On October 02, 2015 a
AFFDT MED RECS - MID-CITIES IMAGING
was filed
involving a dispute between
and
for INJURY OR DAMAGE, INVOLVING MOTOR VEHICLE
in the District Court of Tarrant County.
Preview
352-281484-15 FILED
TARRANT COUNTY
12/14/2017 11:08 AM
352-281484-15 THOMAS A. WILDER
DISTRICT CLERK
MILLICENT EDWARDS IN THE DisTRICT COURT
vs. 352 DISTRICT COURT
LYNN SMITH CHEVROLET TARRANT COUNTY, TEXAS
Affidavit of Medical Records
from
Mid-Cities Imaging
@5-18-'17 11:55 FROM- T-818 Pe002/0014 F-658
CAUSE NO. 352-281484-15
MILLICANT EDWARD, § IN THE DISTRICT COURT
PLAINTIFF,
vs. 352®? JUDICIAL DISTRICT
LYNN SMITH CHEVROLET,
DEFENDANT. § TARRANT COUNTY, TEXAS
AFFIDAVIT FOR MEDICAL RECORDS
STATE OF TEXAS 8
§
COUNTY OF Dallas §
ORE ME, the undersigned authority, personally appeared
Sandra jelob , Who, being by me duly sworn, deposed and said:
"My name is ; I am over the age of eighteen (18)
years, of sound mind, cap: able of making this affidavit, and personally acquainted with
the facts stated in it. Iam the custodian of records for MID CITIES IMAGING end as
such, I am qualified to testify about the records attached to this Affidavit for the treatment
of Millicent Edwards.
The records attached to this Affidavit, consisting of 10 _ pages are kept by
MID CITIES IMAGING, in the regular course of business. It was the regular course of
business for MID CITIES IMAGING for a doctor, an employee or representative of
MID CITIES IMAGING with knowledge of the act, event, condition, opinion or
diagnosis recorded to make the repor or tto transmit such information thereof to be
included in such report. The report was made at or near the time of the act, event,
condition, opinion or diagnosis recorded, or reasonably soon therea! ter, The records
Ce
attached hereto are the originals or exact duplicates tins
on
ree, $4. &. ee
AFFIANT
SWORN TO AND SUBSCRIBED before me on the LE day of
Ane _s 2017.
My Commission Expires: S-/7-20@0 NOTARY PUBLIC, STATE OF TEXAS
pent Nei ee
PATRICK MC
Notary Pubiic, Sta jaxas
Comm, &xgires 20
iis
_ Novi
akin St
Document Filed Date
December 14, 2017
Case Filing Date
October 02, 2015
Category
INJURY OR DAMAGE, INVOLVING MOTOR VEHICLE
Status
FINAL JUDGMENT BY JURY VERDICT
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352-281484-15 FILED TARRANT COUNTY 12/14/2017 11:08 AM 352-281484-15 THOMAS A. WILDER DISTRICT CLERK MILLICENT EDWARDS IN THE DisTRICT COURT vs. 352 DISTRICT COURT LYNN SMITH CHEVROLET TARRANT COUNTY, TEXAS Affidavit of Medical Records from Mid-Cities Imaging @5-18-'17 11:55 FROM- T-818 Pe002/0014 F-658 CAUSE NO. 352-281484-15 MILLICANT EDWARD, § IN THE DISTRICT COURT PLAINTIFF, vs. 352®? JUDICIAL DISTRICT LYNN SMITH CHEVROLET, DEFENDANT. § TARRANT COUNTY, TEXAS AFFIDAVIT FOR MEDICAL RECORDS STATE OF TEXAS 8 § COUNTY OF Dallas § ORE ME, the undersigned authority, personally appeared Sandra jelob , Who, being by me duly sworn, deposed and said: "My name is ; I am over the age of eighteen (18) years, of sound mind, cap: able of making this affidavit, and personally acquainted with the facts stated in it. Iam the custodian of records for MID CITIES IMAGING end as such, I am qualified to testify about the records attached to this Affidavit for the treatment of Millicent Edwards. The records attached to this Affidavit, consisting of 10 _ pages are kept by MID CITIES IMAGING, in the regular course of business. It was the regular course of business for MID CITIES IMAGING for a doctor, an employee or representative of MID CITIES IMAGING with knowledge of the act, event, condition, opinion or diagnosis recorded to make the repor or tto transmit such information thereof to be included in such report. The report was made at or near the time of the act, event, condition, opinion or diagnosis recorded, or reasonably soon therea! ter, The records Ce attached hereto are the originals or exact duplicates tins on ree, $4. &. ee AFFIANT SWORN TO AND SUBSCRIBED before me on the LE day of Ane _s 2017. My Commission Expires: S-/7-20@0 NOTARY PUBLIC, STATE OF TEXAS pent Nei ee PATRICK MC Notary Pubiic, Sta jaxas Comm, &xgires 20 iis _ Novi akin St