On April 18, 2024 a
Miscellaneous
was filed
involving a dispute between
De La Rosa, Deeni,
and
Bisong, Fidelis N,
Krubally, Jaye C,
Texans Health & Wellness Center, Pllc,
for DEBT/CONTRACT
in the District Court of Dallas County.
Preview
FILED
4/18/2024 10:45 AM
JOHN F. WARREN
COUNTY CLERK
DALLAS COUNTY
CIVIL CASE INFQRMATION SHEET
CAUSE NUMBER (mg CLERK USE 0M. 1') 9024-0297943 COHRT (FOR CLERK ESE 0N1. F9:
Snug}; Deeni De la Rosa v. Texans Healm 8; Weliness Center, PLLG. Java C. Kruhaflv. & Fiéetis N~ Bigcng
(my, John Smith v. A!) American Insurance (To; In re Mary Ann loner. In the Matter 0f £11: Esme of Gearge Jackson:
A. civil case information sheet must be completed and submitted when 2m oigina petiticn m application is file to initiate a new civi, family law, probate, or manta}
heait age a: when a pest-judgment petition for modification 01‘ metiun {at enfomemem is filed in a family law case. The information should be {he has: avafiiable at
the firm: of filing.
a:
Lamiminfmflon imam,on wagering case information sheet: Names of panics in cam: Person or "any comgleting sheet is:
Elmumey for Piaimiffr’fiikiooer
Name: Emaii; 'Plaimiffls)/f’ctitimcr{s}r 3PM 3e Piaintiff/Pvlitioncr
fli'ixie 1v -1) Agency
“9335:! Bell dbel£@davidbelinc.cnm Deer-xi De Ia Reset UGthcr: ___
Address Talepharw: __ _
Additiorxal i’anics in Child Support Case:
8350 Meadow Rd. Suite 186 21 $368431 91
Defendanfis}!Respondem{s): Custodial Parent:
City/StatelZip: Fax:
Texans Haaéth & Wellrfigfigfltar. pllc
Dallas. TX 75231 21 #9876169 Non-(Eustodiai Parana
Jave C. Krubaliv
“gaff
Skim: Bar No:
Signaturc:
.\-A_. 32075509 M
Fidelis N. Bisonq Presumed Father:
[Arman 3652mm} page as necessary m i'm Ali parties}
2.2. Indian me m or identity a». must imporumuue in the can
Civi!
(sew: only I):
Family Law
Ymtaiudgmnt A0410»: i!
Contact 'iqgnry orbxmggg Real floperty Marriage Relationship (non-TidcvIV-D)
Debt/Comma! UMsaulUBatwry DEminem Domain! UAnnufmem DEnfnrccmcnt
mConsumcr/DTPA DConsuucticn Condemnation Emulate Marriage Void UModificationw-Cuskuiy
BBebUComract DDefamatinn EJPartition Divorce {ZIModificationw-Other
UFmud/Misrepresemation Mizlpractice flQuicl Title DWiIh Chiidmn 1m, 1min
[JOEher Debt/Contract UAccomxing DTrespass m Try Titia [3N0 {Ihilfimn UfinfmwmwfiMwmcafim
Bugs! [30:th Prsmeny: Dpawmgty
Fm’ecfm’wv DMefiical mgccipmcags (011:5 A)
mom: Equitywfixpeniiled [ZIOflWr Professional [3305mm order
[30mm Foreclosure Liabilisyz
afranchisc - Reiflled fl} Cfilflillfli
Other Farm! Law
E Insumme flmmehicge Accident Matters ParenMThfld {Madonna}:
Clmfldgmdrremm flywmims Dfixpxmclion Dfinform Fumign DAdopximflAdoption with.
I: NonuComperition Praline: Liabiligv DJUdEmcm Nisg Judgmefli Tefmimlim
E: pmncmmp Ugsbegtosfsgfica DNon-Disclosme C-Habeas Comma DChild Protection
C Other Cam-act; Dome; 9mm“ gammy msgimre/Fmfeitum E'Name Change: DChild Suppoxt
L'm pmmmt; mWris of Habtas Garpusam C'Pmtect'wc Order UCusmdy or Visitation
Pm~indiclmem CRcmovai oi’Disabitities DGemfional Pamming
DOLfijfifiazgfimgg: DO’thcr: m of Minority UGrandparcm Access
w m Gather:
Termination of Panama]
W
EParcmagcfPatmity
Em “we“ 0m" mum
U§;§:?Parcxlt{‘lrilfl‘‘
'
UDiscriminafion mAdministmzivc Appeai C Lawyer Discipline:
GRctaiiaaion DAntitrustfUnfair E Pcrpctumc Testimnny ””“mmW‘W”
mTenninmion Competition I: SecurifiesiStmk
C} Workm‘ Compensation flCodc Violmians E: Tonious Interference
Comer Employment: mForeign Judgment U Other: __
______
Ulntcmctual Propeny
Tax Pmbare & Mental He‘d!!!
I I?“ Appraisai Probatefi WiIL’sflmwate Administration UGuardianshipw-Aduh
L'J’E’ax Balinquency EjDepcndem Administration flGuardianship—Minor
flower Tax Dindcacndent Administration UMenm Health
UOthcr Esme Proceedings [Homes ___________ _____
34.11610.” woman-w.mmedy,;—1f_a_ppfinhlc (my s Minor: (hm I}:
Appeal from Municipal or Justina Court Declaratory Judgment {DPrcjudgment Remedy
UArbEtz-aiiommiatcd HGamishmen: mProteciivc 011m
Dhtlachmcm Hinterpieader {Receiver
DEM ot‘Rcviaw :JIJcenSe DSequesttatiun
UCcrtioran' flMandamus Q'Fcmpomry Restraining Owerliiijunmiou
amass Action :iiPost—judgmcm mTumover
v4.Indicate damages wggh‘tgda not sgfggg it it im‘g'mafia kw one):
Less than $100,000, inciading damages of any kind, penalties. com, expenses, pmvjudgmem interest. and attomey fears
Dims than $100,000 and non-monetary relief
DOVM $100, (300 but not more than $200,000
vet $200,000 but not more than $1,000,096
Over $1,G00,00(§
BEEI
Rev 2H3
I
'PrintFmrm_ 3
Document Filed Date
April 18, 2024
Case Filing Date
April 18, 2024
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Preview
FILED 4/18/2024 10:45 AM JOHN F. WARREN COUNTY CLERK DALLAS COUNTY CIVIL CASE INFQRMATION SHEET CAUSE NUMBER (mg CLERK USE 0M. 1') 9024-0297943 COHRT (FOR CLERK ESE 0N1. F9: Snug}; Deeni De la Rosa v. Texans Healm 8; Weliness Center, PLLG. Java C. Kruhaflv. & Fiéetis N~ Bigcng (my, John Smith v. A!) American Insurance (To; In re Mary Ann loner. In the Matter 0f £11: Esme of Gearge Jackson: A. civil case information sheet must be completed and submitted when 2m oigina petiticn m application is file to initiate a new civi, family law, probate, or manta} heait age a: when a pest-judgment petition for modification 01‘ metiun {at enfomemem is filed in a family law case. The information should be {he has: avafiiable at the firm: of filing. a: Lamiminfmflon imam,on wagering case information sheet: Names of panics in cam: Person or "any comgleting sheet is: Elmumey for Piaimiffr’fiikiooer Name: Emaii; 'Plaimiffls)/f’ctitimcr{s}r 3PM 3e Piaintiff/Pvlitioncr fli'ixie 1v -1) Agency “9335:! Bell dbel£@davidbelinc.cnm Deer-xi De Ia Reset UGthcr: ___ Address Talepharw: __ _ Additiorxal i’anics in Child Support Case: 8350 Meadow Rd. Suite 186 21 $368431 91 Defendanfis}!Respondem{s): Custodial Parent: City/StatelZip: Fax: Texans Haaéth & Wellrfigfigfltar. pllc Dallas. TX 75231 21 #9876169 Non-(Eustodiai Parana Jave C. Krubaliv “gaff Skim: Bar No: Signaturc: .\-A_. 32075509 M Fidelis N. Bisonq Presumed Father: [Arman 3652mm} page as necessary m i'm Ali parties} 2.2. Indian me m or identity a». must imporumuue in the can Civi! (sew: only I): Family Law Ymtaiudgmnt A0410»: i! Contact 'iqgnry orbxmggg Real floperty Marriage Relationship (non-TidcvIV-D) Debt/Comma! UMsaulUBatwry DEminem Domain! UAnnufmem DEnfnrccmcnt mConsumcr/DTPA DConsuucticn Condemnation Emulate Marriage Void UModificationw-Cuskuiy BBebUComract DDefamatinn EJPartition Divorce {ZIModificationw-Other UFmud/Misrepresemation Mizlpractice flQuicl Title DWiIh Chiidmn 1m, 1min [JOEher Debt/Contract UAccomxing DTrespass m Try Titia [3N0 {Ihilfimn UfinfmwmwfiMwmcafim Bugs! [30:th Prsmeny: Dpawmgty Fm’ecfm’wv DMefiical mgccipmcags (011:5 A) mom: Equitywfixpeniiled [ZIOflWr Professional [3305mm order [30mm Foreclosure Liabilisyz afranchisc - Reiflled fl} Cfilflillfli Other Farm! Law E Insumme flmmehicge Accident Matters ParenMThfld {Madonna}: Clmfldgmdrremm flywmims Dfixpxmclion Dfinform Fumign DAdopximflAdoption with. I: NonuComperition Praline: Liabiligv DJUdEmcm Nisg Judgmefli Tefmimlim E: pmncmmp Ugsbegtosfsgfica DNon-Disclosme C-Habeas Comma DChild Protection C Other Cam-act; Dome; 9mm“ gammy msgimre/Fmfeitum E'Name Change: DChild Suppoxt L'm pmmmt; mWris of Habtas Garpusam C'Pmtect'wc Order UCusmdy or Visitation Pm~indiclmem CRcmovai oi’Disabitities DGemfional Pamming DOLfijfifiazgfimgg: DO’thcr: m of Minority UGrandparcm Access w m Gather: Termination of Panama] W EParcmagcfPatmity Em “we“ 0m" mum U§;§:?Parcxlt{‘lrilfl‘‘ ' UDiscriminafion mAdministmzivc Appeai C Lawyer Discipline: GRctaiiaaion DAntitrustfUnfair E Pcrpctumc Testimnny ””“mmW‘W” mTenninmion Competition I: SecurifiesiStmk C} Workm‘ Compensation flCodc Violmians E: Tonious Interference Comer Employment: mForeign Judgment U Other: __ ______ Ulntcmctual Propeny Tax Pmbare & Mental He‘d!!! I I?“ Appraisai Probatefi WiIL’sflmwate Administration UGuardianshipw-Aduh L'J’E’ax Balinquency EjDepcndem Administration flGuardianship—Minor flower Tax Dindcacndent Administration UMenm Health UOthcr Esme Proceedings [Homes ___________ _____ 34.11610.” woman-w.mmedy,;—1f_a_ppfinhlc (my s Minor: (hm I}: Appeal from Municipal or Justina Court Declaratory Judgment {DPrcjudgment Remedy UArbEtz-aiiommiatcd HGamishmen: mProteciivc 011m Dhtlachmcm Hinterpieader {Receiver DEM ot‘Rcviaw :JIJcenSe DSequesttatiun UCcrtioran' flMandamus Q'Fcmpomry Restraining Owerliiijunmiou amass Action :iiPost—judgmcm mTumover v4.Indicate damages wggh‘tgda not sgfggg it it im‘g'mafia kw one): Less than $100,000, inciading damages of any kind, penalties. com, expenses, pmvjudgmem interest. and attomey fears Dims than $100,000 and non-monetary relief DOVM $100, (300 but not more than $200,000 vet $200,000 but not more than $1,000,096 Over $1,G00,00(§ BEEI Rev 2H3 I 'PrintFmrm_ 3