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IN THE CIRCUIT COURT OF THE 12"
JUDICIAL CIRCUIT, IN AND FOR
SARASOTA COUNTY, FLORIDA
CASE NO.: 2007 CA 8149 NC
CURTIS J. EDGE & BARBARA
EDGE, Husband & Wife,
wn oS
Sax
Plaintiffs Pr
On O
PO
V. ou! O€
OO
cance 6;
= = =
MIAMI TRANSFORMER 25= of
CORP., a Florida me? oy
Corporation, — Oo
Defendant.
SUBPOENA DUCES TECUM FOR THE PRODUCTION OF
DOCUMENTS AND THINGS WITHOUT DEPOSITION PURSUANT
TO FLA. R. CIV. P. 1.351
TO: Medical Records Custodial
Physiotherapy Associates West — Florida
3000 E. Fletcher Street -— Ste. 210
Tampa, FL 33613
YOU ARE HEREBY COMMANDED to produce without deposition
and deliver to Law Office of Jason Gelinas, 3000 West Cypress
Creek Road, Fort Lauderdale, Florida 33309 on or before October
/ | Paeoo7 copies of:
ANY AND ALL medical records, medical bills,
doctors' reports, physical therapy records,
hospital records, x-rays, CT scans, M.R.I.
scans, M.R.I. reports, x-ray reports, CT scan
— = ee
fy
tay
Nitwmngy
QY093Y yO4 GANCase No. 2007 CA 8149 NC
reports, admission notes, discharge notes,
nurses’ notes, patient questionnaires, records
of payments of medical bills, insurance filings,
disability reports, consultation reports, and
YOUR ENTIRE FILE REGARDING: CURTIS
EDGE ; Date of Birth: May 27, 1951 .
You have the right to make a legal objection to the production of
these materials under Florida Rules of Civil Procedure 1.351. If you
fail to comply, you may be held in contempt of Court. You may
request reasonable costs of preparing these copies in advance by
making written request within five (5) days.
A copy of this Subpoena has been furnished to all counsel of
record.
COMPLIANCE WITH HIPAA DISCLOSURE
Defendant has complied with 45 C.F.R., Section 164.512(e) and
Rule 1.351 of the Florida Rules of Civil Procedure. Undersigned
certifies that:
1. Written notice has been provided to the insurance and/or the
individual's attorney for whom the documents are sought,
2. The notice included sufficient information about the litigation
and/or proceeding to permit the individual or his/her attorney to raise
an objection to the production of the requested documents,
3. The time to raise an objection has elapsed and,
4. Neither the individual nor his/her attorney filed an objection
to the above-listed subpoena.Case No. 2007 CA 8149 NC
WITNESS my hand and seal this = day of October, 2007.
LAW OFFICE OF JASON GELINAS
3000 West Cypress Creek Road
Fort Lauderdale, Florida 33309-1710
Telephone: (954) 979-0980
Facsimile: (954) 979-2911
wy Deuce C
DAVID C. LUCEY, ESQ.
(Florida Bar No.: 0845825)RETURN OF SERVICE
oo]
y
State of Florida County of Sarasota Circuit Court
Case Number: 07-CA-8149-NC Court Date: 10/19/2007
Plaintiff:
Curtis J. Edge & Barbara Edge, husband and wife
VS.
Defendant:
Miami Transformer Corp.,
For: David C. Lucey
Law Office of Jason Gelinas
Received by Dennis Urso Server on the 8th day of October, 2007 at 2:03 pm to be served on M/RIC Physiotherapy
Associates West - Florida, 3000 E. Fletcher St., Ste. 210, Tampa, FL3 33613. |, fYlovyl
Na Aa ey, do hereby affirm that on the [7]? day of 6 IC +d ,20 07 Tat 1b: Yom., executed service
b
y delivefing a true copy of the Subpoena duces tecum for the eek of documents and things without
deposition pursuant to Fla. R. Civ. P. 1.351 in accordance with state statutes in the manner marked below:
( ) PUBLIC AGENCY: By serving as __ of
the within-named agency.
() SUBSTITUTE SERVICE: By serving as
CORPORATE SERVICE: By serving | oth A Yurb aA __ as
a wows Cus bo At arm
() OTHER SERVICE: As described in the Comments below by serving as
() NON SERVICE: For the reason detailed in the Comments below.
COMMENTS: |
| certify that | have no interest in the above action, am of legal age and have proper authority in the jurisdiction in
which this service was made.
PROCESS SERVER # Bol
Appointed in accordance
with State Statutes
Dennis Urso Server
6771 N W 24th Ct
Margate, FL 33063
(954) 979-3518
Our Job Serial Number: 2007003400
Copyright © 1992-2006 Database Services, Inc. - Process Server's Toolbox V6.0g
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IN THE CIRCUIT COURT OF THE 12" JUDICIAL CIRCUIT, IN AND FOR SARASOTA COUNTY, FLORIDA CASE NO.: 2007 CA 8149 NC CURTIS J. EDGE & BARBARA EDGE, Husband & Wife, wn oS Sax Plaintiffs Pr On O PO V. ou! O€ OO cance 6; = = = MIAMI TRANSFORMER 25= of CORP., a Florida me? oy Corporation, — Oo Defendant. SUBPOENA DUCES TECUM FOR THE PRODUCTION OF DOCUMENTS AND THINGS WITHOUT DEPOSITION PURSUANT TO FLA. R. CIV. P. 1.351 TO: Medical Records Custodial Physiotherapy Associates West — Florida 3000 E. Fletcher Street -— Ste. 210 Tampa, FL 33613 YOU ARE HEREBY COMMANDED to produce without deposition and deliver to Law Office of Jason Gelinas, 3000 West Cypress Creek Road, Fort Lauderdale, Florida 33309 on or before October / | Paeoo7 copies of: ANY AND ALL medical records, medical bills, doctors' reports, physical therapy records, hospital records, x-rays, CT scans, M.R.I. scans, M.R.I. reports, x-ray reports, CT scan — = ee fy tay Nitwmngy QY093Y yO4 GANCase No. 2007 CA 8149 NC reports, admission notes, discharge notes, nurses’ notes, patient questionnaires, records of payments of medical bills, insurance filings, disability reports, consultation reports, and YOUR ENTIRE FILE REGARDING: CURTIS EDGE ; Date of Birth: May 27, 1951 . You have the right to make a legal objection to the production of these materials under Florida Rules of Civil Procedure 1.351. If you fail to comply, you may be held in contempt of Court. You may request reasonable costs of preparing these copies in advance by making written request within five (5) days. A copy of this Subpoena has been furnished to all counsel of record. COMPLIANCE WITH HIPAA DISCLOSURE Defendant has complied with 45 C.F.R., Section 164.512(e) and Rule 1.351 of the Florida Rules of Civil Procedure. Undersigned certifies that: 1. Written notice has been provided to the insurance and/or the individual's attorney for whom the documents are sought, 2. The notice included sufficient information about the litigation and/or proceeding to permit the individual or his/her attorney to raise an objection to the production of the requested documents, 3. The time to raise an objection has elapsed and, 4. Neither the individual nor his/her attorney filed an objection to the above-listed subpoena.Case No. 2007 CA 8149 NC WITNESS my hand and seal this = day of October, 2007. LAW OFFICE OF JASON GELINAS 3000 West Cypress Creek Road Fort Lauderdale, Florida 33309-1710 Telephone: (954) 979-0980 Facsimile: (954) 979-2911 wy Deuce C DAVID C. LUCEY, ESQ. (Florida Bar No.: 0845825)RETURN OF SERVICE oo] y State of Florida County of Sarasota Circuit Court Case Number: 07-CA-8149-NC Court Date: 10/19/2007 Plaintiff: Curtis J. Edge & Barbara Edge, husband and wife VS. Defendant: Miami Transformer Corp., For: David C. Lucey Law Office of Jason Gelinas Received by Dennis Urso Server on the 8th day of October, 2007 at 2:03 pm to be served on M/RIC Physiotherapy Associates West - Florida, 3000 E. Fletcher St., Ste. 210, Tampa, FL3 33613. |, fYlovyl Na Aa ey, do hereby affirm that on the [7]? day of 6 IC +d ,20 07 Tat 1b: Yom., executed service b y delivefing a true copy of the Subpoena duces tecum for the eek of documents and things without deposition pursuant to Fla. R. Civ. P. 1.351 in accordance with state statutes in the manner marked below: ( ) PUBLIC AGENCY: By serving as __ of the within-named agency. () SUBSTITUTE SERVICE: By serving as CORPORATE SERVICE: By serving | oth A Yurb aA __ as a wows Cus bo At arm () OTHER SERVICE: As described in the Comments below by serving as () NON SERVICE: For the reason detailed in the Comments below. COMMENTS: | | certify that | have no interest in the above action, am of legal age and have proper authority in the jurisdiction in which this service was made. PROCESS SERVER # Bol Appointed in accordance with State Statutes Dennis Urso Server 6771 N W 24th Ct Margate, FL 33063 (954) 979-3518 Our Job Serial Number: 2007003400 Copyright © 1992-2006 Database Services, Inc. - Process Server's Toolbox V6.0g