On January 15, 2021 a
Clerk Notice
was filed
involving a dispute between
Johnson, Harriet S,
The Estate Of Harry Johnson Jr,
and
Alvarez, Norma,
Florida Facilities Llc,
Gulf Coast Health Care Holdings Llc,
Hc Navigator Llc,
Mf Flagler Llc,
Pensacola Administrative Services Llc,
Petretti, Charlene,
for OTHER NEGLIGENCE NURSING HOME
in the District Court of Flagler County.
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Flagler County Receipt of Transaction
Receipt# 2021000758
Tom Bexley
Clerk of the Circuit Court & Comptroller
Flagler County, Florida
Received From:
WILANDER, CARL R
4401 W. KENNEDY BLVD.
SUITE 250
On Behalf Of:
On: 1/19/21 12:45 pm
Transaction # 100313312
|CaseNumber 2021 CA 000023
Fee Description Fee Prior Paid == Waived Due Paid Balance
(CAOTHER) CIRCUIT CIVIL FILING FEE 400.00 0.00 0.00 400.00 400.00 0.00
OTHER
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CAADDDEF-EPORTAL) CIRC CIV 5.00 0.00 0.00 5.00 5.00 0.00
ADDITIONAL DEFENDANT > 5 FEE -
FROM EPORTAL
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00
(SUMMONS)
(CAADDDEF) CIRC CIV ADDITIONAL 5.00 0.00 0.00 5.00 5.00 0.00
DEFENDANT > 5 FEE
Total: 480.00 0.00 0.00 480.00 480.00 0.00
Grand Total: 480.00 0.00 0.00 480.00 480.00 0.00
PAYMENTS
Payment Type Reference Amount Refund Overage Change __Net Amount
EPORTAL 30185091 OK ‘480.00 0.00 0.00 0.00 480.00
Payments Total: 480.00 0.00 0.00 0.00 480.00
Page 1 of 1
Document Filed Date
January 19, 2021
Case Filing Date
January 15, 2021
Category
OTHER NEGLIGENCE NURSING HOME
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Flagler County Receipt of Transaction Receipt# 2021000758 Tom Bexley Clerk of the Circuit Court & Comptroller Flagler County, Florida Received From: WILANDER, CARL R 4401 W. KENNEDY BLVD. SUITE 250 On Behalf Of: On: 1/19/21 12:45 pm Transaction # 100313312 |CaseNumber 2021 CA 000023 Fee Description Fee Prior Paid == Waived Due Paid Balance (CAOTHER) CIRCUIT CIVIL FILING FEE 400.00 0.00 0.00 400.00 400.00 0.00 OTHER (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CAADDDEF-EPORTAL) CIRC CIV 5.00 0.00 0.00 5.00 5.00 0.00 ADDITIONAL DEFENDANT > 5 FEE - FROM EPORTAL (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CA3) CIRCUIT CIVIL FILING FEES 10.00 0.00 0.00 10.00 10.00 0.00 (SUMMONS) (CAADDDEF) CIRC CIV ADDITIONAL 5.00 0.00 0.00 5.00 5.00 0.00 DEFENDANT > 5 FEE Total: 480.00 0.00 0.00 480.00 480.00 0.00 Grand Total: 480.00 0.00 0.00 480.00 480.00 0.00 PAYMENTS Payment Type Reference Amount Refund Overage Change __Net Amount EPORTAL 30185091 OK ‘480.00 0.00 0.00 0.00 480.00 Payments Total: 480.00 0.00 0.00 0.00 480.00 Page 1 of 1