On April 08, 2020 a
EX 3 BRA NATURAL HEALTH FIVE STAR PERSONAL INJURY
was filed
involving a dispute between
and
for INJURY OR DAMAGE, INVOLVING MOTOR VEHICLE
in the District Court of Tarrant County.
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ameoeriaaye _ Visor eULY US OSPM 817-877-8899
01/03/2020 03:54PM
SMITH & SMITH
8177353837 LMS CHIRO INC
RECEIVED 42/30/2019) 11: 374M 8177953837 LMS CHIRO INC PAGE 02/03
12/30/2019} 14:87, | 817-877-8899 SMITH& SMITH PAGE 05/05
352-316364-20
AFFIDAVIT FOR AUTHENTICATION OF
BUSINESS RECORDS
Facility: NATURAL HEALTH FIVE STAR PERSONAL INJURY
Patient: David Padilla
Dates: Dates of services from April 26, 2018 to the present.
BEFORE ME, the undersigned authority, personally appeared Lyon Dal who,
being by me duly swor, I deposed and said:
1 My nameis . Lam of sound mind, capable of making this
affidavit, and personal) with the facts stated in it.
HEALTH
2. Tam the n in charge or with custody of the business records for NATURAL
FIVE STAR PERSONAL INJURY.
3. Attached hereto ate ZH pages of bus! iness records related to DAVID PADILLA, all of
STAR PERSONAL INJURY in the
which were made and kept by NATURAL HEAL TH FIVE RAL HEALTH FIVE
s. Jt was in the yegular cour: se of business of NATU
regular course of its busines
entative of NATURAL HEALTH FIVE
STAR PERSONAL INJURY for an, employee of repres
act, event, condition, oJ pinion or diagnosis
STAR PERSONAL INJURY with. knowledge of the or to transmit information.
recorded, to make the memorandum, report, record or data compilation
, report, record or data compilation was
thereof to be included in such records. The memorandum recor ded or reasonably soon
dition or diagno sis
wade at or near the time of the act, event, con e records of
ates of the
thereafter. The records attached hereto are exact duplic
INJUR Y.
NATURAL HEALTH FIVE STAR PERSONAL
Affiiant
SWORN TO AND SUBSCRIBED before me on the St ey of A Lit i 2020.
a Le —
_- Notary Rublic; Texas
te. Lf. ey
My Commission Expires: | 2h
SHELLY ADKINS
9
KR 7
fSfs A) Notary 1D 413004240
My Commission Expires
wy December 18, 2022
EXHIBIT
34
Document Filed Date
June 09, 2020
Case Filing Date
April 08, 2020
Category
INJURY OR DAMAGE, INVOLVING MOTOR VEHICLE
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ameoeriaaye _ Visor eULY US OSPM 817-877-8899 01/03/2020 03:54PM SMITH & SMITH 8177353837 LMS CHIRO INC RECEIVED 42/30/2019) 11: 374M 8177953837 LMS CHIRO INC PAGE 02/03 12/30/2019} 14:87, | 817-877-8899 SMITH& SMITH PAGE 05/05 352-316364-20 AFFIDAVIT FOR AUTHENTICATION OF BUSINESS RECORDS Facility: NATURAL HEALTH FIVE STAR PERSONAL INJURY Patient: David Padilla Dates: Dates of services from April 26, 2018 to the present. BEFORE ME, the undersigned authority, personally appeared Lyon Dal who, being by me duly swor, I deposed and said: 1 My nameis . Lam of sound mind, capable of making this affidavit, and personal) with the facts stated in it. HEALTH 2. Tam the n in charge or with custody of the business records for NATURAL FIVE STAR PERSONAL INJURY. 3. Attached hereto ate ZH pages of bus! iness records related to DAVID PADILLA, all of STAR PERSONAL INJURY in the which were made and kept by NATURAL HEAL TH FIVE RAL HEALTH FIVE s. Jt was in the yegular cour: se of business of NATU regular course of its busines entative of NATURAL HEALTH FIVE STAR PERSONAL INJURY for an, employee of repres act, event, condition, oJ pinion or diagnosis STAR PERSONAL INJURY with. knowledge of the or to transmit information. recorded, to make the memorandum, report, record or data compilation , report, record or data compilation was thereof to be included in such records. The memorandum recor ded or reasonably soon dition or diagno sis wade at or near the time of the act, event, con e records of ates of the thereafter. The records attached hereto are exact duplic INJUR Y. NATURAL HEALTH FIVE STAR PERSONAL Affiiant SWORN TO AND SUBSCRIBED before me on the St ey of A Lit i 2020. a Le — _- Notary Rublic; Texas te. Lf. ey My Commission Expires: | 2h SHELLY ADKINS 9 KR 7 fSfs A) Notary 1D 413004240 My Commission Expires wy December 18, 2022 EXHIBIT 34