On December 14, 2023 a
EXHIBIT(S) - E - medical receipts chart
was filed
involving a dispute between
In The Matter Of The Claim Of Kevin Cummings, As Fng Of C.C., An Infant,
and
Andrew Dewolf,
Tamesha Dewolf,
for Torts - Other (dog bite)
in the District Court of Erie County.
Preview
FILED: ERIE COUNTY CLERK 12/14/2023 01:50 PM INDEX NO. 816063/2023
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 12/14/2023
EXHIBIT E
FILED: ERIE COUNTY CLERK 12/14/2023 01:50 PM INDEX NO. 816063/2023
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 12/14/2023
Caia Cummings' Medical receipts
Facility Date of service or payment Amount
High street pharmacy 11/30/23 $191.72
High street pharmacy 08/09/23 $0.34
High street pharmacy 08/04/23 $89.75
High street pharmacy 08/09/23 $125.24
Ace Dental Buffalo 08/16/23 $250.00
UB Oral & Maxillofacial 11/21/23 $30.00
UB Oral & Maxillofacial 08/15/23 $15.00
Hand & Rehab Special 10/11/23 $15.00
Hand & Rehab Special 11/1/23 $15.00
Hand & Rehab Special 11/8/23 $15.00
Hand & Rehab Special 11/29/23 $15.00
UB Orthopedics 12/5/23 $15.00
UB Orthopedics 09/19/23 $30.00
UB Orthopedics 10/3/23 $15.00
VNA 08/10/23 & 08/22/23 $30.00
Kalelda Health Plastic Surgery 08/14/23 $15.00
Kalelda Health Plastic Surgery 08/28/23 $15.00
Kalelda Health Plastic Surgery 09/06/23 $15.00
Kalelda Health Plastic Surgery 09/18/23 $15.00
Kalelda Health Plastic Surgery 09/25/23 $15.00
Kalelda Health Plastic Surgery 12/11/23 $15.00
Kaleida Health out patient surgery 08/23/23 $100.00
Kalelda Health out patient surgery 09/12/23 $100.00
Total: As of 12/14/23 $1142.05
Document Filed Date
December 14, 2023
Case Filing Date
December 14, 2023
Category
Torts - Other (dog bite)
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Preview
FILED: ERIE COUNTY CLERK 12/14/2023 01:50 PM INDEX NO. 816063/2023 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 12/14/2023 EXHIBIT E FILED: ERIE COUNTY CLERK 12/14/2023 01:50 PM INDEX NO. 816063/2023 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 12/14/2023 Caia Cummings' Medical receipts Facility Date of service or payment Amount High street pharmacy 11/30/23 $191.72 High street pharmacy 08/09/23 $0.34 High street pharmacy 08/04/23 $89.75 High street pharmacy 08/09/23 $125.24 Ace Dental Buffalo 08/16/23 $250.00 UB Oral & Maxillofacial 11/21/23 $30.00 UB Oral & Maxillofacial 08/15/23 $15.00 Hand & Rehab Special 10/11/23 $15.00 Hand & Rehab Special 11/1/23 $15.00 Hand & Rehab Special 11/8/23 $15.00 Hand & Rehab Special 11/29/23 $15.00 UB Orthopedics 12/5/23 $15.00 UB Orthopedics 09/19/23 $30.00 UB Orthopedics 10/3/23 $15.00 VNA 08/10/23 & 08/22/23 $30.00 Kalelda Health Plastic Surgery 08/14/23 $15.00 Kalelda Health Plastic Surgery 08/28/23 $15.00 Kalelda Health Plastic Surgery 09/06/23 $15.00 Kalelda Health Plastic Surgery 09/18/23 $15.00 Kalelda Health Plastic Surgery 09/25/23 $15.00 Kalelda Health Plastic Surgery 12/11/23 $15.00 Kaleida Health out patient surgery 08/23/23 $100.00 Kalelda Health out patient surgery 09/12/23 $100.00 Total: As of 12/14/23 $1142.05