
Court)
Case/Cause/Docket #: 040041 554
EVENT 6 CONVICTION SPEEDING EQUAL T0 OR GREATER THAN 10% ABOVE POSTED LIMIT
Offense Date: 07/23/2006 Conviction Date: 01/05/2007 County: NAVARRO
State: TX Court Name: Justice of the
Peace Court
(offense =
Texas
Court)
Case/Cause/Docket No: 3430.90
CMV: NO HAZIVIAT: NO‘ CDL: NO
EVENT 7 CONVICTION SPEEDING v
V
r
Offense Date: 07/08/2005 Conviction Date: 12/05/2005 County: WILLIAMSON
State: TX Court Name: Justice of the
Peace Court
(offense =
Texas
Court)
Case/Cause/Dooket No:CR054452
CMV: NO HAZMAT: NO CDL: NO
EVENT 8 CONVICTION NO MOTOR VEHICLE LIABILITY INSURANCE
Offense Date: 12/03/1 996 Conviction Date: 06/23/1997
Page 2
IGOMEZ, JAMES PAUL - CERTIFIED ABSTRACT RECORD - 08/06/2019
City: IRVING State: TX Court Name: Municipal Court
(offense = Texas
Court)
Case/Cause/Docket N02836302~2
CMV: NO HAZMAT: NO CDL: NO
Pursuant to the authority contained in the Texas Rules of Evidence 902, Section 4, and Transportation Code, Section 521, I,Manuel A. Rodriguez, do
hereby certify that am the custodian of driver records of the Driver License Division, Texas Department of Public Safety. The information contained
l
herein is true and correct as taken from our official records. This is to certify that notices of convictions for the traffic law violations and incidents of
motor vehicle accident invoivement are received and recorded, along with the official action by the Department of Public Safety, in the computer records
of JAMES PAUL GOMEZ.
In Testimony Whereof, I hereunto set my hand and affix the Sea! of the Department of Public Safety of the State of Texas on 08/06/201 9.
Manuel A. Rodriguez
Texas Department of ?ublic Safety
End 0f Record
Page 3
MEDICAL RECORDS AFFIDAVIT OF MDN, P.A.
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
§
COUNTY 0F Tarrant
§
BEFORE ME, the undersigned authority, personally appeared
Edwardo Dehoyos , who, being by me duly sworn, deposed as follows:
My name is Edwardo Dehoyos . I am of sound mind, capable of making
this AffidaVit- arid personally acquainted with the facts herein stated
| am the custodian of the records of MDN. P.A.. Attached hereto are records from MDN P A
regarding Vashone Rhodes. These records are kept by MDN, P.A. in the regular course of business,
and it was in the regular course of business for an employee or representative with knowledge of the act,
event condmon oplnlon or diagnosis recorded to make the record or to transmit information thereof to
be Included tn such record; and the record was made at or near the tlme of the event recorded or
reasonably soon thereafter. The records attached hereto are the original or exact duplicates of the
original.
CUSTODIAN OF MEDICAL RECORDS
SWORN To AND SUBSCRIBED before me on the 26 day of August ,
20 19
STEPHANIE DIANA DEHovos
HE STATE OF TEXAS:
10,1” 3;"!23:
{:47 6-5 Hotavy Public State o! Texas
“mm
’Sli
5;.”
“3-:
Cc mm Expnes 01 -Ob 2020
huéj ,. Notary ID 130487105
Stephanie Dehoyos
NOTARY'S PRINTED NAME:
MY COMMISSION EXPIRES: M20—
MEDICAL RECORDS AFFIDAVIT OF MR1 CENTERS 0F TEXAS
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
COUNTY OF w‘ [Clg g
Rd V 85%? w? \ I
\v
g
Me ,
undersigned authority, personally
who, being by me duly sworn, deposed as follows:
appeared
My name is fldv \ona \eflnma . | am of sound mind, capable of making
this Affidavit! and personally acquainted with the facts herein stated:
| am MRI Centers of Texas. Attached hereto are records from
the custodian of the records of
MRI Centers Texas regarding Vashone Rhodes. These records are kept by MRl Centers of Texas in
of
the regular course of business, and was in the regular course of business for an employee or
it
representative with knowledge of the act, event, condition, opinion, or diagnosis recorded to make the
record or to transmit information thereofto be included in such record; and the record was made at or
near the time of the event recorded or reasonably soon thereafter. The records attached hereto are the
original or exact duplicates of the original.
cus‘fobIA‘N'OF MEDICAL RECORDS
SWORN TO AND SUBSCRIBED before me on the gmday of E h Ag} JS+ .
20E.
{$923024
VNINA A. ,Dms
$53M
NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS:
QgNotary Public. State of Texas
9):
»5‘ -- +T~
t Comm. Expires 06-14-2020
H‘a‘
’llfilm“ Nozary ID 130700473
N\ fl a fl \d‘ -
i 3
NOTARY'S PRINTED NAME:
MY COMMISSION EXPIRES: l
£’l ‘I ’10
EDICAL. RECQRDS AFFIDAVIT OF ORTHOPAE_D|C & SPINE SPECIAEISTS OF TEXAS, LLC
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
§
COUNTY OF Dd, gs I
§
EF RE . the undersigned authority, personally appeared
aPene 01%?! ,
who, being by me duly sworn, deposed as follows:
My name is Shalene DIXON . | am of sound mind, capable of making
this Affidavit, and personally acquainted with the facts herein stated:
Iam the custodian of the records of Orthopaedic & Spine Specialists of Texas, LLC. Attached
hereto are records from Orthopaedic & Spine Specialists of Texas, LLC regarding Vashone Rhodes.
These records are kept by Orthopaedic & Spine Specialists of Texas, LLC in the regular course of
business, and it was in the regular course of business for an employee or representative 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 of the event recorded
or reasonably soon thereafter. The records attached hereto are the original or exact duplicates of the
mm mm
C/(JSTODIAN 0F MEDICAL RECORDS
SWORN To AND SUBSCRIBED before me on the £9; day of ,Au‘é/Mfit' . 20/3 .
NOTARY Puslfl IN AND’FOR THE STATE 0F TEXAS:
.
Ast‘
mfllflm
m.mamu
w
mum
03/12/2023
24m:
MY COMMISSION
umw @cmznmod
NOTARY'S PRINTED NAME:
EXPIRES:
m
MEDICAL RECORDS AFFIDAVIT OF PREMIER INJURY CLINICS OF DFW
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
§
COUNTY 0F &> §
BEFORE ME, the undersigned authority, personally appeared
x
,
who eing b me dui)\sworn, deposed as follows:
Li
My name is {Q Ml 8Y0“
Em g uiova
am of sound mind, capable of making
. I
this Affidavit. and personally acquainted with the facts herein stated:
I am the custodian of the records of Premier Injury Clinics of DFW. Attached hereto are records
from Premier Injury Clinics of DFW regarding Vashone Rhodes. These records are kept by Premier
Injury Clinics of DFW in the regular course of business, and it was in the regular course of business for
an employee or representative 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 of the event recorded or reasonably soon thereafter. The records r
hereto are the original or exact duplicates of the original.
W
CUSTODIAN OF MEDICAL RECORDS
SWORN TO AND SUBSCRIBED before me on the E's day of Wm} 35 .
“gégg’fi
$« -----.0gymwotarv
:0;
5:5.
\\
I
"1m H“
I.
N oEMi' OLIVAs
Pub 11c State of T9”
.555 Comm..Exp“95
’W'5;'<€‘§‘
-
'
05'27'2022
.Notary ID 129830646
s
m
NOTARY PUBLIC
MY COMMISSION
I
\ m\\gc“<‘
'NOTARY'S PRINTED NAME:
EXPIRES:m a
R THE STATE OF TEXAS:
, m “5'06?“
MEDICAL RECORDS AFFIDAVIT OF PRIMjELDIAGNOSTIC IMAGING ’
REflRDING PATIENT VASHONE RHODES
STATE 0F TEXAS §
§
COUNTY OF EZM‘ I
as _ §
gEFiRE ktE,
the undersigned authority, personally appeared
M vfl \l i I 0L .
who, being by me duly sworn, deposed as follows:
My name is
1mg IQ! jfi: [I IQ . I am of sound mind, capable of making
this Affidavit. and personally acquainte 3 with the facts herein stated:
Iam the custodian of the records of Prime Diagnostic Imaglng. Attached hereto are records from
Prime Diagnostic Imaging regarding Vashone Rhodes. These records are kept by Prime Diagnostic
Imaging in the regular course of business, and it was in the regular course of business for an employee
or representative with knowledge of the act. event, condition, opinion, or diagnosis recorded to make the
record or to transmit information thereof to be included in such record; and the record was made at or
near the time of the event recorded or reasonably soon thereafter. The records attached hereto are the
original 0r exact duplicates of the original.
nmka/QN‘x/m
CUSTODIAN OF MEDICAL RECORDS
SWORN T0 AND SUBSCRIBED before me on the 6 day 0f Z? M £62 .
9
NOTARY PUB I
.-
-j
THE STATE 0F TEXAS.
J
NOTARY'S E—R‘la | ED NAME: 3
/
MY COMMISSION EXPIRES: g
_ .1 AAr
’1~g${?gg¢,
REBECCA K DYEH
??i'
‘-.%"-':- Notary Public State of Texas
‘1“.“1’
'54} §.Comm Expirosm- 18- 2020
:‘\\-.
?,mm‘ Notary Io 130499833
~— T w..— I
AFFIDAVIT OF R_E_COR_DS CUSTODIAN OF DALLAS RADIOLOGY P.A.
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
COUNTY 0F 24/143 g
BEFORE ME, the undersigned authority, personally appeared
who, being byme duly sworn, deposed as follows:
Am MUN}?
f
My name
this Affidavit,
is An“ m ”4°;
and personally acquainted with the facts herein stated.
. I am of sound mind, capable of making
Iam a custodian of records for Dallas Radiology, P.A.. Attached to this Affidavit are records that
provide an itemized statement of the service and the charge for the service that Dallas Radiology, P.A.
provided to Vashone Rhodes on 11/27/2018 to present. The attached records are a part of this affidavit.
The attached records are kept by Dallas Radiology. P.A. in the regular course of business, and it
was the regular course of business of Dallas Radiology. P.A. for an employee or representative of Dallas
Radiology, P.A., with knowledge of the service provided, to make the record or to transmit information to
be included in the record. The records were made in the regular course of business at or near the time
or reasonably soon after the time the service was provided. The records are the original or a duplicate of
the original.
The services provided were necessary and the amount charged for the service was reasonable
QM
at the time and place that the services were provided.
The total amount paid
which Dallas Radiology, P.A. has a
for the services
right to
was $
be paid
a
after
and the amount currently unpaid but
any adjustments or credits is $ a 0°
1g .
CUSTODIAN OF BILLING RECORfi’
SWORN TO AND SUBSCRIBED before me on the IL day of mans i ,
20 '4 .
NOTARY PUBLIC IN
A MM?
AND FOR THE STATE OF TEXAS:
fidnufi Vasavn;
NOTARY'S PRINTED AME: '
MY COMMISSION EXPIRES: ?fll’ll,
SIDNEY VASQUEZ
Notary 'D 3129708752
My Commision Expires
February 11, 2022
AFFIDAVIT 0F RECORDS CUSTODIAN OF MDN, P.A.
REGARDING PATIENT VASHONE RHODES
STATE 0F TEXAS §
§
COUNTY OF Tarrant §
BEFORE ME, the undersigned authority. personally appeared Edwardo Dehoyos ,
who, being by me duly sworn, deposed as follows:
My name is Edwardo Dehoyos . I am of sound mind, capable of making
this Affidavit, and personally acquainted with the facts herein stated.
am a custodian of records for MDN, P.A.. Attached to this Affidavit are records that provide an
|
itemized statement of the service and the charge for the service that MDN, P.A. provided to Vashone
Rhodes on 11/27/2018 to present. The attached records are a part of this affidavit.
The attached records are kept by MDN, P.A. in the regular course of business, and was the it
regular course of business of MDN, P.A. for an employee or representative of MDN, P.A., with knowledge
of the service provided, to make the record or to transmit information to be included in the record. The
records were made in the regular course of business at or near the time or reasonably soon after the
time the service was provided. The records are the original or a duplicate of the original.
The services provided were necessary and the amount charged for the service was reasonable
at the time and placethat the services were provided.
The total amount paid for the services was $ 0-00 and the amount currently unpaid but
which MDN, P.A. has a right to be paid after any adjustm credits is $ 1690.00 .
CUSTODIAN O ILLING RECORDS
sw0RN To AND SUBSCRIBED before me on the 26 day of August ,
20 19
No A PUBLIC IN
Dvw
AND FgR THE STATE 0F TEXAS:
elfgofi. STEPHANIE DIANA DEHOYOS
Noiory Puohc, Slave o!
.
7kg?ins
Iexos
C‘gm't“ Exnnes 01 06.2070 Stephanie Dehoyos
Brég§
“
,
NOTARY'S PRINTED NAME:
MY COMMISSION EXPIRES: “06/2020
AFFIDAVIT 0F RECORDS CUSTODIAN OF MRI CENTERS OF TEXAS
REGARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
COUNTY OFg kl {OS g v
BEFORE ME, the undersigned authority, personally appeared fldY \Clfl a Lecu gma
who, being by me duly sworn deposed as follows:
this Affidavit
My name is my ‘0 ma
and personally acquainted with the
Lat gma .l
facts herein stated.
am of sound mind, capable of making
am a custodian of records for MRI Centers of Texas. Attached to this Affidavit are records that
I
provide an itemized statement of the service and the charge for the service that MR1 Centers of Texas
provided to Vashone Rhodes 0n 11/27/2018 to present. The attached records are a part of this affidavit.
The attached records are kept by MRI Centers of Texas in the regular course of business. and it
was the regular course of business of MRI Centers of Texas for an employee or representative of MRI
Centers of Texas, with knowledge of the service provided, to make the record or to transmit information
to be included in the record. The records were made in the regular course of business at or near the time
or reasonably soon after the time the service was provided. The records are the original or a duplicate of
the original.
The services provided were necessary and the amount charged for the service was reasonable
at the time and place that the services were provided.
The total amount paid for the services was D and the amount cur en I but
'
ad
which MRI Centers of Texas has a rightt r any adjustments or credits Is
CUSTODIAN OF BILLING RECORDS
JOMQ
_hday of ml 1‘01/19'
SWORN TO AND SUBSCRIBED before me on the5 20 ‘Q.
ASM
.
o\\\IIIII
NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS:
”$2 NINA A. IDRIS
"I
[Ill
t3.
.30”!
‘SI
\
\\ ?dflk
*
mnuw‘
n: _Notary
.3: Comm.
Public, State of Texas
Expires 06- 14- 2020
Nma Qv \dviS
Notary ID 130700473
NOTARY'S PRINTED NAME:
MY COMMISSION EXPIRES: ('4' Q
AFFIDAVIT OF RECORDS CUSTODIAN OF ORTHOPAEDIC & SPINE SPECIALISTS 0F TEXAS.
LLC
_R_§GARDING PATIENT VASHONE RHODES
STATE OF TEXAS §
COUNTY 0F {2mm g
BEFORE ME, the undersigned authority, personally appeared Shalene Dixon
who, being byme duly sworn, deposed as follows:
My name is Shalene Dixon . | am of sound mind, capable of making
this Affidavit, and personally acquainted with the facts herein stated.
| am & Spine Specialists of Texas, LLC. Attached to this
a custodian of records for Orthopaedic
an itemized statement of the service and the charge for the service that
Affidavit are records that provide
Orthopaedic & Spine Specialists of Texas, LLC provided to Vashone Rhodes on 11/27/2018 to present.
The attached records are a part of this affidavit.
The attached records are kept by Orthopaedic & Spine Specialists of Texas, LLC in the regular
course of business, and it was the regular course of business of Orthopaedic & Spine Specialists of
Texas, LLC for an employee or representative of Orthopaedic & Spine Specialists of Texas, LLC, with
knowledge of the service provided, to make the record or to transmit information to be included in the
record. The records were made in the regular course of business at or near the time or reasonably soon
after the time the service was provided. The records are the original or a duplicate of the original.
The services provided were necessary and the amount charged for the service was reasonable
at the time and place that the services were provided.
The amount paid for the services was $
total
which Ortho ae ic & Spine Specialists
creditsis$ 'ZZ 0.90 .
m
Texas, LLC has a
QUSTODIAN OF
SWORN TO AND SUBSCRIBED before me on the ZZ
a
fl
BILLIN
and the amount currently unpaid but
right to be paid after any adjustments or
flu»
RECORDS
p4
day of
I
, 201 i
.
NOTARY PUByC IN AND FOR THE STATEbF TEXAS:
a
“V'SWW
' °
“WW“T“ 4442/“ 1.
NOTARY'S PRINTED NAME:
WW IEE/MMJM '
O.HMOE?‘
MY COMMISSION EXPIRES: 12/ av
AFFIDAVIT OF RECORDS CUSTODIAN OF PREMIER INJURY CLINICS OF DFW
REGARDING PATIENT VASHONE RHODES
STATE 0F TEXAS §
coUNTY 0F "iC—«mx
who, being by
this Affidavit,
My name is
and personally acquainted with the
§
§
BEFORE ME, the undersigned authority, personally appeared
me mg sworn. deposed as follows:
thYM‘ SQMOV a \ . l am