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Filing # 96881316 E-Filed 10/07/2019 08:36:32 PM
RETURN OF SERVICE
State of Florida County of Palm Beach Circuit Court
Case Number: 2018-CA-015498-XXXX-MB
Hy | | lll (I | | }
ERROLL INNI:
eee TPL2019195032
vs.
Defendant:
THE FLORIDA HIGHWAY PATROL, A division of Florida Department of Highway
Safety & Motor Vehicles, an Agency of the State of Florida, and TROOPER RICKY
LEE MAYO
For:
Melanie Golden
Steinberg Law Pa
10 S.E. ist Ave
Stec
Delray Beach, FL 33444
Received by TROPICAL SURVEILLANCE AND INVESTIGATIONS on the 27th day of September, 2019 at 5:20 pm to be served
on RECORDS CUSTODIAN OF: FLORIDA DEPARTMENT OF CORRECTIONS (ZEPHYR HILLS PRISON) C/O HUMAN
RESOURCE DEPARTMENT, 501 SOUTH CALHOUN STREET, TALLAHASSEE, FL 32399.
|, TYREE SLADE, do hereby affirm that on the 1st day of October, 2019 at 12:25 pm, I:
served a CORPORATE, PARTNERSHIP, ASSOCIATION OR GOVERNMENT SERVICE by delivering a true copy of the
Subpoena Duces Tecum Without Deposition with the date and hour of service endorsed thereon by me, to: Tyler Ferguson as
Records authorized to accept service, of the within named corporation, at the address of: 501 SOUTH CALHOUN STREET,
TALLAHASSEE, FL 32399 on behalf of FLORIDA DEPARTMENT OF CORRECTIONS (ZEPHYR HILLS PRISON), and informed
said person of the contents therein, in compliance with state statutes. Actual service location: (30.4372,-84.2794) accuracy 9 m.
Description of Person Served: Age: 33, Sex: M, Race/Skin Color: White, Height: 5'10", Weight: 235, Hair: Black, Glasses: N
| certify that | am over the age of 18, have no interest in the above action, and am a Certified Process Server, in good standing,
in the judicial circuit in which the process was served "Under penalties of perjury, |
declare that | have read the foregoing document and that the facts in it are true” F.S. 92.525. NOTARY NOT REQUIRED
PURSUANT TO FS 92.525,
TYREE SLADE
Process Server 244
TROPICAL SURVEILLANCE AND INVESTIGATIONS
Po Box 173019
Tampa, FL 33672
(813) 258-8885
Our Job Serial Number: TPL-2019195032
Ref: INNIS v. FHP
Copyright © 1992-2019 Database Services, Inc - Process Server's Toolbox V8 On
*** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 10/07/2019 08:36:32 PM ***IN THE CIRCUIT COURT OF THE 15!" JUDICIAL CIRCUIT
IN AND FOR PALM BEACH COUNTY, FLORIDA
Case No.: 2018-CA-015498-XXXX-MB
Div.: AD
ERROLL INNISS,
Plaintiff.
Vs
THE FLORIDA HIGHWAY PATROL,
A division of FLORIDA DEPARTMENT OF HIGHWAY
SAFETY & MOTOR VEHICLES, an Agency of the
State of Florida, and
TROOPER RICKY LEE MAYO,
Defendants.
SUBPOENA DUCES TECUM WITHOUT DEPOSITION
NOTE: If the charge for records exceeds $30.00, please contact the
undersigned attorney prior to copying.
ATE OF FLORIDA:
TO: RECORDS CUSTODIAN OF:
Florida Department of Corrections (Zephyr Hills Prison)
c/o: Human Resource Department
501 South Calhoun Street
Vallah: FL 32399-2500
PLEASE RESPOND TO THIS SUBPOENA IN WRITING.
PLEASE RETURN A COPY OF THIS SUBPOENA WITH YOUR RESPONSE.
YOU ARE COMMANDED to mail, or fax or email to MELANIE GOLDEN, ESQ..
STEINBERG LAW, P.A., . 10-S.E. Ist Ave. Ste C, Delray Beach, FL 33444: FAX (561) 394-
1838: E-MAIL: me
then thirty (30) day:
am and stel
service
folowing items
mailcom, no laterCase No.: 2018-CA-015498-XXXX-MB
A COMPLETE AND LEGIBLE COPY OF YOUR EMPLOYMENT FILE regarding the
following person:
Name: RICKY LEE MAYO |
Date of Birth March 29, 1986
Social Security No.: Fl
It is the intent of this subpoena that you produce each and every item in your physical
possession (whether typed, handwritten or computer-generated) and this ineludes, but is not
limited to any and all personnel records, application for employment. job description, evaluations,
reports of physical examinations for employment, health records. time cards and records of
attendance, leave, sick leave and vacation, special requests for
work, requests for light duty, reports of accident or injuries on the job, including workmen's
compensation first report forms pertaining to the above named individual,
iplinary actions, intake she
You will not be required to surrender the original items. YOU MAY COMPLY WITH
THIS SUBPOENA BY PROVIDING LEGIBLE COPIES OF THE ITEMS TO BE PRODUCED
TO THE ATTORNEY WHOSE NAME APPEARS ON THIS SUBPOENA ON OR BEFORE
THE SCHEDULED DATE OF PROD! SION, You may condition the preparation of the copies
upon the payment in advance of the rea
nable cost of preparation. 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. 1 DEPOSITION. NO
TIMONY WILL BE TAKEN,
If you fail to:
dy appear as specified: or
(2) furnish the records instead of appearing as provided above: or
Q) object to this subpoena,
you may be in contempt of court. You are subpoenaed by the attorney whose name appears on
this subpoena and unles sed from this subpoena by Unis attorney or the Court, you shall
respond to this subpoena as directed
Notice re: Disclosure of Protected Health Information
And Notice of Production From Non-PartyCase No.: 2018-CA-015498-XXXX-MB
| HIPAA COMPLIANCE NOTICE
In compliance with the standard for the use and disclosure of protected health information
(“PHI”) for judicial and administrative proceedings under the Health Insurance Portability and
Accountability Act of 1996 (“HIPAA”), 45 CFR $164.512(e), | hereby certify that:
1, The individual whose records are subject to the Subpoena has been given notice by
service of a Notice of Production from Non-Party (or Non-Parties) to the persons
indicated on the "Certificate of Service” contained therein on the date indicated (the
"Notice"), which date is at least ten (10) days before the issue date of the Subpoena.
| 2. Pursuant to Florida Rules of Civil Procedure, an objection to the Subpoena could
| have been made within ten (10) days of the date of the service of the Notice.
3. The time for the individual to raise an objection to the Subpoena has elapsed,
4, No objection to the subpoena was served, filed or made.
IF YOU DO NOT HAVE RECORDS FOR THIS PERSON, PLEASE SEND WRITTEN
STATEMENT TO THE FOLLOWING FAX #:(561) 594-1838
DATED on this September 9, 2019
For the Court By:
STEINBERG LAW, PA.
Attorney for Plaintiff
1OS.F. Ist Ave. Stec
Delray Beach. FL 33444
Telephone: (561) 630-0053
Facsimile: (561) 594-1838
Email
melanie@ bretisteinberglaw.com
steinberglawservice;@email.com
By: /s‘ Melanie Golden
Melanie Golden. Esquire
Florida Bar No.: 11900.
Preview
Filing # 96881316 E-Filed 10/07/2019 08:36:32 PM RETURN OF SERVICE State of Florida County of Palm Beach Circuit Court Case Number: 2018-CA-015498-XXXX-MB Hy | | lll (I | | } ERROLL INNI: eee TPL2019195032 vs. Defendant: THE FLORIDA HIGHWAY PATROL, A division of Florida Department of Highway Safety & Motor Vehicles, an Agency of the State of Florida, and TROOPER RICKY LEE MAYO For: Melanie Golden Steinberg Law Pa 10 S.E. ist Ave Stec Delray Beach, FL 33444 Received by TROPICAL SURVEILLANCE AND INVESTIGATIONS on the 27th day of September, 2019 at 5:20 pm to be served on RECORDS CUSTODIAN OF: FLORIDA DEPARTMENT OF CORRECTIONS (ZEPHYR HILLS PRISON) C/O HUMAN RESOURCE DEPARTMENT, 501 SOUTH CALHOUN STREET, TALLAHASSEE, FL 32399. |, TYREE SLADE, do hereby affirm that on the 1st day of October, 2019 at 12:25 pm, I: served a CORPORATE, PARTNERSHIP, ASSOCIATION OR GOVERNMENT SERVICE by delivering a true copy of the Subpoena Duces Tecum Without Deposition with the date and hour of service endorsed thereon by me, to: Tyler Ferguson as Records authorized to accept service, of the within named corporation, at the address of: 501 SOUTH CALHOUN STREET, TALLAHASSEE, FL 32399 on behalf of FLORIDA DEPARTMENT OF CORRECTIONS (ZEPHYR HILLS PRISON), and informed said person of the contents therein, in compliance with state statutes. Actual service location: (30.4372,-84.2794) accuracy 9 m. Description of Person Served: Age: 33, Sex: M, Race/Skin Color: White, Height: 5'10", Weight: 235, Hair: Black, Glasses: N | certify that | am over the age of 18, have no interest in the above action, and am a Certified Process Server, in good standing, in the judicial circuit in which the process was served "Under penalties of perjury, | declare that | have read the foregoing document and that the facts in it are true” F.S. 92.525. NOTARY NOT REQUIRED PURSUANT TO FS 92.525, TYREE SLADE Process Server 244 TROPICAL SURVEILLANCE AND INVESTIGATIONS Po Box 173019 Tampa, FL 33672 (813) 258-8885 Our Job Serial Number: TPL-2019195032 Ref: INNIS v. FHP Copyright © 1992-2019 Database Services, Inc - Process Server's Toolbox V8 On *** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 10/07/2019 08:36:32 PM ***IN THE CIRCUIT COURT OF THE 15!" JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA Case No.: 2018-CA-015498-XXXX-MB Div.: AD ERROLL INNISS, Plaintiff. Vs THE FLORIDA HIGHWAY PATROL, A division of FLORIDA DEPARTMENT OF HIGHWAY SAFETY & MOTOR VEHICLES, an Agency of the State of Florida, and TROOPER RICKY LEE MAYO, Defendants. SUBPOENA DUCES TECUM WITHOUT DEPOSITION NOTE: If the charge for records exceeds $30.00, please contact the undersigned attorney prior to copying. ATE OF FLORIDA: TO: RECORDS CUSTODIAN OF: Florida Department of Corrections (Zephyr Hills Prison) c/o: Human Resource Department 501 South Calhoun Street Vallah: FL 32399-2500 PLEASE RESPOND TO THIS SUBPOENA IN WRITING. PLEASE RETURN A COPY OF THIS SUBPOENA WITH YOUR RESPONSE. YOU ARE COMMANDED to mail, or fax or email to MELANIE GOLDEN, ESQ.. STEINBERG LAW, P.A., . 10-S.E. Ist Ave. Ste C, Delray Beach, FL 33444: FAX (561) 394- 1838: E-MAIL: me then thirty (30) day: am and stel service folowing items mailcom, no laterCase No.: 2018-CA-015498-XXXX-MB A COMPLETE AND LEGIBLE COPY OF YOUR EMPLOYMENT FILE regarding the following person: Name: RICKY LEE MAYO | Date of Birth March 29, 1986 Social Security No.: Fl It is the intent of this subpoena that you produce each and every item in your physical possession (whether typed, handwritten or computer-generated) and this ineludes, but is not limited to any and all personnel records, application for employment. job description, evaluations, reports of physical examinations for employment, health records. time cards and records of attendance, leave, sick leave and vacation, special requests for work, requests for light duty, reports of accident or injuries on the job, including workmen's compensation first report forms pertaining to the above named individual, iplinary actions, intake she You will not be required to surrender the original items. YOU MAY COMPLY WITH THIS SUBPOENA BY PROVIDING LEGIBLE COPIES OF THE ITEMS TO BE PRODUCED TO THE ATTORNEY WHOSE NAME APPEARS ON THIS SUBPOENA ON OR BEFORE THE SCHEDULED DATE OF PROD! SION, You may condition the preparation of the copies upon the payment in advance of the rea nable cost of preparation. 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. 1 DEPOSITION. NO TIMONY WILL BE TAKEN, If you fail to: dy appear as specified: or (2) furnish the records instead of appearing as provided above: or Q) object to this subpoena, you may be in contempt of court. You are subpoenaed by the attorney whose name appears on this subpoena and unles sed from this subpoena by Unis attorney or the Court, you shall respond to this subpoena as directed Notice re: Disclosure of Protected Health Information And Notice of Production From Non-PartyCase No.: 2018-CA-015498-XXXX-MB | HIPAA COMPLIANCE NOTICE In compliance with the standard for the use and disclosure of protected health information (“PHI”) for judicial and administrative proceedings under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), 45 CFR $164.512(e), | hereby certify that: 1, The individual whose records are subject to the Subpoena has been given notice by service of a Notice of Production from Non-Party (or Non-Parties) to the persons indicated on the "Certificate of Service” contained therein on the date indicated (the "Notice"), which date is at least ten (10) days before the issue date of the Subpoena. | 2. Pursuant to Florida Rules of Civil Procedure, an objection to the Subpoena could | have been made within ten (10) days of the date of the service of the Notice. 3. The time for the individual to raise an objection to the Subpoena has elapsed, 4, No objection to the subpoena was served, filed or made. IF YOU DO NOT HAVE RECORDS FOR THIS PERSON, PLEASE SEND WRITTEN STATEMENT TO THE FOLLOWING FAX #:(561) 594-1838 DATED on this September 9, 2019 For the Court By: STEINBERG LAW, PA. Attorney for Plaintiff 1OS.F. Ist Ave. Stec Delray Beach. FL 33444 Telephone: (561) 630-0053 Facsimile: (561) 594-1838 Email melanie@ bretisteinberglaw.com steinberglawservice;@email.com By: /s‘ Melanie Golden Melanie Golden. Esquire Florida Bar No.: 11900.