On December 28, 2017 a
Party Statement
was filed
involving a dispute between
Harvey, Tina,
and
Muhammad, Laschwanna,
for MOTOR VEHICLE ACCIDENT
in the District Court of Dallas County.
Preview
I
DALLAS COUNTY
4/10/2018 12:59 PM
FELICIA PITRE
DISTRICT CLERK
CAUSE NO. DC-17-17686
TINA LOUISE HARVEY IN THE DISTRICT COURT
VS. 116th JUDICIAL DISTRICT
LASCHWANNA MUHAMMAD DALLAS COUNTY, TEXAS
AFFIDAVIT OF REASONABLENESS AND NECESSITY OF CHARGES UNDER CPRC
18.001:
ASP Cares Pharmacy (Tina Louise Harvey)
Submitted by:
/s/ Timothy R. Reilley
Timothy R. Reilley
State Bar No. 00797297
REYES | BROWNE | REILLEY
5950 Berkshire Lane, Suite 410
Dallas, TX, 75225
(214) 526-7900
(214) 526-7910 (Fax)
E-mail: tim@reyeslaw.com
AFFIDAVIT OF REASONABLENESS AND NECESSITY OF CHARGES
UNDER CPRC. 18.001
Before me, the undersigned authority, personally anpeared teeld Conezuto
being by me duly sworn, deposed as follows:
My name is ( ‘dee Gomez . lamof sound mind and capable
of making this affidavit.
I am the custodian of records for ASP Cares Pharmacy. Attached to this affidavit are
ae
records that provide an itemized statement of the service and the charge for the service that ASP
Ci ares , Pha: icy provided to Tina Louise Harvey, A) ile, —__» through
“Gla Vile
on
. . The attached records are a part of this affidavit.
The attached records are kept by me in the regular course of business. The information
contained in the records was transmitted to me in the regular course of business by ASP Cares
Pharmacy or an employee or representative of ASP Cares Pharmacy who had personal
knowledge of the information. The records were made at or near the time or reasonably soon
after the time that the service was provided. The records are the original or an exact duplicate of
the original.
The service provided was necessary, and the amount charged for the services was
reasonable at the time and place the service was provided.
The total amount paid for the services was $, to and the amount currently unpaid
A a wep ASP Cares Pharmacy has a right to be paid after any adjustments or credits is $
Coie
Affiant
SWORN TO AND SUBSCRIBED before me on this | 2 day of Decom bow, 2017.
iets & fey (2.
Notary’s printed name
My commission expires: () 120-2 O02]
VICTORIAALISA-GETH FERNANDEZ
Notary ID #131215894
My Commission Expires
July 20.2021
Document Filed Date
April 10, 2018
Case Filing Date
December 28, 2017
Category
MOTOR VEHICLE ACCIDENT
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I DALLAS COUNTY 4/10/2018 12:59 PM FELICIA PITRE DISTRICT CLERK CAUSE NO. DC-17-17686 TINA LOUISE HARVEY IN THE DISTRICT COURT VS. 116th JUDICIAL DISTRICT LASCHWANNA MUHAMMAD DALLAS COUNTY, TEXAS AFFIDAVIT OF REASONABLENESS AND NECESSITY OF CHARGES UNDER CPRC 18.001: ASP Cares Pharmacy (Tina Louise Harvey) Submitted by: /s/ Timothy R. Reilley Timothy R. Reilley State Bar No. 00797297 REYES | BROWNE | REILLEY 5950 Berkshire Lane, Suite 410 Dallas, TX, 75225 (214) 526-7900 (214) 526-7910 (Fax) E-mail: tim@reyeslaw.com AFFIDAVIT OF REASONABLENESS AND NECESSITY OF CHARGES UNDER CPRC. 18.001 Before me, the undersigned authority, personally anpeared teeld Conezuto being by me duly sworn, deposed as follows: My name is ( ‘dee Gomez . lamof sound mind and capable of making this affidavit. I am the custodian of records for ASP Cares Pharmacy. Attached to this affidavit are ae records that provide an itemized statement of the service and the charge for the service that ASP Ci ares , Pha: icy provided to Tina Louise Harvey, A) ile, —__» through “Gla Vile on . . The attached records are a part of this affidavit. The attached records are kept by me in the regular course of business. The information contained in the records was transmitted to me in the regular course of business by ASP Cares Pharmacy or an employee or representative of ASP Cares Pharmacy who had personal knowledge of the information. The records were made at or near the time or reasonably soon after the time that the service was provided. The records are the original or an exact duplicate of the original. The service provided was necessary, and the amount charged for the services was reasonable at the time and place the service was provided. The total amount paid for the services was $, to and the amount currently unpaid A a wep ASP Cares Pharmacy has a right to be paid after any adjustments or credits is $ Coie Affiant SWORN TO AND SUBSCRIBED before me on this | 2 day of Decom bow, 2017. iets & fey (2. Notary’s printed name My commission expires: () 120-2 O02] VICTORIAALISA-GETH FERNANDEZ Notary ID #131215894 My Commission Expires July 20.2021