TRIAL COURT OFFICIAL'S
REQUEST FOR EXTENSION OF TIME TO FILE RECORD
FILED IN
12th COURT OF APPEALS
TYLER, TEXAS
Court of Appeals No. (If known): 12 - ( ± -Q\}:j 0 -( ~'2__2/2/2015 11:02:39 PM
CATHY S. LUSK
Trial Court Style:
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Clerk
Trial Court & County: '()'\~ ,-\~'\;\>,\ S3:J
1 Trial Coirt No.: 'J (\sq
Date Trial Clerk's Record Originally Due: {\.{ /A
Date Court Reporter's/Recorder's Record Originally Due: 11 I1'f /ZC>l f
Anticipated Number of Pages of Record: (g:J\)
I am responsible for preparing a record in this appeal but I am unable to file the record by the original due date for
the following reason/s: (Check all that apply - attach additional pages if necessary.)
D to the best of my knowledge, the Appellant has made no claim of indigence and has failed to either w
~t;Auired fee or to make arrangements to pay the fee for preparing the record. ,
IS2I' my duties listed below preclude working on this record: \. _L \ .L ~~ ~
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I anticipate this record will be completeo and forwardea to the Ith Court of Appeals by
hereby request an additional rJ: days within which to prepare it. TEX. R. APP. P. 37.3.
In compliance with TEX. R. APP. P. 9.5(e), I certify that a copy of this notice has been served on counsel for all
parties to the trial Court's judgment or order being appealed. I further certify by my signature below that the
information contained in this notice is true and within my personal knowledge.
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Office Phone Number Printed Name \*~ G ~\:>~
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Trial Clerk's/Court Reporter's Request for Ext/12th CA-Csl/Tyler/12-3-97 /Rev.5-3-2001
TEXAS RULE OF APPELLATE PROCEDURE 9.5(e) reads:
Certificate requirements. A certificate of service must be signed by the person who made the service
and must state:
(I) the date and manner of service;
(2) the name and addresses of each person served; and
(3) ifthe person served is a party's attorney, the name of the party represented by that attorney.
The following parties have been served with a copy of this document:
(Infonnation may be either printed or typed.)
Lead Counsel for APPELLANT(s): Lead Counsel for APPELLEE(S ):
Name:'--S--=~~·;Jk.......• ""-41_...EY'tt~=---="....._\_ _ Name: S'-U"-\. ~~'\
Address: l\JOO \\). ~~i\\ \\.. Address: ~ t\J. ~\J\~~ &.
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Phone no.:C\\i")· 'Jd.;3- ~~~{ l~a.., qi\~ '< 'l
Phone no.:
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Attorney for:_ _ _ _ _ _ _ _ _ _ _ __ Attorney for: ~ ~[~
Lead Counsel for Al'PELLA"T(S): Lead Counsel for APPELLEE(s ):
Name:._ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name:
Address:._ _ _ _ _ _ _ _ _ _ _ _ __ Address:
Phone no.=-------------~ Phone no.:
Attorney for:._ _ _ _ _ _ _ _ _ _ _ __ Attorney for:
Additional information, if any:
~4::-,ART MOTOR COMPANY
P.~. Bu;c 1130
Corsicana, TX75151-1130 ~ SERVICE DEPARTMENT HOURS
(903) 874-6556 7:30 a.m. to 6:00 p.m.
Toll Free: 800-765-1521 Monday - Friday •\
Fax: (903) 874-3692 TOYOTA 7:30 a.m. to 1:00 p.m. Saturday
www.stewarttoyota.com 1 5891
... ..
16623
.
WOOTEN, KEN . .. Paul Owen/*W*
. .. . . ..
714 KELLY STREET
FAIRFIELD, TX 75840 . - .. - 4T4BF1FK5CR172691
I· I •.
2012 TOYOTA CAMRY LE
... 4D SEDAN
=·· ••
SILVER 1F7
************************************************************
* Thank you for visiting Stewart Toyota *
* of Corsicana, Texas. Family Owned & *
* Serving the area since 1939! *
************************************************************
'6;J ~1119.
TERMS: STRICTLY CASH UNLESS ARRANGEMENTS ARE MADE. "I hereby authorize the repair LABOR 306.40
work hereinafter to be done along with the necessary material and agree that you are not
responsible for loss or damage to vehicle or articles left in the vehicle in case of fire, theft, or any PARTS 622.70
other cause beyond your control or for any delays caused by unavailability of parts or delays in
DEDUCTIBLE .00
parts shipments by the supplier or transporter. I hereby grant you or your employees permission to
operate the vehicle herein described on streets, highways, or elsewhere for the purpose of testing SUBLET .00
and/or inspection. An express mechanic's lien is hereby acknowledged on above vehicle to secure
the amount of repairs thereto."" SHOP SUPPLIES .00
HAZARDOUS MATERIALS .00
DISCLAIMER OF WARRANTIES. Any warranties on the products sold hereby are those made by
the manufacturer. The seller hereby expressly disclaims all warranties either express or implied, SALES TAX OR TAX l.D. 51 . 3 7
including any implied warranty of merchantability or fitness for a particular purpose, and the seller
neither assumes nor authorizes any other person to assume for it any liability in connection with the SPECIAL ORDER DEPOSIT .00
sale of said products. Any limitation contained herein does not apply where prohibited by law. DISCOUNTS -11.00
TOTAL DUE 969.47
c 2012 DEALERTRACK SYSTEMS, Inc - Dealershi A hcat1on Grou (800) 945-1028
Workfile ID: d3f7ald7
STEWART MOTOR CO COLLISION 203874731
Federal ID:
REPAIR
"We appreciate your business"
3400 S INTERSTATE HWY 45, CORSICANA, TX
75110
Phone: (903) 872-1113
FAX: (903) 874-3692
Preliminary Estimate ffp/IJ/3
Customer: WOOTEN, KEN Job Number:
Written By: KENNY THOMPSON
Insured: WOOTEN, KEN Policy#: Claim #: 03551411
Type of Loss: Date of Loss: Days to Repair: 0
Point of Impact: 12 Front
Owner: Inspection Location: Insurance Company:
WOOTEN, KEN STEWART MOTOR CO COLLISION REPAIR
714 KELLY STREEET 3400 S INTERSTATE HWY 45
FAIRFIELD, TX 75840 CORSICANA, TX 75110
Repair Facility
(903) 872-1113 Day
VEHICLE
Year: 2012 Body Style: 4D SED VIN: 4T4BF1FK5CR172691 Mileage In: 15891
Make: TOYO Engine: 4-2.5L-FI License: DKX3008 Mileage Out:
Model: CAMRY LE Production Date: 11/2011 State: TX Vehicle Out:
Color: SILVER Int: Condition: Excellent Job#:
TRANSMISSION Overhead Console FM Radio SEATS
Automatic Transmission CONVENIENCE Stereo Cloth Seats
Overdrive Air Conditioning Search/Seek Bucket Seats
POWER Intermittent Wipers CD Player WHEELS
Power Steering Tilt Wheel Auxiliary Audio Connection Wheel Covers
Power Brakes Cruise Control SAFETY PAINT
Power Windows Rear Defogger Drivers Side Air Bag Clear Coat Paint
Power Locks Keyless Entry Passenger Air Bag OTHER
Power Mirrors Message Center Anti-Lock Brakes (4) Traction Control
DECOR Steering Wheel Touch Controls 4 Wheel Disc Brakes Stability Control
Dual Mirrors Telescopic Wheel Front Side Impact Air Bags Power Trunk/Gate Release
Tinted Glass RADIO Head/Curtain Air Bags
Console/Storage AM Radio Hands Free Device
1/29/2015 12:32:29 PM 008069 Page 1
Preliminary Estimate
Customer: WOOTEN, KEN lob Number:
Vehicle: 2012 TOYO CAMRY LE 4D SED 4-2.SL-FI SILVER
Line Oper Description Part Number Qty Extended Labor Paint
Price$
1 FRONT BUMPER & GRILLE
2 0/H bumper assy 0 0.00 2.4 0.0
3 ** Repl A/M CAPA Bumper cover 5211906974 1 231.00 Incl. 2.6
4 Add for Clear Coat 0 0.00 0.0 1.0
5 ** Rep I A/M CAPA LT Hole cover L, LE 5212806260 1 34.00 Incl. 0.0
models
6 ** RepI A/M CAPA Lower grille 5311206200 1 56.00 Incl. 0.0
7 ** RepI A/M RT Side support 5253506130 1 23.00 0.1 0.0
8 ** Rep I A/M LT Side support 5253606120 1 22.00 0.1 0.0
9 * R&I RT Hole cover L, LE models 0 0.00 Incl. 0.0
10 RepI Bumper cover fastener 9046705090Bl 2 3.50 0.0 0.0
11 RADIATOR SUPPORT
12 ** RepI A/M RT Under cover 5144106150 1 68.00 0.2 0.0
13 ** RepI A/M LT Under cover 5144206140 1 70.00 0.2 0.0
14 # Haz Waste Removal 1 5.00 x 0.0 0.0
15 # THIS IS ONLY A PRELIMINARY 1 0.00 0.0 0.0
ESTIMATE
16 # REMOVED ENGINE SLPASH 1 0.00 0.0 0.0
SHIELD PER REQUEST OF
CUSTOMER
SUBTOTALS 512.50 3.0 3.6
ESTIMATE TOTALS
Category Basis Rate Cost$
Parts 507.50
Body Labor 3.0 hrs @ $ 44.00 /hr 132.00
Paint Labor 3.6 hrs @ $ 44.00 /hr 158.40
Paint Supplies 3.6 hrs @ $ 32.00 /hr 115.20
Miscellaneous 5.00
Subtotal 918.10
Sales Tax $ 622.70 @ 8.2500 % 51.37
Grand Total 969.47
Deductible 0.00
CUSTOMER PAY 0.00
INSURANCE PAY 969.47
1/29/2015 12:32:29 PM 008069 Page 2