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IN THE CIRCUIT COURT IN AND FOR SARASOTA COUNTY, FLORIDA
CIVIL DIVISION CASE NO. 2005 CA 6681 SC
THOMAS ALLEN EATON, - (, i | Can ah an ,
Plaintiff, [: au - Al - Sf
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FRANK E. HUTTON, CPONSTANCE Sa FE
K. HUTTON and NATIONWIDE: © EAE GO OC
ASSURANCE COMPANY, one
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Defendants. ces fm
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SUBPOENA DUCES TECUM WITHOUT DEPOSITION mS Re
TO: Records Custodian: Bayflite Medical Transport, 701 6th Street South , St. Petersburg, FL 33701
You are commanded to appear at the Law Offices of Douglas E. Polk, Jr., 13923 ICOT Boulevard, Suite 815, Clearwater, FL
33760 on October 24, 2005 at 1:00 p.m., and to have with you at that time and place the following for
Thomas Allen Eaton, D/O/B: 09/13/1977 or 9/13/1975
Any. and all MEDICAL records, including but not limited to run reports, waivers of treatment, office records, doctors and nurses notes, °
insurance records, claim forms, medical records with respect to any injury or illness, medical history, consultations, treatment, patient
questionnaires, progress notes, laboratory reports, bills on account, any hospital and/or emergency room records, reports of diagnostic and
surgical procedures and any other data pertaining to the diagnosis, treatment and care of the patient
These items will be inspected and-may be copied at that time. You will not be required to surrender the original items. You may
comply with this subpoena by providing legible one-sided copies of the items to be produced to the attorney whose name appears on this
subpoena on or before the scheduled date of production. Please provide a copy of this Subpoena with your records. You may condition
the preparation of the copies upon the payment in advance of the reasonable cost of preparation. You may mail or deliver the copies to
the attorney whose name appears on this subpoena and thereby eliminate your appearance at that time and place specified above. You have
the right to object to the production pursuant to this subpoena at any time before production by giving written notice to the attorney whose
name appears on this subpoena. THIS WILL NOT BE A DEPOSITION. NO TESTIMONY WILL BE TAKEN. If you fail to: (1)
appear as specified; or (2) furnish the records instead of appearing as provided above; or (3) object to this subpoena, you may be in
contempt of Court. You are subpoenaed by the attorney whose name appears on this subpoena and unless excused from this subpoena by
the attorney or the Court, you shall respond to this subpoena as directed. If copy costs exceed $100.00, or prepayment of
service charges is necessary, please fax (727/535-4803) a copy of the invoice to our office with your
company’s FEDERAL TAX ID. NUMBER. PLEASE BE ADVISED THAT NO INVOICE FOR COPIES CAN
BE PAID WITHOUT YOUR FEDERAL TAX ID NUMBER. IF YOU DO NOT HAVE RECORDS, PLEASE
INDICATE ON THE SUBPOENA AND FAX YOUR RESPONSE TO THE UNDERSIGNED ATTORNEY.
I hereby certify that written notice has been provided to the individual, or the attorney for the individual, whose documents are sought,
that the notice included sufficient information about the litigation or proceeding to permit the individual to raise an objection to the production of
the requested documents, and that the time to raise an objection has elapsed and no objections were filed.
DATED on cEP 2 2 2009
Douglas E. Polk, Jr., FBN 771686
Attorney for Defendant
13923 Icot Boulevard, Suite 815
Clearwater, Florida 33760 By:
727/530-9896 Ext. 104
727/535-4803 Fax
Douglas E. Polk, Jr., For the Court
In accordance with the Americans with Disabilities Act, persons with disabilities needing a special accommodation to participate in this proceeding should
contact the Law Offices of Douglas E. Polk, Jr, (727) 530-9896, not later than seven (7) days prior to the due date of the records.
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SwTHOMAS ALLEN EATON, SARASOTA COUNTY CIRCUIT COURT
CASE NO.: 2005 CA 6681 SC
vs: Type of Writ DUCES TECUM
B AW/Q DE ITION
FRANK E. HUTTON, ET AL.,
TO: RECORDS CUSTODIAN:
BAYFLITE MEDICAL TRANSPORT
701 6TH STREET SOUTH
ST. PETERSBURG, FL 33701
Received this writ on__09/22/05 _and on__09/27/05 at 1:24PM. {served it on the
above named in__PINELLAS — County, Florida.
RETURN OF SERVICE
INDIVIDUAL SERVICE: By delivering to the above named witness a true copy of this writ with the
date and hour of service endorsed thereon by me.
SUBSTITUTE SERVICE: By leaving a true copy of this writ with the date and hour of service
endorsed thereon by me to the piace of abode with any person residing therein above the age of 15
years to-wit: tC—‘“iCSCSC arn informirng Such person of their contents.
_XXX__ CORPORATE SERVICE: By delivering a true copy of the writ with the date and hour of service
endorsed thereon by me:__ GIL CANCHANI AS COMMUNICATION SPECIALIST _said corporation in the
absence of any superior officer as defined in FS 48.081.
_________.NO SERVICE: For the reason that after diligent search and inquiry failed to find said
in County, Florida.
COMMENTS:
Witness Fee:$_ -0-
UNDER PENALTIES OF PERJURY, | DECLARE THAT I HAVE READ THE FOREGOING
RETURN OF SERVICE AND THAT THE FACTS STATER-HEREIN ARE TRUE AND CORRECT,
PURSUANT TO FS 92.525, FLORIDA STATUTES
OMNI SERVICES and is notan interested party.
(813)269-9111