Party Statement: TINA HARVEY vs. LASCHWANNA MUHAMMAD

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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

                     BUSINESS RECORDS AFFIDAVIT:

                     DFW   Open MRI (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
MEDICAL RECORDS AFFIDAVIT

        Before me, the undersigned authority, personally appeared ‘Coun                          Whoo.         who,
being by me duly sworn, deposed as follows:

         My name isRoane yet __                     - Lam of sound mind, capable of making this
affidavit, and personally acquainted with the facts herein stated:

       “lam the custodian of the records of DFW Open MRI-Corporate Office. Attached hereto
            pages of records from DF W Open MRI-Corporate Office for services provided to Tina

                  Sisahel
are
Louise Harvey on 5}.                           . The attached records are a part of this affidavit.

       The attached records were made and kept by DFW Open MRI-Corporate Office                                in the
regular course of business. It is the regular course of business of DF W Open MRI-Corporate Office
for an employee or representative of DFW Open MRI-Corporate Office to make records such as
those attached hereto. The information contained in the attached records was transmitted to me in
the regular course of business by DFW Open MRI-Corporate Office or an employee or
representative of DF W Open MRI-Corporate Office who had personal knowledge of the information
transmitted. 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.”



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SWORN TO AND SUBSCRIBED before me on this '=3 day oASOC.                                                    2017,

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                                                       Notary Public, State of Texas                                ~~

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                                                       Notary’s printed name

My commission expires:
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                                                       x    th,            KAREN HOLLOWAY
                                                                       jotary Public, State of Texas,
                                                                       Comm Expires 01-16-2021 |¥
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